ADULT 1 BURRANTO EXAM 1 QUESTIONS | COMPREHENSIVE ADULT HEALTH
STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
A 50-year-old female patient has a blood pressure of 118/72 mm Hg, a negative family history for breast
and ovarian cancer, a normal Pap smear 2 years prior, and a Framingham risk screening within normal
limits. Which should be part of this patient's routine annual well-patient exams? - correct answer
✔✔Breast cancer screening and mammogram
The American Cancer Society recommends yearly mammogram at age 40. Bone mineral density
screening begins at age 50 to 64, based on risk. Cervical cancer screening should be performed every 3
years unless there is increased risk. Lipid screening and cholesterol is performed annually if there is
increased risk according to the Framingham guidelines.
A 55-year-old patient who had influenza in the previous influenza season asks about the flu vaccine.
What will the provider tell the patient? - correct answer ✔✔The trivalent influenza vaccine is indicated
annually
Because the strains of influenza vary from year to year, annual immunization with TIV is indicated for all
persons.
The Flu Mist is used in persons 50 years of age and younger. The Fluzone High-Dose vaccine is used in
patients older than 65 years.
A 60-year-old patient who leads a sedentary lifestyle has expressed an interest in beginning an aerobic
exercise program. What will the provider include when counseling this patient about this program? -
correct answer ✔✔Stretching should be performed prior to activity
The heart rate should be kept between 50% and 80% of the maximum heart rate (220 minus the
patient's age = 160), which is 80 to 128 beats per minute. Patients who are not conditioned should begin
with a 20 minute workout; conditioned individuals may increase up to 60 minutes. The warm up should
be 3 to 5 minutes and longer if it is cold. Stretching is performed after the activity when the muscles are
warm.
A 60-year-old patient with a previous history of shingles asks about the herpes zoster vaccine. What will
the provider recommend? - correct answer ✔✔All patients 50 years and older should have a single dose
of herpes zoster vaccine regardless of previous herpes zoster infection.
A 65-year-old patient who has not had an influenza vaccine is exposed to influenza and comes to the
clinic the following day with fever and watery, red eyes. What will the provider do initially? - correct
answer ✔✔Samples to isolate the virus should be collected within 12 to 36 hours of onset of illness and
this should be performed to confirm the disease --> nasal swab for RT-PCR assay
Administration of the LAIV influenza vaccine will not prevent symptoms in this patient, is not
recommended in persons over 59 years of age, and is contraindicated when also giving antiviral
medications --> since it's a live vaccine
, Antiviral drugs should be started within 48 hours of onset of illness and may be started empirically while
waiting on cultures because this patient is higher risk than younger patients
Because identification of the virus and effectiveness of treatment are time-limited, it is not correct to
watch and wait for symptoms to worsen
An adult patient who had pertussis immunizations as a child is exposed to pertussis and develops a
runny nose, low-grade fever, and upper respiratory illness symptoms without a paroxysmal cough. What
is recommended for this patient? - correct answer ✔✔Adults previously immunized against pertussis
may still get the disease without the classic whooping cough sign seen in children and are contagious
from the beginning of the catarrhal stage of runny nose and common cold symptoms
Azithromycin or other macrolide antibiotics are useful for reducing symptoms and for decreasing
shedding of bacteria to limit spread of the disease
Patients should be isolated for 5 days from the start of treatment Pertussis vaccine booster will not alter
the course of the disease once exposed
Symptomatic care only will not reduce symptoms or decrease disease spread
Allergic rhinitis - correct answer ✔✔Sneezing and itchy, watery eyes tend to occur with allergic rhinitis
Autoimmune vasculitides - correct answer ✔✔Autoimmune vasculitides affects upper and lower
respiratory tracts as well as the kidneys
BMI classifications - correct answer ✔✔- Underweight: < 18.5
- Normal: 18.5 - 24.9
- Overweight: 25 - 29.9
- Obesity Class 1: 30 - 34.9
- Obesity Class 2: 35 - 39.9
- Obesity Class 3: > 40
- Obesity Class 4: 50 to 59.9
- Obesity Class 5: > 60
Bupropion Hydrochloride (Wellbutrin, Zyban) - correct answer ✔✔- Treats smoking addiction
- Prescribed 150 mg PO BID for 7 to 12 weeks
** Contraindications are breastfeeding, seizure, and suicidal ideation
** AEs are tachycardia, insomnia, and weight loss
Chantix (varenicline) - correct answer ✔✔- 1 mg PO BID for 11 weeks
- Can cause nausea
- Take med with a full glass of water
** Other severe complications are cardiac problems and mood behaviors --> monitor for depression and
suicidal ideation
** Nicotine receptor partial agonist and SHOULD NOT be taken with any nicotine replacement therapy --
> exacerbates side effects 12. Chantix (varenicline) MOA
STUDY GUIDE, PRACTICE QUESTIONS & ANSWERS 2026/2027
A 50-year-old female patient has a blood pressure of 118/72 mm Hg, a negative family history for breast
and ovarian cancer, a normal Pap smear 2 years prior, and a Framingham risk screening within normal
limits. Which should be part of this patient's routine annual well-patient exams? - correct answer
✔✔Breast cancer screening and mammogram
The American Cancer Society recommends yearly mammogram at age 40. Bone mineral density
screening begins at age 50 to 64, based on risk. Cervical cancer screening should be performed every 3
years unless there is increased risk. Lipid screening and cholesterol is performed annually if there is
increased risk according to the Framingham guidelines.
A 55-year-old patient who had influenza in the previous influenza season asks about the flu vaccine.
What will the provider tell the patient? - correct answer ✔✔The trivalent influenza vaccine is indicated
annually
Because the strains of influenza vary from year to year, annual immunization with TIV is indicated for all
persons.
The Flu Mist is used in persons 50 years of age and younger. The Fluzone High-Dose vaccine is used in
patients older than 65 years.
A 60-year-old patient who leads a sedentary lifestyle has expressed an interest in beginning an aerobic
exercise program. What will the provider include when counseling this patient about this program? -
correct answer ✔✔Stretching should be performed prior to activity
The heart rate should be kept between 50% and 80% of the maximum heart rate (220 minus the
patient's age = 160), which is 80 to 128 beats per minute. Patients who are not conditioned should begin
with a 20 minute workout; conditioned individuals may increase up to 60 minutes. The warm up should
be 3 to 5 minutes and longer if it is cold. Stretching is performed after the activity when the muscles are
warm.
A 60-year-old patient with a previous history of shingles asks about the herpes zoster vaccine. What will
the provider recommend? - correct answer ✔✔All patients 50 years and older should have a single dose
of herpes zoster vaccine regardless of previous herpes zoster infection.
A 65-year-old patient who has not had an influenza vaccine is exposed to influenza and comes to the
clinic the following day with fever and watery, red eyes. What will the provider do initially? - correct
answer ✔✔Samples to isolate the virus should be collected within 12 to 36 hours of onset of illness and
this should be performed to confirm the disease --> nasal swab for RT-PCR assay
Administration of the LAIV influenza vaccine will not prevent symptoms in this patient, is not
recommended in persons over 59 years of age, and is contraindicated when also giving antiviral
medications --> since it's a live vaccine
, Antiviral drugs should be started within 48 hours of onset of illness and may be started empirically while
waiting on cultures because this patient is higher risk than younger patients
Because identification of the virus and effectiveness of treatment are time-limited, it is not correct to
watch and wait for symptoms to worsen
An adult patient who had pertussis immunizations as a child is exposed to pertussis and develops a
runny nose, low-grade fever, and upper respiratory illness symptoms without a paroxysmal cough. What
is recommended for this patient? - correct answer ✔✔Adults previously immunized against pertussis
may still get the disease without the classic whooping cough sign seen in children and are contagious
from the beginning of the catarrhal stage of runny nose and common cold symptoms
Azithromycin or other macrolide antibiotics are useful for reducing symptoms and for decreasing
shedding of bacteria to limit spread of the disease
Patients should be isolated for 5 days from the start of treatment Pertussis vaccine booster will not alter
the course of the disease once exposed
Symptomatic care only will not reduce symptoms or decrease disease spread
Allergic rhinitis - correct answer ✔✔Sneezing and itchy, watery eyes tend to occur with allergic rhinitis
Autoimmune vasculitides - correct answer ✔✔Autoimmune vasculitides affects upper and lower
respiratory tracts as well as the kidneys
BMI classifications - correct answer ✔✔- Underweight: < 18.5
- Normal: 18.5 - 24.9
- Overweight: 25 - 29.9
- Obesity Class 1: 30 - 34.9
- Obesity Class 2: 35 - 39.9
- Obesity Class 3: > 40
- Obesity Class 4: 50 to 59.9
- Obesity Class 5: > 60
Bupropion Hydrochloride (Wellbutrin, Zyban) - correct answer ✔✔- Treats smoking addiction
- Prescribed 150 mg PO BID for 7 to 12 weeks
** Contraindications are breastfeeding, seizure, and suicidal ideation
** AEs are tachycardia, insomnia, and weight loss
Chantix (varenicline) - correct answer ✔✔- 1 mg PO BID for 11 weeks
- Can cause nausea
- Take med with a full glass of water
** Other severe complications are cardiac problems and mood behaviors --> monitor for depression and
suicidal ideation
** Nicotine receptor partial agonist and SHOULD NOT be taken with any nicotine replacement therapy --
> exacerbates side effects 12. Chantix (varenicline) MOA
