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NU 518 EXAM WITH OVER 400 QUESTIONS AND
CORRECT ANSWERS/ NEW NU 528 EXAM 2 PRACTICE
TEST QUESTIONS AND ANSWERS (NEW!)
A 38-year-old accountant comes to your clinic for evaluation of a
headache. The throbbing sensation is located in the right temporal
region and is an 8 on a scale of 1 to 10. It started a few hours ago, and
she has noted nausea with sensitivity to light; she has had headaches
like this in the past, usually less than one per week, but not as severe.
She does not know of any inciting factors. There has been no change in
the frequency of her headaches. She usually takes an over the-counter
analgesic, and this results in resolution of the headache. Based on this
description, what is the most likely diagnosis of the type of headache?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound ......ANSWER......B
A 29-year-old computer programmer comes to your office for
evaluation of a headache. The tightening sensation is located all over
the head and is of moderate intensity. It used to last minutes, but this
time it has lasted for 5 days. He denies photophobia and nausea. He
spends several hours each day at a computer monitor/keyboard. He has
tried over-the-counter medication; it has dulled the pain but not taken
it away. Based on this description, what is your
most likely diagnosis?
pg. 1
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A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound ......ANSWER......A
Which of the following is a symptom involving the eye?
A) Scotomas
B) Tinnitus
C) Dysphagia
D) Rhinorrhea ......ANSWER......A
A 49-year-old administrative assistant comes to your office for
evaluation of dizziness. You elicit the information that the dizziness is a
spinning sensation of sudden onset, worse with head position changes.
The episodes last a few seconds and then go away, and they are
accompanied by intense nausea. She has vomited one time. She denies
tinnitus. You perform a physical examination of the head and neck and
note that the patient's hearing is intact to Weber and Rinne and that
there is nystagmus. Her gait is normal. Based on this description, what
is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma ......ANSWER......A
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A 55-year-old bank teller comes to your office for persistent episodes of
dizziness. The first episode started suddenly and lasted 3 to 4 hours. He
experienced a lot of nausea with vomiting; the episode resolved
spontaneously. He has had five episodes in the past 1½ weeks. He does
note
some tinnitus that comes and goes. Upon physical examination, you
note that he has a normal gait. The Weber localizes to the right side and
the air conduction is equal to the bone conduction in the right ear.
Nystagmus is present. Based on this description, what is the most likely
diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma ......ANSWER......C
A 73-year-old nurse comes to your office for evaluation of new onset of
tremors. She is not on any medications and does not take herbs or
supplements. She has no chronic medical conditions. She does not
smoke or drink alcohol. She walks into the examination room with slow
movements and shuffling steps. She has decreased facial mobility and a
blunt expression,
without any changes in hair distribution on her face. Based on this
description, what is the most likely reason for the patient's symptoms?
A) Cushing's syndrome
B) Nephrotic syndrome
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C) Myxedema
D) Parkinson's disease ......ANSWER......D
A 29-year-old physical therapist presents for evaluation of an eyelid
problem. On observation, the right eyeball appears to be protruding
forward. Based on this description, what is the most likely diagnosis?
A) Ptosis
B) Exophthalmos
C) Ectropion
D) Epicanthus ......ANSWER......B
A 12-year-old presents to the clinic with his father for evaluation of a
painful lump in the left eye. It started this morning. He denies any
trauma or injury. There is no visual disturbance. Upon physical
examination, there is a red raised area at the margin of the eyelid that is
tender to palpation; no tearing occurs with palpation of the lesion.
Based on this description, what is the
most likely diagnosis?
A) Dacryocystitis
B) Chalazion
C) Hordeolum
D) Xanthelasma ......ANSWER......C
pg. 4
NU 518 EXAM WITH OVER 400 QUESTIONS AND
CORRECT ANSWERS/ NEW NU 528 EXAM 2 PRACTICE
TEST QUESTIONS AND ANSWERS (NEW!)
A 38-year-old accountant comes to your clinic for evaluation of a
headache. The throbbing sensation is located in the right temporal
region and is an 8 on a scale of 1 to 10. It started a few hours ago, and
she has noted nausea with sensitivity to light; she has had headaches
like this in the past, usually less than one per week, but not as severe.
She does not know of any inciting factors. There has been no change in
the frequency of her headaches. She usually takes an over the-counter
analgesic, and this results in resolution of the headache. Based on this
description, what is the most likely diagnosis of the type of headache?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound ......ANSWER......B
A 29-year-old computer programmer comes to your office for
evaluation of a headache. The tightening sensation is located all over
the head and is of moderate intensity. It used to last minutes, but this
time it has lasted for 5 days. He denies photophobia and nausea. He
spends several hours each day at a computer monitor/keyboard. He has
tried over-the-counter medication; it has dulled the pain but not taken
it away. Based on this description, what is your
most likely diagnosis?
pg. 1
,2|Page
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound ......ANSWER......A
Which of the following is a symptom involving the eye?
A) Scotomas
B) Tinnitus
C) Dysphagia
D) Rhinorrhea ......ANSWER......A
A 49-year-old administrative assistant comes to your office for
evaluation of dizziness. You elicit the information that the dizziness is a
spinning sensation of sudden onset, worse with head position changes.
The episodes last a few seconds and then go away, and they are
accompanied by intense nausea. She has vomited one time. She denies
tinnitus. You perform a physical examination of the head and neck and
note that the patient's hearing is intact to Weber and Rinne and that
there is nystagmus. Her gait is normal. Based on this description, what
is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma ......ANSWER......A
pg. 2
,3|Page
A 55-year-old bank teller comes to your office for persistent episodes of
dizziness. The first episode started suddenly and lasted 3 to 4 hours. He
experienced a lot of nausea with vomiting; the episode resolved
spontaneously. He has had five episodes in the past 1½ weeks. He does
note
some tinnitus that comes and goes. Upon physical examination, you
note that he has a normal gait. The Weber localizes to the right side and
the air conduction is equal to the bone conduction in the right ear.
Nystagmus is present. Based on this description, what is the most likely
diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma ......ANSWER......C
A 73-year-old nurse comes to your office for evaluation of new onset of
tremors. She is not on any medications and does not take herbs or
supplements. She has no chronic medical conditions. She does not
smoke or drink alcohol. She walks into the examination room with slow
movements and shuffling steps. She has decreased facial mobility and a
blunt expression,
without any changes in hair distribution on her face. Based on this
description, what is the most likely reason for the patient's symptoms?
A) Cushing's syndrome
B) Nephrotic syndrome
pg. 3
, 4|Page
C) Myxedema
D) Parkinson's disease ......ANSWER......D
A 29-year-old physical therapist presents for evaluation of an eyelid
problem. On observation, the right eyeball appears to be protruding
forward. Based on this description, what is the most likely diagnosis?
A) Ptosis
B) Exophthalmos
C) Ectropion
D) Epicanthus ......ANSWER......B
A 12-year-old presents to the clinic with his father for evaluation of a
painful lump in the left eye. It started this morning. He denies any
trauma or injury. There is no visual disturbance. Upon physical
examination, there is a red raised area at the margin of the eyelid that is
tender to palpation; no tearing occurs with palpation of the lesion.
Based on this description, what is the
most likely diagnosis?
A) Dacryocystitis
B) Chalazion
C) Hordeolum
D) Xanthelasma ......ANSWER......C
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