1
FNP 652 / FNP 6552 Midterm Exam
Actual Exam 2026/2027 | Family
Primary Care I | GCU | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 42-year-old male presents for a routine wellness visit. He has no chronic
conditions, takes no medications, and reports a sedentary lifestyle. His BMI is 31
kg/m², BP 128/82 mmHg, and fasting plasma glucose 102 mg/dL. According to
2026 USPSTF guidelines, which screening intervention is most appropriate at this
visit?
Options:
A. Order a coronary artery calcium score
B. Initiate statin therapy for primary prevention
C. Screen for prediabetes and offer intensive behavioral counseling
D. Recommend biannual lipid panels starting next year
ANSWER: C
Q002: A 16-year-old female presents with a 3-day history of sore throat, fever to
101.3°F, and fatigue. Exam reveals tonsillar exudate, tender anterior cervical
lymphadenopathy, and no cough. Rapid strep test is positive. The patient has no
known drug allergies. Which treatment regimen is first-line?
Options:
A. Intramuscular benzathine penicillin G 1.2 million units × 1
B. Oral amoxicillin 500 mg BID × 5 days
C. Oral cephalexin 250 mg QID × 10 days
, 2
D. Oral azithromycin 500 mg day 1 then 250 mg days 2–5
ANSWER: A
Q003: A 68-year-old woman with type 2 diabetes (A1C 7.8%, eGFR 45
mL/min/1.73 m²) presents for follow-up. She currently takes metformin 1000 mg
BID and has no hypoglycemia. BP 132/78 mmHg, LDL 110 mg/dL. Which
modification best aligns with 2026 ADA guidelines?
Options:
A. Reduce metformin to 500 mg BID and add insulin glargine
B. Continue current metformin dose and add empagliflozin
C. Switch to insulin monotherapy immediately
D. Add glipizide 5 mg daily
ANSWER: B
Q004: A 30-year-old G2P1 at 28 weeks gestation presents for routine prenatal care.
Her first pregnancy was complicated by preterm birth at 34 weeks. Current cervical
length on transvaginal ultrasound is 28 mm. Which intervention is indicated?
Options:
A. Weekly 17-alpha-hydroxyprogesterone caproate until 36 weeks
B. Daily vaginal progesterone suppositories until 37 weeks
C. Immediate cerclage placement
D. Nifedipine tocolysis for 48 hours
ANSWER: A
Q005: A 55-year-old male presents for a wellness visit. He is a former smoker (quit
10 years ago, 30 pack-year history). Height 70 in, weight 180 lb, BP 126/80
mmHg. According to 2026 USPSTF lung cancer screening criteria, which next step
is appropriate?
Options:
A. Order annual LDCT now
, 3
B. Order LDCT if his 10-year cardiovascular risk >10%
C. Counsel that screening is not indicated since he quit >5 years ago
D. Re-check eligibility when he reaches age 60
ANSWER: A
Q006: A 4-year-old presents with a 1-day history of purulent left-eye discharge and
eyelid edema. No fever or vision changes. Which management plan is most
appropriate?
Options:
A. Topical ciprofloxacin ophthalmic solution
B. Oral amoxicillin-clavulanate
C. Warm compresses and observation for 48 hours
D. Immediate referral to ophthalmology
ANSWER: A
Q007: A 78-year-old nursing-home resident is brought in with confusion, fever
101.8°F, and dysuria. UA shows >100 WBC, positive leukocyte esterase, negative
nitrite. Which empiric oral antibiotic is best?
Options:
A. Nitrofurantoin 100 mg BID × 5 days
B. Fosfomycin 3 g single dose
C. Amoxicillin-clavulanate 875/125 mg BID × 7 days
D. Trimethoprim-sulfamethoxazole DS BID × 7 days
ANSWER: D
Q008: A 25-year-old female presents requesting contraception. She has migraine
without aura, BMI 22, and smokes ½ pack per day. Which method is safest?
Options:
A. Combined oral contraceptive pills
FNP 652 / FNP 6552 Midterm Exam
Actual Exam 2026/2027 | Family
Primary Care I | GCU | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 42-year-old male presents for a routine wellness visit. He has no chronic
conditions, takes no medications, and reports a sedentary lifestyle. His BMI is 31
kg/m², BP 128/82 mmHg, and fasting plasma glucose 102 mg/dL. According to
2026 USPSTF guidelines, which screening intervention is most appropriate at this
visit?
Options:
A. Order a coronary artery calcium score
B. Initiate statin therapy for primary prevention
C. Screen for prediabetes and offer intensive behavioral counseling
D. Recommend biannual lipid panels starting next year
ANSWER: C
Q002: A 16-year-old female presents with a 3-day history of sore throat, fever to
101.3°F, and fatigue. Exam reveals tonsillar exudate, tender anterior cervical
lymphadenopathy, and no cough. Rapid strep test is positive. The patient has no
known drug allergies. Which treatment regimen is first-line?
Options:
A. Intramuscular benzathine penicillin G 1.2 million units × 1
B. Oral amoxicillin 500 mg BID × 5 days
C. Oral cephalexin 250 mg QID × 10 days
, 2
D. Oral azithromycin 500 mg day 1 then 250 mg days 2–5
ANSWER: A
Q003: A 68-year-old woman with type 2 diabetes (A1C 7.8%, eGFR 45
mL/min/1.73 m²) presents for follow-up. She currently takes metformin 1000 mg
BID and has no hypoglycemia. BP 132/78 mmHg, LDL 110 mg/dL. Which
modification best aligns with 2026 ADA guidelines?
Options:
A. Reduce metformin to 500 mg BID and add insulin glargine
B. Continue current metformin dose and add empagliflozin
C. Switch to insulin monotherapy immediately
D. Add glipizide 5 mg daily
ANSWER: B
Q004: A 30-year-old G2P1 at 28 weeks gestation presents for routine prenatal care.
Her first pregnancy was complicated by preterm birth at 34 weeks. Current cervical
length on transvaginal ultrasound is 28 mm. Which intervention is indicated?
Options:
A. Weekly 17-alpha-hydroxyprogesterone caproate until 36 weeks
B. Daily vaginal progesterone suppositories until 37 weeks
C. Immediate cerclage placement
D. Nifedipine tocolysis for 48 hours
ANSWER: A
Q005: A 55-year-old male presents for a wellness visit. He is a former smoker (quit
10 years ago, 30 pack-year history). Height 70 in, weight 180 lb, BP 126/80
mmHg. According to 2026 USPSTF lung cancer screening criteria, which next step
is appropriate?
Options:
A. Order annual LDCT now
, 3
B. Order LDCT if his 10-year cardiovascular risk >10%
C. Counsel that screening is not indicated since he quit >5 years ago
D. Re-check eligibility when he reaches age 60
ANSWER: A
Q006: A 4-year-old presents with a 1-day history of purulent left-eye discharge and
eyelid edema. No fever or vision changes. Which management plan is most
appropriate?
Options:
A. Topical ciprofloxacin ophthalmic solution
B. Oral amoxicillin-clavulanate
C. Warm compresses and observation for 48 hours
D. Immediate referral to ophthalmology
ANSWER: A
Q007: A 78-year-old nursing-home resident is brought in with confusion, fever
101.8°F, and dysuria. UA shows >100 WBC, positive leukocyte esterase, negative
nitrite. Which empiric oral antibiotic is best?
Options:
A. Nitrofurantoin 100 mg BID × 5 days
B. Fosfomycin 3 g single dose
C. Amoxicillin-clavulanate 875/125 mg BID × 7 days
D. Trimethoprim-sulfamethoxazole DS BID × 7 days
ANSWER: D
Q008: A 25-year-old female presents requesting contraception. She has migraine
without aura, BMI 22, and smokes ½ pack per day. Which method is safest?
Options:
A. Combined oral contraceptive pills
