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Your 21 year old sexually active female patient states during a routine
health exam that they have some "weird bumps" on their vulva.She is
concerned she has a sexually transmitted infection. You notify her that
condyloma are caused by exposure to which of the following?
A -Chlamydia
B -Herpes zoster
C -Human papilomavirus type 6 and 1
D -Parvovirus B19 - ✔✔ANSWER ✔✔-C -Human papilomavirus type 6
and 1
Your 22 year old male patient states during his review of systems
thathis scrotum is very enlarged and feels like it is full a powerlifter and
works as a trash collector. You suspect the patient likely has which of
the following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
,D -Hydrocele - ✔✔ANSWER ✔✔-A -Varicocele
The point of maximum impulse (PMI) is MOST often palpable in healthy
adults when positioned in the supine or left lateral decubitus position.
Which one of the following locations is most commonly described as
the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line - ✔✔ANSWER ✔✔-B -
Left 5th intercostal space, midclavicular line
A40 year old, female, African American patient presents for history and
physical. Upon your initial assessment, you notice she has severe
exophthalmos as pictured below. Which one of the following diagnoses
below would be the highest on your differential diagnose of this
physical examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma - ✔✔ANSWER ✔✔-B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by
pulmonology and has underwent a pulmonary function test (PFT) with
spirometry. As the patient's primary healthcare provider, you have
,been asked to explain the findings of the PFT to the patient in afollow-
up visit at which time the patient asks what the study was evaluating.
To describe the PFT to the patient in more useful terms, you state that
the large inspiration of air to the furthest extent they could reasonably
accomplish followed by a full exhalation is referred to as which of the
following measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity - ✔✔ANSWER ✔✔-D -Forced vital capacity
Your 39 year old patient who has recently been hospitalized for an
appendectomy and is being seen in your clinic for post-operative
follow-up with primary care. On assessment, the patient complains of
some incisional pain and otherwise examination is normal, with the
exception of dull percussion sounds noted on the thorax over lung
tissue. Which of the following diagnoses would be explained by this
finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease - ✔✔ANSWER ✔✔-C -
Atelectasis
Your patient has a diagnosis of Addison's disease. Which of the
following might you expect to find during examination?
, A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face - ✔✔ANSWER ✔✔-B -Dowager hump
The nurse practitioner's evaluation of a patient with Diabetes Mellitus
type 2 should include which of the following while evaluating for end
organ dysfunction of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options - ✔✔ANSWER ✔✔-D -All of
these are appropriate options
During your visit with a 19 year old patient for a college health physical,
your health history includes a diagnosis of angioedema. What of the
following parts of the body are were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips - ✔✔ANSWER ✔✔-D -Face and Lips
Which of the following dermatologic lesions is precancerous and likely
due to prolonged exposure to UV-B?