NR511 NR 511 FINAL Exam Q A Latest: Differential Diagnosis Primary

NR511 / NR 511 FINAL Exam Q & A (Latest

2025 / 2026): Differential Diagnosis & Primary

Care Practicum (Verified Answers) Samuel, age 5, is receiving radiation therapy for his acute lymphocytic leukemia.He is at increased risk of developing which type of cancer as a secondary malignancy when he becomes an adult?

• Chronic lymphocytic leukemia
• Brain tumor
• Liver cancer
• Esophageal cancer - ANSWER B. Brain tumor

Why is parathyroid hormone secretion increased during pregnancy?

• To meet the increased stress demands on the mother
• To meet the increased requirements for calcium and vitamin D for fetal skeletal

growth

• To help prevent neural tube defects in the fetus
• To help promote neurological g - ANSWER B. To meet

the increased requirements for calcium and vitamin D for fetal skeletal growth 1 / 4

What is the name of the test used to assess for nerve- root compression? A. The Apley scratch test B. The drop arm test C. Finkelstein's test D. Spurling's maneuver

• ANSWER D. Spurling's maneuver

Mr. Hughes is a 46-year-old African American man who is in your primary care office for a physical examination. You recommend which of the following as screening for prostate cancer?

• A digital rectal examination (DRE)
• None; there is no conclusive evidence for screening until age 75 and older -

ANSWER B. None; there is no conclusive evidence for screening until age 75 and older Which of the following individuals most likely will have a false-negative reaction to the Mantoux test?

• Marvin, age 57
• Jane, who is on a short course of corticosteroid therapy for an acute

exacerbation of asthma

• Jerry, who has lymphoid leukemia 2 / 4

• Mary, who recently was exposed to someone coughing - ANSWER
• Jerry, who has lymphoid leukemia

Specific conditions demonstrate fluid in the scrotum on transillumination. These include

• testicular cancer.
• a varicocele.
• a hydrocele.
• testicular torsion. - ANSWER C. a hydrocele.

Max, age 16, comes into your office after having been in a fight and sustaining a human bite on his fist. Your first course of action is to

• give a tetanus injection.
• thoroughly débride and irrigate the wound.
• initiate broad-spectrum antibiotics.
• leave the wound open for drainage. - ANSWER B.

thoroughly débride and irrigate the wound. 3 / 4

Marisa, age 42, has celiac disease. She is prone to osteopenic bone disease as a result of impaired calcium absorption because of

• increased calcium absorption by the small intestine.
• increased absorption of the fat-soluble vitamin D.
• the binding of calcium and magnesium in the intestinal lumen by unabsorbed

dietary fatty acids.

• decreased magnesium absorption.. - ANSWER C. the

binding of calcium and magnesium in the intestinal lumen by unabsorbed dietary fatty acids.Decreased bladder capacity; bladder irritation from a urinary tract infection, tumor, stones, or irritants such as caffeine and alcohol; and central nervous system disorders or spinal cord lesions are all contributing factors to

• stress urinary incontinence.
• urge urinary incontinence.
• overflow urinary incontinence.
• reflex urinary incontinence. - ANSWER B. urge urinary

incontinence.

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