Midterm Exam: NR 511 / NR511 Differential
Diagnosis and Primary Care Practicum|
Actual Questions and Answers Latest
Updated (Graded A+)
- Chamberlain
Question 1: Which drug for Alzheimer's disease should be administered
beginning at the time of diagnosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics - Correct Answer-a. cholinesterase inhibitors pg
Question 2: Most adult poisonings are:
a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason. - Correct Answer-b. accidental.
Question 3: A 58-year-old woman presents with a breast mass. Which of the
following responses by the clinician would be most appropriate?
a. "It is probably just a cyst, because that is the most common breast mass."
b. "We will order a mammogram and ultrasound to help establish a
diagnosis."
,c. "We will go ahead and schedule you for a biopsy because that is the only
way to know for sure."
d. "Because your lump is painful, it is most likely not cancer." - Correct
Answer-"We will order a mammogram and ultrasound to help establish a
diagnosis."
Question 4: Which of the following is a specific test for multiple sclerosis
(MS)?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test. - Correct Answer-d. There is no specific test.
Question 5: Which characteristic of delirium helps to distinguish delirium from
dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions - Correct Answer-Abrupt onset
Question 6: Which clinical feature is the first to be affected in increased
intracranial pressure (ICP)?
a. Decrease in level of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse pressure - Correct Answer-Decrease in level of
consciousness (LOC)
Question 7: Jennifer is an 18-year-old girl who comes to the emergency room
after a fall during a soccer game. Jennifer explains that she fell on her left side
and kept her arm out straight to break her fall. She has been experiencing
severe pain and limited range of motion in her left shoulder. The clinician has
,diagnosed Jennifer with a dislocated shoulder. Which of the following
statements are true concerning shoulder dislocation?
a. Posterior dislocations are more common than anterior dislocations.
b. There is a risk of neurovascular and neurosensory trauma, so the clinician
should check for distal pulses.
c. Recurrent dislocations are uncommon and would require a greater force to
result in injury.
d. Surgery is most commonly the treatment of choice. - Correct Answer-There
is a risk of neurovascular and neurosensory trauma, so the clinician should
check for distal pulses.
Question 8: Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - Correct Answer-morning stiffness
Question 9: The clinician sees a patient who is 5 feet tall and weighs 150
pounds. How would the clinician classify this patient?
a. Overweight
b. Mild obesity
c. Moderate obesity
d. Morbid obesity - Correct Answer-Mild obesity
Question 10: A 23-year-old sexually active woman presents for her first Pap
smear. Her history includes nulligravida, age at first intercourse 14, and more
than 10 sexual partners. Which of the following conditions should the clinician
be particularly alert for during her exam?
, a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome - Correct Answer-Human papillomavirus
(HPV)
Question 11: Which of the following classes of drugs should be used as first-
line therapy for treatment of delirium?
a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants - Correct Answer-Antipsychotic
Question 12: What is the treatment of choice for a patient diagnosed with
testicular cancer?
a. Radical orchidectomy
b. Lumpectomy
c. Radiation implants
d. All of the above - Correct Answer-treatment of choice for a patient
diagnosed with testicular cancer?
Radical orchidectomy
Question 13: A 24-year-old woman presents to the clinic with dysuria,
dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was
recently treated for nongonococcal urethritis. What sexually transmitted
disease (STD) has she most probably been exposed to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas - Correct Answer-Chlamydia
Diagnosis and Primary Care Practicum|
Actual Questions and Answers Latest
Updated (Graded A+)
- Chamberlain
Question 1: Which drug for Alzheimer's disease should be administered
beginning at the time of diagnosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics - Correct Answer-a. cholinesterase inhibitors pg
Question 2: Most adult poisonings are:
a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason. - Correct Answer-b. accidental.
Question 3: A 58-year-old woman presents with a breast mass. Which of the
following responses by the clinician would be most appropriate?
a. "It is probably just a cyst, because that is the most common breast mass."
b. "We will order a mammogram and ultrasound to help establish a
diagnosis."
,c. "We will go ahead and schedule you for a biopsy because that is the only
way to know for sure."
d. "Because your lump is painful, it is most likely not cancer." - Correct
Answer-"We will order a mammogram and ultrasound to help establish a
diagnosis."
Question 4: Which of the following is a specific test for multiple sclerosis
(MS)?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test. - Correct Answer-d. There is no specific test.
Question 5: Which characteristic of delirium helps to distinguish delirium from
dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions - Correct Answer-Abrupt onset
Question 6: Which clinical feature is the first to be affected in increased
intracranial pressure (ICP)?
a. Decrease in level of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse pressure - Correct Answer-Decrease in level of
consciousness (LOC)
Question 7: Jennifer is an 18-year-old girl who comes to the emergency room
after a fall during a soccer game. Jennifer explains that she fell on her left side
and kept her arm out straight to break her fall. She has been experiencing
severe pain and limited range of motion in her left shoulder. The clinician has
,diagnosed Jennifer with a dislocated shoulder. Which of the following
statements are true concerning shoulder dislocation?
a. Posterior dislocations are more common than anterior dislocations.
b. There is a risk of neurovascular and neurosensory trauma, so the clinician
should check for distal pulses.
c. Recurrent dislocations are uncommon and would require a greater force to
result in injury.
d. Surgery is most commonly the treatment of choice. - Correct Answer-There
is a risk of neurovascular and neurosensory trauma, so the clinician should
check for distal pulses.
Question 8: Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - Correct Answer-morning stiffness
Question 9: The clinician sees a patient who is 5 feet tall and weighs 150
pounds. How would the clinician classify this patient?
a. Overweight
b. Mild obesity
c. Moderate obesity
d. Morbid obesity - Correct Answer-Mild obesity
Question 10: A 23-year-old sexually active woman presents for her first Pap
smear. Her history includes nulligravida, age at first intercourse 14, and more
than 10 sexual partners. Which of the following conditions should the clinician
be particularly alert for during her exam?
, a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome - Correct Answer-Human papillomavirus
(HPV)
Question 11: Which of the following classes of drugs should be used as first-
line therapy for treatment of delirium?
a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants - Correct Answer-Antipsychotic
Question 12: What is the treatment of choice for a patient diagnosed with
testicular cancer?
a. Radical orchidectomy
b. Lumpectomy
c. Radiation implants
d. All of the above - Correct Answer-treatment of choice for a patient
diagnosed with testicular cancer?
Radical orchidectomy
Question 13: A 24-year-old woman presents to the clinic with dysuria,
dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was
recently treated for nongonococcal urethritis. What sexually transmitted
disease (STD) has she most probably been exposed to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas - Correct Answer-Chlamydia
