NR 511 FINAL EXAM
Question 1.Question : Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Question 2.Question : Which causes the greatest percentage of mammalian
bites?
: Dogs
Cats
Humans
Rodents
Question 3 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?
Transvaginal ultrasound
Endometrial biopsy
MRI
Abdominal computed tomography scan
Question 4 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?
: "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 5.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?
Serum
calcium TSH
, Electrolytes
Urine specific
gravity :
Question 6.Question : Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
Insulin
Metformin
Glucotrol
Precose
Question 7.Question : During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding
should make the clinician suspicious?
An enlarged rubbery gland
A hard irregular gland
A tender gland
A boggy
gland
Question 8.Question : Eddie, age 4, presents to the ED with a live insect trapped
in
his ear canal causing a lot of distress. What should be
your first step?
Remove the insect with tweezers.
Immobilize the insect with 2% lidocaine.
Sedate Eddie with diazepam.
Shine a light in the ear for the insect to "find its way
out."
Question 1. The most cost-effective screening test for determining
HIV status is which of the following?
Western blot
Enzyme-linked immunosorbent assay
Venereal Disease Research Laboratory test
Viral load
Question 2.Question : Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of an
inflammatory process?
Erythrocyte sedimentation rate
White blood cell count
Polymorphonuclear cells
C-reactive protein (CRP
, Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
GABA
Acetylcholine
Dopamine
Serotonin
Question 4.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:
: 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 5.Question : Which of the following statements concerning the
musculoskeletal examination is true?
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 6.Question : Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Question 7.Question : Which causes the greatest percentage of mammalian
bites?
: Dogs
Question 1.Question : Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Question 2.Question : Which causes the greatest percentage of mammalian
bites?
: Dogs
Cats
Humans
Rodents
Question 3 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?
Transvaginal ultrasound
Endometrial biopsy
MRI
Abdominal computed tomography scan
Question 4 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?
: "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 5.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?
Serum
calcium TSH
, Electrolytes
Urine specific
gravity :
Question 6.Question : Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
Insulin
Metformin
Glucotrol
Precose
Question 7.Question : During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding
should make the clinician suspicious?
An enlarged rubbery gland
A hard irregular gland
A tender gland
A boggy
gland
Question 8.Question : Eddie, age 4, presents to the ED with a live insect trapped
in
his ear canal causing a lot of distress. What should be
your first step?
Remove the insect with tweezers.
Immobilize the insect with 2% lidocaine.
Sedate Eddie with diazepam.
Shine a light in the ear for the insect to "find its way
out."
Question 1. The most cost-effective screening test for determining
HIV status is which of the following?
Western blot
Enzyme-linked immunosorbent assay
Venereal Disease Research Laboratory test
Viral load
Question 2.Question : Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of an
inflammatory process?
Erythrocyte sedimentation rate
White blood cell count
Polymorphonuclear cells
C-reactive protein (CRP
, Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
GABA
Acetylcholine
Dopamine
Serotonin
Question 4.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:
: 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 5.Question : Which of the following statements concerning the
musculoskeletal examination is true?
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 6.Question : Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Question 7.Question : Which causes the greatest percentage of mammalian
bites?
: Dogs
