Page 1 of 23
“DUNPHY CARING FOR VULNERABLE
POPULATIONS 2026 ”LATEST EXAM 2026 – 2027
SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION) WELL
REVISED 100% GUARANTEE PASS
Dunphy Caring for Vulnerable Populations
The NP is evaluating a 16-year-old girl at the clinic for a sports preparticipation
physical. Her mother is concerned that she is experimenting with substance
use and requests that she have a urine drug test. The patient is not
participating in the conversation, and when the NP asks her directly if she will
give a urine sample, she just looks up from her cell phone and says no. The
NP recognizes that the best approach to this encounter would be to:
1.Talk with the patient using teenage slang in order to promote a trusting
relationship.
2.Advise the mother that it is best if the mother and the patient come to a
consensus on drug testing and then return for a second visit.
3.Counsel the patient that because she is a minor, the mother has the right to
require drug testing.
4.Talk with the patient individually, being respectful and not condescending.
4.Talk with the patient individually, being respectful and not condescending.
This is the best approach. At this age adolescents are more likely to respond to
nonparent or guardian adults, and the place to start is a respectful conversation with
the patient about why the mom may be concerned.
You are seeing a patient with neuropathic pain from diabetes and difficulty
sleeping secondary to pain. Which of the following medications is most likely
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to be helpful for the patient?47 y/o male, 175 lbs, 5’6” and history of
diabetes/HTN/HLDAllergies: CodeineRx: Simvastatin 40 mg qhs, metformin
1000 mg BID, lisinopril 10 mg daily
1.Gabapentin 600 mg TID
2.Amitriptyline 20 mg qhs
3.Tramadol 50 mg
4.Paracetamol 500 mg TID
2.Amitriptyline 20 mg qhs
This will provide some neuropathic pain relief and also help the patient sleep.
During an annual examination with a 15-year-old female, the patient admits
that she has been sexually active but her parents do not know it and she does
not want them to. The NP asks the patient if she will provide a urine sample to
screen for sexually transmitted infection. The patient wants to know if she will
be tested for “everything.” The NP informs her that the urine can be tested for
all of the following except:
1.Gonorrhea.
2.Chlamydia.
3.Herpes simplex virus.
4.Human papilloma virus.
3.Herpes simplex virus.
There is no urine test for herpes.
You are seeing a patient who is a 68-year-old woman with a history of
HTN/HLD and no drug allergies. She relates right jaw pain for the last 2 days.
On oral exam you note foul-smelling breath and a broken tooth that appears
black. She is not in distress. HR is 84, BP 136/74, RR 18, SpO2 97%, temp
99.5°F. Before you send her for dental care, what intervention should be
completed?
1.Soft tissue neck exam
2.Doxycycline 100 mg PO BID x 5 days
3.Metronidazole
4.I&D
2.Doxycycline 100 mg PO BID x 5 days
It is prudent to start antibiotics that cover for gram-negative pathogens, given the
location of her pain.
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You are seeing a primary breast cancer patient for follow-up after oncology
evaluation a month prior. Her plan includes radiation and chemotherapy over
the next 6 months. Which of the following screening is not appropriate before
starting treatment?
1.Lipid panel
2.BRCA testing
3.Depression PHQ-9
4.ASCVD risk score
2.BRCA testing
This patient has been following with oncology for at least 1 month and has a plan for
radiation and chemotherapy. Any genetic testing would be completed by oncology in
the process of making treatment decisions.
Your 17-year-old patient comes in for a same-day visit with acute complaints
of abdominal pain, diarrhea, and repeated vomiting. It is important to ask her
about:
1.Sexual activity.
2.Cannabis use.
3.Depression.
4.New foods.
2.Cannabis use.
In large quantities, cannabis can cause these symptoms, and it should be ruled out
before beginning expensive and invasive testing.
You are following up with a 28-year-old trans man in the clinic who started
testosterone 3 months prior. The patient has no complaints and related
therapy is going well. Labs return with the following results:Serum
testosterone 688 ng/dLEstradiol 89 pg/mLHis current dose of testosterone is
100 mg weekly IM. Which of the following medication adjustments is most
appropriate?
1.Increase testosterone to 125 mg IM/week.
2.Add anastrozole 1 mg po weekly.
3.Add DHEA supplements.
4.Lower testosterone to 50 mg IM/week.
2.Add anastrozole 1 mg po weekly.
“DUNPHY CARING FOR VULNERABLE
POPULATIONS 2026 ”LATEST EXAM 2026 – 2027
SOLVED QUESTIONS & ANSWERS VERIFIED
100% GRADED A+ (LATEST VERSION) WELL
REVISED 100% GUARANTEE PASS
Dunphy Caring for Vulnerable Populations
The NP is evaluating a 16-year-old girl at the clinic for a sports preparticipation
physical. Her mother is concerned that she is experimenting with substance
use and requests that she have a urine drug test. The patient is not
participating in the conversation, and when the NP asks her directly if she will
give a urine sample, she just looks up from her cell phone and says no. The
NP recognizes that the best approach to this encounter would be to:
1.Talk with the patient using teenage slang in order to promote a trusting
relationship.
2.Advise the mother that it is best if the mother and the patient come to a
consensus on drug testing and then return for a second visit.
3.Counsel the patient that because she is a minor, the mother has the right to
require drug testing.
4.Talk with the patient individually, being respectful and not condescending.
4.Talk with the patient individually, being respectful and not condescending.
This is the best approach. At this age adolescents are more likely to respond to
nonparent or guardian adults, and the place to start is a respectful conversation with
the patient about why the mom may be concerned.
You are seeing a patient with neuropathic pain from diabetes and difficulty
sleeping secondary to pain. Which of the following medications is most likely
, Page 2 of 23
to be helpful for the patient?47 y/o male, 175 lbs, 5’6” and history of
diabetes/HTN/HLDAllergies: CodeineRx: Simvastatin 40 mg qhs, metformin
1000 mg BID, lisinopril 10 mg daily
1.Gabapentin 600 mg TID
2.Amitriptyline 20 mg qhs
3.Tramadol 50 mg
4.Paracetamol 500 mg TID
2.Amitriptyline 20 mg qhs
This will provide some neuropathic pain relief and also help the patient sleep.
During an annual examination with a 15-year-old female, the patient admits
that she has been sexually active but her parents do not know it and she does
not want them to. The NP asks the patient if she will provide a urine sample to
screen for sexually transmitted infection. The patient wants to know if she will
be tested for “everything.” The NP informs her that the urine can be tested for
all of the following except:
1.Gonorrhea.
2.Chlamydia.
3.Herpes simplex virus.
4.Human papilloma virus.
3.Herpes simplex virus.
There is no urine test for herpes.
You are seeing a patient who is a 68-year-old woman with a history of
HTN/HLD and no drug allergies. She relates right jaw pain for the last 2 days.
On oral exam you note foul-smelling breath and a broken tooth that appears
black. She is not in distress. HR is 84, BP 136/74, RR 18, SpO2 97%, temp
99.5°F. Before you send her for dental care, what intervention should be
completed?
1.Soft tissue neck exam
2.Doxycycline 100 mg PO BID x 5 days
3.Metronidazole
4.I&D
2.Doxycycline 100 mg PO BID x 5 days
It is prudent to start antibiotics that cover for gram-negative pathogens, given the
location of her pain.
, Page 3 of 23
You are seeing a primary breast cancer patient for follow-up after oncology
evaluation a month prior. Her plan includes radiation and chemotherapy over
the next 6 months. Which of the following screening is not appropriate before
starting treatment?
1.Lipid panel
2.BRCA testing
3.Depression PHQ-9
4.ASCVD risk score
2.BRCA testing
This patient has been following with oncology for at least 1 month and has a plan for
radiation and chemotherapy. Any genetic testing would be completed by oncology in
the process of making treatment decisions.
Your 17-year-old patient comes in for a same-day visit with acute complaints
of abdominal pain, diarrhea, and repeated vomiting. It is important to ask her
about:
1.Sexual activity.
2.Cannabis use.
3.Depression.
4.New foods.
2.Cannabis use.
In large quantities, cannabis can cause these symptoms, and it should be ruled out
before beginning expensive and invasive testing.
You are following up with a 28-year-old trans man in the clinic who started
testosterone 3 months prior. The patient has no complaints and related
therapy is going well. Labs return with the following results:Serum
testosterone 688 ng/dLEstradiol 89 pg/mLHis current dose of testosterone is
100 mg weekly IM. Which of the following medication adjustments is most
appropriate?
1.Increase testosterone to 125 mg IM/week.
2.Add anastrozole 1 mg po weekly.
3.Add DHEA supplements.
4.Lower testosterone to 50 mg IM/week.
2.Add anastrozole 1 mg po weekly.
