2024 NR 511 MIDTERM QUESTION
FROM DUNPHY BOOK CHAPTERS
11, 9, 8 AND 7 EXAM WITH
ANSWERS
What is the most effective treatment for urticaria?
A. An oral antihistamine
B. Dietary management
C. Avoidance of the offending agent
D. A glucocorticosteroid - CORRECT-ANSWERSC. Avoidance of the offending
agent
2. Tinea unguium is also known as:
A. Tinea capitis.
B. Pityriasis versicolor.
C. Tinea manuum.
D. Onychomycosis. - CORRECT-ANSWERSD. Onychomycosis.
Which type of hernia usually occurs at a previous surgical incision site?
A. Umbilical
B. Congenital
C. Hiatal
D. Ventral - CORRECT-ANSWERSD. Ventral
4. Which physical examination maneuver for diagnosing appendicitis is done
by deep palpation over the left lower quadrant with
resultant pain in the right lower quadrant?
A. Rovsing's sign
B. Psoas sign
C. Obturator sign
D. McBurney's sign - CORRECT-ANSWERSA. Rovsing's sign
5. Rebound tenderness may indicate:
A. Peritoneal inflammation.
B. A ventral hernia.
C. Portal hypertension.
D. Crohn's disease - CORRECT-ANSWERSA. Peritoneal inflammation.
6. Rebound tenderness at McBurney's point would alert you to:
, A. Appendicitis.
B. Peritonitis.
C. A spleen injury.
D. Irritable bowel syndrome. - CORRECT-ANSWERSA. Appendicitis.
7. Hyperactive bowel sounds (borborygmi) are present in which of the
following conditions?
A. Cirrhosis
B. Laxative use
C. Late mechanical bowel obstruction
D. Pancreatic cancer - CORRECT-ANSWERSB. Laxative use
8. The most common viral infection causing diarrhea in the United States is:
A. Enteric adenovirus.
B. A Norwalk-like virus.
C. Rotavirus.
D. Giardia lamblia. - CORRECT-ANSWERSC. Rotavirus.
9.An infant who is ruminating should be diagnosed and treated for:
A. Cystic fibrosis.
B. Esophagitis.
C. Meckel's diverticulum.
D. Intussusception. - CORRECT-ANSWERSB. Esophagitis.
10. Ruby has a colostomy and complains that her stools are too loose. What
food(s) do you suggest to help thicken the stools?
A. Cheese
B. Leafy green vegetables
C. Raw fruits and vegetables
D. Dried beans - CORRECT-ANSWERSA. Cheese
11. You assess for Cullen's sign in Dan, age 62, after surgery. Cullen's sign
may indicate:
A. Intra-abdominal bleeding.
B. A ventral hernia.
C. Appendicitis.
D. Jaundice. - CORRECT-ANSWERSA. Intra-abdominal bleeding.
12 Rose has gastroesophageal reflux disease. You know she misunderstands
your teaching when she tells you that she will:
A. Avoid coffee, alcohol, chocolate, peppermint, and spicy foods.
B. Eat smaller meals.
C. Have a snack before retiring so that the esophagus and stomach are not
empty at bedtime.
D. Stop smoking. - CORRECT-ANSWERSC. Have a snack before retiring so
that the esophagus and stomach are not empty at bedtime.
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