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NR 511 Differential Diagnosis And Primary Care Practicum NR511 Final exam
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NR 511 Differential Diagnosis And Primary Care Practicum NR511 Final exam
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antibiotics in order to cover the offending pathogenNR 511 Differential Diagnosis And c. a throat culture should be preformed to confirm the results of the rapid strep test
Primary Care Practicum c. a throat culture should be preformed to confirm the results of the rapid strep test
Which of the following statements is true regarding the treatment of carpel tunnel syndrome?
a. the goal of treatment is to prevent flexion and extension movements of the wrist
NR511 Final exam
Tori is on systematic antifungals for a bad tinena infection. You understand that serum labs b. splints are used in carpal tunnel syndrome because the allow for free movement of the fingers
should be monitored for: and thumb while maintaining the wrist in a neutral position
a. renal failure c. corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of
b. hepatotoxicity the risks for median nerve damage, scarring and infection
c. electrolyte imbalance
d. leukocytosis d all of the above
b. hepatotoxicity d all of the above
Which of the following signs or symtoms indicate an inflammatory etiology to musculoskeletal Which statement about HIV post-exposure prophylaxis (PEP) for healthcare workers is most
pain? accurate?
a. decreased C-reactive protein a. PEP should be started within hours after the exposure
b. hyperalbuminemia b. PEP should be started within 73 hours after the exposure
c. morning stiffness c. Renal and hepatic function tests should be done 6 weeks after beginning PEP
c. morning stiffness d. PEP will prevent potential hepatitis-C infection if present
A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in PEP should be started within hours after the exposure
appendicitis? Sinusitis is considered when there are episodes of prolonged inflammation with repeated or
inadequately treated acute infection lasting greater then:
a. very early
b 3-4 hours after perforation a. 4 weeks
c. late in inflammation b. 8 weeks
d. appendicitis never presents with vague pain c. 12 weeks
very early d. 16 weeks
A patiennt presents to the clinicians office with a sore throat, fever of 100.7 and tender anterior c. 12 weeks
cervical lymphadenopathy. The clinican suspects strep throat and performs a rapid strep test that A patient presents with the following signs and symptoms: gradual onset of low grade fever,
is negative. What would the next step be? marked fatigue, severe sore throat and posterior cervical lymphadenopathy. Based on the signs
and symptoms alone, which of the following conditions is most likely the cause?
a. the patient should be instructed to rest and increase fluid intake as the infection is most likely
viral and resolve without antibiotic therapy a. gonorrhea
b. mononucleosis
b. because the patient does not have strep throat, the clinican should start broad spectrum
, c. influenza a. true
d. herpes zoster b. false
b. mononucleosis true
In which of the following situations would referral to a specialist be needed for sinusitis A 30 year old patient presents with pain on urination. The urine microscopy of unspun urine
showed greater than 10 leukocytes/ml and a dipstick was possible for nitrates. What is the
a. recurrent sinusitis probable diagnosis?
b. allergic sinusitis
c. sinusitis that is refractory to antibiotic therapy a. lower urinary tract infection
d. all of the above b. chlamydia infection
c. candidiasis
d. all of the above
d. pyelonephritis
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
b. chlamydia infection
infection with which of the following pathogens?
Fluctuations and reductions in estrogen may be a contributing factor in which type of rhinitis?
a. coxsackievirus
b. cytomegalovirus a. vasomotor rhinitis
c. francisella tularensis b. rhinitis medicamentosum
d. group A streptococcus c. atophic rhinitis
d. viral rhinitis
d. group A streptococcus
vasomotor rhinitis
What is the recommended calcium intake for adults over the age of 50 with low bone mass?
John is a 16-year-old boy who presents to the emergency room after hurting his knee in a
a. 1200mg/day football game. He described twisting his knee and then being unable to extend it completely.
b 1000mg/day John tells the clinician that he heard a pop when the injury occurred and has been experiencing
c. 1300mg/day localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to
d. 1500mg/day assess for the presence of a meniscal tear?
d. 1500mg/day
a. valgus stress test
A 14 year old is seen with complaints of severe testicular pain. The clinician suspects testicular b. McMurray circumduction test
torsion. Which of the following is the appropriate action? c. Lachman's test
d. Varus stress test
a. obtain a scrotal ultrasound
b. McMurray circumduction test
b. obtain a computed tomography scan (CT)
c. instruct the patient to elevate the scrotum Your patient has decided to give Chantix a try to quit smoking. YOu are discussing his quit date,
d. send the patient to the Emergency room and he will begin taking the medication starting tomorrow. When should he plan to quit
smoking?
c. instruct the patient to elevate the scrotum
d. send the patient to the Emergency room
a. he should stop smoking today
All students are subject to review of clinical logs to ensure that they have received a well- b. he should stop smoking tomorrow
rounded experience c. his quit date should be in one week
d. he will be ready to quit after the first 30 days
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