NR 511 LATEST EXAM QUESTIONS AND ANSWERS
Which of the following is not true regarding hepatitis C?
1.The greatest rate of infection in the general population is seen in people born
between 1945 and 1965.
2.Many hepatitis C infections are asymptomatic.
3.Hepatitis C is seen more frequently in men than women.
4.If hepatitis is asymptomatic it doesn't cause cirrhosis or liver cancer.
4.
If hepatitis is asymptomatic it doesn't cause cirrhosis or liver cancer.
A 54-year-old female presents to your primary care office for routine reevaluation
for gastroesophageal reflux disease (GERD). She has been treated with diet
modifications and 6 weeks of omeprazole without improvement of her symptoms.
What is the next step in management of this patient's GERD?
1.Order an endoscopy.
2.Order a Helicobacter pylori blood test.
3.Try adding ranitidine to the patient's regimen.
4.Try adding bismuth to the patient's regimen.
1.
Order an endoscopy.
What is the recommended treatment to eradicate a Helicobacter pylori infection?
1.Ranitidine, amoxicillin, and clarithromycin for 2 weeks.
2.Amoxicillin, clarithromycin, and omeprazole for 2 weeks.
3.Bismuth, amoxicillin, and clarithromycin for 2 weeks.
4.Bismuth, doxycycline, metronidazole, and ranitidine.
2.
Amoxicillin, clarithromycin, and omeprazole for 2 weeks.
A 25-year-old male presents complaining of hematochezia. The patient states he
has noticed this for 2 days. He states there is a streak of bright blood along his
stool every time he has a bowel movement. The patient has no pain with his
bowel movements. He admits to eating a poor diet. The patient has no abdominal
pain, nausea, or vomiting. On physical exam the patient has a positive fecal
,occult blood test but has no noticeable rectal bleeding or lesions. What is the
likely diagnosis?
1.Internal hemorrhoid.
2.External hemorrhoid.
3.Bleeding peptic ulcer.
4.Rectal fissure.
1.
Internal hemorrhoid
A 75-year-old male presents for a routine physical. He is obese and has no
abdominal pain or recent injuries or problems. He has no complaints. He lies
supine for his abdominal exam. He is nontender to palpation and has a normal
exam. When he sits up you see a large mass protrude from his abdomen. It is
central to his abdomen and inferior to his rib cage. It disappears when he is
sitting up fully. What is the patient's diagnosis?
1.Ventral (epigastric) hernia.
2.Inguinal hernia.
3.Femoral hernia.
4.Umbilical hernia.
1.
Ventral (epigastric) hernia.
What is the best diagnostic test to confirm the diagnosis of celiac disease?
1.Anti-tTG IgA.
2.Anti-dsDNA.
3.Colonoscopy.
4.Anti-CCP protein.
1.
Anti-tTG IgA.
What would you expect to see on an abdominal series that would lead toward a
diagnosis of small-bowel obstruction?
1.Air-fluid levels.
2.A lead pipe colon.
,3.Free air under the diaphragm.
4.Steeple sign.
1.
Air-fluid levels.
A 50-year-old female presents to the urgent care clinic complaining of left lower
quadrant pain. She has associated nausea and vomiting, and her vital signs are
as follows: temperature 102.5°F, pulse 110, blood pressure 150/90, pulse oximetry
99% on room air. What is the best test to evaluate this patient?
1.Sigmoidoscopy.
2.Abdominal series.
3.Computed tomography (CT) scan with oral contrast.
4.Abdominal ultrasound.
3.
Computed tomography (CT) scan with oral contrast.
Which gastrointestinal disease below could theoretically be completely
eradicated with a total colectomy?
1.Crohn's disease.
2.Irritable bowel syndrome.
3.Ulcerative colitis.
4.Celiac disease.
3.
Ulcerative colitis.
The screening guidelines for colon cancer recommend which of the following for
the general population?
1.Colonoscopy starting at age 50.
2.Colonoscopy starting at age 45.
3.Fecal occult blood test (FOBT) and rectal exam starting at age 50.
4.Fecal occult blood test (FOBT) and rectal exam starting at age 45.
1.
Colonoscopy starting at age 50.
, Which of the following is not a risk factor for cholecystitis?
1.Female gender.
2.Obesity.
3.sickle cell anemia.
4.Younger age.
4.
Younger age.
Which of the following is the most common cause of acute pancreatitis?
1.Gallstone obstruction of the pancreatic duct.
2.Alcoholism.
3.Hypertriglyceridemia.
4.Gallstone obstruction of the pancreatic duct and alcoholism.
4.
Gallstone obstruction of the pancreatic duct and alcoholism.
A 10-year-old male in 5th grade presents to the pediatric office with his mother
complaining of itchy and red eyes for 1 day. The patient complains of watery
drainage in both eyes, associated with repetitive itching. On physical exam, he
has no fever or constitutional symptoms. His vision is normal, with no decrease
in extraocular movements. The patient has a sibling that just started day care
recently. He also has bilateral preauricular lymph nodes that are inflamed. What is
the patient's diagnosis?
1.Viral conjunctivitis.
2.Bacterial conjunctivitis.
3.Allergic conjunctivitis.
4.Blepharitis.
1.
Viral conjunctivitis.
A 25-year-old male presents with "bleeding in my eye" for 1 day. He awoke this
morning with a dark area of redness in his eye. He has no visual loss or changes.
He denies constitutional symptoms, pruritus, drainage, or recent trauma. The
redness presents on physical exam as a dark red area in the patient's sclera of
Which of the following is not true regarding hepatitis C?
1.The greatest rate of infection in the general population is seen in people born
between 1945 and 1965.
2.Many hepatitis C infections are asymptomatic.
3.Hepatitis C is seen more frequently in men than women.
4.If hepatitis is asymptomatic it doesn't cause cirrhosis or liver cancer.
4.
If hepatitis is asymptomatic it doesn't cause cirrhosis or liver cancer.
A 54-year-old female presents to your primary care office for routine reevaluation
for gastroesophageal reflux disease (GERD). She has been treated with diet
modifications and 6 weeks of omeprazole without improvement of her symptoms.
What is the next step in management of this patient's GERD?
1.Order an endoscopy.
2.Order a Helicobacter pylori blood test.
3.Try adding ranitidine to the patient's regimen.
4.Try adding bismuth to the patient's regimen.
1.
Order an endoscopy.
What is the recommended treatment to eradicate a Helicobacter pylori infection?
1.Ranitidine, amoxicillin, and clarithromycin for 2 weeks.
2.Amoxicillin, clarithromycin, and omeprazole for 2 weeks.
3.Bismuth, amoxicillin, and clarithromycin for 2 weeks.
4.Bismuth, doxycycline, metronidazole, and ranitidine.
2.
Amoxicillin, clarithromycin, and omeprazole for 2 weeks.
A 25-year-old male presents complaining of hematochezia. The patient states he
has noticed this for 2 days. He states there is a streak of bright blood along his
stool every time he has a bowel movement. The patient has no pain with his
bowel movements. He admits to eating a poor diet. The patient has no abdominal
pain, nausea, or vomiting. On physical exam the patient has a positive fecal
,occult blood test but has no noticeable rectal bleeding or lesions. What is the
likely diagnosis?
1.Internal hemorrhoid.
2.External hemorrhoid.
3.Bleeding peptic ulcer.
4.Rectal fissure.
1.
Internal hemorrhoid
A 75-year-old male presents for a routine physical. He is obese and has no
abdominal pain or recent injuries or problems. He has no complaints. He lies
supine for his abdominal exam. He is nontender to palpation and has a normal
exam. When he sits up you see a large mass protrude from his abdomen. It is
central to his abdomen and inferior to his rib cage. It disappears when he is
sitting up fully. What is the patient's diagnosis?
1.Ventral (epigastric) hernia.
2.Inguinal hernia.
3.Femoral hernia.
4.Umbilical hernia.
1.
Ventral (epigastric) hernia.
What is the best diagnostic test to confirm the diagnosis of celiac disease?
1.Anti-tTG IgA.
2.Anti-dsDNA.
3.Colonoscopy.
4.Anti-CCP protein.
1.
Anti-tTG IgA.
What would you expect to see on an abdominal series that would lead toward a
diagnosis of small-bowel obstruction?
1.Air-fluid levels.
2.A lead pipe colon.
,3.Free air under the diaphragm.
4.Steeple sign.
1.
Air-fluid levels.
A 50-year-old female presents to the urgent care clinic complaining of left lower
quadrant pain. She has associated nausea and vomiting, and her vital signs are
as follows: temperature 102.5°F, pulse 110, blood pressure 150/90, pulse oximetry
99% on room air. What is the best test to evaluate this patient?
1.Sigmoidoscopy.
2.Abdominal series.
3.Computed tomography (CT) scan with oral contrast.
4.Abdominal ultrasound.
3.
Computed tomography (CT) scan with oral contrast.
Which gastrointestinal disease below could theoretically be completely
eradicated with a total colectomy?
1.Crohn's disease.
2.Irritable bowel syndrome.
3.Ulcerative colitis.
4.Celiac disease.
3.
Ulcerative colitis.
The screening guidelines for colon cancer recommend which of the following for
the general population?
1.Colonoscopy starting at age 50.
2.Colonoscopy starting at age 45.
3.Fecal occult blood test (FOBT) and rectal exam starting at age 50.
4.Fecal occult blood test (FOBT) and rectal exam starting at age 45.
1.
Colonoscopy starting at age 50.
, Which of the following is not a risk factor for cholecystitis?
1.Female gender.
2.Obesity.
3.sickle cell anemia.
4.Younger age.
4.
Younger age.
Which of the following is the most common cause of acute pancreatitis?
1.Gallstone obstruction of the pancreatic duct.
2.Alcoholism.
3.Hypertriglyceridemia.
4.Gallstone obstruction of the pancreatic duct and alcoholism.
4.
Gallstone obstruction of the pancreatic duct and alcoholism.
A 10-year-old male in 5th grade presents to the pediatric office with his mother
complaining of itchy and red eyes for 1 day. The patient complains of watery
drainage in both eyes, associated with repetitive itching. On physical exam, he
has no fever or constitutional symptoms. His vision is normal, with no decrease
in extraocular movements. The patient has a sibling that just started day care
recently. He also has bilateral preauricular lymph nodes that are inflamed. What is
the patient's diagnosis?
1.Viral conjunctivitis.
2.Bacterial conjunctivitis.
3.Allergic conjunctivitis.
4.Blepharitis.
1.
Viral conjunctivitis.
A 25-year-old male presents with "bleeding in my eye" for 1 day. He awoke this
morning with a dark area of redness in his eye. He has no visual loss or changes.
He denies constitutional symptoms, pruritus, drainage, or recent trauma. The
redness presents on physical exam as a dark red area in the patient's sclera of
