AANP AGPCNP PRACTICE
29 y/o has uncomplicated Chlamydia infection will show off:
1) inexperienced penile discharge
2) uticartia
3) unremarkable symtpoms
four) penile ulcer - ANS-3) unremarkable signs
37 has suspected PE. C/o tension and cough, CXR normal, the next check should be:
1) spirometry
2) MRI
3) COntract venogra[hy
four) helical CT pulmonary angiograph - ANS-4) helical CT pulmonary angiography.
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: one hundred ten/70, Pulse 60,
R 10. The great motion is to:
1) provoke passive warming
2) apply a rebreather
three) Perform fluid replacement
four) provoke lively warming - ANS-1) initiate passive rewarming
A 12-lead EKG indicates an undulating baseline and not using a visible P waves and an
irregularly irregular R-R c program languageperiod. This arrhythmia is:
1) atrial flutter
2) atrial traumatic inflammation
three) 2nd diploma coronary heart block
4) Wolff-White Syndrome - ANS-2) atrial fibrillation
A sixteen-yr-antique lady in the first month of taking Ortho-Novum 7/7/7 complains of midcycle
recognizing. She has now not ignored any doses and makes use of no other medication. Which
of the subsequent is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - ANS-3) offer reassurance
,A 25-yr-old provides with the leader criticism of reduced mobility and pain of the right shoulder
exacerbated by way of motion. The affected person reviews that he participated in great house
portray 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is intact. No
redness or ecchymosis is gift. What is the subsequent step to be taken as a way to make a
prognosis?
1) Xray of shoulder
2) Palpate structures across the shoulder.
Three) MRI of shoulder
four) EMG - ANS-2) palpate structures
A 26-yr-old gives with reviews of anorexia, fatigue, weight reduction, malaise, fever, night time
sweats, and a cough that has been present for four weeks. The diagnostic have a look at to
carry out first would be:
1) xray
2) pulmonary function test
3) bronchoscopy
four) H & H - ANS-1) xray (tb-night sweats)
A 32-12 months-old patient reports a 6-month history of intermittent symmetrical swelling of the
wrists and every day morning stiffness lasting 1 hour or greater in and around other joints. What
is the maximum probably prognosis?
1) Rheumatoid arthritis
2) Osteoarthritis
three) Gouty arthritis - ANS-1) Rheumatoid arthritis
A 35-year-antique lawn maintenance employee offers reporting "something in my eye" in view
that the previous day. The eye turned into rinsed with over the counter eyewash, with out relief.
The patient denies visual disturbances or drainage. In formulating a plan of care, the nurse
practitioner would FIRST:
1) ship to ophthalmologists
2) florescreen staining
3) test field of regard
four) prescribe eyedrops - ANS-3) take a look at visual view
A 39-year-antique affected person become diagnosed with acute bronchitis inside the
emergency branch and treated with acetaminophen, dextromethorphan, and metaproterenol
(Alupent). The patient's history well-knownshows a smoking habit of 1 percent in keeping with
day. He now gives in your office with a fever of one hundred and one.2°F (39.4°C) and a cough
effective of thick, yellow-inexperienced, foul-smelling sputum. You could encourage smoking
cessation and prescribe:
, 1) a penicillin antibiotic
2) a macrolide antibiotic.
3) theophylline
4) inhalors - ANS-2) macrolide antibiotic
A forty four-12 months-vintage girl is complaining of frequent tension assaults with chest pain
and fatigue. On bodily exam, her lungs are clean bilaterally. There are a midsystolic click and a
grade II/VI systolic murmur on the apex. Further evaluation would consist of which of the
following?
1) EKG, flat plate of the stomach, lipid profile
2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
four) EEG, Anxiety Scale, and electrolytes - ANS-2) Echocardiogram, Doppler, EKG
A 55-12 months-antique patient famous a established serum calcium degree of thirteen mg/dL
[normal = 8.9-10.2 mg/dL]. The next step in determining the presence of pathology is to order a:
1) BUN and serum creatinine.
2) 24 hour urine
3) parathyroid hormone level.
Four) thyroid panel - ANS-3) parathyroid hormone stage
A 57-12 months-vintage affected person presents for a physical examination. The patient has
been in accurate health, takes no medications, has a circle of relatives records of high blood
pressure and coronary heart disorder, denies alcohol use, and has by no means smoked. The
patient's remaining tetanus booster changed into nine years in the past. Which of the following
vaccines is indicated presently?
1) TD
2) Influenza
three) PNA
four) Hep B - ANS-2) Influenza
A 58-year-old lady presents with shoulder and pelvic girdle pain for the past 6 months. She
reviews recent unintentional weight reduction. On bodily examination, there may be pain on
ROM, with no weak point stated. Laboratory studies show a low hemoglobin and an extended
sedimentation price. Which of the subsequent is the most in all likelihood analysis?
1) Polymyalgia rheumatica
29 y/o has uncomplicated Chlamydia infection will show off:
1) inexperienced penile discharge
2) uticartia
3) unremarkable symtpoms
four) penile ulcer - ANS-3) unremarkable signs
37 has suspected PE. C/o tension and cough, CXR normal, the next check should be:
1) spirometry
2) MRI
3) COntract venogra[hy
four) helical CT pulmonary angiograph - ANS-4) helical CT pulmonary angiography.
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: one hundred ten/70, Pulse 60,
R 10. The great motion is to:
1) provoke passive warming
2) apply a rebreather
three) Perform fluid replacement
four) provoke lively warming - ANS-1) initiate passive rewarming
A 12-lead EKG indicates an undulating baseline and not using a visible P waves and an
irregularly irregular R-R c program languageperiod. This arrhythmia is:
1) atrial flutter
2) atrial traumatic inflammation
three) 2nd diploma coronary heart block
4) Wolff-White Syndrome - ANS-2) atrial fibrillation
A sixteen-yr-antique lady in the first month of taking Ortho-Novum 7/7/7 complains of midcycle
recognizing. She has now not ignored any doses and makes use of no other medication. Which
of the subsequent is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - ANS-3) offer reassurance
,A 25-yr-old provides with the leader criticism of reduced mobility and pain of the right shoulder
exacerbated by way of motion. The affected person reviews that he participated in great house
portray 24 hours prior to the onset of pain. He denies any trauma. Passive ROM is intact. No
redness or ecchymosis is gift. What is the subsequent step to be taken as a way to make a
prognosis?
1) Xray of shoulder
2) Palpate structures across the shoulder.
Three) MRI of shoulder
four) EMG - ANS-2) palpate structures
A 26-yr-old gives with reviews of anorexia, fatigue, weight reduction, malaise, fever, night time
sweats, and a cough that has been present for four weeks. The diagnostic have a look at to
carry out first would be:
1) xray
2) pulmonary function test
3) bronchoscopy
four) H & H - ANS-1) xray (tb-night sweats)
A 32-12 months-old patient reports a 6-month history of intermittent symmetrical swelling of the
wrists and every day morning stiffness lasting 1 hour or greater in and around other joints. What
is the maximum probably prognosis?
1) Rheumatoid arthritis
2) Osteoarthritis
three) Gouty arthritis - ANS-1) Rheumatoid arthritis
A 35-year-antique lawn maintenance employee offers reporting "something in my eye" in view
that the previous day. The eye turned into rinsed with over the counter eyewash, with out relief.
The patient denies visual disturbances or drainage. In formulating a plan of care, the nurse
practitioner would FIRST:
1) ship to ophthalmologists
2) florescreen staining
3) test field of regard
four) prescribe eyedrops - ANS-3) take a look at visual view
A 39-year-antique affected person become diagnosed with acute bronchitis inside the
emergency branch and treated with acetaminophen, dextromethorphan, and metaproterenol
(Alupent). The patient's history well-knownshows a smoking habit of 1 percent in keeping with
day. He now gives in your office with a fever of one hundred and one.2°F (39.4°C) and a cough
effective of thick, yellow-inexperienced, foul-smelling sputum. You could encourage smoking
cessation and prescribe:
, 1) a penicillin antibiotic
2) a macrolide antibiotic.
3) theophylline
4) inhalors - ANS-2) macrolide antibiotic
A forty four-12 months-vintage girl is complaining of frequent tension assaults with chest pain
and fatigue. On bodily exam, her lungs are clean bilaterally. There are a midsystolic click and a
grade II/VI systolic murmur on the apex. Further evaluation would consist of which of the
following?
1) EKG, flat plate of the stomach, lipid profile
2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
four) EEG, Anxiety Scale, and electrolytes - ANS-2) Echocardiogram, Doppler, EKG
A 55-12 months-antique patient famous a established serum calcium degree of thirteen mg/dL
[normal = 8.9-10.2 mg/dL]. The next step in determining the presence of pathology is to order a:
1) BUN and serum creatinine.
2) 24 hour urine
3) parathyroid hormone level.
Four) thyroid panel - ANS-3) parathyroid hormone stage
A 57-12 months-vintage affected person presents for a physical examination. The patient has
been in accurate health, takes no medications, has a circle of relatives records of high blood
pressure and coronary heart disorder, denies alcohol use, and has by no means smoked. The
patient's remaining tetanus booster changed into nine years in the past. Which of the following
vaccines is indicated presently?
1) TD
2) Influenza
three) PNA
four) Hep B - ANS-2) Influenza
A 58-year-old lady presents with shoulder and pelvic girdle pain for the past 6 months. She
reviews recent unintentional weight reduction. On bodily examination, there may be pain on
ROM, with no weak point stated. Laboratory studies show a low hemoglobin and an extended
sedimentation price. Which of the subsequent is the most in all likelihood analysis?
1) Polymyalgia rheumatica
