Leik Fnp Practice Questions 2025/2026 Testbank
6 Versions With Questions With Verified
Answers Graded A+ Assured Sucess
• 1. A 58-year-old male with a history of hypertension presents with a
"ripping" pain in his chest that radiates to his back. His blood pressure is
190/100 in the right arm and 160/90 in the left arm. What is the most
likely diagnosis?
o A. Myocardial infarction
o B. Pulmonary embolism
o C. Aortic dissection
o D. Pericarditis
o Correct Answer: C. Aortic dissection
o Rationale: A tearing or ripping chest pain radiating to the back,
along with a significant difference in blood pressure between arms, is
a classic presentation for an aortic dissection. This is a medical
emergency.
• 2. Which of the following is the most common cause of acute pancreatitis
in the United States?
o A. Alcohol abuse
o B. Gallstones
o C. Hypertriglyceridemia
o D. Trauma
o Correct Answer: B. Gallstones
, o Rationale: Gallstones and alcohol abuse are the two leading
causes of acute pancreatitis. In the United States, gallstones are the
most common etiology, accounting for 35-40% of cases.
• 3. An 8-year-old child presents with a "barking" cough, hoarseness, and
inspiratory stridor. Symptoms worsen at night. What is the most likely
diagnosis?
o A. Epiglottitis
o B. Croup (Laryngotracheobronchitis)
o C. Bronchiolitis
o D. Asthma
o Correct Answer: B. Croup (Laryngotracheobronchitis)
o Rationale: Croup is a viral infection that causes swelling of the
larynx and trachea, leading to the characteristic "barking" cough,
hoarseness, and inspiratory stridor. It commonly affects children aged
6 months to 3 years.
• 4. A 24-year-old female presents with a malar "butterfly" rash,
photosensitivity, and joint pain. Which lab test is most specific for
diagnosing Systemic Lupus Erythematosus (SLE)?
o A. Antinuclear antibody (ANA)
o B. Anti-double-stranded DNA (anti-dsDNA)
o C. Erythrocyte sedimentation rate (ESR)
o D. C-reactive protein (CRP)
o Correct Answer: B. Anti-double-stranded DNA (anti-dsDNA)
o Rationale: While ANA is a sensitive screening test for SLE, anti-
dsDNA is highly specific for the disease and its levels often correlate
with disease activity, particularly lupus nephritis.
,• 5. According to the CDC, what is the recommended schedule for a Tdap
vaccination in a pregnant woman?
o A. One dose in the first trimester
o B. One dose in the second trimester
o C. One dose in the third trimester of every pregnancy
o D. One dose postpartum if not previously vaccinated
o Correct Answer: C. One dose in the third trimester of every
pregnancy
o Rationale: The CDC recommends administering one dose of Tdap
during the third trimester of every pregnancy (preferably between 27
and 36 weeks) to maximize the passive transfer of antibodies to the
newborn.
• 6. A 65-year-old male presents with nocturia, hesitancy, and a weak
urinary stream. On digital rectal exam, the prostate is enlarged, smooth,
and non-tender. What is the most likely diagnosis?
o A. Prostate cancer
o B. Prostatitis
o C. Benign prostatic hyperplasia (BPH)
o D. Urinary tract infection (UTI)
o Correct Answer: C. Benign prostatic hyperplasia (BPH)
o Rationale: The symptoms described are classic for BPH, a non-
cancerous enlargement of the prostate. A smooth, non-tender,
enlarged prostate on DRE is characteristic. Prostate cancer often
presents with a hard, nodular prostate.
• 7. Which of the following is a non-modifiable risk factor for coronary
artery disease?
, o A. Smoking
o B. Family history
o C. Hypertension
o D. Diabetes mellitus
o Correct Answer: B. Family history
o Rationale: Family history, age, and gender are non-modifiable risk
factors. Smoking, hypertension, and diabetes are modifiable risk
factors that can be addressed through lifestyle changes and
medication.
• 8. A 3-year-old child is brought to the clinic with a fever and a rash that
started on the face and spread downwards. The rash consists of small, red
spots with a "sandpaper" texture. What is the most likely diagnosis?
o A. Measles
o B. Rubella
o C. Scarlet fever
o D. Roseola
o Correct Answer: C. Scarlet fever
o Rationale: Scarlet fever is caused by Group A Streptococcus and
presents with a fever, sore throat, and a characteristic "sandpaper-
like" rash. It often starts on the neck and face and spreads to the
trunk and extremities.
• 9. What is the first-line treatment for a patient diagnosed with Type 2
Diabetes Mellitus?
o A. Insulin
o B. Sulfonylurea
6 Versions With Questions With Verified
Answers Graded A+ Assured Sucess
• 1. A 58-year-old male with a history of hypertension presents with a
"ripping" pain in his chest that radiates to his back. His blood pressure is
190/100 in the right arm and 160/90 in the left arm. What is the most
likely diagnosis?
o A. Myocardial infarction
o B. Pulmonary embolism
o C. Aortic dissection
o D. Pericarditis
o Correct Answer: C. Aortic dissection
o Rationale: A tearing or ripping chest pain radiating to the back,
along with a significant difference in blood pressure between arms, is
a classic presentation for an aortic dissection. This is a medical
emergency.
• 2. Which of the following is the most common cause of acute pancreatitis
in the United States?
o A. Alcohol abuse
o B. Gallstones
o C. Hypertriglyceridemia
o D. Trauma
o Correct Answer: B. Gallstones
, o Rationale: Gallstones and alcohol abuse are the two leading
causes of acute pancreatitis. In the United States, gallstones are the
most common etiology, accounting for 35-40% of cases.
• 3. An 8-year-old child presents with a "barking" cough, hoarseness, and
inspiratory stridor. Symptoms worsen at night. What is the most likely
diagnosis?
o A. Epiglottitis
o B. Croup (Laryngotracheobronchitis)
o C. Bronchiolitis
o D. Asthma
o Correct Answer: B. Croup (Laryngotracheobronchitis)
o Rationale: Croup is a viral infection that causes swelling of the
larynx and trachea, leading to the characteristic "barking" cough,
hoarseness, and inspiratory stridor. It commonly affects children aged
6 months to 3 years.
• 4. A 24-year-old female presents with a malar "butterfly" rash,
photosensitivity, and joint pain. Which lab test is most specific for
diagnosing Systemic Lupus Erythematosus (SLE)?
o A. Antinuclear antibody (ANA)
o B. Anti-double-stranded DNA (anti-dsDNA)
o C. Erythrocyte sedimentation rate (ESR)
o D. C-reactive protein (CRP)
o Correct Answer: B. Anti-double-stranded DNA (anti-dsDNA)
o Rationale: While ANA is a sensitive screening test for SLE, anti-
dsDNA is highly specific for the disease and its levels often correlate
with disease activity, particularly lupus nephritis.
,• 5. According to the CDC, what is the recommended schedule for a Tdap
vaccination in a pregnant woman?
o A. One dose in the first trimester
o B. One dose in the second trimester
o C. One dose in the third trimester of every pregnancy
o D. One dose postpartum if not previously vaccinated
o Correct Answer: C. One dose in the third trimester of every
pregnancy
o Rationale: The CDC recommends administering one dose of Tdap
during the third trimester of every pregnancy (preferably between 27
and 36 weeks) to maximize the passive transfer of antibodies to the
newborn.
• 6. A 65-year-old male presents with nocturia, hesitancy, and a weak
urinary stream. On digital rectal exam, the prostate is enlarged, smooth,
and non-tender. What is the most likely diagnosis?
o A. Prostate cancer
o B. Prostatitis
o C. Benign prostatic hyperplasia (BPH)
o D. Urinary tract infection (UTI)
o Correct Answer: C. Benign prostatic hyperplasia (BPH)
o Rationale: The symptoms described are classic for BPH, a non-
cancerous enlargement of the prostate. A smooth, non-tender,
enlarged prostate on DRE is characteristic. Prostate cancer often
presents with a hard, nodular prostate.
• 7. Which of the following is a non-modifiable risk factor for coronary
artery disease?
, o A. Smoking
o B. Family history
o C. Hypertension
o D. Diabetes mellitus
o Correct Answer: B. Family history
o Rationale: Family history, age, and gender are non-modifiable risk
factors. Smoking, hypertension, and diabetes are modifiable risk
factors that can be addressed through lifestyle changes and
medication.
• 8. A 3-year-old child is brought to the clinic with a fever and a rash that
started on the face and spread downwards. The rash consists of small, red
spots with a "sandpaper" texture. What is the most likely diagnosis?
o A. Measles
o B. Rubella
o C. Scarlet fever
o D. Roseola
o Correct Answer: C. Scarlet fever
o Rationale: Scarlet fever is caused by Group A Streptococcus and
presents with a fever, sore throat, and a characteristic "sandpaper-
like" rash. It often starts on the neck and face and spreads to the
trunk and extremities.
• 9. What is the first-line treatment for a patient diagnosed with Type 2
Diabetes Mellitus?
o A. Insulin
o B. Sulfonylurea
