NR 511 Midterm/Final exam
A patient is diagnosed with gastroesophageal reflux disease (GERD), and his
endoscopic report reveals the presence of Barrett’s epithelium. Which of the
following information should the clinician include in the explanation 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
Answer D
On further questioning, the 21-year-old patient with the chief complaints of
fatigue, headache, anorexia, and a runny nose explains that she is sexually active
only with her boyfriend, does not use injectable drugs, and works as an aide in a
day-care center. Which of the following tests would be most helpful in confirming
your diagnosis? (Answer)- HAV IgM
Which statement about adenocarcinoma of the lung is accurate? (Answer)- It is the
most prevalent carcinoma of the lung in both sexes and in nonsmokers,
representing 35% to 40% of all tumors.
Marci has a wart on her hand. She says she heard something about “silver duct tape
therapy.” What do you tell her about his? (Answer)- It is a simple treatment that
should be tried first.
Which patient is more likely to have a cluster headache? (Answer)- A 45-year-old
male awakened at night
Tinea unguium is also known as: (Answer)- Onychomycosis.
Which of the following medications used in the treatment of glaucoma works by
constricting the pupils to open the angle and allow aqueous fluid to escape?
(Answer)- Pilocarpine
George has cardiovascular disease (CVD), is 64 years old, has a total cholesterol of
280 mg/dL, has a systolic blood pressure (BP) of 158, and is being treated for
hypertension. You are doing a Framingham Risk Assessment on him. Which
assessment factor would give him the highest number of points on the scale?
(Answer)- His cholesterol level
Which of the following is “a linear crack extending from the epidermis to the
dermis”? (Answer)- A fissure
A patient is seen in the office with complaints of six to seven liquid bowel
movements per day. Which of the following assessment findings would lead the
clinician to a diagnosis of inflammatory bowel disease? (Answer)- History of
international travel
Which of the following is associated with celiac disease (celiac sprue)? (Answer)
Malabsorption
In which of the following situations would referral to a specialist be needed for
sinusitis?
A) Recurrent sinusitis
B) Allergic sinusitis
C) Sinusitis that is refractory to antibiotic therapy
D) All of the above
Answer D
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae
resulting from infection with which of the following pathogens? (Answer)- Group
A streptococcus
A bulla is: (Answer)- A vesicle larger than 1 cm in diameter.
An example of ecchymosis is: (Answer)- A bruise
Severe pain associated with acute otitis media signifies perforation of the tympanic
membrane. (Answer)- False
A patient is seen in the office complaining of severe flank pain. The clinician
should assess this patient for which risk factors for kidney stones? (Answer)-
Hypertension
Which of the following foods should be limited in a patient with chronic renal
failure (CRF)?
A) Milk