LEIK FNP CORE MAIN EXAMINATION QUESTIONS
AND ANSWERS SURE A+
✔✔Order an ultrasound - ✔✔A second triple screen on a 35 yo primigravida reveals
abnormal low levels of the alpha fetoprotein and estriol and high levels of human
chorionic gonadotropin. Which of the following interventions is the best choice for this
patient?
✔✔Chlamydia trachoma's - ✔✔Pts. diagnosed with gonorrhea should also be treated
for what other infections?
✔✔Osteoporosis - ✔✔Kyphosis is a late sign of
✔✔Higher than normal - ✔✔A 35 y/o primigravida who is at 28wks gestation is
expecting twins. What would you would expect her alpha fetal protein (AFP) to be?
✔✔Calcium channel blockers - ✔✔Which of the following antihypertensive medications
has beneficial effects for an elderly white female with osteoporosis?
✔✔Knee instability - ✔✔The Lachman maneuver is used to detect which of the
following?
,✔✔Tanner Stage III - ✔✔When an adolescent male's penis grows more in length than
width, at which of the following Tanner stages is he classified?
✔✔Toxoplasma gondii, other infections, rubella, cytomegalovirus and herpes - ✔✔Fetal
TORCH infections can cause microcephaly, mental retardation, hepatosplenomegaly,
and intrauterine growth retardation. The acronym for TORCH stands for:.
✔✔Laryngeal neoplasia - ✔✔HPV infection of the larynx has been associated with:
✔✔Degenerative joint disease - ✔✔Mr. Brown is a 65 y/o carpenter complaining of
morning stiffness and pain in both his hands and right knee upon awakening. He feels
some relief after warming up. On exam, the nurse notices the presence of Heberden's
nodes. What is most likely diagnosis?
✔✔Instability of the knee - ✔✔What does the positive posterior drawer sign in a 10 yr
old soccer player signify?
✔✔From 33-35 cm - ✔✔A multigravida who is at 34 wks gestation wants to know at
what level her uterine funds should be. The best answer is to advise the mother that her
funds is:
✔✔Advise mother that her pregnancy is progressing well - ✔✔A multigravida who is
28wks gestation has a fundal height of 29cm. What is the best recommendation for this
patient?
✔✔Creatinine - ✔✔Which laboratory test is used in primary care to evaluate renal
function?
✔✔Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder - ✔✔All of the following are false statements regarding acute gastritis except:
A) Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening rest for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy.
✔✔Apraxia and fatigue - ✔✔Signs and symptoms of depression do not include:
✔✔A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of
the abdomen below the costovertebral angle. - ✔✔Which of the following is an accurate
description of eliciting for Murphy's sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the
abdomen below the costovertebral angle
,B) Bend the patient at the hips and knees at 90 degrees, then passively rotate hip
externally, then internally
C) Ask the patient to quit, then place the stethoscope on the apical area.
D) Press into the abdomen deeply, then released it suddenly
✔✔Murphy's Sign - ✔✔Positive if pain occurs when performing RUQ palpation while
patient takes a deep breath, causing the patient to abruptly stop the deep breath due to
pain. As the liver is palpated, it will descend and push up against the inflamed
gallbladder and cause sharp pain (cholecystitis)
✔✔Apraxia - ✔✔a disorder of the nervous system in which the brain is affected and the
patient is unable not move the arms/legs when asked to do so.
✔✔Common signs of depression - ✔✔1. anhedonia
2. unintentional weight loss or gain
3. fatigue
4. change in appetite
5. insomnia or hypersomnia
6. Feelings of guilt and worthlessness
7. recurrent thought of suicide.
✔✔Anhedonia - ✔✔loss of interest in activities that the patient finds pleasurable
✔✔What does Chronic NSAID use do? - ✔✔Disrupts the product of prostaglandins,
which decreases blood supply and then breaks down the protective layer of the
mucosa, which leads to gastric disease.
✔✔Why is Serum creatinine in measured? - ✔✔To evaluate renal function. Creation is
the end product of creatine metabolism. Creatinine clearance is not affected by fluid or
dietary intake of meat.
✔✔After 20 wks - ✔✔At how many weeks gestation should fundal height equal weeks
gestation?
✔✔2cm or greater - ✔✔When measuring fundal height, how many centimeters variation
should warrant further testing to evaluate fetal growth
✔✔The drawer sign - ✔✔Performed on the knee or ankle to assess for knee instability.
The affected knee/ankle will have more laxity when compared to the unaffected
knee/ankle.
✔✔Heberden's nodes - ✔✔These are commonly seen in degenerative joint disease,
and are bony nodules located on the distal interphalangeal joints (DIPs)
✔✔Laryngeal neoplasia - ✔✔HPV infection of the larynx has been associated with:
, ✔✔Cervical cancer. - ✔✔HPV infection of the cervix is associated with:
✔✔Tanner Stage III: Male - ✔✔Consist of penis lengthening and darker, course pubic
hair, which begins to curl.
✔✔The Lachman maneuver - ✔✔Test performed to assess for knee instability. Knee
instability indicated a tear of the anterior cruciate ligament.
✔✔Calcium channel blockers - ✔✔Antihypertensive medication that acts by blocking the
calcium channels in the heart muscle and the blood vessels, thereby keeping more
calcium in the bones. Should be used in elderly patients with osteoporoisis
✔✔Both gram negative and gram positive bacteria - ✔✔Diverticula in the colon can be
infected with
✔✔In the fetal and maternal liver. - ✔✔Where is AFP produced?
✔✔Multiple gestations d/t growing fetuses and enlargement of the livers - ✔✔When are
higher levels of AFP commonly seen?
✔✔Kyphosis - ✔✔a curvature of the spine that causes a rounding of the back, which
leads to slouching posture.
✔✔Osteoporosis - ✔✔Severe thinking of the bones that contributes to this curvature in
the spine.
✔✔Symptoms that may occur with severe cases of kyphosis - ✔✔difficulty breathing
fatigue
back pain
✔✔An abnormal during pregnancy.
An U/S should be ordered to further evaluate the fetus for characteristics of Down
syndrome and/or fetal demise. - ✔✔What do abnormally low levels of alpha fetoprotein
and estriol and high levels of human chorionic gonadotropin indicate and what should
be done?
✔✔Nerve cell damage - ✔✔What can Vitamin B12 deficiency anemia cause if not
treated?
✔✔Symptoms of B12 deficiency anemia? - ✔✔tingling and numbness of fingers and
toes
difficulty walking
mood changes
AND ANSWERS SURE A+
✔✔Order an ultrasound - ✔✔A second triple screen on a 35 yo primigravida reveals
abnormal low levels of the alpha fetoprotein and estriol and high levels of human
chorionic gonadotropin. Which of the following interventions is the best choice for this
patient?
✔✔Chlamydia trachoma's - ✔✔Pts. diagnosed with gonorrhea should also be treated
for what other infections?
✔✔Osteoporosis - ✔✔Kyphosis is a late sign of
✔✔Higher than normal - ✔✔A 35 y/o primigravida who is at 28wks gestation is
expecting twins. What would you would expect her alpha fetal protein (AFP) to be?
✔✔Calcium channel blockers - ✔✔Which of the following antihypertensive medications
has beneficial effects for an elderly white female with osteoporosis?
✔✔Knee instability - ✔✔The Lachman maneuver is used to detect which of the
following?
,✔✔Tanner Stage III - ✔✔When an adolescent male's penis grows more in length than
width, at which of the following Tanner stages is he classified?
✔✔Toxoplasma gondii, other infections, rubella, cytomegalovirus and herpes - ✔✔Fetal
TORCH infections can cause microcephaly, mental retardation, hepatosplenomegaly,
and intrauterine growth retardation. The acronym for TORCH stands for:.
✔✔Laryngeal neoplasia - ✔✔HPV infection of the larynx has been associated with:
✔✔Degenerative joint disease - ✔✔Mr. Brown is a 65 y/o carpenter complaining of
morning stiffness and pain in both his hands and right knee upon awakening. He feels
some relief after warming up. On exam, the nurse notices the presence of Heberden's
nodes. What is most likely diagnosis?
✔✔Instability of the knee - ✔✔What does the positive posterior drawer sign in a 10 yr
old soccer player signify?
✔✔From 33-35 cm - ✔✔A multigravida who is at 34 wks gestation wants to know at
what level her uterine funds should be. The best answer is to advise the mother that her
funds is:
✔✔Advise mother that her pregnancy is progressing well - ✔✔A multigravida who is
28wks gestation has a fundal height of 29cm. What is the best recommendation for this
patient?
✔✔Creatinine - ✔✔Which laboratory test is used in primary care to evaluate renal
function?
✔✔Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder - ✔✔All of the following are false statements regarding acute gastritis except:
A) Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the
disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening rest for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy.
✔✔Apraxia and fatigue - ✔✔Signs and symptoms of depression do not include:
✔✔A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of
the abdomen below the costovertebral angle. - ✔✔Which of the following is an accurate
description of eliciting for Murphy's sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the
abdomen below the costovertebral angle
,B) Bend the patient at the hips and knees at 90 degrees, then passively rotate hip
externally, then internally
C) Ask the patient to quit, then place the stethoscope on the apical area.
D) Press into the abdomen deeply, then released it suddenly
✔✔Murphy's Sign - ✔✔Positive if pain occurs when performing RUQ palpation while
patient takes a deep breath, causing the patient to abruptly stop the deep breath due to
pain. As the liver is palpated, it will descend and push up against the inflamed
gallbladder and cause sharp pain (cholecystitis)
✔✔Apraxia - ✔✔a disorder of the nervous system in which the brain is affected and the
patient is unable not move the arms/legs when asked to do so.
✔✔Common signs of depression - ✔✔1. anhedonia
2. unintentional weight loss or gain
3. fatigue
4. change in appetite
5. insomnia or hypersomnia
6. Feelings of guilt and worthlessness
7. recurrent thought of suicide.
✔✔Anhedonia - ✔✔loss of interest in activities that the patient finds pleasurable
✔✔What does Chronic NSAID use do? - ✔✔Disrupts the product of prostaglandins,
which decreases blood supply and then breaks down the protective layer of the
mucosa, which leads to gastric disease.
✔✔Why is Serum creatinine in measured? - ✔✔To evaluate renal function. Creation is
the end product of creatine metabolism. Creatinine clearance is not affected by fluid or
dietary intake of meat.
✔✔After 20 wks - ✔✔At how many weeks gestation should fundal height equal weeks
gestation?
✔✔2cm or greater - ✔✔When measuring fundal height, how many centimeters variation
should warrant further testing to evaluate fetal growth
✔✔The drawer sign - ✔✔Performed on the knee or ankle to assess for knee instability.
The affected knee/ankle will have more laxity when compared to the unaffected
knee/ankle.
✔✔Heberden's nodes - ✔✔These are commonly seen in degenerative joint disease,
and are bony nodules located on the distal interphalangeal joints (DIPs)
✔✔Laryngeal neoplasia - ✔✔HPV infection of the larynx has been associated with:
, ✔✔Cervical cancer. - ✔✔HPV infection of the cervix is associated with:
✔✔Tanner Stage III: Male - ✔✔Consist of penis lengthening and darker, course pubic
hair, which begins to curl.
✔✔The Lachman maneuver - ✔✔Test performed to assess for knee instability. Knee
instability indicated a tear of the anterior cruciate ligament.
✔✔Calcium channel blockers - ✔✔Antihypertensive medication that acts by blocking the
calcium channels in the heart muscle and the blood vessels, thereby keeping more
calcium in the bones. Should be used in elderly patients with osteoporoisis
✔✔Both gram negative and gram positive bacteria - ✔✔Diverticula in the colon can be
infected with
✔✔In the fetal and maternal liver. - ✔✔Where is AFP produced?
✔✔Multiple gestations d/t growing fetuses and enlargement of the livers - ✔✔When are
higher levels of AFP commonly seen?
✔✔Kyphosis - ✔✔a curvature of the spine that causes a rounding of the back, which
leads to slouching posture.
✔✔Osteoporosis - ✔✔Severe thinking of the bones that contributes to this curvature in
the spine.
✔✔Symptoms that may occur with severe cases of kyphosis - ✔✔difficulty breathing
fatigue
back pain
✔✔An abnormal during pregnancy.
An U/S should be ordered to further evaluate the fetus for characteristics of Down
syndrome and/or fetal demise. - ✔✔What do abnormally low levels of alpha fetoprotein
and estriol and high levels of human chorionic gonadotropin indicate and what should
be done?
✔✔Nerve cell damage - ✔✔What can Vitamin B12 deficiency anemia cause if not
treated?
✔✔Symptoms of B12 deficiency anemia? - ✔✔tingling and numbness of fingers and
toes
difficulty walking
mood changes
