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NR 511 midterm questions With Complete Solution2.
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NR 511 midterm questions With Complete Solution2.
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NR 511 midterm questions With Complete SolutionsA 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?
a. Testicular cancer
b. Inguinal hernia
c. Varicocele
d. All of the above Correct Answer Answer D
Testicular cancer
Inguinal hernia
Varicocele
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 exam?
a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome Correct Answer Human
papillomavirus (HPV)
A 24-year-old woman presents to the clinic with dysuria,
dyspareunia, and a mucopurulent vaginal discharge. Her
,boyfriend was recently treated for nongonococcal urethritis.
What sexually transmitted disease (STD) has she most probably
been exposed to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas Correct Answer Chlamydia
A 26-year-old woman is seen with complaints of irregular
vaginal bleeding. Which of the following tests should be the first
priority?
a. Pregnancy test
b. Pelvic ultrasound
c. Endometrial biopsy
d. Platelet count Correct Answer a. Pregnancy test
A 34-year-old patient was treated for a urinary tract infection
(UTI) and has not responded to antibiotic therapy. Which of the
following actions should be taken next?
a. Send a urine specimen for microscopy looking for fungal
colonies.
b. Increase the dose of antibiotic.
c. Order a cytoscopy.
d. Order a different antibiotic. Correct Answer a. Send a urine
specimen for microscopy looking for
fungal colonies.
,A 45-year-old woman is seen in the clinic with complaints of a
vaginal discharge. The clinician identifies clue cells on the
vaginal smear. Which of the following diagnoses is associated
with this finding?
a. Trichomonas
b. Bacterial vaginosis
c. Human papillomavirus (HPV)
d. Herpes simplex virus (HSV) Correct Answer Bacterial
vaginosis
A 58-year-old woman presents with a breast mass. Which of the
following responses by the clinician would be most appropriate?
a. "It is probably just a cyst, because that is the most common
breast mass."
b. "We will order a mammogram and ultrasound to help
establish a diagnosis."
c. "We will go ahead and schedule you for a biopsy because that
is the only way to know for sure."
d. "Because your lump is painful, it is most likely not cancer."
Correct Answer "We will order a mammogram and ultrasound
to help establish a diagnosis."
A 58-year-old woman who had a total abdominal hysterectomy
at the age of 45 is diagnosed with atrophic vaginitis. Which of
the following is the most appropriate treatment?
a. Conjugated estrogen 0.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
, d. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5
mg/day oral Correct Answer Estradiol 7.5 mcg/24 hr vaginal
ring
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?
a. The scrotum will be dark.
b. The scrotum will appear light pink or yellow.
c. The scrotum will appear milky white.
d. The internal structures will be clearly visible. Correct Answer
The scrotum will appear light pink or yellow.
A 64-year-old man with type 2 diabetes presents to the clinic
with the complaint of "my feet feel like they are on fire." He has
a loss of vibratory sense, +1 Achilles reflex, and a tack
embedded in his left heel. Which of the following would be an
appropriate treatment?
a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin Correct Answer a. Tricyclic antidepressants
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
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