FNP NR511: Differential Diagnosis Final Exam ()
Chamberlain College of Nursing
Exam Elaborations | Revised & Accurate Answer Key
100% Guarantee Pass | Most Expected Questions
FNP NR511: Differential Diagnosis Final Exam ()
Chamberlain College of Nursing
Exam Elaborations | Revised & Accurate Answer Key
100% Guarantee Pass | Most Expected Questions
1. A 65-year-old man presents with exertional chest pain relieved by rest. What is the most likely diagnosis?
Answer: B. Stable angina
Rationale: Stable angina is characterized by chest pain on exertion that improves with rest or nitroglycerin.
2. A 45-year-old woman complains of fatigue, weight gain, and cold intolerance. What lab test would best
confirm the diagnosis?
Answer: B. TSH
Rationale: TSH is the primary screening test for hypothyroidism.
3. A patient presents with acute shortness of breath and pleuritic chest pain. D-dimer is elevated. Next step?
Answer: B. CT angiogram
Rationale: A CT angiogram is the gold standard for evaluating pulmonary embolism.
4. Which symptom is most indicative of pyelonephritis over cystitis?
Answer: C. Flank pain and fever
Rationale: Pyelonephritis presents with systemic signs such as fever and costovertebral angle tenderness.
5. A 22-year-old female presents with pelvic pain and cervical motion tenderness. Most likely diagnosis?
Answer: C. Pelvic inflammatory disease
Rationale: PID is characterized by adnexal tenderness, cervical motion tenderness, and pelvic pain.
, 6. A 34-year-old man presents with RUQ pain after fatty meals. Positive Murphy's sign. Best initial test?
Answer: C. Abdominal ultrasound
Rationale: First-line imaging for suspected cholecystitis is an ultrasound.
7. Child presents with barky cough and inspiratory stridor. What is the most likely diagnosis?
Answer: C. Croup
Rationale: Classic signs of croup include stridor and a barking cough.
8. Which headache type is associated with unilateral, pulsating pain and photophobia?
Answer: B. Migraine
Rationale: Migraines often present with unilateral pain and associated features like photophobia.
9. A 76-year-old has progressive memory loss but maintains alertness and social function. Most likely
diagnosis?
Answer: B. Alzheimer's disease
Rationale: Alzheimer's shows slow cognitive decline with preserved alertness in early stages.
10. A patient presents with tremor at rest, bradykinesia, and rigidity. Which condition is likely?
Answer: A. Parkinson's disease
Rationale: Classic triad of Parkinson's includes bradykinesia, rigidity, and resting tremor.
11. A 16-year-old presents with fever, sore throat, and posterior cervical adenopathy. Which test confirms
diagnosis?
Answer: B. Monospot
Rationale: Monospot confirms EBV infection, the cause of infectious mononucleosis.
12. What is the most appropriate first-line treatment for otitis media in children?
Answer: B. Amoxicillin
Rationale: Amoxicillin is the recommended first-line antibiotic.
13. Which test is most appropriate for diagnosing appendicitis in pregnancy?
Answer: B. MRI abdomen
Rationale: MRI avoids radiation and is safe in pregnancy for abdominal diagnostics.
Chamberlain College of Nursing
Exam Elaborations | Revised & Accurate Answer Key
100% Guarantee Pass | Most Expected Questions
FNP NR511: Differential Diagnosis Final Exam ()
Chamberlain College of Nursing
Exam Elaborations | Revised & Accurate Answer Key
100% Guarantee Pass | Most Expected Questions
1. A 65-year-old man presents with exertional chest pain relieved by rest. What is the most likely diagnosis?
Answer: B. Stable angina
Rationale: Stable angina is characterized by chest pain on exertion that improves with rest or nitroglycerin.
2. A 45-year-old woman complains of fatigue, weight gain, and cold intolerance. What lab test would best
confirm the diagnosis?
Answer: B. TSH
Rationale: TSH is the primary screening test for hypothyroidism.
3. A patient presents with acute shortness of breath and pleuritic chest pain. D-dimer is elevated. Next step?
Answer: B. CT angiogram
Rationale: A CT angiogram is the gold standard for evaluating pulmonary embolism.
4. Which symptom is most indicative of pyelonephritis over cystitis?
Answer: C. Flank pain and fever
Rationale: Pyelonephritis presents with systemic signs such as fever and costovertebral angle tenderness.
5. A 22-year-old female presents with pelvic pain and cervical motion tenderness. Most likely diagnosis?
Answer: C. Pelvic inflammatory disease
Rationale: PID is characterized by adnexal tenderness, cervical motion tenderness, and pelvic pain.
, 6. A 34-year-old man presents with RUQ pain after fatty meals. Positive Murphy's sign. Best initial test?
Answer: C. Abdominal ultrasound
Rationale: First-line imaging for suspected cholecystitis is an ultrasound.
7. Child presents with barky cough and inspiratory stridor. What is the most likely diagnosis?
Answer: C. Croup
Rationale: Classic signs of croup include stridor and a barking cough.
8. Which headache type is associated with unilateral, pulsating pain and photophobia?
Answer: B. Migraine
Rationale: Migraines often present with unilateral pain and associated features like photophobia.
9. A 76-year-old has progressive memory loss but maintains alertness and social function. Most likely
diagnosis?
Answer: B. Alzheimer's disease
Rationale: Alzheimer's shows slow cognitive decline with preserved alertness in early stages.
10. A patient presents with tremor at rest, bradykinesia, and rigidity. Which condition is likely?
Answer: A. Parkinson's disease
Rationale: Classic triad of Parkinson's includes bradykinesia, rigidity, and resting tremor.
11. A 16-year-old presents with fever, sore throat, and posterior cervical adenopathy. Which test confirms
diagnosis?
Answer: B. Monospot
Rationale: Monospot confirms EBV infection, the cause of infectious mononucleosis.
12. What is the most appropriate first-line treatment for otitis media in children?
Answer: B. Amoxicillin
Rationale: Amoxicillin is the recommended first-line antibiotic.
13. Which test is most appropriate for diagnosing appendicitis in pregnancy?
Answer: B. MRI abdomen
Rationale: MRI avoids radiation and is safe in pregnancy for abdominal diagnostics.
