NR511 Final exam Questions Solved (99 questions), Exams of Health psychology

Download NR511 Final exam Questions Solved (99 questions) and more Exams Health psychology in PDF only on Docsity! NR511 Final exam Questions Solved (99 questions) Janet is a 30 year old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspician of cauda equna compression. Which of the following is a sign or symptom of cauda equina compression? a. gastrocnemius weakness b. reduced or absent ankle refles c. numbness of the lateral foot d. paresthesia of the perineum and buttocks - Correct Answer ✅d. paresthesia of the perineum and buttocks The patient has acute pancreatitis with 7 of the diagnostic criteria from Ranson's Criteria. In order to plan care, the clinician understands that this criteria score has which of the following meanings? a. a high mortality rate b. an increased chance of recurrence c. 7% chance of the disease becoming chronic d. all of the above - Correct Answer ✅a. a high mortality rate NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) Reuben, age 24, has HIV and just had a routine viral load test done. The results show a falling viral load What does this indicate a. a favorable diagnostic trend b. disease progression c. the need to be more aggressive with Reuben's medications d. the eradication of the HIV - Correct Answer ✅a. a favorable diagnostic trend Which is the differentiating symptom mbetween labyrinthitis and vestibular neuritis? a. symptoms with vestibular neuritis are usually acute in onset, whereas with labyrinthitis the onet is more gradual b. hearing loss may be associated with vestibular neuritis, but not with labyrinthitis c. symptoms with labyrinthitis are usually acute in onset, ,whereas with vesticular neuritis the onset is more gradual NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) a. true b. false - Correct Answer ✅a. true An 82 year old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differentials? a. BPH b. Prostate cancer c. UTI d. all of the above - Correct Answer ✅d. all of the above Which causes the greatest percentage of mammalian bites? a. dogs b. cats c. humans NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) d. rodents - Correct Answer ✅a. dogs Endoscopic report reveals the presents of Barrett's epithelium. Which of the following information should the clinician include in the explaination of the pathology report? a. this is a premalignant tissue b. this tissue is resistant to gastric acid c. this tissue supports healing of the esophagus d. all of the above - Correct Answer ✅d. all of the above Which of the following data are indicative of testicular torsion? a. absent cremasteric reflux b. pain relived on testicular elevation c. testicle very low in the scrotum d. swollen scrotum with a red dot sign - Correct Answer ✅a. absent cremasteric reflux NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) Most nosocomial pneumonias are caused by: a. Fungi. b. Viruses c. Gram-negative bacteria. d. Pneumococcal pneumonia. - Correct Answer ✅c. Gram-negative bacteria. A family practice office for all 5 of your clinical rotations will guarantee that you will gain the required pediatric exposure a. true b. false - Correct Answer ✅b. false The most common precancerous skin lesion found in Caucasians is a. skin tags b. actinic keratosis c. melanoma NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) d. all of the above - Correct Answer ✅c. intolerable pain for more than 3 months is an indication for surgical intervention After 6 months of synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies? a. elevated TSH b. normal TSH c. low TSH d. undetectable TSH - Correct Answer ✅b. normal TSH The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following tests should the clinician order on the initial visit? a. thryoid stimulating hormone (TSH) and free T4 b. TSH and thyrotoxin antibodies •High sensitivity thyroid stimulating hormone TSH and free T4 NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) • Free T4 and serum calcium - Correct Answer ✅a. thryoid stimulating hormone (TSH) and free T4 Cat bites are commonly associated with which of the following pathogens? a. pasteurella multocida b. vibri vulnificus c. group B streptococcus d. Group A beta hemolytic streptococcus - Correct Answer ✅a. pasteurella multocida The 56 year old man with chronic prostatitis should be treated with trimethoprim 80mg-sulfamethoxazole 400 (TMP-SMX, Bactrim) for how long? a. 3-7 days b. 14-21 days c. 3-6 weeks NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) d 6-12 weeks - Correct Answer ✅d 6-12 weeks The A in SNAPPS stands for Assessment a. true b. false - Correct Answer ✅b. false A patient is diagnosed with Giardia after backpacking trip in the mountains. Which of the following would be the appropriate treatement? a. Vancomycin b. Penicillin c. Metronidazole d. Bactrim - Correct Answer ✅c. Metronidazole The most cost effective screening test to determine HIV status is which of the following? NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) a. necrotizing fascitis b. periorbital cellulitis c. erysipelas d. flesh eating bacteria - Correct Answer ✅c. erysipelas A 76 year old man is seen in the office for complaints of urinary incontinence. The clinican should suspect which of these causes of incontinence in men? a. urethral polyps b,. urinary tract infection (UTI) c. anticholinergic medications d. all of the above - Correct Answer ✅d. all of the above Sally, aged 25, presents with impetigo that has been diagnosed as infected with staphylococcus. The clinical presentation is pruritic tender, red vesicles surrounded by erythema with a rash that is ulcerating. She has not been adequately treated recently. Which type of impetigo is this? NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) a. Bullous impetigo b. Staphylococcal scalded skin syndrome (SSSS) c. Nonbullous impetigo d. Ecthyma - Correct Answer ✅d. Ecthyma 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 Which of the following are risk factors associated with obesity? a. diabetes b. skin infections c. arthritis d. all of the above - Correct Answer ✅d. all of the above NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) Which of the following information is essential before prescribing Bactrim DS to a 24 year old woman witht urinary tract infection? a. last menstrual period b. method of birth control c. last unprotected sexual contact d. all of the above - Correct Answer ✅d. all of the above 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 NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) You are preforming muscle strength testing on a patient presenting with musculoskeletal pain and find that the patient has complete range of motion with gravity eliminated. Which numeric grade of muscle strength would you give this patient? a. 1 b. 2 c. 3 d. 4 - Correct Answer ✅b. 2 The patient is diagnosed with overactive bladder (OAB). Which of the following instructions should be given to this woman? a. Limit the amount of water that you drink b. eliminate caffeine from your diet c. wear panty liners d. all of the above - Correct Answer ✅b. eliminate caffeine from your diet NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) 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 Treatment for epididymitis includes which of the following? a. warm sitz baths b. scrotal elevation c. masturbation d. all of the above - Correct Answer ✅b. scrotal elevation NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition? a. there are round hypopigmented macules on his back b. there are red papules on his face c. there are crusted placques in Josh's groin area d. there are white streaks on his neck - Correct Answer ✅a. there are round hypopigmented macules on his back The clinican has instructed Sam, a 25 year old patient with low back strain, to use NSAID's to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate withn teaching sam about the use of NSAID' to manage his pain a. you should start with the lowest dose that is effective in managing your pain because long term use of NSAIDS can result in gastrointestinal (GI) disorders such as ulcers and hemmorhage b. you should start with the lowest dose that is effective in managing your pain in order to avoid developing tolerance to the medication NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) c. diverticulitis d all of the above - Correct Answer ✅d all of the above Acute angle-closure glaucoma involves a sudden severe rise in intraocular pressure. Which of the following ranges represents normal intraocular pressure a. 0 to 7 mmHg b 8 to 21 mmHg c. 22 to 40 mmHg d. 40-80mmHg - Correct Answer ✅b 8 to 21 mmHg 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 NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) c. does not defecate in the middle of the night d. all of the above - Correct Answer ✅d. all of the above The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is strongly suggestive of which type of infection? a. HSV Type 2 b HIV c Pneumonia d. Syphilis - Correct Answer ✅b HIV Mrs. Gary is a 55 year old woman who presents with tightness, pain and limited movement in her right shoulder. She denies any history of trauma. Her exam reveals a 75% reduction in both active and passive range of motion of the right shoulder. Mrs. Gray is also experiencing tenderness with motion and pain at the deltoid insertion. HEr medical history is significant for type 1 DMm and HTN. HEr social history reveals that she is a secretary ant that she is right handed. Based on her exam and medical history, you suspect adhesive capulitis or "frozen shoulder" Which clue in Mrs. Grays history supports the diagnosis? NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) a. history of hypertension b. her affected shoulder is also her dominant hand c. her history of diabetes - Correct Answer ✅c. her history of diabetes 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 Joyce is seen in the clinic complaining of vague symptoms of feeling nervous and irritable, and that her hair will not hold a curl anymore. On physical exam, the clinician finds an irregular heartbeat and brisk reflexes. The differential diagnosis could be which of the following? NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) D. A and B - Correct Answer ✅A. Articular Harvey has a rubbery, smooth, round mass on his chest which is compressible and has a soft to very firm texture. What do you diagnose this as? a. Lipoma b. Nevi c. skin tag d. Adenoma - Correct Answer ✅a. Lipoma The patient with Gastroesophageal reflux disease (GERD) should be instructed to eliminate which of these activities? a. Swimming b. weight lifting c. Golfing d. Walking - Correct Answer ✅b. weight lifting NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) ...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 Cydney was just diagnosed with mild, intermittant asthma. Which if the most appropriate medication for her? a. short acting beta-agonist as needed b. short acting beta-agonist twice a day c. long acting beta agonist as needed d. long acting beta agonist twice a day - Correct Answer ✅a. short acting beta-agonist as needed NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that may cause hematuria a. NSAIDS b. Beets c. Vitamin A d. Red meat - Correct Answer ✅a. NSAIDS What is the most common cause of anemia a. anemia of chronic disease b. sideroblastic anemia c. iron deficiency anemia - Correct Answer ✅c. iron deficiency anemia The clinical suspects that a client has patellar instability. In order to test for this, the client is seated with the quadriceps relaxed and the knee is placed NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) The most common offending agents for medication induces resting tremor are: a. selective serotonin reuptake inhibitore (SSRIs) b. Beta-Blockers c. Floroquinolone antibiotics d. anti-psychotics - Correct Answer ✅d. anti-psychotics Which of the following type of tremor is characterized by an increase in amplitude when the patient attemps voluntary movements a. resting tremor b. postural tremor c. intention tremor d. medication-induced tremor - Correct Answer ✅c. intention tremor NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) Ian, age 62, presents with a wide, diffuse area of erythematous skin on his left lower leg that is warm and tender to palpation. There is some edema involved. You suspect: a. Necrotizing fasciitis. b. Kaposi's sarcoma. c. Cellulitis. d. A diabetic ulcer. - Correct Answer ✅c. Cellulitis. Parkinsons disease is a progressive neurological disorder that is associated with which type of tremor? a. resting tremor b. postural tremor c. intention tremor d. medication induced tremor - Correct Answer ✅a. resting tremor Which information should be included when you are teaching your patient about the use of nicotine gum? NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) a. the gum must be correctly chewed to a softened state then placed in the buccal mucosa b. patients should not eat for 30 minutes prior to or during the use of the gum c. initially, one piece is chewed every 30 minutes while awake d. acidic foods and beverages should be encouraged during nicotine therapy - Correct Answer ✅a. the gum must be correctly chewed to a softened state then placed in the buccal mucosa Severe pain associated with acute otitis media signifies perforation of the tympanic membrane. a. true b. false - Correct Answer ✅b. false Jason, aged 62, has obstructive sleep apnea. What do you think is one of his contributing factors? NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) d. leukocytosis - Correct Answer ✅b. hepatotoxicity Which of the following signs or symtoms indicate an inflammatory etiology to musculoskeletal pain? a. decreased C-reactive protein b. hyperalbuminemia c. morning stiffness - Correct Answer ✅c. morning stiffness 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 NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) A patiennt presents to the clinicians office with a sore throat, fever of 100.7 and tender anterior cervical lymphadenopathy. The clinican suspects strep throat and performs a rapid strep test that is negative. What would the next step be? a. the patient should be instructed to rest and increase fluid intake as the infection is most likely viral and resolve without antibiotic therapy b. because the patient does not have strep throat, the clinican should start broad spectrum antibiotics in order to cover the offending pathogen c. a throat culture should be preformed to confirm the results of the rapid strep test - Correct Answer ✅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 Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) b. splints are used in carpal tunnel syndrome because the allow for free movement of the fingers and thumb while maintaining the wrist in a neutral position c. corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of the risks for median nerve damage, scarring and infection d all of the above - Correct Answer ✅d all of the above Which statement about HIV post-exposure prophylaxis (PEP) for healthcare workers is most accurate? a. PEP should be started within hours after the exposure b. PEP should be started within 73 hours after the exposure c. Renal and hepatic function tests should be done 6 weeks after beginning PEP NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) What is the recommended calcium intake for adults over the age of 50 with low bone mass? a. 1200mg/day b 1000mg/day c. 1300mg/day d. 1500mg/day - Correct Answer ✅d. 1500mg/day 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 NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) All students are subject to review of clinical logs to ensure that they have received a well-rounded experience a. true b. false - Correct Answer ✅a. true 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 Fluctuations and reductions in estrogen may be a contributing factor in which type of rhinitis? NR511 Final exam Questions Solved (99 questions) 100% Correct Answers NR511 Final exam Questions Solved (99 questions) a. vasomotor rhinitis b. rhinitis medicamentosum c. atophic rhinitis d. viral rhinitis - Correct Answer ✅a. vasomotor rhinitis John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear? a. valgus stress test b. McMurray circumduction test c. Lachman's test d. Varus stress test - Correct Answer ✅b. McMurray circumduction test NR511 Final exam Questions Solved (99 questions) 100% Correct Answers