NR 511 Final Exam?
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 20-year-old woman is seen in the clinic because her
boyfriend was found to have gonorrhea. Which of the following is the treatment of choice for
gonorrhea? - correct answer-Ceftriaxone
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 performing testicular self-
examination (TSE). Which of the following should be included in the list of differential
diagnoses? - correct answer-Testicular cancer Inguinal hernia Varicocele
All of theabove
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 26-year-old woman is seen with complaints of irregular
vaginal bleeding. Which of the following tests should be the
first priority? - correct answer-Pregnancy test
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 32-year-old woman is seen in the clinic because she has
, been unable to get pregnant after 12 months of unprotected sex. In order to determine the
cause of the infertility, the clinician should question her about which of these possible
causes? - correct answer-Pelvic inflammatory disease
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 45-year-old woman is seen in the clinic with abnormal
uterine bleeding and pain during intercourse. The clinician should consider which of the
following diagnoses? - correct answer-Leiomyoma
Pregnancy
Ovarian cancer
All of the above
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 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 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
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
ALL OF THE ABOVE
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