NR 511 Week 8 Final Exam Practice - Gastrointestinal Disorders
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A. GERD B. Esophageal stricture C. Peptic ulcer disease D. Achalasia Answer: B. Esophageal stricture 4. RUQ pain, fever, nausea, and a positive Murphy sign suggest: A. Appendicitis B. Acute cholecystitis C. Pancreatitis D. Peptic ulcer disease Answer: B. Acute cholecystitis Workup: RUQ ultrasound first. 5. A patient with RLQ pain, fever, and a positive psoas sign should undergo which diagnostic test first? A. MRI B. CT abdomen C. Abdominal X-ray D. HIDA scan Answer: B. CT abdomen (adults) 6. Which test is preferred for diagnosing C. difficile? A. Cystitis B. Urethritis C. Pyelonephritis D. Prostatitis Answer: C. Pyelonephritis 10. Dysuria, frequency, no fever, and suprapubic pain indicate: A. Cystitis B. Pyelonephritis C. Prostatitis D. Testicular torsion Answer: A. Cystitis 11. A 19-year-old male with dysuria but no frequency likely has: A. Cystitis B. Urethritis (likely chlamydia) C. Interstitial cystitis D. Prostatitis Answer: B. Urethritis 12. Sudden severe testicular pain, high-riding testicle, and absent cremasteric reflex indicate: A. Epididymitis B. Hydrocele III. Upper & Lower Extremity Disorders 16. Shoulder pain with a positive drop-arm test indicates: A. Rotator cuff tendinitis B. Rotator cuff tear C. Frozen shoulder D. AC separation Answer: B. Rotator cuff tear 17. Numbness in the thumb, index, and middle fingers with positive Tinel sign indicates: A. Ulnar neuropathy B. Cervical radiculopathy C. Carpal tunnel syndrome D. Trigger finger Answer: C. Carpal tunnel syndrome 18. A “pop” in the back of the ankle with inability to plantarflex indicates: A. Plantar fasciitis B. Ankle sprain C. Achilles tendon rupture D. Ankle fracture Answer: C. Achilles tendon rupture 22. A fluctuant, warm, painful skin lesion is best treated by: A. Oral antibiotics only B. Incision and drainage C. Immediate CT scan D. Packing and closing the wound Answer: B. Incision and drainage 23. Radicular pain down the leg with a positive straight-leg raise suggests: A. Spinal stenosis B. Herniated lumbar disc C. Osteoarthritis D. Sacroiliitis Answer: B. Herniated lumbar disc V. Pharmacology & Hematology 24. Aminoglycosides are most associated with which toxicities? A. Hepatic and renal B. Renal and ototoxic C. Cardiac and neurologic D. Pulmonary and renal Answer: B. Renal and ototoxic
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