NR511 Final exam Questions With Complete Solutions
...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 the antibiotic
c. order a cystoscopy
d. order a different antibiotic Correct Answer a. send a urine
specimen for microscopy looking for fungal colonies
A 14 year old is seen with complaints of severe testicular pain.
The clinician suspects testicular torsion. Which of the following
is the appropriate action?
a. obtain a scrotal ultrasound
b. obtain a computed tomography scan (CT)
c. instruct the patient to elevate the scrotum
d. send the patient to the Emergency room Correct Answer c.
instruct the patient to elevate the scrotum
d. send the patient to the Emergency room
A 22 year old male is seen in the clinic because he found a hard
lump in his testicle during a testicular self exam (TSE). which of
the following shoud be included in the differential diagnosis.
a. testicular cancer
b.. inguinal hernia
c. varicocele
d. all of the above Correct Answer d. all of the above
,A 22-year-old is seen complaining of vague belly pain. This
type of pain is seen at what point in appendicitis?
a. very early
b 3-4 hours after perforation
c. late in inflammation
d. appendicitis never presents with vague pain Correct Answer
a. very early
A 23 year old sexually active man is seen in the clinic with
unilateral painful testicular swelling and diagnosed with
epididymitis. In order to prescribe the correct drub, the clinician
understands that which of these is them most common causative
organism?
a. escheichia coli
b. staphylococcus aureus
c. chlamydia trachomatis
d. pseudomonas aerugonisa Correct Answer c. chlamydia
trachomatis
A 25 year old patient presents to the clinic with fatigue, cold
intolerance, weght gain and constipation for the past 3 months.
On physical exam, the clinican notices a sinus bradycardia,
muscular stiffness, coarse dry hair and a delay in relaxation in
deep tendon reflexes (DTR's). Which of the following tests
should be ordered next?
a. Serum Calcium
b. Thyroid Stimulating Hormone (TSH)
,c. electrolytes
d. urine specific gravity Correct Answer b. Thyroid Stimulating
Hormone (TSH)
A 27 year old female presents with a chief complaint of burning
and pain on urination. She has no previous history of urinary
tract infection. what are some additional symptoms consistant
with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch Correct Answer c.
blood in urine and frequency
A 28 year old patient is seen in the office with colicky
abdominal pain, particularly with meals. She has frequent
constipation, flatulence and abdominal distention. Which of the
data makes a diagnosis of diverticulitis unlikely?
a. her age
b. frequent constipation
c. flatulence
d. colicky abdominal pain Correct Answer a. her age
A 28 year old patient is seen with complaints of diarrhea. Which
of the following questions would help the clinician establish the
diagnosis of irratible bowel syndrome?
a. Feels relief after a bowel movement
b. sometimes is constipated
, c. does not defecate in the middle of the night
d. all of the above Correct Answer d. all of the above
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 probable diagnosis?
a. lower urinary tract infection
b. chlamydia infection
c. candidiasis
d. pyelonephritis Correct Answer b. chlamydia infection
A 42 year old woman is seen in the clinic with fever, chills,
vomiting and severe dysuria. She is diagnosed with acute
pyelonepritis. How should this patient be managed?
a. 3 day course of oral antibiotics
b. hospitalization Correct Answer b. hospitalization
A 63 year old man is seen in the clinic with a chief complaint of
nocturia. Which of the following should be included in the
differential diagnosis?
a. Psychogenic nocturia
b. Urethral polyp
c. Irritative posterior urethral lesion
d. Benign prostatic hypertrophy Correct Answer d. Benign
prostatic hypertrophy
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