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FITZGERALD NP EXAM REVIEW POST TEST
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Terms in this set (150)
Original
Topical benzoyl peroxide plus topical antimicrobial.
A 16-year-old presents with moderate acne consisting of about 25 inflammatory
lesions on her face, neck, and shoulders. First-line treatment can include:
Friable cervix
Lisa is a 48-year-old woman who presents with a 5-day history of painful
urination and mucopurulent vaginal discharge. Suspecting chlamydial infection,
which of the following findings would support this diagnosis?
Oral azithromycin
The NAAT assay is performed for Lisa and chlamydia infection is confirmed.
Which of the following is the most appropriate treatment choice?
Encourage screening for HIV and other STIs
Which of the following is recommended prior to Lisa leaving the clinic?
IM ceftriaxone.
A 27-year-old male is diagnosed with gonorrhea. He is otherwise healthy, has no
drug allergies, and has not been treated with an antimicrobial in the past year.
Recommended treatment is:
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2025 QUESTIONS
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A prescription is not needed for levonorgestrel emergency contraception.
The NP is counseling Rene, a 22-year-old woman, who reports having
unprotected intercourse 3 days ago and asks about emergency contraception.
She is not currently taking any form of contraception and her last menses ended
7 days ago. The NP advises:
Taking a pregnancy test.
Rene calls the clinic 4 weeks after taking emergency contraception and reports
that she has not yet started her menses. She is concerned because her cycle is
normally predictable. The NP recommends:
Squamous cell carcinoma.
Wellman is a 48-year-old roofer who presents because he is concerned about a
painless nodule that developed on the tip of his nose over the past couple of
months. The nodule is about 8 mm in diameter, opaque, ulcerating, with non-
distinct borders. This most likely represents:
Schedule a biopsy of the lesion.
The next-best course of action for Wellman is:
“I should take my medication with the largest meal of the day.”
A 66-year-old woman is newly diagnosed with osteoporosis and will initiate
daily oral bisphosphonate therapy. After counseling the patient on the
medication, the NP realizes additional education is needed when the patient
says:
Mohs micrographic surgery
Which of the following is the preferred treatment option for malignant
melanoma of about 2 cm in diameter at the widest point on the shoulder of a
47-year-old woman?
Completing the series with 2 shots of HPV-9 given over 6 months.
The NP is reviewing the vaccination history of a 22-year-old woman. The records
indicate that she received the first dose of the 4-valent HPV vaccine 6 years ago
but did not complete the regimen. The NP recommends:
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2025 QUESTIONS
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Lightly tapping over the nerve elicits a tingling sensation
Which of the following best describes the Tinel sign used during the evaluation
of an individual with suspected carpal tunnel syndrome?
Electromyography
Which of the following is most useful in making the diagnosis of carpal tunnel
syndrome?
A corticosteroid injection near the carpal tunnel.
A 56-year-old woman was diagnosed with carpal tunnel syndrome 2 weeks ago.
She was instructed to use a volar splint at night and to take acetaminophen for
pain relief. Today she reports little improvement in symptoms. The NP
recommends:
Open-angle glaucoma.
Grant is a 70-year-old African American male with a long history of type 2
diabetes mellitus. An eye examination reveals poor peripheral vision. He denies
any eye pain and there is no redness or any noticeable change in visual acuity
since his last exam. The most likely diagnosis is:
Thin, shiny skin
Chronic venous insufficiency is a common complication of DVT and results in
decreased venous return because of vessel damage. The earliest signs include
lower leg edema, aching, and itchiness. The edema progressively worsens over
time and results in the development of thin, shiny skin, often with brown
pigmentation
Nancy is a 68-year-old woman with a history of deep vein thrombosis and BMI
of 36 kg/m2 who presents with complaints of pain, itching and swelling of the
lower legs that have gotten progressively worse over the past 8 months.
Suspecting chronic venous insufficiency, the NP would expect which of the
following on physical examination?
Prescription compression stockings.
A recommended first-line treatment for chronic venous insufficiency for Nancy
would be:
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ATEST
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Deal EXAM
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2025 QUESTIONS
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<7.0%.
Doreen is a 52-year-old African American woman with a history of type 2
diabetes mellitus and hypertension. According to the American Diabetes
Association, her A1C goal is:
A GLP-1 receptor agonist
The sulfonylureas are associated with hypoglycemia risk (A) while the
thiazolidinediones can be associated with weight gain (B). The alpha-glucosidase
inhibitors are not recommended over other second-line agents and should only be
considered in certain circumstances as other agents are more effective and better
tolerated
Doreen is currently taking metformin and it is decided she needs a second agent
to meet her A1C goal. She expresses some concern with weight gain and has a
fear of hypoglycemia. Which of the following would be the most appropriate
treatment choice to add to metformin?
Shortness of breath
The NP is evaluating Claire, a 66-year-old woman, for suspected giant cell
arteritis. Which of the following findings is least supportive of this diagnosis?
Arterial biopsy
When making the diagnosis for Claire, which of the following is needed to
confirm giant cell arteritis?
High-dose systemic corticosteroids.
In order to prevent serious complications, Claire should be initiated therapy
immediately with:
Precordial auscultation in the supine and standing position.
A 15-year-old presents for a pre-participatory sports physical prior to the
basketball season. He denies any episodes of excessive shortness of breath or
fainting with exercise. His family history does not reveal any cardiovascular
disease other than a paternal grandfather with hypercholesterolemia. The
cardiac examination should include:
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