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Nur 511 Final study set
: Immunizations are an example of which type of prevention? - correct answer-Primary
: Which high-density lipoprotein (HDL) level is considered cardioprotective? - correct
answer-Greater than 60
A 14-year-old male is seen with complaints of severe
testicular pain. The clinician suspects testicular torsion. Which of the following is the
appropriate action? - correct answer-Refer to a urologist immediately.
A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the following
tests is essential before prescribing any oral contraceptive? - correct answer-Pregnancy test
A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when
performingtesticular selfexamination
(TSE). Which of the following should be
included in the list of differential diagnoses? - correct answer-Testicular cancer
Inguinal hernia
Varicocele
*All of the above
A 23-year-old sexually active woman presents for her first Pap smear. Her history includes
nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the
following conditions should the clinician be particularly alert for during her examination? -
correct answer-Human papillomavirus (HPV)
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? - correct answer-TSH
A 25-year-old woman is seen in the clinic complaining of painful menstruation. Which of the
following pelvic pathologies is the most common cause of dysmenorrhea? - correct
answer-Endometriosis
A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following
laboratory tests would help establish a diagnosis? - correct answer-Testosterone level
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? - correct answer-Send a urine specimen for microscopy and
evaluate for
fungal colonies.
fungal colonies.
, A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On
potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae.
Which of the following treatments would be
appropriate? - correct answer-Fluconazole
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? -
correct answer-Transvaginal ultrasound
A 58-year-old woman presents with a breast mass. Which of the following responses by the
clinician would be most appropriate? - correct answer-"We will order a mammogram and
ultrasound to help establish a diagnosis."
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? - correct answer-The scrotum will appear light pink or yellow
A 65-year-old man presents to the clinician with complaints of increasing bilateral peripheral
vision loss, poor night vision, and frequent prescription changes that started 6 months
previously. Recently, he has also been seeing halos around lights. The clinician suspects
chronic open-angle glaucoma. Which of the following statements is true concerning the
diagnosis of chronic open-angle glaucoma? - correct answer-Physical diagnosis relies on
gonioscopic evaluation of the angle by an ophthalmologist.
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? - correct
answer-Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint.
A 70-year-old patient presents with a complaint of difficulty swallowing, tachycardia,
sweating, and unintentional weight loss. Upon physical exam, the patient is found to have an
enlarged thyroid that has an abnormal contour. Without any further testing, what diagnosis
would you say is the most likely? - correct answer-Nodular goiter
A blood pressure (BP) of 150/90 is considered: - correct answer-Normal in healthy older
adults
A chronic cough lasts longer than: - correct answer-3 weeks
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? - correct
answer-"Control of glucose will help postpone or delay
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