NR511 FINAL EXAM QUESTIONS
AND VERIFIED SOLUTIONS
(LATEST UPDATE 2024/2025)
GRADED A+
Janet is a 30 year old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency room
with suspician of cauda equna compression. Which of the following is a sign or
symptom of cauda equina compression?
A. Gastrocnemius weakness
b. Reduced or absent ankle refles
c. Numbness of the lateral foot
d. Paresthesia of the perineum and buJocks
D. Paresthesia of the perineum and buJocks
The paMent has acute pancreaMMs with 7 of the diagnosMc criteria from
Ranson's Criteria. In order to plan care, the clinician understands that this
criteria score has which of the following meanings?
A. A high mortality rate
b. An increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. All of the above
A. A high mortality rate
Reuben, age 24, has HIV and just had a rouMne viral load test done. The results
show a falling viral load What does this indicate
,a. A favorable diagnosMc trend
b. Disease progression
c. The need to be more aggressive with Reuben's medicaMons
d. The eradicaMon of the HIV
A. A favorable diagnosMc trend
Which is the differenMaMng symptom mbetween labyrinthiMs and vesMbular
neuriMs?
A. Symptoms with vesMbular neuriMs are usually acute in onset, whereas with
labyrinthiMs the onet is more gradual
b. Hearing loss may be associated with vesMbular neuriMs, but not with
labyrinthiMs
c. Symptoms with labyrinthiMs are usually acute in onset, ,whereas with
vesMcular neuriMs the onset is more gradual
d. Hearing loss may be associated with labyrinthiMs ,but not with vesMbular
neuriMs.
D. Hearing loss may be associated with labyrinthiMs ,but not with vesMbular
neuriMs.
A 27 year old female presents with a chief complaint of burning and pain on
urinaMon. She has no previous history of urinary tract infecMon. What are some
addiMonal symptoms consistant with a diagnosis of lower UTI?
A. Back and abdominal pain
b. Fever, chills, costovertebral angle (CVA) tenderness
c. Blood in urine and frequency
d. Foul-smelling discharge, perineal itch
,C. Blood in urine and frequency
The differenMal diagnosis for verMgo can be classified into which of the
following categories:
a. Peripheral vesMbular disease
b. CNS disorders
c. Systemic disorders
d. All of the above
D. All of the above
Sam is a 25-year-old man who has been diagnosed with low back strain based
on his history of localized low back pain and muscle spasm along with a normal
neurological examinaMon. As the clinician, you explain to Sam that low back
pain is a diagnosis of exclusion. Which of the following symptoms would alert
the clinician to the more serious finding of a herniated nucleus pulposus or
ruptured disc?
A. Morning sMffness and limited mobility of the lumbar spine
b. Unilateral radicular pain symptoms that extend below the knee and are
equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentaMon rate
d. Pathologic fractures, severe night pain, weight loss and faMgue
B. Unilateral radicular pain symptoms that extend below the knee and are
equal to or greater than the back pain
Preceptors must always see the paMents that the students see in the clinical
sedng
, a. True
b. False
A. True
An 82 year old man is seen in the primary care office with complaints of
dribbling urine and difficulty starMng his stream. Which of the following should
be included in the list of differenMals?
A. BPH
b. Prostate cancer
c. UTI
d. All of the above
D. All of the above
Which causes the greatest percentage of mammalian bites?
A. Dogs
b. Cats
c. Humans
d. Rodents
A. Dogs
Endoscopic report reveals the presents of BarreJ's epithelium. Which of the
following informaMon should the clinician include in the explainaMon of the
pathology report?
A. This is a premalignant Mssue
b. This Mssue is resistant to gastric acid
c. This Mssue supports healing of the esophagus
d. All of the above
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