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Midterm Exam - NR511 / NR 511 (Latest
2023/2024): Differential Diagnosis & Primary
Care Practicum – Chamberlain | Verified
Questions & Answers | A+ Graded
Exam Overview
• Course: NR511 Differential Diagnosis & Primary Care Practicum
• Institution: Chamberlain University
• Total Questions: 80
• Format: Multiple-choice with four options (A–D)
• Topics: Cardiovascular (15), Respiratory (15), Gastrointestinal (10),
Musculoskeletal (10), Endocrine (10), Mental Health (10), Miscellaneous Primary
Care (10)
• Time Limit: 120 minutes
• Passing Score: 80% or higher recommended
• Instructions: Select the best answer for each question. No external resources
permitted unless specified.
Question Bank
Cardiovascular (15 Questions)
1. MCQ: A 55-year-old male presents with chest pain radiating to the left arm,
diaphoresis, and nausea. What is the most likely diagnosis?
A. GERD
B. Acute coronary syndrome
C. Costochondritis
D. Pneumonia
Rationale: Chest pain with radiation, diaphoresis, and nausea are classic
symptoms of acute coronary syndrome, requiring urgent evaluation.
2. MCQ: Which diagnostic test is first-line for suspected acute coronary syndrome?
A. Chest X-ray
B. ECG
C. CT scan
D. Echocardiogram
Rationale: ECG detects ischemic changes (e.g., ST elevation) and is the initial
test for suspected ACS.
, 2
3. MCQ: What is the first-line treatment for stage 1 hypertension in a 45-year-old
with no comorbidities?
A. Metoprolol
B. Hydrochlorothiazide
C. Amlodipine
D. Losartan
Rationale: Thiazide diuretics are first-line for uncomplicated stage 1 hypertension
(JNC 8).
4. MCQ: A patient with hypertension has a BP of 160/100 mmHg. What stage is
this?
A. Normal
B. Stage 2
C. Stage 1
D. Prehypertension
Rationale: Stage 2 hypertension is defined as SBP ≥160 or DBP ≥100 mmHg
(JNC 8).
5. MCQ: Which finding on fundoscopic exam suggests hypertensive retinopathy?
A. Cherry-red spot
B. AV nicking
C. Optic atrophy
D. Retinal detachment
Rationale: AV nicking indicates chronic hypertension due to arteriole
compression of veins.
6. MCQ: What is a non-pharmacologic intervention for hypertension?
A. Increase sodium intake
B. DASH diet
C. Limit exercise
D. Increase alcohol consumption
Rationale: The DASH diet reduces BP by emphasizing low sodium and high
potassium intake.
7. MCQ: A 60-year-old female with hyperlipidemia has an LDL of 200 mg/dL. What
is the first-line treatment?
A. Niacin
B. Atorvastatin
C. Ezetimibe
D. Fenofibrate
Rationale: High-intensity statins like atorvastatin are first-line for LDL ≥190 mg/dL
(ACC/AHA guidelines).
8. MCQ: What physical finding suggests hyperlipidemia?
A. Peripheral edema
B. Xanthelasma
C. Clubbing
D. Cyanosis
Rationale: Xanthelasma (yellow eyelid plaques) indicates lipid deposits.
9. MCQ: When should a lipid panel be rechecked after starting a statin?
A. 1–2 weeks
Midterm Exam - NR511 / NR 511 (Latest
2023/2024): Differential Diagnosis & Primary
Care Practicum – Chamberlain | Verified
Questions & Answers | A+ Graded
Exam Overview
• Course: NR511 Differential Diagnosis & Primary Care Practicum
• Institution: Chamberlain University
• Total Questions: 80
• Format: Multiple-choice with four options (A–D)
• Topics: Cardiovascular (15), Respiratory (15), Gastrointestinal (10),
Musculoskeletal (10), Endocrine (10), Mental Health (10), Miscellaneous Primary
Care (10)
• Time Limit: 120 minutes
• Passing Score: 80% or higher recommended
• Instructions: Select the best answer for each question. No external resources
permitted unless specified.
Question Bank
Cardiovascular (15 Questions)
1. MCQ: A 55-year-old male presents with chest pain radiating to the left arm,
diaphoresis, and nausea. What is the most likely diagnosis?
A. GERD
B. Acute coronary syndrome
C. Costochondritis
D. Pneumonia
Rationale: Chest pain with radiation, diaphoresis, and nausea are classic
symptoms of acute coronary syndrome, requiring urgent evaluation.
2. MCQ: Which diagnostic test is first-line for suspected acute coronary syndrome?
A. Chest X-ray
B. ECG
C. CT scan
D. Echocardiogram
Rationale: ECG detects ischemic changes (e.g., ST elevation) and is the initial
test for suspected ACS.
, 2
3. MCQ: What is the first-line treatment for stage 1 hypertension in a 45-year-old
with no comorbidities?
A. Metoprolol
B. Hydrochlorothiazide
C. Amlodipine
D. Losartan
Rationale: Thiazide diuretics are first-line for uncomplicated stage 1 hypertension
(JNC 8).
4. MCQ: A patient with hypertension has a BP of 160/100 mmHg. What stage is
this?
A. Normal
B. Stage 2
C. Stage 1
D. Prehypertension
Rationale: Stage 2 hypertension is defined as SBP ≥160 or DBP ≥100 mmHg
(JNC 8).
5. MCQ: Which finding on fundoscopic exam suggests hypertensive retinopathy?
A. Cherry-red spot
B. AV nicking
C. Optic atrophy
D. Retinal detachment
Rationale: AV nicking indicates chronic hypertension due to arteriole
compression of veins.
6. MCQ: What is a non-pharmacologic intervention for hypertension?
A. Increase sodium intake
B. DASH diet
C. Limit exercise
D. Increase alcohol consumption
Rationale: The DASH diet reduces BP by emphasizing low sodium and high
potassium intake.
7. MCQ: A 60-year-old female with hyperlipidemia has an LDL of 200 mg/dL. What
is the first-line treatment?
A. Niacin
B. Atorvastatin
C. Ezetimibe
D. Fenofibrate
Rationale: High-intensity statins like atorvastatin are first-line for LDL ≥190 mg/dL
(ACC/AHA guidelines).
8. MCQ: What physical finding suggests hyperlipidemia?
A. Peripheral edema
B. Xanthelasma
C. Clubbing
D. Cyanosis
Rationale: Xanthelasma (yellow eyelid plaques) indicates lipid deposits.
9. MCQ: When should a lipid panel be rechecked after starting a statin?
A. 1–2 weeks
