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NR 511 Differential Diagnosis and Primary Care- Final Exam Review
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NR 511 Differential Diagnosis and Primary Care- Final Exam Review
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NR 511 Differential Diagnosis and Primary Care- FinalExam Review
10 year old boy presents to the clinic following a soccer injury.
The clinician says this is a positive
mcmurray sign. What does this finding mean? Correct Answer
Tear of meniscus
15 year old bitten by neighbors dog. The mother asks the
clinician whether or not her son will need the rabies vaccine.
The clinician knows that when a domestic dog is suspected of
being infected,...what is the minimum number of days a dog
suspected should be under quarantine? Correct Answer 10 days
32-year-old male presents with complaints of a scrotal mass;
however, the scrotum is so edematous that it is difficult to
assess. How would the nurse practitioner (NP) best determine
whether the condition is a hernia or a hydrocele? Correct
Answer bowel sounds may be heard over a hernia
67 yr old female presents with low back pain, pain above lower
back pain and spine without sciatica.
What can this be? Correct Answer Musculosketal sprain
A 10-year-old male presents to the clinic after jumping off a 2-
foot wall, twisting his foot and ankle upon landing. His ankle x-
ray demonstrates a fracture of the distal tibia, over the articular
surface, through the epiphysis and physis. Based on the Salter-
Harris classification of growth plate injuries, the clinician knows
that this is what type of fracture? Correct Answer Salter-Harris
III fracture
,A 12 YEAR old presents with another sprain. The NP thinks she
may have never been taught on injury
management. What could she teach him? Correct Answer
Stretching is important
A 13-year-old obese (body mass index [BMI] above the 95th
percentile) boy reports low-grade left knee pain for the past 2
months. He denies antecedent trauma but admits to frequent
“horseplay†with his friends. The pain has progressively
worsened, and he is now unable to bear weight at all on his left
leg. His current complaints include left groin, thigh, and medial
knee pain and tenderness. His examination demonstrates
negative drawer, Lachman, and McMurray tests; left hip with
decreased internal rotation and abduction; and external hip
rotation with knee flexion. Based on the above scenario, the
clinician should suspect which of the following? Correct
Answer Slipped capital femoral epiphysis
A 15-year-old boy presents to the clinic after sustaining an ankle
injury. He jumped for a rebound and
landed and felt immediate pain and heard a pop. EXAM: Mod
swelling and ecchymosis over right lateral
ankle extending to the fifth metatarsal. Bearing minimal weight.
Based on H&P, what injury is most likely? Correct Answer
Grade 3
A 15-year-old male comes to the clinic in acute distress with
belly pain. When obtaining his history, the nurse practitioner
(NP) finds that he fell off his bike this morning and has vomited.
Upon closer examination, the NP determines the belly pain to be
,left-sided groin pain or pain in his left testicle. He is afebrile and
reports no dysuria. Which of the following diagnoses is most
likely? Correct Answer testicular torsion
a 16 year old male presents to the clinic following a domestic cat
bite on his hands. On exam two small
puncture wounds are noted without discharge, no evidence of
foreign body, and does not require
treatment. What to do? Correct Answer Give antibiotic
A 16 year old male presents to urgent care clinic with abdominal
pain. The pain is constant and located in the periumbilical region
shifting to the RLQ. N/V/D. Elevation in wbc and wbc in urine
Correct Answer Appendicitis
A 16-year-old male client presents to the clinic after sustaining a
football injury to his right knee. The clinician elicits a positive
anterior/posterior drawer sign. What area of the knee is likely
injured? Correct Answer cruciate ligament
a 19 year old female was diagnosed with iron deficiency d/t
menorrhia. What education should you
give? Correct Answer Take on an empty stomach
A 20 year old male presents to the clinic complaining of right
knee pain from a soccer injury today. He
felt his right ankle twist. He cannot bear weight. He now reports
the knee locks up when he tries to
straighten it. What could this be? Correct Answer Meniscus,
tested by mcmurray
, a 22 year old man is diagnosed with acute low back strains and
is given nsaids. what educated is
needed? Correct Answer lower back strengthening exercises
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 Testcular cancer
Inguinal hernia
Varicocele
All of the above
a 25-year old male presents with abdominal cramping and
diarrhea for 7 days. The clinician knows that stool samples are
warranted in which of the following situations: Correct Answer
Consuming sushi
A 25-year-old accountant is seen in the clinic complaining of
crampy abdominal pain after meals. She is often constipated and
takes laxatives. Following this, she has diarrhea for a couple of
days. She temporarily feels better after a bowel movement. She
states she is embarrassed by flatulence and has abdominal
distension. She has had no weight loss or blood in her stool. This
problem has gone on for about 6 months. What should the next
step be? Correct Answer Obtain a complete history
a 26 year old male complains of painful contraction in his calf
muscles after running a marathon, what is
the problem? Correct Answer hyponatremia
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