NR 511 FINAL EXAM WITH
ELABORATE QUESTIONS AND
ANSWERS
The most cost-effective screening test for determining HIV status is which of the following? - ANSWER-
Enzyme-linked immunosorbent assay
Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process? - ANSWER-C-reactive protein (CRP
Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter? - ANSWER-Dopamine
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-Pain at the elbow with resisted movements at the wrist and forearm
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.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain? - ANSWER-Morning stiffness
Which causes the greatest percentage of mammalian bites? - ANSWER-Dogs
,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
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
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-TSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy? - ANSWER-Glucotrol
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? - ANSWER-
An enlarged rubbery gland
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? - ANSWER-Immobilize the insect
with 2% lidocaine.
, What is the most common cause of microcytic anemia? - ANSWER-Iron-deficiency anemia
An 82-year-old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his stream. Which of the following should be
included in the list of differential diagnoses? - ANSWER-Benign prostatic hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
Early rheumatoid disease is characterized by: - ANSWER-Joint swelling and immobility on rising
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it but is worried because it has not
improved. She has used Tylenol® and ice at home, and that has helped slightly. You examine her and
find she has moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is
uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are
warm; her pulse is strong; and capillary refill is less than 2 seconds. What should you do? - ANSWER-
Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint
The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition
(text revision) state that excessive worry or apprehension must be present more days than not for at
least: - ANSWER-6 months
A 60-year-old man presents with an enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the
clinician expect to find? - ANSWER-the scrotum will appear light pink or yellow.
ELABORATE QUESTIONS AND
ANSWERS
The most cost-effective screening test for determining HIV status is which of the following? - ANSWER-
Enzyme-linked immunosorbent assay
Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process? - ANSWER-C-reactive protein (CRP
Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter? - ANSWER-Dopamine
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-Pain at the elbow with resisted movements at the wrist and forearm
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.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain? - ANSWER-Morning stiffness
Which causes the greatest percentage of mammalian bites? - ANSWER-Dogs
,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
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
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-TSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy? - ANSWER-Glucotrol
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? - ANSWER-
An enlarged rubbery gland
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? - ANSWER-Immobilize the insect
with 2% lidocaine.
, What is the most common cause of microcytic anemia? - ANSWER-Iron-deficiency anemia
An 82-year-old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his stream. Which of the following should be
included in the list of differential diagnoses? - ANSWER-Benign prostatic hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
Early rheumatoid disease is characterized by: - ANSWER-Joint swelling and immobility on rising
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it but is worried because it has not
improved. She has used Tylenol® and ice at home, and that has helped slightly. You examine her and
find she has moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is
uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are
warm; her pulse is strong; and capillary refill is less than 2 seconds. What should you do? - ANSWER-
Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint
The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition
(text revision) state that excessive worry or apprehension must be present more days than not for at
least: - ANSWER-6 months
A 60-year-old man presents with an enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the
clinician expect to find? - ANSWER-the scrotum will appear light pink or yellow.
