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NR509 Week 8: Final Exam





A 74-year-old man with hypertension and diabetes has abnormal findings on fundoscopy. What would you expect?
- A. AV nicking and cotton wool spots
- B. Flame hemorrhages
- C. Papilledema
- D. Retinal detachment
- E. Retinitis pigmentosa
✅ Correct Answer: A
What hearing test is shown when a tuning fork is placed on the top of the head?
- A. Weber test
- B. Rinne test
- C. Bing test
- D. Schwabach test
- E. Whisper test
✅ Correct Answer: A
67-year-old woman with Heberden nodes, Bouchard nodes, mild hip pain, knee crepitus, and hallux valgus. Most likely diagnosis?
- A. Rheumatoid arthritis
- B. Osteoporosis
- C. Tenosynovitis
- D. Osteoarthritis
- E. Gout
✅ Correct Answer: D
Which statements are TRUE about breast changes after menopause? (Select all that apply)
- A. Mammograms perform worse postmenopause
- B. Glandular breast tissue atrophies due to fewer lobules
- C. Fatty transformation improves mammogram sensitivity
- D. HRT has no effect on breast density
- E. Breast density is influenced by genetics and hormone exposure
✅ Correct Answers: B, C, E
1-week-old male has underdeveloped scrotum and testes not palpable. Next step? (Select all that apply)
- A. Reassure and recheck in 6 months
- B. Assess for retractile testes
- C. Try to gently milk testis into scrotum
- D. Refer immediately to surgery
- E. Transilluminate in prone position
✅ Correct Answers: B, C
30-year-old woman with vaginal discharge, fishy odor, pH >4.5, and homogeneous coating. Likely diagnosis?
- A. Candida vaginitis
- B. Trichomonas
- C. Atrophic vaginitis
- D. Bacterial vaginosis
- E. Gonorrhea
✅ Correct Answer: D
35-year-old woman with bilateral milky nipple discharge, no fever, labs normal. Most likely cause?
- A. Ductal carcinoma in situ
- B. Occult pregnancy
- C. Mastitis
- D. Paget’s disease
- E. Prolactinoma
✅ Correct Answer: E
What question is most useful for evaluating recurrent headaches?
- A. Are you feeling stressed?
- B. Do you see an aura before the headache?
- C. Have you seen someone have a stroke?
- D. Do you have memory loss?
- E. Do your headaches wake you up at night?
✅ Correct Answer: B
Which statements are TRUE regarding stroke recognition and risk? (Select all that apply)
- A. TIAs resolving in 1 hour still carry stroke risk
- B. Median time to care is <3 hours
- C. Atrial fibrillation is not a stroke risk in elderly
- D. Hypertension is top risk factor
- E. Obesity doubles risk of stroke
✅ Correct Answers: A, D, E
Patient with SI joint tenderness and chronic low back pain likely has:
- A. Infection
- B. Malignancy
- C. Ankylosing spondylitis
- D. Torticollis
- E. Osteoporosis
✅ Correct Answer: C………………………………………………………….$60

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