Nr511 FINAL EXAM QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED A+ 2024
1. Janet is a 30 year old woman who has been recently
diagnosed with a herniated disc at the level of L5-S1. She is
currently in the emergency room with suspician of cauda
equna compression. Which of the following is a sign or
symptom of cauda equina compression?
• gastrocnemius weakness
• reduced or absent ankle refles
• numbness of the lateral foot
• paresthesia of the perineum and buttocks: d. paresthesia
of the perineum and buttocks
2. The patient has acute pancreatitis with 7 of the diagnostic
criteria from Ranson's Criteria. In order to plan care, the
clinician understands that this criteria score has which of the
following meanings?
• a high mortality rate
• an increased chance of recurrence
• 7% chance of the disease becoming chronic
• all of the above: a. a high mortality rate
3. Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load What does
this indicate
• a favorable diagnostic trend
• disease progression
• the need to be more aggressive with Reuben's
medications
• the eradication of the HIV: a. a favorable diagnostic trend
,4. Which is the differentiating symptom mbetween
labyrinthitis and vestibular neuritis?
• symptoms with vestibular neuritis are usually acute in
onset, whereas with labyrinthitis the onet is more gradual
• hearing loss may be associated with vestibular neuritis,
but not with labyrinthitis
• symptoms with labyrinthitis are usually acute in onset,
,whereas with ves-ticular neuritis the onset is more gradual
• hearing loss may be associated with labyrinthitis ,but
not with vestibular neuritis.: d. hearing loss may be associated
with labyrinthitis ,but not with vestibular neuritis.
5. A 27 year old female presents with a chief complaint of
burning and pain on urination. She has no previous history
of urinary tract infection. what are some additional
symptoms consistant with a diagnosis of lower UTI?
• back and abdominal pain
• fever, chills, costovertebral angle (CVA) tenderness
• blood in urine and frequency
• foul-smelling discharge, perineal itch: c. blood in urine
and frequency
6. The differential diagnosis for vertigo can be classified into
which of the following categories:
• peripheral vestibular disease
• CNS disorders
• Systemic disorders
• all of the above: d. all of the above
7. Sam is a 25-year-old man who has been diagnosed with
low back strain based on his history of localized low back
pain and muscle spasm along with a normal neurological
examination. As the clinician, you explain to Sam that low
, back pain is a diagnosis of exclusion. Which of the following
symptoms would alert the clinician to the more serious
finding of a herniated nucleus pulposus or ruptured disc?
• morning stiffness and limited mobility of the lumbar
spine
• unilateral radicular pain symptoms that extend below
the knee and are equal to or greater than the back pain
• Fever, chills, and elevated erythrocyte sedimentation
rate
• pathologic fractures, severe night pain, weight loss and
fatigue: b. unilateral radicular pain symptoms that extend below
the knee and are equal to or greater than the back pain
8. Preceptors must always see the patients that the students
see in the clinical setting
• true
• false: a. true
9. 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 differentials?
• BPH
• Prostate cancer
• UTI
• all of the above: d. all of the above
10. Which causes the greatest percentage of mammalian
bites? a. dogs
• cats
• humans
• rodents: a. dogs
ANSWERS |ALREADY GRADED A+ 2024
1. Janet is a 30 year old woman who has been recently
diagnosed with a herniated disc at the level of L5-S1. She is
currently in the emergency room with suspician of cauda
equna compression. Which of the following is a sign or
symptom of cauda equina compression?
• gastrocnemius weakness
• reduced or absent ankle refles
• numbness of the lateral foot
• paresthesia of the perineum and buttocks: d. paresthesia
of the perineum and buttocks
2. The patient has acute pancreatitis with 7 of the diagnostic
criteria from Ranson's Criteria. In order to plan care, the
clinician understands that this criteria score has which of the
following meanings?
• a high mortality rate
• an increased chance of recurrence
• 7% chance of the disease becoming chronic
• all of the above: a. a high mortality rate
3. Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load What does
this indicate
• a favorable diagnostic trend
• disease progression
• the need to be more aggressive with Reuben's
medications
• the eradication of the HIV: a. a favorable diagnostic trend
,4. Which is the differentiating symptom mbetween
labyrinthitis and vestibular neuritis?
• symptoms with vestibular neuritis are usually acute in
onset, whereas with labyrinthitis the onet is more gradual
• hearing loss may be associated with vestibular neuritis,
but not with labyrinthitis
• symptoms with labyrinthitis are usually acute in onset,
,whereas with ves-ticular neuritis the onset is more gradual
• hearing loss may be associated with labyrinthitis ,but
not with vestibular neuritis.: d. hearing loss may be associated
with labyrinthitis ,but not with vestibular neuritis.
5. A 27 year old female presents with a chief complaint of
burning and pain on urination. She has no previous history
of urinary tract infection. what are some additional
symptoms consistant with a diagnosis of lower UTI?
• back and abdominal pain
• fever, chills, costovertebral angle (CVA) tenderness
• blood in urine and frequency
• foul-smelling discharge, perineal itch: c. blood in urine
and frequency
6. The differential diagnosis for vertigo can be classified into
which of the following categories:
• peripheral vestibular disease
• CNS disorders
• Systemic disorders
• all of the above: d. all of the above
7. Sam is a 25-year-old man who has been diagnosed with
low back strain based on his history of localized low back
pain and muscle spasm along with a normal neurological
examination. As the clinician, you explain to Sam that low
, back pain is a diagnosis of exclusion. Which of the following
symptoms would alert the clinician to the more serious
finding of a herniated nucleus pulposus or ruptured disc?
• morning stiffness and limited mobility of the lumbar
spine
• unilateral radicular pain symptoms that extend below
the knee and are equal to or greater than the back pain
• Fever, chills, and elevated erythrocyte sedimentation
rate
• pathologic fractures, severe night pain, weight loss and
fatigue: b. unilateral radicular pain symptoms that extend below
the knee and are equal to or greater than the back pain
8. Preceptors must always see the patients that the students
see in the clinical setting
• true
• false: a. true
9. 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 differentials?
• BPH
• Prostate cancer
• UTI
• all of the above: d. all of the above
10. Which causes the greatest percentage of mammalian
bites? a. dogs
• cats
• humans
• rodents: a. dogs
