Nr 511 Differential Diagnosis Primary Care Practicum Final Exam Study Guide

Nr 511 Differential Diagnosis Primary Care Practicum Final Exam Study Guide

Question 1: Which of the following is a crucial element of developing a guideline?
Creating a physician expert panel
Reviewing the literature with ratings of available evidence
Conducting an external review of a guideline
Developing evidence-based tables
Question 2.Question : African American patients seem to have a negative reaction to which of
the following asthma medications?
Inhaled corticosteroids
Long-term beta-agonist bronchodilators
Leukotriene receptor agonists
Oral corticosteroids
Question 3.Question : Jolene has breast cancer that has been staged as T1, N0, M0. What might
this mean?
The tumor size cannot be evaluated; the cancer has not spread to the lymph nodes; and the
distant spread cannot be evaluated.

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The cancer is in situ; it is spreading into the lymph nodes, but the spread cannot be evaluated
otherwise.
The cancer is less than 2 cm in size and has not spread to the lymph nodes or other parts of the
body.
The cancer is about 5 cm in size; nearby lymph nodes cannot be evaluated; and there is no
evidence of distant spreading.
Question 4.Question : Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which
of the following medications will help to decrease edema in the labyrinth of the ear?
Meclizine
Diphenhydramine
Diamox
Diamox
Promethazine
Question 5.Question : Mandy presents with a cauliflower-like wart in her anogenital region. You
suspect it was sexually transmitted and document this as a:
Filiform/digitate wart
Dysplastic cervical lesion
Condyloma acuminata
Koilocytosis
Question 6.Question : Inattention and a sleep-wake cycle disturbance are the hallmark symptoms
of?
Dementia
Alzheimer’s disease
Parkinson’s disease
Delirium
Question 7.Question : You have taught Jennifer, age 15, about using a flow meter to assess how
to manage her asthma exacerbations. She calls you today because her peak expiratory flow rate is
65%. What would you tell her?
“Take your short-acting beta-2 agonist, remain quiet, and call back tomorrow.”
“Use your rescue inhaler, begin the prescription of oral glucocorticoids you have, and call back
tomorrow.”
“Drive to the emergency room now.”
Question25.
When assessing a woman for infertility, which of the following tests should be done first?
a. Analysis of partner’s sperm
b. Magnetic resonance imaging (MRI)
c. Hysterosalpingogram
d. Estrogen level
Question26.
Which type of burn injury results in destruction of the epidermis with most of the dermis, yet the
epidermal cells lining hair follicles and sweat glands remain intact?
a. Superficial burns
b. Superficial partial-thickness burns
c. Deep partial-thickness burns
d. Full-thickness burns
Question26.
Which type of burn injury results in destruction of the epidermis with most of the dermis, yet the
epidermal cells lining hair follicles and sweat glands remain intact?
a. Superficial burns
b. Superficial partial-thickness burns
c. Deep partial-thickness burns
d. Full-thickness burns
Question27.
A 23-year-old sexually active woman presents for her first Pap smear. Her history includes
nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the
following conditions should the clinician be particularly alert for during her examination?
a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome
Question28.
As a rule of thumb, the estimated level of hematocrit is how many times the value of the
hemoglobin?
a. Two
b. Three
c. Four
d. Five

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