NR511 / NR 511 Final Exam Differential Diagnosis & Primary Care Practicum
Questions and Answers (Verified Answers)
1.Samuel, age 5, is receiving radiation therapy for his acute lymphocytic
leukemia. He is at increased risk of developing which type of cancer as a
secondary malignancy when he becomes an adult?
A.Chronic lymphocytic leukemia
B.Brain tumor
C.Liver cancer
D.Esophageal cancer
ANS B. Brain tumor
2.Why is parathyroid hormone secretion increased during pregnancy?
A.To meet the increased stress demands on the mother
B.To meet the increased requirements for calcium and vitamin D for fetal skeletal growth
C.To help prevent neural tube defects in the fetus
D.To help promote neurological g
ANS B. To meet the increased requirements for calcium and vitamin D for fetal skeletal growth
3.What is the name of the test used to assess for nerve- root compression? A.
The Apley scratch test B. The drop arm test C. Finkelstein's test D. Spurling's
maneuver
ANS D. Spurling's maneuver
4.Mr. Hughes is a 46-year-old African American man who is in your primary care office for a physical examination. You recommend which of the following as screening for prostate cancer?
A.A digital rectal examination (DRE)
B.None; there is no conclusive evidence for screening until age 75 and older
ANS B. None; there is no conclusive evidence for screening until age 75 and older
5.Which of the following individuals most likely will have a false-negative reaction to the Mantoux test?
A.Marvin, age 57
B.Jane, who is on a short course of corticosteroid therapy for an acute exacerbation of asthma
C.Jerry, who has lymphoid leukemia
D.Mary, who recently was exposed to someone coughing
ANS C. Jerry, who has lymphoid leukemia
6.Specific conditions demonstrate fluid in the scrotum on transillumination. These include
A.testicular cancer.
B.a varicocele.
C.a hydrocele.
D.testicular torsion.
ANS C. a hydrocele.
7.Max, age 16, comes into your office after having been in a fight and sustain- ing a human bite on his fist. Your first course of action is to A.give a tetanus injection.
B.thoroughly débride and irrigate the wound.
C.initiate broad-spectrum antibiotics.
D.leave the wound open for drainage.
ANS B. thoroughly débride and irrigate the wound.
8.Marisa, age 42, has celiac disease. She is prone to osteopenic bone disease as a result of impaired calcium absorption because of
A.increased calcium absorption by the small intestine.
B.increased absorption of the fat-soluble vitamin D.
C.the binding of calcium and magnesium in the intestinal lumen by unab- sorbed dietary fatty acids.
D.decreased magnesium absorption..
ANS C. the binding of calcium and magnesium in the intestinal lumen by unabsorbed dietary fatty acids.
9.Decreased bladder capacity; bladder irritation from a urinary tract infection,
tumor, stones, or irritants such as caffeine and alcohol; and central nervous system disorders or spinal cord lesions are all contributing factors to
A.stress urinary incontinence.
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