Final Exam: NR511 / NR 511 (Latest Update )
Differential Diagnosis & Primary Care Practicum | Exam
Review Questions & Answers| 100% Correct | Grade A -
Chamberlain
Janet is a 30 year old woman who has been recently diagnosed
with a herniated disc at the level of L5-S1. She is currently in the
emergency room with suspician of cauda equna compression.
Which of the following is a sign or symptom of cauda equina
compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesia of the perineum and buttocks - CORRECT ANSWER
>>>>>d. paresthesia of the perineum and buttocks
The patient has acute pancreatitis with 7 of the diagnostic criteria
from Ranson's Criteria. In order to plan care, the clinician
understands that this criteria score has which of the following
meanings?
a. a high mortality rate
b. an increased chance of recurrence
,c. 7% chance of the disease becoming chronic
d. all of the above - CORRECT ANSWER >>>>>a. a high mortality
rate
Reuben, age 24, has HIV and just had a routine viral load test
done. The results show a falling viral load What does this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with Reuben's medications
d. the eradication of the HIV - CORRECT ANSWER >>>>>a. a
favorable diagnostic trend
Which is the differentiating symptom mbetween labyrinthitis and
vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in onset,
whereas with labyrinthitis the onet is more gradual
b. hearing loss may be associated with vestibular neuritis, but not
with labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset,
,whereas with vesticular neuritis the onset is more gradual
,d. hearing loss may be associated with labyrinthitis ,but not with
vestibular neuritis. - CORRECT ANSWER >>>>>d. hearing loss
may be associated with labyrinthitis ,but not with vestibular
neuritis.
A 27 year old female presents with a chief complaint of burning
and pain on urination. She has no previous history of urinary tract
infection. what are some additional symptoms consistant with a
diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch - CORRECT ANSWER
>>>>>c. blood in urine and frequency
The differential diagnosis for vertigo can be classified into which
of the following categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - CORRECT ANSWER >>>>>d. all of the above
, Sam is a 25-year-old man who has been diagnosed with low back
strain based on his history of localized low back pain and muscle
spasm along with a normal neurological examination. As the
clinician, you explain to Sam that low back pain is a diagnosis of
exclusion. Which of the following symptoms would alert the
clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
a. morning stiffness and limited mobility of the lumbar spine
b. unilateral radicular pain symptoms that extend below the knee
and are equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. pathologic fractures, severe night pain, weight loss and fatigue
- CORRECT ANSWER >>>>>b. unilateral radicular pain symptoms
that extend below the knee and are equal to or greater than the
back pain
Preceptors must always see the patients that the students see in
the clinical setting
a. true
b. false - CORRECT ANSWER >>>>>a. true
Differential Diagnosis & Primary Care Practicum | Exam
Review Questions & Answers| 100% Correct | Grade A -
Chamberlain
Janet is a 30 year old woman who has been recently diagnosed
with a herniated disc at the level of L5-S1. She is currently in the
emergency room with suspician of cauda equna compression.
Which of the following is a sign or symptom of cauda equina
compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesia of the perineum and buttocks - CORRECT ANSWER
>>>>>d. paresthesia of the perineum and buttocks
The patient has acute pancreatitis with 7 of the diagnostic criteria
from Ranson's Criteria. In order to plan care, the clinician
understands that this criteria score has which of the following
meanings?
a. a high mortality rate
b. an increased chance of recurrence
,c. 7% chance of the disease becoming chronic
d. all of the above - CORRECT ANSWER >>>>>a. a high mortality
rate
Reuben, age 24, has HIV and just had a routine viral load test
done. The results show a falling viral load What does this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with Reuben's medications
d. the eradication of the HIV - CORRECT ANSWER >>>>>a. a
favorable diagnostic trend
Which is the differentiating symptom mbetween labyrinthitis and
vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in onset,
whereas with labyrinthitis the onet is more gradual
b. hearing loss may be associated with vestibular neuritis, but not
with labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset,
,whereas with vesticular neuritis the onset is more gradual
,d. hearing loss may be associated with labyrinthitis ,but not with
vestibular neuritis. - CORRECT ANSWER >>>>>d. hearing loss
may be associated with labyrinthitis ,but not with vestibular
neuritis.
A 27 year old female presents with a chief complaint of burning
and pain on urination. She has no previous history of urinary tract
infection. what are some additional symptoms consistant with a
diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch - CORRECT ANSWER
>>>>>c. blood in urine and frequency
The differential diagnosis for vertigo can be classified into which
of the following categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - CORRECT ANSWER >>>>>d. all of the above
, Sam is a 25-year-old man who has been diagnosed with low back
strain based on his history of localized low back pain and muscle
spasm along with a normal neurological examination. As the
clinician, you explain to Sam that low back pain is a diagnosis of
exclusion. Which of the following symptoms would alert the
clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
a. morning stiffness and limited mobility of the lumbar spine
b. unilateral radicular pain symptoms that extend below the knee
and are equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. pathologic fractures, severe night pain, weight loss and fatigue
- CORRECT ANSWER >>>>>b. unilateral radicular pain symptoms
that extend below the knee and are equal to or greater than the
back pain
Preceptors must always see the patients that the students see in
the clinical setting
a. true
b. false - CORRECT ANSWER >>>>>a. true
