NR 511 Week 8 Final Exam
Question 1.Question : Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has
increased following a day of gardening one week ago. A
physical finding that differentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is:
Answer: Ecchymosis, edema, and erythema over the lateral
epicondyle
Pain at the elbow with resisted movements at the wrist
and forearm
Inability to supinate and pronate the arm
Inability to flex or extend the elbow against resistance
Question 2.Question : Which of the following statements concerning the
musculoskeletal examination is true?
Answer: The uninvolved side should be examined initially and then
compared to the involved side.
The part of the body that is causing the patient pain
should be examined first.
When possible, the patient should not be asked to
perform active range-of-motion (ROM) exercises to avoid
causing pain.
Radiographs should always be obtained prior to
examination so as not to cause further injury to the patient.
Question 3.Question : Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Answer: Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Question 4.Question : Which causes the greatest percentage of mammalian bites?
Answer: Dogs
Cats
Humans
Rodents
, Question 5.Question : A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states
she can no longer exercise. Pelvic exam reveals a single,
very large mass. Which of the following diagnostic tests
should the clinician order first?
Answer: Transvaginal ultrasound
Endometrial biopsy
MRI
Abdominal computed tomography scan
Question 6.Question : A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of
the following responses would be most appropriate?
Answer: "Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a
routine."
"Monitoring glucose will promote a sense of control."
All of the above
Question 7.Question : A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3
months. On physical examination, the clinician notices a
sinus bradycardia; muscular stiffness; coarse, dry hair; and a
delay in relaxation in deep tendon reflexes. Which of the
following tests should be ordered next?
Answer: Serum calcium
TSH
Electrolytes
Urine specific gravity
Question 8.Question : Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
Answer: Insulin
Metformin
Glucotrol
Precose
Question 1.Question : Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has
increased following a day of gardening one week ago. A
physical finding that differentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is:
Answer: Ecchymosis, edema, and erythema over the lateral
epicondyle
Pain at the elbow with resisted movements at the wrist
and forearm
Inability to supinate and pronate the arm
Inability to flex or extend the elbow against resistance
Question 2.Question : Which of the following statements concerning the
musculoskeletal examination is true?
Answer: The uninvolved side should be examined initially and then
compared to the involved side.
The part of the body that is causing the patient pain
should be examined first.
When possible, the patient should not be asked to
perform active range-of-motion (ROM) exercises to avoid
causing pain.
Radiographs should always be obtained prior to
examination so as not to cause further injury to the patient.
Question 3.Question : Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Answer: Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Question 4.Question : Which causes the greatest percentage of mammalian bites?
Answer: Dogs
Cats
Humans
Rodents
, Question 5.Question : A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states
she can no longer exercise. Pelvic exam reveals a single,
very large mass. Which of the following diagnostic tests
should the clinician order first?
Answer: Transvaginal ultrasound
Endometrial biopsy
MRI
Abdominal computed tomography scan
Question 6.Question : A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of
the following responses would be most appropriate?
Answer: "Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a
routine."
"Monitoring glucose will promote a sense of control."
All of the above
Question 7.Question : A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3
months. On physical examination, the clinician notices a
sinus bradycardia; muscular stiffness; coarse, dry hair; and a
delay in relaxation in deep tendon reflexes. Which of the
following tests should be ordered next?
Answer: Serum calcium
TSH
Electrolytes
Urine specific gravity
Question 8.Question : Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
Answer: Insulin
Metformin
Glucotrol
Precose
