NURS 5432 FAMILY NURSE
PRACTITIONER 1 - COMPREHENSIVE
EXAM (UTA) QUESTIONS AND
ANSWERS
1. A 67-year-old male who has smoked a pack of cigarettes daily for 40 years presents for a
routine check-up. According to the USPSTF, which screening is most appropriate?
A. Annual low-dose CT scan for lung cancer
B. PSA testing regardless of symptoms
C. Colonoscopy every 5 years
D. One-time ultrasound for abdominal aortic aneurysm
Answer: D
Conceptual Explanation: USPSTF recommends a one-time screening for abdominal aortic
aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.
2. When evaluating a patient with suspected bacterial rhinosinusitis, which clinical finding is
the most sensitive indicator for initiating antibiotic therapy?
A. Initial improvement followed by worsening of symptoms (double-sickening)
,B. Symptoms lasting more than 5 days
C. Presence of purulent nasal discharge
D. Isolated frontal headache
Answer: A
Conceptual Explanation: Bacterial sinusitis is suspected when symptoms last >10 days,
involve high fever (>102F), or demonstrate ‘double-sickening’ where symptoms worsen
after initial improvement.
3. A 45-year-old female presents with fatigue and a BMI of 32. Laboratory results show a TSH
of 7.2 mIU/L and a normal Free T4. What is the most appropriate next step?
A. Repeat TSH and Free T4 in 3-6 months
B. Diagnose primary hypothyroidism and start therapy
C. Start Levothyroxine 50mcg daily
D. Perform a thyroid ultrasound immediately
Answer: A
Conceptual Explanation: Subclinical hypothyroidism (elevated TSH, normal T4) should be
monitored and retested in 3-6 months unless the TSH is >10 mIU/L or the patient is
symptomatic/has TPO antibodies.
, 4. Which of the following physical exam maneuvers is most specific for diagnosing an ACL
tear?
A. McMurray test
B. Valgus stress test
C. Posterior drawer test
D. Lachman test
Answer: D
Conceptual Explanation: The Lachman test is considered the most sensitive and specific
physical exam maneuver for assessing the integrity of the Anterior Cruciate Ligament
(ACL).
5. A patient with Type 2 Diabetes has a GFR of 28 mL/min. Which of the following
medications is contraindicated?
A. Pioglitazone
B. Glipizide
C. Metformin
D. Insulin Glargine
Answer: C
Conceptual Explanation: Metformin is contraindicated when the Estimated Glomerular
Filtration Rate (eGFR) falls below 30 mL/min due to the increased risk of lactic acidosis.
PRACTITIONER 1 - COMPREHENSIVE
EXAM (UTA) QUESTIONS AND
ANSWERS
1. A 67-year-old male who has smoked a pack of cigarettes daily for 40 years presents for a
routine check-up. According to the USPSTF, which screening is most appropriate?
A. Annual low-dose CT scan for lung cancer
B. PSA testing regardless of symptoms
C. Colonoscopy every 5 years
D. One-time ultrasound for abdominal aortic aneurysm
Answer: D
Conceptual Explanation: USPSTF recommends a one-time screening for abdominal aortic
aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.
2. When evaluating a patient with suspected bacterial rhinosinusitis, which clinical finding is
the most sensitive indicator for initiating antibiotic therapy?
A. Initial improvement followed by worsening of symptoms (double-sickening)
,B. Symptoms lasting more than 5 days
C. Presence of purulent nasal discharge
D. Isolated frontal headache
Answer: A
Conceptual Explanation: Bacterial sinusitis is suspected when symptoms last >10 days,
involve high fever (>102F), or demonstrate ‘double-sickening’ where symptoms worsen
after initial improvement.
3. A 45-year-old female presents with fatigue and a BMI of 32. Laboratory results show a TSH
of 7.2 mIU/L and a normal Free T4. What is the most appropriate next step?
A. Repeat TSH and Free T4 in 3-6 months
B. Diagnose primary hypothyroidism and start therapy
C. Start Levothyroxine 50mcg daily
D. Perform a thyroid ultrasound immediately
Answer: A
Conceptual Explanation: Subclinical hypothyroidism (elevated TSH, normal T4) should be
monitored and retested in 3-6 months unless the TSH is >10 mIU/L or the patient is
symptomatic/has TPO antibodies.
, 4. Which of the following physical exam maneuvers is most specific for diagnosing an ACL
tear?
A. McMurray test
B. Valgus stress test
C. Posterior drawer test
D. Lachman test
Answer: D
Conceptual Explanation: The Lachman test is considered the most sensitive and specific
physical exam maneuver for assessing the integrity of the Anterior Cruciate Ligament
(ACL).
5. A patient with Type 2 Diabetes has a GFR of 28 mL/min. Which of the following
medications is contraindicated?
A. Pioglitazone
B. Glipizide
C. Metformin
D. Insulin Glargine
Answer: C
Conceptual Explanation: Metformin is contraindicated when the Estimated Glomerular
Filtration Rate (eGFR) falls below 30 mL/min due to the increased risk of lactic acidosis.
