NR511 Final Exam Latest Update 100 Questions and 100% Verified Correct Answers Guaranteed A+ ...responded to antibiotic therapy. Which of the following actions should be taken next?
- send a urine specimen for microscopy looking for fungal colonies
- increase the dose of the antibiotic
- order a cystoscopy
- 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?
- obtain a scrotal ultrasound
- obtain a computed tomography scan (CT)
- instruct the patient to elevate the scrotum
- send the patient to the Emergency room - Correct Answer:c. instruct the patient to
- send the patient to the Emergency room
elevate the scrotum
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.
- testicular cancer
- varicocele
b.. inguinal hernia
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?
- very early
- late in inflammation
b 3-4 hours after perforation
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?
- escheichia coli
- staphylococcus aureus 1 / 3
- 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?
- Serum Calcium
- Thyroid Stimulating Hormone (TSH)
- 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?
- back and abdominal pain
- fever, chills, costovertebral angle (CVA) tenderness
- blood in urine and frequency
- 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?
- her age
- frequent constipation
- 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?
- Feels relief after a bowel movement
- sometimes is constipated
- 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?
- lower urinary tract infection
- chlamydia infection 2 / 3
- 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?
- 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?
- Psychogenic nocturia
- Urethral polyp
- Irritative posterior urethral lesion
- Benign prostatic hypertrophy - Correct Answer:d. Benign prostatic hypertrophy
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?
- urethral polyps
- anticholinergic medications
b,. urinary tract infection (UTI)
d. all of the above - Correct Answer:d. all of the above
A family practice office for all 5 of your clinical rotations will guarantee that you will gain the required pediatric exposure
- true
b. false - Correct Answer:b. false
A patiennt presents to the cliniciCorrect Answer: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?
- the patient should be instructed to rest and increase fluid intake as the infection is
most likely viral and resolve without antibiotic therapy
- because the patient does not have strep throat, the clinican should start broad
spectrum antibiotics in order to cover the offending pathogen
- a throat culture should be preformed to confirm the results of the rapid strep test -
- / 3
Correct Answer:c. a throat culture should be preformed to confirm the results of the rapid strep test