Barkley Primary Care Practice FLORIDA STATE FIRE
INSTRUCTOR 3 ACTUAL EXAM ALL QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST GUIDELINES |
GRADED A+
Section 1: Health Promotion & Disease Prevention (Questions 1-15)
Question 1
A 55-year-old woman with no chronic conditions asks which screening tests are recommended
for her age. According to the USPSTF, which combination of screenings should the FNP
recommend?
A. Mammogram every 2 years, colonoscopy every 10 years, annual Pap smear
B. Mammogram every 2 years, colonoscopy every 10 years, Pap smear every 3 years or HPV
testing every 5 years
C. Mammogram annually, colonoscopy every 5 years, Pap smear every 5 years
D. Mammogram annually, CT colonography every 5 years, Pap smear every year
Correct Answer: B
Rationale: For average-risk women aged 50-74, USPSTF recommends biennial mammography.
Colorectal cancer screening (colonoscopy every 10 years) is recommended from ages 45-75.
Cervical cancer screening: Pap smear every 3 years (age 21-65) or primary HPV testing every 5
years (age 30-65). Annual Pap is not recommended .
Question 2
A 65-year-old man with a 40-pack-year smoking history asks about lung cancer screening.
According to USPSTF, which of the following criteria must be met for annual low-dose CT
screening?
,A. Age 55-80, current smoker, any smoking history
B. Age 50-80, ≥20 pack-year history, currently smoke or quit within past 15 years
C. Age 60-75, ≥30 pack-year history, quit within 5 years
D. Age 50-70, any smoking history, family history of lung cancer
Correct Answer: B
Rationale: USPSTF recommends annual low-dose CT for adults aged 50-80 with a ≥20 pack-year
history who currently smoke or have quit within the past 15 years. Screening stops if the person
has not smoked for 15 years or develops a health problem limiting life expectancy .
Question 3
The FNP is counseling a 26-year-old sexually active woman about contraceptive options. She has
a history of migraines without aura and is a nonsmoker. Which contraceptive method is safe to
prescribe?
A. Combined oral contraceptive (ethinyl estradiol/norgestimate)
B. Transdermal contraceptive patch
C. Copper intrauterine device (IUD)
D. Vaginal ring
Correct Answer: A
Rationale: Combined hormonal contraceptives are contraindicated in women with migraines
with aura due to increased stroke risk. However, migraines without aura in a woman under 35
who does not smoke are not a contraindication. All listed options are appropriate, but combined
oral contraceptives are safe in this scenario .
Question 4
A 12-year-old child received the first dose of HPV vaccine at age 11. The FNP should
recommend:
A. No further doses are needed
B. A second dose 6-12 months later, completing the series
C. A second dose at age 13 and a third at age 15
D. Restarting the series if more than 1 year has passed
Correct Answer: B
,Rationale: For immunocompetent children who initiate the HPV series before age 15, only two
doses are recommended, with the second dose given 6-12 months after the first. A three-dose
series is recommended for those starting at age 15 or older .
Question 5
A 45-year-old man with no symptoms asks about prostate cancer screening. According to
USPSTF, what is the most appropriate recommendation?
A. PSA screening annually starting at age 50
B. Shared decision-making discussion about risks and benefits
C. PSA screening only if family history of prostate cancer
D. No PSA screening under any circumstances
Correct Answer: B
Rationale: USPSTF recommends shared decision-making for PSA-based screening in men aged
55-69. The decision should be individualized based on patient values and risk factors. Screening
is not recommended for men ≥70.
Question 6
A 55-year-old woman with a history of smoking and hypertension asks about osteoporosis
screening. What is the most appropriate recommendation?
A. DEXA scan at age 65
B. DEXA scan now due to risk factors
C. Vitamin D level only
D. Calcium supplementation without screening
Correct Answer: B
Rationale: USPSTF recommends DEXA screening for all women age 65 and older. Women
younger than 65 with risk factors (smoking, low BMI, family history, chronic steroid use) should
be screened earlier.
Question 7
A 50-year-old woman with a body mass index (BMI) of 32 kg/m² is diagnosed with prediabetes
(A1c 6.0%). What is the most appropriate initial management?
, A. Metformin and lifestyle modification
B. Lifestyle modification alone
C. Insulin therapy
D. GLP-1 receptor agonist
Correct Answer: A
Rationale: For patients with prediabetes, particularly those with BMI ≥35, age <60, or history of
gestational diabetes, metformin is recommended in addition to lifestyle modification. Lifestyle
modification alone may be insufficient.
Question 8
A 28-year-old woman is considering pregnancy. Which medication should be avoided due to
teratogenicity?
A. Folic acid
B. Valproic acid
C. Iron supplements
D. Prenatal vitamins
Correct Answer: B
Rationale: Valproic acid is a known teratogen associated with neural tube defects. It should be
avoided during pregnancy. Women of childbearing potential on valproic acid should use
effective contraception.
Question 9
A 40-year-old woman with a family history of breast cancer inquires about genetic testing.
Which genes are most commonly associated with hereditary breast and ovarian cancer
syndrome?
A. BRCA1 and BRCA2
B. TP53 and PTEN
C. CHEK2 and ATM
D. PALB2 and RAD51C
Correct Answer: A
INSTRUCTOR 3 ACTUAL EXAM ALL QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST GUIDELINES |
GRADED A+
Section 1: Health Promotion & Disease Prevention (Questions 1-15)
Question 1
A 55-year-old woman with no chronic conditions asks which screening tests are recommended
for her age. According to the USPSTF, which combination of screenings should the FNP
recommend?
A. Mammogram every 2 years, colonoscopy every 10 years, annual Pap smear
B. Mammogram every 2 years, colonoscopy every 10 years, Pap smear every 3 years or HPV
testing every 5 years
C. Mammogram annually, colonoscopy every 5 years, Pap smear every 5 years
D. Mammogram annually, CT colonography every 5 years, Pap smear every year
Correct Answer: B
Rationale: For average-risk women aged 50-74, USPSTF recommends biennial mammography.
Colorectal cancer screening (colonoscopy every 10 years) is recommended from ages 45-75.
Cervical cancer screening: Pap smear every 3 years (age 21-65) or primary HPV testing every 5
years (age 30-65). Annual Pap is not recommended .
Question 2
A 65-year-old man with a 40-pack-year smoking history asks about lung cancer screening.
According to USPSTF, which of the following criteria must be met for annual low-dose CT
screening?
,A. Age 55-80, current smoker, any smoking history
B. Age 50-80, ≥20 pack-year history, currently smoke or quit within past 15 years
C. Age 60-75, ≥30 pack-year history, quit within 5 years
D. Age 50-70, any smoking history, family history of lung cancer
Correct Answer: B
Rationale: USPSTF recommends annual low-dose CT for adults aged 50-80 with a ≥20 pack-year
history who currently smoke or have quit within the past 15 years. Screening stops if the person
has not smoked for 15 years or develops a health problem limiting life expectancy .
Question 3
The FNP is counseling a 26-year-old sexually active woman about contraceptive options. She has
a history of migraines without aura and is a nonsmoker. Which contraceptive method is safe to
prescribe?
A. Combined oral contraceptive (ethinyl estradiol/norgestimate)
B. Transdermal contraceptive patch
C. Copper intrauterine device (IUD)
D. Vaginal ring
Correct Answer: A
Rationale: Combined hormonal contraceptives are contraindicated in women with migraines
with aura due to increased stroke risk. However, migraines without aura in a woman under 35
who does not smoke are not a contraindication. All listed options are appropriate, but combined
oral contraceptives are safe in this scenario .
Question 4
A 12-year-old child received the first dose of HPV vaccine at age 11. The FNP should
recommend:
A. No further doses are needed
B. A second dose 6-12 months later, completing the series
C. A second dose at age 13 and a third at age 15
D. Restarting the series if more than 1 year has passed
Correct Answer: B
,Rationale: For immunocompetent children who initiate the HPV series before age 15, only two
doses are recommended, with the second dose given 6-12 months after the first. A three-dose
series is recommended for those starting at age 15 or older .
Question 5
A 45-year-old man with no symptoms asks about prostate cancer screening. According to
USPSTF, what is the most appropriate recommendation?
A. PSA screening annually starting at age 50
B. Shared decision-making discussion about risks and benefits
C. PSA screening only if family history of prostate cancer
D. No PSA screening under any circumstances
Correct Answer: B
Rationale: USPSTF recommends shared decision-making for PSA-based screening in men aged
55-69. The decision should be individualized based on patient values and risk factors. Screening
is not recommended for men ≥70.
Question 6
A 55-year-old woman with a history of smoking and hypertension asks about osteoporosis
screening. What is the most appropriate recommendation?
A. DEXA scan at age 65
B. DEXA scan now due to risk factors
C. Vitamin D level only
D. Calcium supplementation without screening
Correct Answer: B
Rationale: USPSTF recommends DEXA screening for all women age 65 and older. Women
younger than 65 with risk factors (smoking, low BMI, family history, chronic steroid use) should
be screened earlier.
Question 7
A 50-year-old woman with a body mass index (BMI) of 32 kg/m² is diagnosed with prediabetes
(A1c 6.0%). What is the most appropriate initial management?
, A. Metformin and lifestyle modification
B. Lifestyle modification alone
C. Insulin therapy
D. GLP-1 receptor agonist
Correct Answer: A
Rationale: For patients with prediabetes, particularly those with BMI ≥35, age <60, or history of
gestational diabetes, metformin is recommended in addition to lifestyle modification. Lifestyle
modification alone may be insufficient.
Question 8
A 28-year-old woman is considering pregnancy. Which medication should be avoided due to
teratogenicity?
A. Folic acid
B. Valproic acid
C. Iron supplements
D. Prenatal vitamins
Correct Answer: B
Rationale: Valproic acid is a known teratogen associated with neural tube defects. It should be
avoided during pregnancy. Women of childbearing potential on valproic acid should use
effective contraception.
Question 9
A 40-year-old woman with a family history of breast cancer inquires about genetic testing.
Which genes are most commonly associated with hereditary breast and ovarian cancer
syndrome?
A. BRCA1 and BRCA2
B. TP53 and PTEN
C. CHEK2 and ATM
D. PALB2 and RAD51C
Correct Answer: A
