NR 511 FINAL EXAM
What is the most common cause of microcytic anemia?
Anemia of chronic disease
Sideroblastic anemia
Iron-deficiency anemia
Thalassemia
Question 15.Question : 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?
: Benign prostatic hyperplasia (BPH)
Parkinson's disease
Prostate cancer
All of the
above
Question 16.Question : Early rheumatoid disease is characterized by:
Student Answer: Pain and swelling in both small and large
peripheral joints
Rigid joints with diminished range of motion
Joint swelling and immobility on rising
A cardiac rub or pulmonary friction
rub
Question 17.Question : 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?
: Make an immediate referral for an orthopedic
evaluation without further assessment.
Tell her that it takes time for these bruises to improve,
so she should be patient.
Obtain a wrist x-ray and place her wrist in a splint or
, prescribe a splint.
Send her to the emergency room for reduction of
this obvious wrist fracture.
Question 18.Question : 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:
Student Answer: 1 month
3
months
6 months
12 months
Comments:
Question 19.Question : 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?
Student Answer: The scrotum will be dark.
The scrotum will appear light pink or yellow.
The scrotum will appear milky white.
The internal structures will be clearly visible.
Points Received: Comments:
Question 20.Question : According to Kübler-Ross, the stages of grief occur in
which
order?
Student Answer: Anger, denial, depression, bargaining, acceptance
Anger, denial, bargaining, acceptance,
depression Denial, anger, depression,
bargaining, acceptance Denial, anger,
bargaining, depression, acceptance
Points Received: Comments:
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
What is the most common cause of microcytic anemia?
Anemia of chronic disease
Sideroblastic anemia
Iron-deficiency anemia
Thalassemia
Question 15.Question : 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?
: Benign prostatic hyperplasia (BPH)
Parkinson's disease
Prostate cancer
All of the
above
Question 16.Question : Early rheumatoid disease is characterized by:
Student Answer: Pain and swelling in both small and large
peripheral joints
Rigid joints with diminished range of motion
Joint swelling and immobility on rising
A cardiac rub or pulmonary friction
rub
Question 17.Question : 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?
: Make an immediate referral for an orthopedic
evaluation without further assessment.
Tell her that it takes time for these bruises to improve,
so she should be patient.
Obtain a wrist x-ray and place her wrist in a splint or
, prescribe a splint.
Send her to the emergency room for reduction of
this obvious wrist fracture.
Question 18.Question : 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:
Student Answer: 1 month
3
months
6 months
12 months
Comments:
Question 19.Question : 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?
Student Answer: The scrotum will be dark.
The scrotum will appear light pink or yellow.
The scrotum will appear milky white.
The internal structures will be clearly visible.
Points Received: Comments:
Question 20.Question : According to Kübler-Ross, the stages of grief occur in
which
order?
Student Answer: Anger, denial, depression, bargaining, acceptance
Anger, denial, bargaining, acceptance,
depression Denial, anger, depression,
bargaining, acceptance Denial, anger,
bargaining, depression, acceptance
Points Received: Comments:
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
