Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?
a. Sinus bradycardia
b. Atrial fibrillation
c. Supraventricular tachycardiad. U waves
Question 42: Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?a. Morning stiffness and limited mobility of the lumbar spineb. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back painc. Fever, chills, and elevated erythrocyte sedimentation rated. Pathologic fractures, severe night pain, weight loss, and fatigue
Question 43: Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?a. Superficial burnsb. Superficial partial-thickness burnsc. Deep partial-thickness burnsd. Full-thickness burns
Question 44: Immunizations are an example of which type of prevention?
a. Primaryb. Secondaryc. Tertiary
Question 45: If a previously frostbitten area becomes frostbitten again after it has healed, what might occur?
a. Permanent tissue damage may occur, resulting in necrosis to that body part.b. The area will be super sensitive.c. The area is prone to a repeat frostbite.d. The area is as susceptible as any other area.
Question 46: In the United States, what is the second most common connective tissue disease and the most destructive to the joints?
a. Osteoarthritisb. Systemic lupus erythematosus (SLE)c. Rheumatoid arthritis (RA)d. Sjogren’s syndrome
Question 47: A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?a. Pregnancy test
b. Pelvic ultrasound .
c. Endometrial biopsyd. Platelet count
Question 48: A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?a. Trichomonasb. Bacterial vaginosisc. Human papillomavirus (HPV)d. Herpes simplex virus (HSV)
Question 49: Julie, aged 50, has migraine headaches, frequent asthma attacks, coronary artery disease, and hypertension. Which of the following prophylactic medications would you order for her migraines?
a. Propranolol
b. Timolol
c. Ergotamined. Topiramate
Question 50: A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of “my feet feel like they are on fire.” He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment?
a. Tricyclic antidepressantsb. Capsacin creamc. Vitamin B12 injectionsd. Insulin
NR 511 Week 4 Midterm Exam Version 5
Question 1: How often should the clinician examine the feet of a person with diabetes?
a. Once a yearb. Every 6 monthsc. Every 3 monthsd. Every visit
Question 2: Which drug for Alzheimer’s disease should be administered beginning at the time of diagnosis?
a. Cholinesterase inhibitorsb. Anxiolyticsc. Antidepressantsd. Atypical antipsychotics
Question 3: Most adult poisonings are:
a. intentional and self-inflicted.b. accidental.c. caused by someone wishing to do harm to the person.d. not attributed to any reason.
Question 4: A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?
a. “It is probably just a cyst, because that is the most common breast mass.”b. “We will order a mammogram and ultrasound to help establish a diagnosis.”c. “We will go ahead and schedule you for a biopsy because that is the only way to know for sure.”d. “Because your lump is painful, it is most likely not cancer.”
Question 5: Which of the following is a specific test for multiple sclerosis (MS)?
a. Magnetic resonance imaging (MRI)b. Computed tomography (CT) scanc. A lumbar punctured. There is no specific test.
Question 6: After removing a tack from a type 2 diabetic’s heel and evaluating the site for infection, what is the best plan for this patient?
a. Suggest she use a heating pad to improve circulationb. Refer to a podiatrist for a foot care treatment planc. Send her for acupuncture treatmentsd. All of the above
Question 7: Which characteristic of delirium helps to distinguish delirium from dementia?
a. Abrupt onsetb. Impaired attentionc. Affective changesd. Delusions
Question 8: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?
a. Decrease in level of consciousness (LOC)b. Headachec. Nausead. Widening pulse pressure
Question 9: Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation?
a. Posterior dislocations are more common than anterior dislocations.b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses.c. Recurrent dislocations are uncommon and would require a greater force to result in injury.d. Surgery is most commonly the treatment of choice.
Question 10: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
a. Decreased C-reactive proteinb. Hyperalbuminemiac. Morning stiffnessd. Weight gain
Question 11: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?
a. Overweight
b. Mild obesity
c. Moderate obesityd. Morbid obesity
Question 12: The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?
a. Riceb. Carrotsc. Spinachd. Potatoes
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