Exam (elaborations)
NR 511/ NR511 MIDTERM EXAM: DIFFERENTIAL DIAGNOSIS AND PRIMARY CARE PRACTICUM REVIEW| QUESTIONS & ANSWERS| GRADE A| 100% CORRECT (NEW 2025/ 2026 UPDATE) (VERIFIED SOLUTIONS)- CHAMBERLAIN
NR 511/ NR511 MIDTERM EXAM: DIFFERENTIAL DIAGNOSIS AND PRIMARY CARE PRACTICUM REVIEW| QUESTIONS & ANSWERS| GRADE A| 100% CORRECT (NEW 2025/ 2026 UPDATE) (VERIFIED SOLUTIONS)- CHAMBERLAINNR 511/ NR511 MIDTERM EXAM: DIFFERENTIAL DIAGNOSIS AND PRIMARY CARE PRACTICUM REVIEW| QUESTIONS & ANSWERS| GRADE...
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1. Exam (elaborations) - Nr511 / nr 511 midterm exam q & a (latest 2023 / 2024): differential diagnosis & prim...
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NR
NR 511/ NR511 MIDTERM EXAM: DIFFERENTIAL
DIAGNOSIS AND PRIMARY CARE PRACTICUM
REVIEW| QUESTIONS & ANSWERS| GRADE A|
100% CORRECT (NEW 2025/ 2026 UPDATE)
(VERIFIED SOLUTIONS)- CHAMBERLAIN
1. What is the most common cause of viral pharyngitis? - ANS ✓Adenovirus
Mononucleosis (Epstein-Barr)
HSV-1
RSV
Flu A&B
Coxsackie
Enteroviruses
2. What is the most common cause of acute n/v? - ANS ✓Acute gastroenteritis
3. What is the importance of obtaining an abdominal XR to rule out perforation or
obstruction even though the diagnosis of diverticulitis can be made clinically? -
ANS ✓To look for free air (indicating perforation), ileus, or obstruction and treat
empirically. Early treatment leads to better outcomes, so don't delay treatment.
4. What are colon cancer screening recommendations relative to certain
populations? - ANS ✓Age 50 or older: initial scope at 50yo, then every 10yrs.
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If at increased/high risk of colorectal cancer, start screening earlier (i.e. age 40) and be
screened more often based on findings.
African Americans: Starts screening at age 40-45.
5. Identify at least two disorders that are considered to be disorders related to
conductive hearing loss. - ANS ✓Cerumen accumulation/impaction
FB in ear canal
Otitis externa
Chronic otitis media
Middle ear effusion
Tosclerosis
Vascular anomaly
Cholesteatoma
6. What is the most common cause of bacterial pharyngitis? - ANS ✓Group A Beta
Hemolytic Streptococcus (GABHS)
7. What are the clinical findings associated with mononucleosis? - ANS ✓Gradual
onset of fever
Marked malaise
Severe sore throat
Maybe exudative tonsillitis (50% of cases)
Palatal petechiae/rash
Anterior/posterior cervical lymphadenopathy
Splenic enlargement
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8. How is the diagnosis of streptococcal pharyngitis made clinically based on the
Centor criteria? - ANS ✓Fever >38C (100.5F)
Tender anterior cervical lymphadenopathy
No cough
Pharyngotonsillar exudate
Presence of all 4 strongly suggest GABHS infection.
3 or more present: empirically dx and treat w/out further testing
9. What is one intervention for a pt with gastroenteritis? - ANS ✓Fluid repletion
(PO if possible, pedialyte; IVF for more severe dehydration)
Nutrition
10. When are stool studies warranted? - ANS ✓In pts with severe or prolonged
diarrhea, fever >38.5C, bloody stools, stools +leukocytes/occult blood
11. What is an appropriate treatment for prophylaxis or treatment of traveler's
diarrhea? - ANS ✓Trimethoprim-sulfamethoxazole (Bactrim DS) 1 tab BID x3days
Cipro 500mg
Norfloxacin (Noroxin) 400mg
Ofloxacin (Floxin) 300mg
12. Describe the component of the H&P that should be done for a pt with abd pain. -
ANS ✓OLDCARTS
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Upper abd pain: ask about chronic/recurring and related symptoms (bloating, fullness,
heartburn, n/v)
Lower abd pain: if acute, is pain sharp, intermittent continuous? If chronic, is there a change
in bowel habits (alternating diarrhea/constipation)?
Radiation?
13. What is at least one effective treatment for IBS? - ANS ✓Diet (avoid lactose,
caffeine, legumes, artificial sweeteners; eat low-fat diet with increased protein, high
fiber, bulk-producing agents, 64oz water daily)
Lifestyle modification
Exercise
Stress reduction
Pharm (for moderate-severe symptoms only): antidiarrheals (imodium, lomotil), laxatives
(lactulose, mag hydroxide), antispasmodics (dicyclomine, hyoscyamine), tricyclic
antidepressants; avoid anticholinergics with glaucoma and BPH pts.
14. What is at least one prescription med used to treat chronic constipation? - ANS
✓Linzess (linaclotide)
Trulance (plecanatide)
Amitiza (lubiprostone)
Lactulose
Mag hydroxide
15. What is at least one treatment for Meniere's disease? - ANS ✓Bedrest with eyes
closed, protection from falling
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