NURS 5433 Family II (FNP 2) Final Assessment
Questions and Answers (UTA)
1. A 7-year-old presents with sore throat, fever, and tender anterior cervical nodes.
Rapid strep test is positive.
Answer: Penicillin V
Rationale: First-line for Group A strep pharyngitis; prevents rheumatic fever.
2. A 45-year-old with hypertension and diabetes. Best initial antihypertensive?
Answer: ACE inhibitor
Rationale: Protects renal function in diabetics.
3. A 16-year-old with dysmenorrhea unresponsive to NSAIDs. Next step?
Answer: Combined oral contraceptives
Rationale: Suppresses ovulation and reduces prostaglandin-mediated pain.
4. A 60-year-old smoker with chronic cough and sputum production >3 months/year for
2 years.
Answer: Chronic bronchitis
Rationale: Clinical definition based on chronic productive cough.
5. Best screening for colorectal cancer in average-risk adults?
Answer: Colonoscopy every 10 years starting at age 45
Rationale: Gold standard for detection and prevention.
6. A 2-year-old with fever, drooling, tripod position, stridor.
Answer: Epiglottitis
Rationale: Life-threatening; requires airway management.
7. A 30-year-old with dysuria, frequency, no vaginal discharge.
Answer: Acute cystitis
Rationale: Classic UTI presentation; treat empirically.
8. A 70-year-old with unilateral temporal headache, jaw claudication, elevated ESR.
Answer: Temporal arteritis (GCA)
Rationale: Risk of vision loss; treat with high-dose steroids.
9. A 5-year-old with barking cough, inspiratory stridor, low-grade fever.
Answer: Croup (laryngotracheobronchitis)
Rationale: Parainfluenza virus; treat with steroids/nebulized epi if severe.
10. A 25-year-old with painful vesicular genital lesions.
Answer: Herpes simplex virus
Rationale: Classic painful grouped vesicles.
, 11. A 50-year-old with obesity, snoring, daytime sleepiness.
Answer: Obstructive sleep apnea
Rationale: Confirm with polysomnography.
12. A 35-year-old with RUQ pain after fatty meals, nausea, positive Murphy’s sign.
Answer: Cholecystitis
Rationale: Gallbladder inflammation; ultrasound diagnostic.
13. A 22-year-old with fever, dysuria, flank pain, CVA tenderness.
Answer: Pyelonephritis
Rationale: Requires systemic antibiotics.
14. A 65-year-old with progressive memory loss, difficulty with daily tasks.
Answer: Alzheimer’s disease
Rationale: Most common dementia; gradual decline.
15. A 40-year-old with BMI 32, hypertension, impaired fasting glucose.
Answer: Metabolic syndrome
Rationale: ≥3 risk factors (obesity, HTN, glucose intolerance, dyslipidemia).
16. A 55-year-old with substernal chest pain relieved by rest.
Answer: Stable angina
Rationale: Predictable exertional chest pain relieved by rest/nitro.
17. A 28-year-old with malar rash, photosensitivity, arthralgia.
Answer: Systemic lupus erythematosus
Rationale: Autoimmune; ANA positive.
18. A 70-year-old with resting tremor, bradykinesia, rigidity.
Answer: Parkinson’s disease
Rationale: Dopamine deficiency in substantia nigra.
19. A 45-year-old with epigastric pain, worse with meals, relieved by antacids.
Answer: Peptic ulcer disease
Rationale: Often H. pylori-related.
20. A 60-year-old with painless hematuria, history of smoking.
Answer: Bladder cancer
Rationale: Smoking is major risk factor.
21. A 25-year-old with fever, sore throat, posterior cervical lymphadenopathy,
splenomegaly.
Answer: Infectious mononucleosis (EBV)
Rationale: Avoid contact sports due to splenic rupture risk.
Questions and Answers (UTA)
1. A 7-year-old presents with sore throat, fever, and tender anterior cervical nodes.
Rapid strep test is positive.
Answer: Penicillin V
Rationale: First-line for Group A strep pharyngitis; prevents rheumatic fever.
2. A 45-year-old with hypertension and diabetes. Best initial antihypertensive?
Answer: ACE inhibitor
Rationale: Protects renal function in diabetics.
3. A 16-year-old with dysmenorrhea unresponsive to NSAIDs. Next step?
Answer: Combined oral contraceptives
Rationale: Suppresses ovulation and reduces prostaglandin-mediated pain.
4. A 60-year-old smoker with chronic cough and sputum production >3 months/year for
2 years.
Answer: Chronic bronchitis
Rationale: Clinical definition based on chronic productive cough.
5. Best screening for colorectal cancer in average-risk adults?
Answer: Colonoscopy every 10 years starting at age 45
Rationale: Gold standard for detection and prevention.
6. A 2-year-old with fever, drooling, tripod position, stridor.
Answer: Epiglottitis
Rationale: Life-threatening; requires airway management.
7. A 30-year-old with dysuria, frequency, no vaginal discharge.
Answer: Acute cystitis
Rationale: Classic UTI presentation; treat empirically.
8. A 70-year-old with unilateral temporal headache, jaw claudication, elevated ESR.
Answer: Temporal arteritis (GCA)
Rationale: Risk of vision loss; treat with high-dose steroids.
9. A 5-year-old with barking cough, inspiratory stridor, low-grade fever.
Answer: Croup (laryngotracheobronchitis)
Rationale: Parainfluenza virus; treat with steroids/nebulized epi if severe.
10. A 25-year-old with painful vesicular genital lesions.
Answer: Herpes simplex virus
Rationale: Classic painful grouped vesicles.
, 11. A 50-year-old with obesity, snoring, daytime sleepiness.
Answer: Obstructive sleep apnea
Rationale: Confirm with polysomnography.
12. A 35-year-old with RUQ pain after fatty meals, nausea, positive Murphy’s sign.
Answer: Cholecystitis
Rationale: Gallbladder inflammation; ultrasound diagnostic.
13. A 22-year-old with fever, dysuria, flank pain, CVA tenderness.
Answer: Pyelonephritis
Rationale: Requires systemic antibiotics.
14. A 65-year-old with progressive memory loss, difficulty with daily tasks.
Answer: Alzheimer’s disease
Rationale: Most common dementia; gradual decline.
15. A 40-year-old with BMI 32, hypertension, impaired fasting glucose.
Answer: Metabolic syndrome
Rationale: ≥3 risk factors (obesity, HTN, glucose intolerance, dyslipidemia).
16. A 55-year-old with substernal chest pain relieved by rest.
Answer: Stable angina
Rationale: Predictable exertional chest pain relieved by rest/nitro.
17. A 28-year-old with malar rash, photosensitivity, arthralgia.
Answer: Systemic lupus erythematosus
Rationale: Autoimmune; ANA positive.
18. A 70-year-old with resting tremor, bradykinesia, rigidity.
Answer: Parkinson’s disease
Rationale: Dopamine deficiency in substantia nigra.
19. A 45-year-old with epigastric pain, worse with meals, relieved by antacids.
Answer: Peptic ulcer disease
Rationale: Often H. pylori-related.
20. A 60-year-old with painless hematuria, history of smoking.
Answer: Bladder cancer
Rationale: Smoking is major risk factor.
21. A 25-year-old with fever, sore throat, posterior cervical lymphadenopathy,
splenomegaly.
Answer: Infectious mononucleosis (EBV)
Rationale: Avoid contact sports due to splenic rupture risk.
