2025 /2026 Midterm Exam: Differential Diagnosis and Primary Care Practicum Questions And Answers | Rated 100% Correct!!

: NR 511/ NR511 Differential Diagnosis and Primary Care Practicum Guide Questions and Answers A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority? a. Pregnancy test b. Pelvic ultrasound c. Endometrial biopsy d. Platelet count Answer: a. Pregnancy test A 34-year-old patient was treated for a urinary tract infection (UTI) and has not responded to antibiotic therapy. Which of the following actions should be taken next? a. Send a urine specimen for microscopy looking for fungal colonies. b. Increase the dose of antibiotic. pg. 2 c. Order a cytoscopy. d. Order a different antibiotic. Answer: a. Send a urine specimen for microscopy looking for fungal colonies. A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of "my feet feel like they are on fire." He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment? a. Tricyclic antidepressants b. Capsacin cream c. Vitamin B12 injections d. Insulin Answer: a. Tricyclic antidepressants A 65-year-old man presents to the clinician with complaints of increasing bilateral peripheral vision loss, poor night vision, and frequent prescription changes that started 6 months previously. Recently, he has also been seeing halos around lights. The clinician suspects chronic open-angle glaucoma. Which of the following statements is true concerning the diagnosis of chronic open-angle glaucoma? a. The presence of increased intraocular pressure measured by tonometry is definitive for the diagnosis of open-angle glaucoma. b. The clinician can definitively diagnosis open-angle glaucoma based on the subjective complaints of the patient. c. Physical diagnosis relies on goniscopic evaluation of the angle by an ophthalmologist. pg. 3 d. Early diagnosis is essential in order to reverse any damage that has occurred to the optic nerve. Answer: c. Physical diagnosis relies on goniscopic evaluation of the angle by an ophthalmologist. A blood pressure (BP) of 150/90 is considered: a. Stage 2 hypertension b. Hypertensive c. Normal in healthy older adults d. Acceptable if the patient has DM Answer: a. Stage 2 hypertension A bulla is: a. A vesicle larger than 1 cm in diameter. b. An elevated solid mass with a hard texture, and the shape and borders can be regular or irregular. c. A superficial elevated lesion filled with purulent fluid. d. Thinning of the skin (epidermis and dermis) that appears white or translucent. - Answer: a. A vesicle larger than 1 cm in diameter. A chronic cough lasts longer