Medical Terminology and Concepts Quiz, Exams of Nursing

Download Medical Terminology and Concepts Quiz and more Exams Nursing in PDF only on Docsity! • Question 2 1 out of 1 points Pag NRNP 6568 2024: Ultimate Test Questions & Answers Revision Guide • Question 1 Release of information (ROI) to third parties requires authorization by the patient or his orher legal representative. True or False? Selected Answer: True Answers: True Fals e When giving patients written information, what is the suggested reading level for thathealth information? Selected Answer: 5th grade Answers: 10th gra de 7th grade 1st grade 5th grade An NP must have a DNP to prescribe controlled substances. True or False? Selected Answer: Fals e Answers: True Fals e 1 out of 1 points • Question 3 1 out of 1 points Pag • Question 4 1 out of 1 points DNP stands for Doctor of Nursing Profession • Question 8 1 out of 1 points • Question 9 1 out of 1 points • Question 10 1 out of 1 points Pag happening with her son’s health. The provider begins to share medical information withmom. There is no signed HIPPA waiver in patients chart. This is not a HIPPA violation considering this is the patient’s mother, Selected Answer: Fals e Answers: True Fals e There are several titles for NPs, and some are based on the state requirement. What doesARNP stand for? Selected Answer: Advanced Registered Nurse Practitioner Answers: Adult Registered Nurse Practitioner Advanced Registered Nurse Practitioner Acute Registered Nurse Practitioner Advanced Registered Nurse Provider If an NP is at a social gathering and someone casually asks his/her medical opinion, thatNP could be liable if something goes wrong. True or false? Selected Answer: True Answers: True Fals e Telemedicine is defined as Page • Question 1 1 out of 1 points • Question 2 1 out of 1 points Selected Answer: When care is provided remotely and the provider and patient are not physically present with each other Answers: When care is provided remotely and the provider and patient are notphysically present with each other When care is provided remotely and the provider and patient arephysically present with each other Remote care that is challenging and only used for psychiatricpatients Remote care provided to patients by providers and does not requireHIPPA compliant video conferencing What is it called when an NP bills for a higher level of visit than actually was conducted? Selected Answer: Upcoding Answers: Billing Productivity Upcoding Down coding The review of systems (ROS) is documented in the Physical Exam section of the visit. Selected Answer: Fals e Answers: True Fals e • Question 4 1 out of 1 points • Question 3 1 out of 1 points • Question 5 1 out of 1 points Page An occurrence policy covers any incident that occurred while the NP was insured. A claims made policy covers an NP only when the insurance policy is active, no matterwhen the incident occurred. Selected Answer: True Answers: True Fals e If an NP is sued, it is important that the NP not call the insurance company immediatelyso as to prevent the rates from increasing. True or false? Selected Answer: Fals e Answers: True Fals e Standard of care is the use of unreasonable, extraordinary care, skill, and diligence as anNP in the type of patient practice in similar cases. Selected Answer: Fals e Answers: True Fals e A provider may be terribly negligent, but if there is no injury, there is no malpractice. Trueor False? Selected Answer: True • Question 6 1 out of 1 points Page • Question 2 Oral thrush Fungal infection 1 out of 1 points Match the definitions using the following three terms: hyposmia; anosmia, parosmia. o Question Correct Match SelectedMatch Olfactory dysfunction (loss of smell) A. anosmia A. anosmia Smell distortion B. parosmia Diminished sense of smell: C. hyposmia B. parosmia C. hyposmia o All Answer Choices A. anosmia B. parosmia C. hyposmia o • Question 3 1 out of 1 points How does an NP distinguish viral conjunctivitis from bacterial conjunctivitis? Viralconjunctivitis is: Selected Answer: watery discharge, unilateral, older children and adenopathy Answers: mucopurulent discharge, bilateral, and usually seen in preschoolers usually seen in adults, mucopurulent discharge, and unilateral, noadenopathy Page • Question 4 watery discharge, unilateral, older children and adenopathywatery discharge, adults, unilateral, no adenopathy The NP recognizes common symptoms for allergic rhinitis include: Selected Answer: Runny nose and itchy eyes Answers: Bloody nasal discharge 1 out of 1 points • Question 5 Runny nose and itchy eyes Purulent nasaldischarge Cough and fever 1 out of 1 points What is the most important way to control allergic rhinitis? Selected Answer: environmental control Answers: Nasal saline • Question 6 environmental control Benadryl Antihistamines 1 out of 1 points A 15 year old child with sore throat comes to clinic and rapid strep is positive for strep.The NP will more than likely treat patient with: Selected Answer: All of the above Answers: PCN V 500 mg bid x10 days Salt water gargles Page Throat lozenges • Question 7 All of the above 1 out of 1 points What differentiates chronic rhinosinusitis from allergic rhinitis. Selected Answer: Allergic rhinitis has an acute onset Answers: Allergic rhinitis has persistent nasal blockage Chronic rhinosinusitis is characterized by sneezing and watery eyes Allergic rhinitis has an acute onset Chronic rhinosinusitis typically has a positive family history of similarproblems. • Question 8 1 out of 1 points What is the recommended first-line antibiotic and dosage for children with acute otitis media? Selected Answer: amoxicillin 80-90 mg/kg/day Answers: • Question 9 amoxicillin 80-90 mg/kg/day Ceftin 90 mg/kg/day Penicillin VK 10 mg/kg/day azithromycin 50 mg/kg/day 1 out of 1 points What is normal intraocular pressure? Selected Answer: 10—20 mm hg Answers: 5-8 mm hg 2-4 mm hg Page Selected Answer: Congestive heart failure (CHF) Answers: Acute myocardial infarction (AMI) Infective endocarditis • Question 6 Congestive heart failure (CHF) Dissecting abdominal aortic aneurysm (AAA) 1 out of 1 points Mickey is a 23 y/o male who comes to the clinic with the following complaints: abdominal pain, chest pain, and seizures. In reviewing his record, the NP notices that this is his 20th visit this year. Furthermore, he has had six exploratory surgeriesthat have discovered nothing of consequence. His most likely diagnosis is: Selected Answer: Munchausen syndrome Answers: • Question 7 Munchausen syndrome Schizophrenia Posttraumatic syndrome Anorexia nervosa 1 out of 1 points Bupropion (Wellbutrin) is contraindicated in patients with anorexia/bulimia because ofthe potential for increasing the seizure threshold. Selected Answer: True Answers: • Question 8 True Fals e 1 out of 1 points Martin is a 41 y/o male who comes to the clinic with the following symptoms: fever, chills,and malaise. On physical exam, the NP notes that he has a new murmur that was not present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Based on these finding alone the NP arrives at the following presumed diagnosis: Page Selected Answer: Infective endocarditis Answers: Congestive heart failure • Question 9 Infective endocarditis Dissecting abdominal aortic aneurysm (AAA) None of the above 0 out of 1 points Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you notethat he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and morenoticeable pursed lip breathing. Given Martin’s condition, the first line treatment would be all the following except: Selected Answer: Metaproterenol Answers: Albuterol • Question 10 Salmeterol Levalbuterol Metaproterenol 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved withdefecation. The most likely cause is: Selected Answer: Irritable bowel syndrome Answers: • Question 11 Irritable bowel syndrome Peptic ulcer disease GERD Pancreatitis 1 out of 1 points Page Oral contraceptives can be started anytime in the menstrual cycle. Selected Answer: True Answers: True Fals e • Question 12 0 out of 1 points Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticedthat my ankles and feet are swollen and I have been putting on weight.” Treatment for Jay’s diagnosis could include which of the following? Selected Answer: A & C only Answers: Diuretics Calcium channelblockers Beta blockers • Question 13 All of the aboveA & C only 1 out of 1 points Which of the following glands is responsible for calcium balance in the body? Selected Answer: Parathyroid glands Answers: Posterior pituitary • Question 14 Parathyroid glands Thyroid gland Pineal gland 1 out of 1 points Melanoma is the most common type of skin cancer. Selected Answer: Fals Page • Question 21 Strict bedrest Hospitalization All of the above 1 out of 1 points An S3 heart sound can be a normal finding in all the following except: Selected Answer: 40 year old female Answers: Well trained athletes Pregnant womenChildren 40 year old • Question 22 female 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation.If Sara started having uterine cramping, then the most appropriate immediate treatment would be: Selected Answer: Intravenous magnesium Answers: Vaginal exam Ultrasound of the uterusC-section Intravenous magnesium • Question 23 1 out of 1 points Rescue drugs for patients with respiratory problems such as asthma or COPD wouldinclude both SABAs and LABAs. Selected Answer: Fals e Page Answers: True Fals e • Question 24 1 out of 1 points Bonnie is a 76 y/o female patient who resides in a nursing home. She is currently ona 10- day course of Clindamycin for a recurrent bacterial vaginal infection. She has started having 10– 15 watery stools per day. The best way to treat Bonnie’s diarrheais: Selected Answer: Discontinue her Clindamycin Answers: Put her on an antidiarrheal medication Replace lost fluids with an IV • Question 25 Discontinue her Clindamycin Give her an antacid 0 out of 1 points Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank oneside flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. All of the following could be risk factors for Artie except: Selected Answer: A & B only Answers: Family history of identical condition Low fluid intake Gout • Question 26 Arthritis A & B only 1 out of 1 points Antipsychotics lead to an increased risk of metabolic syndrome. Selected Answer: True Page Answers: True Fals e • Question 27 1 out of 1 points Martin is a 17 y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade feveralso.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. In the physical exam, the NP performs some abdominal maneuvers. What would be the most appropriate maneuvers for Martin’ssymptomatology? Selected Answer: A & B only Answers: Psoas sign Obturator sign Rovsing’s sign Murphy’s sign • Question 28 A & B only 1 out of 1 points Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatmentfor Randy’s diagnosis would be: Selected Answer: Metformin Answers: Insulin Actos • Question 29 Metformin Glucotrol 1 out of 1 points Carlos is a 64 y/o male who has previously been diagnosed as a Category A COPDpatient based on Gold guidelines (2017). Treatment for Carlos would include which of the following? Page Lobar consolidation is more common in pneumonia and bilateral diffuse. Infiltrates are seen more commonly in pneumonia. Selected Answer: typical; atypical Answers: typical; atypical atypical;typical fungal; viral viral; fungal • Question 7 How would you interpret this EKG? Selected Answer: Ventricular tachycardia Answers: STEMI Third degree heart block Atrial fibrillation 1 out of 1 points • Question 8 Ventricular tachycardia 1 out of 1 points Treatment of an abdominal aortic aneurysm is recommended when it has grown to greater than in diameter. Selected Answer: 5. 5 Answers: 4. 0 5. 0 • Question 10 1 out of 1 points Page 5. 5 6. 5 • Question 9 1 out of 1 points Topics that the NP should discuss with a newly diagnosed hypertensive patient include dietary instructions, exercise recommendations, risk factor modification, andmedication information. Selected Answer: True Answers: True Fals e An older patient complains of dyspnea, dry cough, fatigue, and swollen feet and ankles.These are symptoms of Selected Answer: Congestive Heart Failure Answers: Hypertension • Question 1 Congestive Heart Failure Myocardial infarction Acute renal failure 1 out of 1 points One of the most common side effects of SSRIs is: Selected Answer: Erectile dysfunction Answers: Nausea Ataxia Page • Question 2 Erectile dysfunction Seizures 1 out of 1 points Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notesthat she has many leukocytes, hematuria, WBC casts, and mild proteinuria. The most likely diagnosis is: Selected Answer: Acute pyelonephritis Answers: • Question 3 Acute pyelonephritis Nephrolithiasis Simple UTI None of the above 1 out of 1 points Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatmentfor Randy’s diagnosis would be: Selected Answer: Metformin Answers: Insulin Actos • Question 4 Metformin Glucotrol 1 out of 1 points Pneumococcal vaccine is recommended for which of the following groups ofpatients? Selected Answer: All of the above Answers: Persons > 65 y/o Page defecation. The most likely cause is: Selected Answer: Irritable bowel syndrome Answers: • Question 11 Irritable bowel syndrome Peptic ulcer disease GERD Pancreatitis 1 out of 1 points At 12 weeks in a pregnancy the fundal height of the uterus should be: Selected Answer: Above the symphysis pubis Answers: • Question 12 Above the symphysis pubis Between symphysis pubis and umbilicusAt level of umbilicus Below the umbilicus 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation.The most likely diagnosis for this condition is: Selected Answer: Placenta previa Answers: Placental abruption Severe preeclampsia • Question 13 Placenta previa None of the above 1 out of 1 points Maria is a 26 y/o female in her third trimester of pregnancy. She has a sudden onsetof vaginal bleeding and has a hypertonic uterus. She has a history of hypertension secondary to previous cocaine use. Her most likely diagnosis would be: Page Selected Answer: Placental abruption Answers: • Question 14 Placental abruption Placenta previa Severe preeclampsiaUterine rupture 1 out of 1 points Which vaccine is required at birth of a newborn? Selected Answer: Hepatitis B Answers: Hepatitis A • Question 15 Hepatitis B DTAP Tdap 1 out of 1 points Mary is going through puberty at 13 y/o and notices that her areola/nipples separateand form a secondary mound. This is what state in Tanner? Selected Answer: Stage 4 Answers: Stage 2 Stage 3 • Question 16 Stage 4 Stage 5 1 out of 1 points Bacterial vaginosis has all the following signs/symptoms except: Selected Answer: Greenish discharge Answers: Fish-like odor Page Milk-like discharge Non-itchy vulva • Question 17 Greenish discharge 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. Treatment of Agnes’s condition would include which of the following: Selected Answer: All of the above Answers: Increased dietary fiber Avoid gas-producing foods Decrease stress in her life • Question 18 All of the above A & B only 1 out of 1 points Zollinger-Ellison syndrome causes high levels of acid production in the stomach. Selected Answer: True Answers: True Fals e • Question 19 Hyperprolactinemia can be a sign of pituitary adenoma. Selected Answer: True Answers: 1 out of 1 points True Fals e • Question 20 Page sign. The most likely diagnosis is: Selected Answer: Acute pancreatitis Answers: GERD • Question 27 Acute pancreatitis Hepatitis Peptic ulcer disease 1 out of 1 points When testing an infant for developmental dysplasia of the hip, which of the followingtests could be used? Selected Answer: All of the above Answers: Ortolani test Barlow test Galeazzi (Allis) sign • Question 28 All of the above 1 out of 1 points Martin is a 17y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade feveralso.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. The most likely diagnosis for this patient is: Selected Answer: Acute appendicitis Answers: • Question 29 Acute appendicitis Cholecystitis Acute diverticulosis Acute pancreatitis 1 out of 1 points Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint • Question 30 1 out of 1 points Page is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation ofthe abdomen she feels a palpable mass that is greater than 3 cm in width. This could potentially be: Selected Answer: Abdominal aortic aneurysm Answers: An acute MI Abdominal aortic aneurysm Infective endocarditis Congestive heartfailure In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using aBP cuff and stethoscope. Selected Answer: True Answers: True Fals e • Question 1 1 out of 1 points Abdominal pain must be present for an Irritable Bowel Syndrome (IBS) diagnosis. Selected Answer: True Answers: • Question 2 True Fals e 1 out of 1 points In a patient with chronic cholecystitis, would you expect to see normal lab values forwhich of the following? Page Selected Answer: All of the above Answers: White blood count Amylase Lipase • Question 3 All of the above 1 out of 1 points The most common symptom of GERD is . Selected Answer: Heartburn Answers: Diarrhea Stomach pain GI bleeding • Question 4 Heartburn 1 out of 1 points Smoking is a major risk factor for bladder cancer. Selected Answer: True Answers: • Question 5 True Fals e 1 out of 1 points For the Rome III Criteria for constipation to be fulfilled at least one of the symptoms listedbelow must be present for at least 3 months with onset 6 months before the diagnosis. Which symptom is correct? Selected Answer: sensation of straining Answers: fewer than 2 bowel movements per week Page • Question 2 Fals e 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolicsyndrome. One of these criteria is: Elevated blood pressure: systolic 140 mm Hg or higher and diastolic 95 mm Hg orhigher, or drug treatment of previously diagnosed hypertension Selected Answer: Fals e Answers: True • Question 3 Fals e 1 out of 1 points Levothyroxine typically TSH levels Selected Answer: decreases Answers: increase decreases don't effect Page • Question 4 mask 1 out of 1 points The NP suspects a patient has hypothyroidism. The NP would expect TSH and T4 levelto be: Selected Answer: High TSH and low T4 Answers: Low TSH with High T4 levels Low TSH and low T4 High TSH and high T4 • Question 5 High TSH and low T4 1 out of 1 points Hypokalemia is typically a result of inadequate intake. True of False. Selected Answer: Fals e Answers: True • Question 6 Fals e 1 out of 1 points Page Several organizations have come together to define the diagnostic criteria for metabolicsyndrome. One of these criteria is: Elevated triglyceride levels equal or greater than 150 mg/dL Selected Answer: Answers: True True • Question 7 Fals e 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolicsyndrome. One of these criteria is: Reduced HDL cholesterol: below 50 mg/dL in males and below 60 in females, or specifictreatment for this lipid abnormality Selected Answer: Fals e Answers: True • Question 8 Fals e 1 out of 1 points What HgA1C level indicates a diagnosis of diabetes? Selected Answer: 6.5 Answers: 5.7 Page • Question 1 Fals e 1 out of 1 points Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Potential organisms that might have caused Sam’s conditioninclude which of the following: Selected Answer: All of the above Answers: Mycoplasma pneumoniae Chlamydia pneumoniae Legionella pneumonia All of the above • Question 2 None of the above 0 out of 1 points The most common method of contraception is: Selected Answer: Condoms Answers: IUDs Page Sterilization Condoms • Question 3 Birth control pills 1 out of 1 points Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness,positive Rovsing’s sign, and rigid abdomen. The NP in Juan’s case should: Selected Answer: Refer to ER Answers: Refer to ER Try an antiemetic Draw labs • Question 4 Send for a CAT scan 1 out of 1 points Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides. Selected Answer: Answers: True Page True • Question 5 Fals e 1 out of 1 points Mary is a 22 y/o female who is at 6 weeks gestation. She stated that her last menstrualperiod was June 10, 2020. Using Naegele’s rule, which of the following is her expected date of confinement (EDD)? Selected Answer: March 17, 2021 Answers: March 17, 2021 March 10, 2021 April 10, 2021 • Question 6 April 17, 2021 1 out of 1 points The CDC recommends HPV vaccine for males until what age? Selected Answer: 26 y/o Answers: 18 y/o Page Wide hips Decreased body and facial hair • Question 11 Small stature 1 out of 1 points Martin is a 41 y/o male who comes to the clinic with the following symptoms: fever, chills, and malaise. On physical exam, the NP notes that he has a new murmur that wasnot present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Based on these finding alone the NP arrives at the following presumed diagnosis: Selected Answer: Infective endocarditis Answers: Congestive heart failure Infective endocarditis Dissecting abdominal aortic aneurysm (AAA) • Question 12 None of the above 1 out of 1 points Andreas is a 22 y/o male who comes to the clinic with a UTI. In reviewing the labs that weredrawn yesterday, you know that there are many squamous epithelial in the specimen. This indicates: Selected Answer: Page Sample contamination Answers: Sample contamination Pyelonephritis Bladder cancer • Question 13 None of the above 1 out of 1 points The most common drug trigger for Stevens-Johnson Syndrome include all the following except: Selected Answer: ASA Answers: ASA NSAIDS Anticonvulsants • Question 14 Allopurinol 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. Treatment of Page Agnes’s condition would include which of the following: Selected Answer: All of the above Answers: Increased dietary fiber Avoid gas-producing foods Decrease stress in her life All of the above • Question 15 A & B only 1 out of 1 points Andy comes to the clinic with a chief complaint of knee pain. He states that he plays quarterback on his high school football team and is captain of his basketball team. Youpalpate the tibial tuberosity and note pain, tenderness, and swelling. The most likely diagnosis is: Selected Answer: Osgood-Schlatter disease Answers: Kleinfelter syndrome Osgood-Schlatter disease Turner’s syndrome Page • Question 20 Pregnancy 1 out of 1 points Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, andvomiting. Treatment for Judy’s condition would include all the following drugs except: Selected Answer: Amoxicillin Answers: Cefotan Amoxicillin Ceftriaxone • Question 21 Metronidazole 0 out of 1 points The CDC recommends that after a child receives a vaccine (s)he should be monitored for: Selected Answer: 30 minutes Answers: 15 minutes 20 minutes 30 minutes Page • Question 22 60 minutes 1 out of 1 points Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, andvomiting. This presentation is most typical of: Selected Answer: Pelvic inflammatory disease (PID) Answers: Pelvic inflammatory disease (PID) Vulvovaginitis Dysmenorrhea • Question 23 Amenorrhea 1 out of 1 points Pneumococcal vaccine is recommended for which of the following groups of patients? Selected Answer: All of the above Answers: Persons > 65 y/o Impaired immunity Page Blood disorders Heart and lung disease All of the above • Question 24 A, B & D only 1 out of 1 points The most common side effects of giving SSRIs to depressed patients include: Selected Answer: All of the above Answers: Diarrhea Nausea and vomiting Sexual dysfunction • Question 25 All of the above 1 out of 1 points Ann is a primigravida in her 35th week of pregnancy and presents to the clinic with severerecurrent headaches, blurred vision, pitting edema, and right upper quadrant pain. Additionally, she has oliguria, nausea, and vomiting. Her urine protein is >1+. The onlytreatment for Ann would be: Selected Answer: Page • Question 29 Intravenous magnesium 1 out of 1 points Wen is a 48 y/o female who comes to the clinic with fatigue, weight gain, cold intolerance, constipation, and menstrual abnormalities. The NP orders a TSH and free serum T4 and thyroid peroxidase antibody (TPO). The TSH is 6.0 mU/L, the T4 is low, and the TPO is high. Her most likely diagnosis is: Selected Answer: Hashimoto’s thyroiditis Answers: Hyperthyroidism Hyperparathyroidism Hashimoto’s thyroiditis • Question 30 None of the above 1 out of 1 points Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. His most likely diagnosis is: Selected Answer: Nephrolithiasis (kidney stone) Answers: Acute pyelonephritis Page Nephrolithiasis (kidney stone) Bladder cancer • Question 1 None of the above 0 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolicsyndrome. One of these criteria is: Elevated fasting plasma glucose: 100 mg/dL or higher, or drug treatment for elevatedglucose Selected Answer: Answers: • Question 2 Fals e True Fals e 1 out of 1 points In a patient with hyperglycemia, the intracellular fluid may shift into the extracellularcompartment, leading to decreased sodium levels. Selected Answer: Answers: • Question 3 True True Fals e 1 out of 1 points Hypokalemia is typically a result of inadequate intake. True of False. Page Selected Answer: Fals e Answers: True • Question 4 Fals e 1 out of 1 points Alopecia of outer one third of eyebrow and myxedema is are symptoms of: Selected Answer: Hypothyroidism Answers: Hyperthyroidis m Thyroid CA Hypothyroidism • Question 5 Thyrotoxicosi s 1 out of 1 points blood glucose levels may be the first sign of an impending illness ina patient with Diabetes Mellitus. Selected Answer: Answers: Rising Falling Decreasi ng Page In patients with Type 1 or Type 2 Diabetes Mellitus and who have low CVD risk, aspirin is recommended. True or False? Selected Answer: True Answers: True Fals e • Question 1 1 out of 1 points Which of the following contraceptive drugs are used in the treatment of acne? Selected Answer: A, B, & C only Answers: Desogen Ortho- Tricyclen Yasmin Mirena • Question 2 A, B, & C only 1 out of 1 points Page Menopause is associated with a dramatic decline in estrogen levels. Selected Answer: Answers: • Question 3 True True Fals e 1 out of 1 points Danger signs of oral contraceptives include all the following except: Selected Answer: Weakness on both sides of the body Answers: Chest pain Severe headache Weakness on both sides of the body • Question 4 Visual changes in one eye 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. The most likely cause is: Page Selected Answer: Irritable bowel syndrome Answers: Irritable bowel syndrome Peptic ulcer disease GERD • Question 5 Pancreatitis 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. If Sara started having uterine cramping, then the most appropriate immediate treatmentwould be: Selected Answer: Intravenous magnesium Answers: Vaginal exam Ultrasound of the uterus Page • Question 9 Kidney (left) 1 out of 1 points Wen is a 48 y/o female who comes to the clinic with fatigue, weight gain, cold intolerance, constipation, and menstrual abnormalities. The NP orders a TSH and freeserum T4 and thyroid peroxidase antibody (TPO). The TSH is 6.0 mU/L, the T4 is low,and the TPO is high. Her most likely diagnosis is: Selected Answer: Hashimoto’s thyroiditis Answers: Hyperthyroidism Hyperparathyroidism Hashimoto’s thyroiditis • Question 10 None of the above 1 out of 1 points John is a 7 y/o whose mother brings him to the clinic with the following chief complaint: “He fidgets and squirms all the time. His teachers tell me he has difficulty remaining in his seat, talks excessively, can’t wait for his turn, interrupts conversations, and acts likea robot.” Differential diagnoses for John would include all the following except: Selected Page Answer: Laziness Answers: Autism spectrum disorder Language delay Dysfunctional family situation • Question 11 Laziness 1 out of 1 points In treating patients for depression, the first line pharmacological treatment would be: Selected Answer: Selective serotonin reuptake inhibitors(SSRIs) Answers: Monoamine oxidase inhibitors (MAOIs) Benzodiazepines Selective serotonin reuptake inhibitors(SSRIs) Page • Question 12 Tricyclic antidepressants (TCAs) 0 out of 1 points Continuous antibiotic prophylaxis with which antibiotic is the most effective mode oftreating UTIs: Selected Answer: TMP-SMX Answers: TMP-SMX Nitrofurantoi n Cephalexin • Question 13 Ciprofloxacin 1 out of 1 points Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat.The most likely diagnosis is: Selected Answer: Gastroesophageal reflux disease Page Answers: • Question 17 12 hours of birth 24 hours of birth 36 hours of birth 48 hours ofbirth All diastolic murmurs are abnormal. 1 out of 1 points Selected Answer: Answers: True True Fals e • Question 18 1 out of 1 points Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation ofthe abdomen she feels a palpable mass that is greater than 3 cm in width. This could potentially be: Selected Answer: Answers: Abdominal aortic aneurysm An acute MI Page Abdominal aortic aneurysm Infective endocarditis • Question 19 Congestive heartfailure 1 out of 1 points Maria is a 26 y/o female in her third trimester of pregnancy. She has a sudden onset ofvaginal bleeding and has a hypertonic uterus. She has a history of hypertension secondary to previous cocaine use. Her most likely diagnosis would be: Selected Answer: Placental abruption Answers: Placental abruption Placenta previa Severe preeclampsia • Question 20 Uterine rupture 1 out of 1 points Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, Page nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. The NP in Juan’s case should: Selected Answer: Refer to ER Answers: Refer to ER Try an antiemetic Draw labs • Question 21 Send for a CAT scan 0 out of 1 points A 32 y/o female comes to the clinic for what she describes as “a dark-colored urine.” During the exam, the NP uses a urine dipstick to test for blood in the urine. In readingthe results, he/she discovers the following false negative readings characterized by allthe following except: Selected Answer: Prolonged exposure of dipstick to air beforetesting Answers: High concentration of ascorbic acid Dehydration Page • Question 25 None of the above 1 out of 1 points The most common drug trigger for Stevens-Johnson Syndrome include all the following except: Selected Answer: Answers: ASA ASA NSAIDS Anticonvulsants • Question 26 Allopurinol 1 out of 1 points Hillary is an 18 y/o Caucasian who comes to the clinic with a chief complaint ofhirsutism, acne, and amenorrhea. Her most likely diagnosis is: Selected Answer: Polycystic ovary syndrome (PCOS) Answers: Polycystic ovary syndrome (PCOS) Ovarian cancer Page Hyperprolactinemia • Question 27 Pregnancy 1 out of 1 points Martin is a 41 y/o male who comes to the clinic with the following symptoms: fever, chills, and malaise. On physical exam, the NP notes that he has a new murmur that wasnot present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Additional diagnostic criteria for Martin’s presumed diagnosis would include which of the following: Selected Answer: Answers: All of the above Blood cultures Echocardiography Transesophageal echocardiography • Question 28 All of the above 1 out of 1 points H. pylori is a common cause of both duodenal and gastric ulcers. Selected Answer: Answers: True True Fals e Page • Question 29 1 out of 1 points Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat.Some lifestyle changes to treat Zina’s condition would include which of the following? Selected Answer: Answers: All of the above Stop smoking Avoid ASA Avoid alcohol Avoid caffeine • Question 30 All of the above A, C, and D only 1 out of 1 points Zollinger-Ellison syndrome causes high levels of acid production in the stomach. Selected Answer: Answers: True True Page Answers: Anxiety Depression Bipolar disorder • Question 5 Manic episode 1 out of 1 points When prescribing Schedule II through V controlled substances, which schedule of drugshas the highest potential for abuse? Selected Answer: Schedule 2 Answers: Schedule 1 • Question 6 Schedule 2 Schedule III Schedule IV 1 out of 1 points Inflated self-esteem (grandiosity); decreased need for sleep without fatigue; pressured speech; racing thoughts; distractibility; psychomotor agitation; excessive involvement inpleasure-seeking activities that may have high risk for undesirable consequences (excessive spending, sexual indiscretions) describes a patient with what psychiatric diagnosis? Page Selected Answer: Answers: Manic episode Bipolar disorder Schizophrenia • Question 7 Manic episode Labile depression 1 out of 1 points Antipsychotic medications increase risk for: Selected Answer: Answers: Weight gain Weight loss Weight gain Diabetes • Question 8 Hyperthyroidis m 1 out of 1 points The presence of silvery scales on red erythematous plaques is characteristic of whatdisorder? Selected Answer: Psoriasis Page Answers: Eczema Contact dermatitis Atopic dermatitis • Question 9 Psoriasis 1 out of 1 points The most common agent used for cryotherapy is liquid nitrogen. Selected Answer: Answers: True True Fals e • Question 10 St. John’s wort will usually interact with all medications except? 1 out of 1 points Selected Answer: PPI Answers: Celex a Paxil Elavi l PPI Page Rolling over • Question 5 Lift head up 45 degrees 1 out of 1 points All of the following are presumptive signs of pregnancy except: Selected Answer: Chadwick’s sign (blue coloration of the uterus and vagina) Answers: Amenorrhea Chadwick’s sign (blue coloration of the uterus and vagina) Breast changes • Question 6 Fatigue 1 out of 1 points Differential diagnoses for patients with alcohol use disorder would include all the following except: Selected Answer: Pulmonary disease Answers: Depression Page Pulmonary disease Peptic ulcer disease • Question 7 Essential hypertension 1 out of 1 points Bonnie is a 76 y/o female patient who resides in a nursing home. She is currently on a10-day course of Clindamycin for a recurrent bacterial vaginal infection. She has started having 10–15 watery stools per day. The best way to treat Bonnie’s diarrhea is: Selected Answer: Discontinue her Clindamycin Answers: Put her on an antidiarrheal medication Replace lost fluids with an IV Discontinue her Clindamycin • Question 8 Give her an antacid 0 out of 1 points Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation ofthe abdomen she feels a palpable mass that is greater than 3 cm in width. To confirm Kyle’s diagnosis the NP would immediately order which test(s)? Page Selected Answer: Answers: Abdominal ultrasound X-ray MRI Abdominal ultrasound CT scan • Question 9 C & D only 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. If Sara started having uterine cramping, then the most appropriate immediate treatmentwould be: Selected Answer: Intravenous magnesium Answers: Vaginal exam Ultrasound of the uterus C-section Page Answer: A, B, & C only Answers: Desogen Ortho- Tricyclen Yasmin Mirena • Question 15 A, B, & C only 1 out of 1 points Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides. Selected Answer: Answers: True True Fals e • Question 16 1 out of 1 points Pneumococcal vaccine is recommended for which of the following groups of patients? Selected Answer: Page All of the above Answers: Persons > 65 y/o Impaired immunity Blood disorders Heart and lung disease All of the above • Question 17 A, B & D only 1 out of 1 points The most common drug trigger for Stevens-Johnson Syndrome include all the following except: Selected Answer: Answers: ASA ASA NSAIDS Anticonvulsants • Question 18 Allopurinol 1 out of 1 points Page All of the following are pharmacological treatments for osteoporosis except: Selected Answer: Thyroid stimulating hormone Answers: Biphosphates Thyroid stimulating hormone Tamoxifen • Question 19 Parathyroid hormoneanalog The average age range of the beginning of natural menopause is: 1 out of 1 points Selected Answer: 50–51 y/o Answers: 40–45 y/o 46–50 y/o 50–51 y/o