Description
NR507 final exam week 8
Question 1
Which medication approach is most appropriate for a patient with gastroesophageal reflux disease (GERD) whose symptoms continue despite lifestyle changes?
Answers: A – D
A. Use of an H2 receptor blocker together with a prokinetic medication
B. Treatment with a proton-pump inhibitor ✅
C. Starting therapy with an antacid only
D. Administration of a broad-spectrum antibiotic
Question 2
The risk factors associated with ulcerative colitis and Crohn’s disease are generally similar except for which factor?
Answers: A – D
A. Risk of cancer
B. Typical age at onset
C. Genetic predisposition/family history
D. Gender ✅
Question 3
How does a family history of depression influence the likelihood of developing depressive disorders?
Answers: A – D
A. It ensures all relatives will eventually develop depression
B. It increases the risk of depression but does not make it inevitable ✅
C. It affects only first-degree relatives and not extended family members
D. It does not influence the risk of depressive disorders
Question 4
Which condition is considered a major contributor to the development of a transient ischemic attack (TIA)?
Answers: A – C
A. Hypertension ✅
B. Anemia
C. Cirrhosis
Question 5
What is the leading cause of hypothyroidism?
Answers: A – D
A. Failure of the pituitary gland
B. Autoimmune thyroiditis (Hashimoto disease) ✅
C. Excess intake of iodine
D. Thyroid neoplasm
Question 6
Reduced hippocampal size in Alzheimer’s disease commonly leads to which early cognitive change?
Answers: A – D
A. Impaired judgment and decision-making
B. Loss of long-term memory
C. Decline in short-term memory ✅
D. Disturbances in speech patterns
Question 7
What causes polyphagia in individuals with type 1 diabetes mellitus?
Answers: A – D
A. Excessive utilization of glucose by body tissues
B. Loss of fluids and body tissue from osmotic diuresis
C. Cellular dehydration caused by osmotic fluid shifts
D. Cellular starvation from depletion of carbohydrate, fat, and protein stores ✅
Question 8
Which factor has been identified as a risk factor for multiple sclerosis (MS)?
Answers: A – D
A. Vitamin B12 deficiency
B. Vitamin C deficiency
C. Epstein-Barr virus infection ✅
D. Chronic alcohol use



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