Question 1
1. A 19-year-old man comes to your clinic with a red, irritated right eye for 24-48 hours. He
notes that when he woke up, his eyelids were "stuck together". Physical exam findings:
sclera is injected, vision is normal, and EOM are intact, purulent discharge is noted. What
is the most likely diagnosis?
A. Chemical exposure
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma
CORRECT ANSWER
B. Bacterial Conjunctivitis
Question 2
2. An 18-year-old female presents to the ER with 1-day history of severe sore throat,
malaise, and headache. The patient reports no history of cough or rhinitis. V.S.: T 101F,
P98, R22, BP 124/60. On skin inspection, the NP notices a fine sandpaper rash on the
chest. The throat examination reveals an inflamed uvula, pharynx, and tonsils with gray-
white exudate on the right tonsil. Neck examination reveals tender cervical
lymphadenopathy. The most likely diagnosis is:
A. Hand-foot-and-mouth disease
B. Acute herpetic pharyngitis
C. Group A beta-hemolytic streptococcal infection
D. Acute diphtherial infection
CORRECT ANSWER
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, C. Group A beta-hemolytic streptococcal infection
Question 3
3. The purpose of the health history is to:
A. Gather subjective data about the patient
B. Obtain a genetic history to determine susceptibility to disease
C. Gather past and current objective and subjective data about the patient
D. Obtain a genealogic record of familial diseases
CORRECT ANSWER
A. Gather subjective data about the patient
Question 4
4. A 67-year-old man with a 40 pack-year smoking history complains of shortness of breath
for the past 6 months and swelling in his legs. He often wakes up at night gasping for
breath and feels most comfortable sleeping on 3 pillows. He has no past medical history of
COPD or CHF, but he has diabetes and hypertension. What is the most likely diagnosis?
A. Congestive heart failure
B. Chronic obstructive pulmonary disease
C. Asthma
D. Lung cancer
CORRECT ANSWER
A. Congestive heart failure
Question 5
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,5. A 50-year-old woman comes to your office with a history of 2 episodes of coughing
blood. The quantity is estimated to be 2 to 3 tablespoons of bright blood on each occasion.
She has mild shortness of breath, but she feels comfortable at rest. She has never smoked,
denies weight loss or fever, and has no other medical problems. What would be the next
step in her management?
A. Referral to a pulmonologist for bronchoscopy
B. Return to your clinic in the next several weeks to monitor her symptoms
C. Chest x-ray with an admission to the hospital for additional testing
D. Complete vital signs and physical examination
CORRECT ANSWER
D. Complete vital signs and physical examination
Question 6
6. During the central nervous system exam, the NP evaluates the patient's gait and
determines the patient is unable to perform a heel-walk. The differential diagnosis the NP
is most concerned about is damage to the:
A. Corticospinal tract
B. Spinocerebellar tract
C. Spinothalamic tract
D. Dorsal column-medial lemniscus tract
CORRECT ANSWER
A. Corticospinal tract
Question 7
7. What is the best way to begin asking about the past medical history?
A. Have you had measles, mumps, rubella, chicken pox, scarlet fever, or rheumatic fever?
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, B. Did you get all your shots growing up?
C. Were you hospitalized as a child?
D. How was your health as a child?
CORRECT ANSWER
D. How was your health as a child?
Question 8
8. The NP is conducting an ophthalmoscopic examination. Which statement by the NP to
the preceptor indicates correct understanding regarding ophthalmoscopic examination:
A. I will look for the yellow tint in the patient's pupil to examine the fundus
B. I will look for the orange glow in the patient's pupil to examine the fundus
C. I will look for the light reflex in the patient's pupil to examine the fundus
D. I will look for the pink reflex in the patient's pupil to examine the fundus
CORRECT ANSWER
B. I will look for the orange glow in the patient's pupil to examine the fundus
Question 9
9. You are evaluating a 20-year-old male with 1-day history of left ear pain. On otoscopic
exam, the tympanic membrane appears reddened, bulging, and no observable landmarks.
The most likely diagnosis is:
A. Cholesteatoma
B. Otitis media
C. Otitis externa
D. Cerumen impaction
CORRECT ANSWER
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@THE STUDY VAULT
1. A 19-year-old man comes to your clinic with a red, irritated right eye for 24-48 hours. He
notes that when he woke up, his eyelids were "stuck together". Physical exam findings:
sclera is injected, vision is normal, and EOM are intact, purulent discharge is noted. What
is the most likely diagnosis?
A. Chemical exposure
B. Bacterial Conjunctivitis
C. Erythema nodosa
D. Trauma
CORRECT ANSWER
B. Bacterial Conjunctivitis
Question 2
2. An 18-year-old female presents to the ER with 1-day history of severe sore throat,
malaise, and headache. The patient reports no history of cough or rhinitis. V.S.: T 101F,
P98, R22, BP 124/60. On skin inspection, the NP notices a fine sandpaper rash on the
chest. The throat examination reveals an inflamed uvula, pharynx, and tonsils with gray-
white exudate on the right tonsil. Neck examination reveals tender cervical
lymphadenopathy. The most likely diagnosis is:
A. Hand-foot-and-mouth disease
B. Acute herpetic pharyngitis
C. Group A beta-hemolytic streptococcal infection
D. Acute diphtherial infection
CORRECT ANSWER
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@THE STUDY VAULT
, C. Group A beta-hemolytic streptococcal infection
Question 3
3. The purpose of the health history is to:
A. Gather subjective data about the patient
B. Obtain a genetic history to determine susceptibility to disease
C. Gather past and current objective and subjective data about the patient
D. Obtain a genealogic record of familial diseases
CORRECT ANSWER
A. Gather subjective data about the patient
Question 4
4. A 67-year-old man with a 40 pack-year smoking history complains of shortness of breath
for the past 6 months and swelling in his legs. He often wakes up at night gasping for
breath and feels most comfortable sleeping on 3 pillows. He has no past medical history of
COPD or CHF, but he has diabetes and hypertension. What is the most likely diagnosis?
A. Congestive heart failure
B. Chronic obstructive pulmonary disease
C. Asthma
D. Lung cancer
CORRECT ANSWER
A. Congestive heart failure
Question 5
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,5. A 50-year-old woman comes to your office with a history of 2 episodes of coughing
blood. The quantity is estimated to be 2 to 3 tablespoons of bright blood on each occasion.
She has mild shortness of breath, but she feels comfortable at rest. She has never smoked,
denies weight loss or fever, and has no other medical problems. What would be the next
step in her management?
A. Referral to a pulmonologist for bronchoscopy
B. Return to your clinic in the next several weeks to monitor her symptoms
C. Chest x-ray with an admission to the hospital for additional testing
D. Complete vital signs and physical examination
CORRECT ANSWER
D. Complete vital signs and physical examination
Question 6
6. During the central nervous system exam, the NP evaluates the patient's gait and
determines the patient is unable to perform a heel-walk. The differential diagnosis the NP
is most concerned about is damage to the:
A. Corticospinal tract
B. Spinocerebellar tract
C. Spinothalamic tract
D. Dorsal column-medial lemniscus tract
CORRECT ANSWER
A. Corticospinal tract
Question 7
7. What is the best way to begin asking about the past medical history?
A. Have you had measles, mumps, rubella, chicken pox, scarlet fever, or rheumatic fever?
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@THE STUDY VAULT
, B. Did you get all your shots growing up?
C. Were you hospitalized as a child?
D. How was your health as a child?
CORRECT ANSWER
D. How was your health as a child?
Question 8
8. The NP is conducting an ophthalmoscopic examination. Which statement by the NP to
the preceptor indicates correct understanding regarding ophthalmoscopic examination:
A. I will look for the yellow tint in the patient's pupil to examine the fundus
B. I will look for the orange glow in the patient's pupil to examine the fundus
C. I will look for the light reflex in the patient's pupil to examine the fundus
D. I will look for the pink reflex in the patient's pupil to examine the fundus
CORRECT ANSWER
B. I will look for the orange glow in the patient's pupil to examine the fundus
Question 9
9. You are evaluating a 20-year-old male with 1-day history of left ear pain. On otoscopic
exam, the tympanic membrane appears reddened, bulging, and no observable landmarks.
The most likely diagnosis is:
A. Cholesteatoma
B. Otitis media
C. Otitis externa
D. Cerumen impaction
CORRECT ANSWER
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