2024 NR511 Clinical Analysis Final Exam With Answers (99 Solved Questions)

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NR511 FINAL/NR 511 FINAL EXAM LATEST2024EXAM 100 QUESTIONS AND CORRECTANSWERS|AGRADEQuestion 1.The most cost-effective screening test for determiningHIV status is which of the following?StudentAnswer:Western blotEnzyme-linked immunosorbent assayVenerealDiseaseResearchLaboratorytestViral loadPoints Received:Comments:0 of 2Question 2.Question :Which blood test is a nonspecific method and most helpful forevaluatingtheseverityandcourseofaninflammatoryprocess?StudentAnswer:Erythrocyte sedimentationrateWhite blood cell countPolymorphonuclear cellsC-reactive protein (CRP)Points Received:Comments:0 of 2Question 3.Question :Cocaine acts as a stimulant by blocking the reuptake ofwhich neurotransmitter?StudentAnswer:GABAAcetylcholineDopamineSerotoninPoints Received:Comments:0 of 2Question 4.Question :andMrs. Thomas was seen in the office complaining of painpoint tenderness in the area of her elbow. The pain hasincreased following a day of gardening one week ago. Aphysical finding that differentiates the diagnosis and is mostconsistent with lateral epicondylitis (tennis elbow) is:Student Answer:Ecchymosis, edema, and erythema over the lateralepicondylePain at the elbow with resisted movements at the wristand forearmInability to supinate and pronate the armInability to flex or extend the elbow againstresistance Points Received:2 of 2Comments:

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Question 5.Question :StudentAnswer:Which of the following statements concerning themusculoskeletal examination is true?The uninvolved side should be examined initially andthen compared to the involved side.Points Received:Comments:Question 6.Question :The part ofthe body that is causing the patientpain should be examined first.When possible, the patient should not be asked toperformactiverange-of-motion(ROM)exercisestoavoid causing pain.Radiographs should always be obtained priortoexamination so as not to cause further injury to thepatient.(not graded)Which of the following signs or symptoms indicate aninflammatory etiology to musculoskeletal pain?StudentAnswer:Decreased C-reactive proteinHyperalbuminemiaMorning stiffnessWeightgainPointsReceived:(not graded)Comments:Question 7.Question :Which causes the greatest percentage of mammalian bites?StudentAnswer:DogsCatsHumansRodentsPoints Received:Comments:(not graded)Question8.Question :ofA 48-year-old woman is seen in the clinic with complaintsprolonged heavy menstrual periods. She is pale and statesshe can no longer exercise. Pelvic exam reveals a single,very large mass. Which of the following diagnostic testsshouldthe clinician order first?StudentAnswer:Transvaginal ultrasoundEndometrial biopsyMRIAbdominal computedtomography scan Points Received:(not graded)Comments:Question 9.Question :A diabetic patient asks the clinician why he needs to checkhis blood sugar at home even when he feels good. Which ofthe following responses would be most appropriate?Student Answer:"Control of glucose will help postpone or delaycomplications.""Regularly checking blood sugar will help establish aroutine."

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"Monitoringglucose will promote a sense of control." All of theabovePointsReceived:(not graded)Comments:Question 10.Question :A 25-year-old patient presents to the clinic with fatigue, coldintolerance, weight gain, and constipation for the past 3months. On physical examination, the clinician notices a sinusbradycardia; muscular stiffness; coarse, dry hair; and a delayin relaxation in deep tendon reflexes. Which of the followingtests should be ordered next?StudentAnswer:Serumcalcium TSHElectrolytesUrine specificgravity Points Received:(not graded)Comments:Question 11.Question :Which of the following medications for type 2 diabetes mellitusshould not be prescribed during pregnancy?StudentAnswer:InsulinMetforminGlucotrolPrecose PointsReceived:(not graded)Comments:Question 12.Question : During a DRE on a 75-year-old man, the clinician suspects thepatient has prostate cancer. What physical finding shouldmake the clinician suspicious?StudentAnswer:An enlarged rubbery glandA hard irregular glandA tender gland AboggyglandPoints Received:(notgraded)Comments:Question 13.Question : Eddie, age 4, presents to the ED with a live insect trapped in hisear canal causing a lot of distress. What should be your first step?StudentAnswer:Remove the insect with tweezers.Immobilize the insect with 2% lidocaine.Sedate Eddie with diazepam.Shine a light in the ear for the insect to "find its wayout." Points Received:(not graded)Comments:

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Question 14.Question :What is the most common cause of microcytic anemia?StudentAnswer:Anemia of chronic diseaseSideroblasticanemiaIron-deficiencyanemiaThalassemiaPointsReceived:Comments:(not graded)Question 15.Question :An 82-year-old man is seen in the primary care office withcomplaints of dribbling urine and difficulty starting his stream.Which of the following should be included in the list ofdifferentialdiagnoses?StudentAnswer:Benign prostatic hyperplasia (BPH)Parkinson's diseaseProstate cancer Allof theabove Points Received:(not graded)Comments:Question 16.Question :Early rheumatoid disease is characterized by: StudentAnswer:Painand swelling in both small and large peripheral jointsRigid joints with diminished range of motionJoint swelling and immobility on rising Acardiac rub or pulmonary frictionrub Points Received:(not graded)Comments:Question 17.Question :A 70-year-old female has fallen 2 weeks ago and developedimmediate pain in her left wrist. She thought she just bruised itbut is worried because it has not improved. She has usedTylenol® and ice at home, and that has helped slightly. Youexamine her and find she has moderate swelling andecchymosis but no overtly obvious deformity. Her ROM isuncomfortable and severely diminished due to the pain. Nocrepitus is heard or felt. Her fingers are warm; her pulse isstrong; and capillary refill is less than 2 seconds. What shouldyou do?Student Answer:Make an immediate referral for an orthopedic evaluationwithout further assessment.Tell her that it takes time for these bruises to improve, soshe should be patient.Obtain a wrist x-ray and place herwrist in a splint orprescribe a splint.

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Points Received:Comments:Question 18.Question :Send her to the emergency room for reduction ofthis obvious wrist fracture.(not graded)The criteria for diagnosing generalized anxiety disorderin theAmerican Psychiatric Association's Diagnostic and StatisticalManual of Mental Disorders, 5th edition (text revision) statethat excessive worry or apprehension must be present moredays than not for at least:Student Answer: 1month3months6months12 months Points Received:(not graded)Comments:Question 19.Question : A 60-year-old man presents with an enlarged scrotum. Theclinician uses a penlight to transilluminate the scrotum. Inapatient with a hydrocele, what would the clinician expect tofind?StudentAnswer:The scrotum will be dark.The scrotum will appear light pink or yellow.The scrotum will appear milky white.Theinternalstructureswillbeclearlyvisible.PointsReceived:(not graded)Comments:Question 20.Question :According to Kübler-Ross, the stages of grief occur inwhich order?Student Answer:Anger, denial, depression, bargaining, acceptance Anger,denial,bargaining,acceptance, depressionDenial,anger,depression, bargaining,acceptanceDenial,anger,bargaining, depression, acceptancePoints Received:Comments:(not graded)Question 21.Question :Reuben, age 24, has HIV and just had a routine viral loadtest done. The results show afalling viral load. What doesthis indicate?Student Answer:A favorable prognostic trend

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Disease progressionThe need to be more aggressive withReuben's medicationsThe eradication of the HIVPoints Received:Comments:(not graded)Question 22.Question :The exanthem of Lyme diseaseis: Student Answer:Erythema infectiosumLaterothoracic exanthemErythema migransMorbilli exanthemPoints Received:Comments:(not graded)Question 23.Question :You have detected thepresence of crepitus on examination ofa patient with a musculoskeletal complaint. Additionally, thereis limited range of motion (ROM) with both active and passivemovement.Thesefindingssuggestthattheoriginofthemusculoskeletal complaint is:StudentAnswer:ArticularInflammatoryNonarticularA and B PointsReceived:(not graded)Comments:Question 24.Question :What is the recommended daily calcium intake for adults overthe age of 50 with low bone mass?Student Answer:1,200mg/day1,000mg/day1,300mg/day1,500mg/day Points Received:(not graded)Comments:Question 25.Question :When assessing a woman for infertility, which of the followingtests should be done first?StudentAnswer:Analysis of partner's spermMagnetic resonance imaging(MRI) HysterosalpingogramEstrogen levelPoints Received:Comments:(not graded)Question 26.Question :Which type of burn injury results in destruction of theepidermis with most of the dermis, yet the epidermal cellslining hairfollicles and sweat glands remain intact?

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Student Answer:Superficial burnsSuperficial partial-thickness burnsDeep partial-thicknessburnsFull-thicknessburns Points Received:(not graded)Comments:Question 27.Question :A 23-year-oldsexually active woman presents for her firstPap smear. Her history includes nulligravida, age at firstintercourse 14, and more than 10 sexual partners. Which ofthe following conditions should the clinician be particularlyalert for during her examination?StudentAnswer:Human papillomavirus (HPV)Endometrial hyperplasiaVagismusPolycystic ovariansyndrome Points Received:(not graded)Comments:Question 28.Question :As a rule of thumb, the estimated level of hematocrit is howmany times thevalue of the hemoglobin?StudentAnswer:TwoThreeFourFivePoints Received:Comments:(not graded)Question 29.Question :Sam is a 25-year-old who has been diagnosed with low backstrain based on his history of localized low back painandmuscle spasm along with a normal neurological examination.As the clinician, you explain to Sam that low back pain is adiagnosis of exclusion. Which of the following symptoms wouldalert the clinician to the more serious finding of a herniatednucleuspulposus or ruptured disc?Student Answer: Morning stiffness and limited mobility of the lumbar spine

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