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NR576 FINAL Exam 2026/2027 |100% Verified Answers | Latest Updated Edition
Question 12
A 50-year-old patient presents with jaundice, pruritus, dark urine, and light-colored stools. Which underlying process is most consistent with these findings?
✓ A. Cholestasis
- Iron deficiency anemia
- Hemolysis
- Hepatocellular injury
Question 13
A 68-year-old male presents with fatigue, unintentional weight loss, intermittent lower abdominal pain, and a positive fecal occult blood test. Laboratory studies reveal iron deficiency anemia. Which diagnosis is most consistent with this presentation?
✓ A. Colon cancer
- Irritable bowel syndrome
- Diverticular disease
- Crohn’s disease
Question 14
Nighttime extremity pain in adolescents that is deep but not present in the joints and that may be caused by inflammation of the muscle bodies in tight fascial sheaths and by periods of high activity is:
✓ A. Growing pains
- Shin splints
- Osgood-Schlatter disease
- Patellofemoral stress syndrome
Question 15
A 35-year-old patient presents with acute low back pain after lifting a heavy object. The pain is localized to the lumbar region without radiation, weakness, numbness, or bowel or bladder dysfunction. Physical examination is otherwise unremarkable. Which recommendation is most appropriate for the initial management of this patient?
✓ A. Remain active as tolerated
- Wear a lumbar support brace daily
- Remain on bed rest for 3 to 5 days
- Begin opioid therapy for persistent pain
Question 16
A 16-year-old high school football player twisted his knee and comes to the clinic complaining of knee pain. He also states that in the past few weeks his knee has “locked up a couple of times.” On examination, a positive McMurray test result is elicited. What diagnosis is consistent with his symptoms?
- Dislocated patella
- Chondromalacia patella
- Anterior cruciate ligament tear
✓ D. Medial meniscus tear
Question 17
A 54-year-old patient presents with acute low back pain, new urinary retention, saddle anesthesia, and bilateral lower-extremity weakness. What is the most appropriate next step?
- Obtain lumbar spine radiographs
✓ B. Arrange emergent surgical evaluation
- Begin physical therapy
- Prescribe nonsteroidal anti-inflammatory drugs
Question 18
A 72-year-old patient presents with low back pain radiating down the posterior aspect of the leg. During the examination, pain is reproduced when the affected leg is passively raised to 60 degrees while the patient is in the supine position. These findings are most consistent with which diagnosis?
✓ A. Lumbar disc herniation
- Vertebral compression fracture
- Lumbar muscle strain
- Lumbar spinal stenosis
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