NURS 6531 Primary Care of Adults 2026–2027 | NP
Exam Questions & Answers Actual Exam
Question 1.
The most reliable indicator(s) of neurological deficit when assessing a patient with acute low
back pain is(are): - Correct Answer ✔✔Patient report of bladder dysfunction, saddle anesthesia,
and motor weakness of limbs.
History of significant trauma relative to the patient's age.
Decreased reflexes, strength, and sensation in the lower extremities.
Patient report of pain with the crossed straight leg raise.
Question 2. Which of the following is a potential acquired cause of thrombophilia - Correct
Answer ✔✔Homocysteinuria
Protein C deficiency
Factor V Leiden
Antiphospholipid antibodies
Question 3
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: - Correct Answer
✔✔Ulnar tunnel syndrome
Carpal tunnel syndrome
Tarsal tunnel syndrome
Myofascial pain syndrome
Question 4
Which patient would benefit most from screening for type 2 diabetes? - Correct Answer ✔✔A
30 year old female with unintended weight loss.
A 25 year old male with family history of type 1 diabetes
An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male
,Question 5
A 72 year old female patient reports a 6 month history of gradually progressive swollen and
painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the
erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF)
are all minimally elevated. What is the most likely diagnosis? - Correct Answer ✔✔Rheumatoid
arthritis (RA)
Osteoarthritis (OA)
Lupus
Peripheral neuropathy
Question 6
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days.
Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial
treatment should be: - Correct Answer ✔✔Trimethoprim-sulfamethoxazole for 3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease? - Correct
Answer ✔✔Parkinson's disease
Multiple sclerosis
Myasthenia gravis
Huntington's chorea
Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made by - Correct
Answer ✔✔Clinical appearance
Viral culture
Tzanck smear
KOH prep
Question 9
, The most effective intervention(s) to prevent stroke is (are): - Correct Answer ✔✔81 mg of
aspirin daily
Carotid endarterectomy for patients with high-grade carotid lesions
Routine screening for carotid artery stenosis with auscultation for bruits
Smoking cessation and treatment of hypertension
Question 10
What is the most common cause of Cushing's syndrome? - Correct Answer ✔✔Excessive ACTH
production
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH-producing tumor
Autonomous cortisol production from adrenal tissue
Question 11
Diagnostic radiological studies are indicated for low back pain: - Correct Answer ✔✔Routinely
after 3 weeks of low back pain symptoms.
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low
back pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection.
As a part of a pre-employment physical when heavy lifting is included in the job description.
Question 12
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has
been cured? - Correct Answer ✔✔An enzyme-linked immunosorbent assay titer
A urea breath test
A rapid urease test
A repeat endoscopy
Question 13
Which appropriate test for the initial assessment of Alzheimer's disease provides the
performance ratings on 10 complex, higher order activities? - Correct Answer ✔✔MMSE
Exam Questions & Answers Actual Exam
Question 1.
The most reliable indicator(s) of neurological deficit when assessing a patient with acute low
back pain is(are): - Correct Answer ✔✔Patient report of bladder dysfunction, saddle anesthesia,
and motor weakness of limbs.
History of significant trauma relative to the patient's age.
Decreased reflexes, strength, and sensation in the lower extremities.
Patient report of pain with the crossed straight leg raise.
Question 2. Which of the following is a potential acquired cause of thrombophilia - Correct
Answer ✔✔Homocysteinuria
Protein C deficiency
Factor V Leiden
Antiphospholipid antibodies
Question 3
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: - Correct Answer
✔✔Ulnar tunnel syndrome
Carpal tunnel syndrome
Tarsal tunnel syndrome
Myofascial pain syndrome
Question 4
Which patient would benefit most from screening for type 2 diabetes? - Correct Answer ✔✔A
30 year old female with unintended weight loss.
A 25 year old male with family history of type 1 diabetes
An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male
,Question 5
A 72 year old female patient reports a 6 month history of gradually progressive swollen and
painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the
erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF)
are all minimally elevated. What is the most likely diagnosis? - Correct Answer ✔✔Rheumatoid
arthritis (RA)
Osteoarthritis (OA)
Lupus
Peripheral neuropathy
Question 6
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days.
Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial
treatment should be: - Correct Answer ✔✔Trimethoprim-sulfamethoxazole for 3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease? - Correct
Answer ✔✔Parkinson's disease
Multiple sclerosis
Myasthenia gravis
Huntington's chorea
Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made by - Correct
Answer ✔✔Clinical appearance
Viral culture
Tzanck smear
KOH prep
Question 9
, The most effective intervention(s) to prevent stroke is (are): - Correct Answer ✔✔81 mg of
aspirin daily
Carotid endarterectomy for patients with high-grade carotid lesions
Routine screening for carotid artery stenosis with auscultation for bruits
Smoking cessation and treatment of hypertension
Question 10
What is the most common cause of Cushing's syndrome? - Correct Answer ✔✔Excessive ACTH
production
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH-producing tumor
Autonomous cortisol production from adrenal tissue
Question 11
Diagnostic radiological studies are indicated for low back pain: - Correct Answer ✔✔Routinely
after 3 weeks of low back pain symptoms.
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low
back pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection.
As a part of a pre-employment physical when heavy lifting is included in the job description.
Question 12
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has
been cured? - Correct Answer ✔✔An enzyme-linked immunosorbent assay titer
A urea breath test
A rapid urease test
A repeat endoscopy
Question 13
Which appropriate test for the initial assessment of Alzheimer's disease provides the
performance ratings on 10 complex, higher order activities? - Correct Answer ✔✔MMSE
