Final Exam: NR511 / NR 511 Differential Diagnosis and Primary Final Exam Questions and Verified Answers | (2023/ 2024 Newly Updated)
... [Show More] Chamberlain
1. Jason, age 14, appears with tender discoid breast tissue enlargement (2-3 cm in diameter) beneath the areolae. Your next action would be to:
A. Perform watchful waiting for one year.
B. Order an ultrasound.
C. Obtain laboratory test.
D. Refer Jason to an endocrinologist.'
Answer: Perform watchful waiting for one year.
2. Mindy is scheduled to have an oral glucose tolerance test (OGTT). she is instructed to discontinue many of her medications for three days before the test period which one is it safe to continue taking?
A. Vitamin C.
B. Aspirin.
C. Calcium.
D. Oral contraceptives
Answer: calcium
3. Jay has had diabetes for 10 years. He recently had a physical and was told he has some evidence of neuropathy. What is the first manifestation of this condition?
A. Microalbuminuria.
B. Development of Kimmelstiel-Wilson nodules.
C. Decreased serum urea nitrogen levels.
D. Decrease serum creatinine levels.
Answer:
4. Sadie, age 40, has just been given a diagnosis of Graves' disease. She has recently lost £25, has palpitations, is very irritable, feels very warm, and has a noticeable bulge in her neck. The most likely cause of her increased thyroid function is:
A. hyperplasia of the thyroid.
B. An anterior pituitary tumor.
C. Thyroid carcinoma.
D. An autoimmune response.
Answer: an autoimmune response
5. When you inspect the integumentary system of clients with endocrine disorders, the finding of course her may be an indicator of:
A. Addison disease.
B. Diabetes mellitus.
C. Cushing syndrome.
D. Hypothyroidism.
Answer: hypothyroidism
6. Sandra, age 28, has secondary obesity. Which of the following may have caused this?
A. Taking in more calories than are expended.
B. Polycystic ovary syndrome.
C. Anti-hypertensive medications.
D. A sedentary lifestyle.
Answer: poly cystic ovary syndrome
7. Which is the only curative treatment option for primary hyperparathyroidism (PHPT)?
A. Type 2 calcimimetic cinacalcet.
B. Hormone therapy.
C. Parathyroidectomy.
D. Bisphosphonates.
Answer: parathyroidectomy
8. a patient presents to your primary care office with abnormal lab results. On physical exam, he the patient's facial nerve around the zygomatic arch anterior to the earlobe. This describes which of the following tests and is associated with which of the following lab abnormalities?
A. Trousseau sign, hypocalcemia.
B. Chvostek sign, hypocalcemia.
C. Chvostek sign hypercalcemia.
D. Lachman test hypercalcemia
Answer: Chvostek sign, hypocalcemia
9. What is the most common cause of gynecomastia?
A. Puberty.
B. Drug use.
C. Testicular failure.
D. Malnutrition.
Answer: Puberty
10. Which is the following conditions is a common pathological cause of hirsutism?
A. Polycystic ovary syndrome.
B. Addison disease.
C. Hyperthyroidism.
D. Alopecia.
Answer: polycystic ovary syndrome
11. Your client George, age 60, presents with pruritus and complaints of a Lymphadenopathy in his neck. He also complains of night sweats and has noticed a low-grade fever. He has not lost any weight and otherwise feel as well. He was widow and has been dating a new one recently. On physical exam, you find in large supraclavicular knows. You suspect:
Answer: HODGKIN LYMPHOMA [Show Less]