NR511 2020 MAY Midterm EXAM Latest

NR511 Differential Diagnosis and Primary Care

MIDTERM EXAM

Question 1.         Which of the following is a crucial element of developing a          

                guideline?          

                Creating a physician expert panel            

                Reviewing the literature with ratings of available evidence          

                Conducting an external review of a guideline     

                Developing evidence-based tables         

Question 2.         African American patients seem to have a negative reaction      

                to which of the following asthma medications? 

                Inhaled corticosteroids 

                Long-term beta-agonist bronchodilators              

                Leukotriene receptor agonists  

                Oral corticosteroids        

Question 3.         Jolene has breast cancer that has been staged as T1, N0,              M0. What might this mean?       

                The tumor size cannot be evaluated; the cancer has not                spread to the lymph nodes; and the distant spread cannot  be evaluated.   

                The cancer is in situ; it is spreading into the lymph nodes,but the spread cannot be evaluated otherwise.             

                The cancer is less than 2 cm in size and has not spreadto the lymph nodes or other parts of the body.    

                The cancer is about 5 cm in size; nearby lymph nodes cannot be evaluated; and there is no evidence of distant 

                spreading.          

Question 4.         Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear?       

                Meclizine            

                Diphenhydramine          

                Diamox

                Promethazine  

               

 Question 5.        Mandy presents with a cauliflower-like wart in her anogenital region. You suspect it was sexually transmitted and document this as a:      

                Filiform/digitate wart    

                Dysplastic cervical lesion              

                Condyloma acuminata  

                Koilocytosis       

Question 6.         Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of?               

                Dementia           

                Alzheimer's disease       

                Parkinson's disease        

                Delirium              

Question 7.         You have taught Jennifer, age 15, about using a flow meter to assess how to manage her asthma exacerbations. She calls you today because her peak expiratory flow rate is 65%. What would you tell her?         

                "Take your short-acting beta-2 agonist, remain quiet, and call back tomorrow." 

                "Use your rescue inhaler, begin the prescription of oral glucocorticoids you have, and call back tomorrow."         

                "Drive to the emergency room now."    

                "Call 911."           

Question 8.         A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that might be the cause of hematuria?             

                NSAIDs

                Beets   

                Vitamin A           

                Red meat           

Question 9.         Which of the following is an example of tertiary prevention in a patient with chronic renal failure?           

                Fluid restriction

                Hemodialysis 4 days a week       

                High-protein diet            

                Maintenance of blood pressure at 120/80           

               

Question 10.      Which of the following conditions is associated with cigarette smoking?

                Glaucoma           

                Increased sperm quality              

                Bladder cancer 

                Eczema

Question 11.      A chronic cough lasts longer than:           

                3 weeks              

                1 month              

                6 months            

                1 year   

Question 12.      The 'freezing phenomenon' is a cardinal feature of?       

                Parkinson's disease        

                Alzheimer's disease       

                A CVA  

                Bell's palsy         

Question 13.      When administered at the beginning of an attack, oxygen therapy may help this kind of headache?       

                Tension               

                Migraine             

                Cluster 

                Stress   

 

Question 14.      Which ethnic group has the highest lung cancer incidence and mortality rates?  

                African American men  

                Scandinavian men and women 

                Caucasian women          

                Asian men          

               

               

Question 15.      The most significant precipitating event leading to otitis media with e?usion is: 

                Pharyngitis         

                Allergies              

                Viral upper respiratory infection (URI)   

                Perforation of the eardrum        

Question 16.      Samuel is going to the dentist for some work and must take endocarditis prophylaxis because of his history of:         

                Severe asthma 

                A common valvular lesion           

                Severe hypertension    

                A prosthetic heart valve               

Question 17.      A 34-year-old patient was treated for a UTI and has not responded to antibiotic therapy. Which of the following actions should be taken next?               

                Send a urine specimen for microscopy and evaluate for fungal colonies.

                fungal colonies.               

                Increase the dose of antibiotic.

                Order a cytoscopy.         

                Order a di?erent antibiotic.        

Question 18.      Which statement best describes a carotid bruit?              

                It is felt with the middle three fingers over the carotid artery.    

                A bruit becomes audible when the lumen is narrowed to 1 mm or less. 

                A low-pitched bruit is a medical emergency.       

                The higher the pitch of the bruit, the higher the degree of stenosis.       

Question 19.      Which statement is true regarding chloasma, the 'mask of pregnancy'? 

                It is caused by a decrease in the melanocyte-stimulating              

                hormone during pregnancy.      

                This condition only occurs on the face.  

                Exposure to sunlight will even out the discoloration.      

                It is caused by increased levels of estrogen and

                progesterone.  

Question 20.      Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause?        

                "You must be under a lot of stress lately."           

                "It is hereditary. Did your father experience this also?" 

                "The cause is unknown, but we suspect it is due to an   

                immunologic mechanism."         

                "We'll have to do some tests."  

Question 21.      A blood pressure (BP) of 150/90 is considered:  

                Stage 2 hypertension    

                Stage 2 hypertension    

                Hypertensive    

                Normal in healthy older adults  

                Acceptable if the patient has DM             

Question 22.      When teaching post MI patients about their NTG tablets, the clinician should stress that the tablets should remain in the light-resistant bottle in which they are packaged and should not be put in another pill box or remain in areas that are or could become warm and humid. Once opened, the bottle must be dated and discarded after how many months?             

                1 month              

                3 months            

                6 months            

                As long as the tablets are kept in this special bottle, they will last forever.