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NR 511 Final Exam
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Exam of 18 pages for the course NR 511 at NR 511 (NR 511 Final Exam)
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NR 511 Final ExamA 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
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