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In assessing your patient with suspected pyelonephritis, the following test may
be sensitive to elicit a confirmatory response.
A -Renal punch test
B -Morton's test
C -Murphy's test
D -Romberg test - ANSWER-A -Renal punch test
Your 19 year old female patient presents with groin pain, states they were
recently involved with a sexual partner who was sexually promiscuous. You
notice they are walking with a shuffling gait and their STI testing was positive
for Gonorrhea and Chlamydia. Which of the following evaluations should be
considered fi this were left untreated for a prolonged period of time?
A -Echocardiogram
B -Colposcopy
C -Pap smear
D -Hysterosalpingogram - ANSWER-D -Hysterosalpingogram
Your patient has presented with dysfunctional uterine bleeding (DUB). Based
on the most common cause of DUB, which of the following lab tests should be
ordered by the nurse practitioner first?
A -Vitamin K
,B -Serum urine ketones
C -Serum beta human chorionic gonadotropin (HCG)
D -СВС - ANSWER-C -Serum beta human chorionic gonadotropin (HCG)
Your 25 year old female patient presents with a recent history of malodorous
discharge from their vagina. Their review of systems includes recent history of
douching and multiple sexual partners without protection. Which of the
following is not a test used to identify bacterial vaginosis?
A -Gonorrhea and Chlamydia DNA probe
B -pH
C -Whiff test.
D -Clue cells - ANSWER-A -Gonorrhea and Chlamydia DNA probe
On examination, Kim, your 68 year old female patient has the following facial
muscle movements: Normal upper and lower on the rightside, Unable to move
both the upper and lower muscles on the left side. You would immediately
suspect which one of the following conditions?
A -A left central lesion
B -A right central lesion
C -A left peripheral lesion
D -A right peripheral lesion - ANSWER-C -A left peripheral lesion
While evaluating your patient for a sick visit, you notice Scott, a 29
year old male patient appears drowsy but open eyes and looks at you when you
question him, answers appropriately, but then appears to nearly fall asleep while
sitting in the exam chair. Which of the following is the most accurate descriptor
of Scott's mental status?
A -Comatose
B -Stuporus
C -Lethargic
,D -Alert but disoriented - ANSWER-C -Lethargic
While performing an office visit for your patient, you notice an elevated blood
pressure of 160/92. Recent visits in the electronic health record reflect similarly
elevated readings, yet nothing has been done to treat this at this time. The
patient then states the last time he was started on blood pressure medication, his
"kidney function became poor so the physician discontinued the medicine." You
decide to evaluate further for renal artery stenosis. Al of the following are
conditions suspicious for renal artery disease except which one?
A -Hypertension controlled on 2 medications
B -Onset of hypertension at an early age (Onset at age 30 or earlier)
C -Severe, sudden hypertension or poorly controlled hypertension in a patient
55 years or older
D -An unexplained small kidney or size discrepancy between the two kidneys. -
ANSWER-A -Hypertension controlled on 2 medications
Your 31 year old female patient states they are experiencing lateral lower back
pain and urinalysis reveals bacteria in the urine, culture reveals gram negative
rods after 24 hours of growth. Which of the following is the least likely agent to
cause her urinary tract infection?
A -Escherichia Coli
B -Proteus Mirabilis
C -Enterococcus
D -Klebsiella Oxytoca - ANSWER-C -Enterococcus
You are examining the mouth of a patient and ask the patient to put out his
tongue and notice the tongue deviates by pointing to the left.
Which one of the following is the correct diagnosis of this finding?
A -Bilateral Vagus (X) lesion
B -Cranial XII (Hypoglossal nerve) lesion on the left
C -Cranial XI (Hypoglossal nerve) lesion on the right
, D -Normal response to deviate to the dominant side - ANSWER-B -Cranial XII
(Hypoglossal nerve) lesion on the left
Your patient Steve, a 56 year old male with a history of smoking, sedentary
lifestyle, and diabetes mellitus presents for follow-up from a recent
hospitalization where he was documented to have symptoms of a transient
ischemic attack (TIA). Which one of the following correctly identifies the
etiology of TIA?
A -TIAs are global cerebral, spinal cord or retinal dysfunction caused by a
central nervous system infarction
B -TIAs are caused by focal brain, spinal cord or retinal
ischemia, without acute infarction
C -TIAs are a unrelated risk factor of a patient developing a stroke in the
future
D -TIAs cannot last longer than 15 minutes, otherwise it's considered
a stroke - ANSWER-B -TIAs are caused by focal brain, spinal cord or retinal
ischemia, without acute infarction
Maya, your 52 year old patient is receiving education for her new mediation
regimen for her COPD. Which of the following agents should include rinsing
the mouth for risk of development of oral candidiasis (thrush)?
A -Long acting beta agonists
B -Short acting beta agonists
C -Leukotriene inhibitors
D -Inhaled corticosteroids - ANSWER-D -Inhaled corticosteroids
Kaia, a 22 year old trans female patient who is actively undergoing gender-
affirming therapy abruptly stopped their medication regimen for the last two
weeks due to insurance issues. They present to your clinic with hypotension,
pallor, and hypothermia. Assuming they are taking al of the following