FITZGERALD NP PRACTICE TEST FULLY ANSWERED #4
One site for atopic dermatitis usually only noted during infancy is the:
Face
Antecubital fossa
Buttocks
Hands - correct answer
A 75 yo man with symptomatic benign prostatic hyperplasia should not be prescribed:
Enalapril
Amitryptiline
Atenolol
Furosemide - correct answer
A first time father brings in his 1 month old infant for evaluation. He is concerned that
she "throws up all of the time". The child has an appropriate weight gain since the last
office visit at age 1 week and appears well today. The NP knows that the most common
cause of frequent spit-up and vomiting in a young infant is:
GI tract immaturity allowing reflux
Overfeeding
Pyloric stenosis
Allergy or intolerance to a component of infant formula - correct answer
A new patient presents for a check-up. He has no complaints, but admits that he's been
smoking 2 packs a day for 40 years. Spirometric assessment reveals an FEV1/FVC
ratio of 67%. Which additional finding would be consistent with a diagnosis of COPD?
Markedly increased chest AP diameter
Pleuritic chest pain
FEV1/FVC ratio < .70
FEV1 improving by 50% after SABA treatment - correct answer
The process of absorption, distribution, metabolism, and elimination of a drug is known
as:
Pharmacokinetics
Therapeutic transformation
Pharmacodynamics
Drug interactions study - correct answer
A 52 yo female of European ancestry with a BMI=24 is diagnosed with new onset HTN.
She has no significant medical history, no concomitant health problems, and takes no
,medications. Along with therapeutic lifestyle changes, therapy should begin with which
of the following classes of drug?
Aldosterone antagonist
Beta-adrenergic antagonist
Calcium channel blocker
Thiazide diuretic - correct answer
Actinic keratosis can be described as:
Hyperpigmented macules on sun exposed areas
Vesicular lesions along a dermatomal distribution
Ulcerating lesions in groin folds
Slightly rough, pink or flesh colored lesions on the face - correct answer
Which of the following is an absolute contraindication to post-menopausal hormone
therapy?
Unexplained vaginal bleeding
Seizure disorder
Endometriosis
Cigarette smoking - correct answer
Medicare Part B coverage includes:
Healthcare for individuals over age 65 with limited income
Hospitalization for citizens over age 65
Reimbursement for outpatient services
Payment for inpatient medications - correct answer
2 weeks ago, the NP saw a 2 yo in clinic. The child has not had a well-child checkup
since he was 4 months old and received a number of catch up vaccines at the visit.
Today, his mother calls to report he has a flat, pink rash all over his body but appears
otherwise well. The NP suspects that this is a normal reaction to which of the following
vaccines?
Varicella
MMR
Dtap
Influenza - correct answer
A 27 yo woman presents for care. She reports a 3 day history of intense vaginal itch,
burning with urination, and white, clumping discharge. She denies foul odor but says it
does smell a little musty. Which of the following history findings supports your
diagnosis?
,New sexual partner
Swimming in a local lake
Recent antibiotic use
Recent insertion of levonorgesteral-releasing IUD - correct answer
Your neighbor asks you to refill her high blood pressure medication as she could not
make her last office visit to her provider due to a family emergency. You are aware that
she is going through a difficult time personally and agree to call in the prescription. As a
result: - correct answer A healthcare provider-patient relationship has been formed.
The Good Samaritan Act will protect you from liability.
You should charge your neighbor for an office visit in order to maintain a professional
relationship.
You realize this action is acceptable as her medication is not a controlled substance.
One week into sertraline therapy, a 34 yo woman c/o recurrent dull frontal HA that is
relieved with acetaminophen. You advise her that: - correct answer This is a common,
transient SE of SSRI therapy
Diazepam should be substituted
Desipramine should be added
She should discontinue the medication
Actinic keratosis can be a precursor to: - correct answer Malignant melanoma
Acanthosis nigricans
Basal cell carcinoma
Squamous cell carcinoma
Which of the following is most consistent with the diagnosis of depression? - correct
answer Recurrent diarrhea and cramping
Difficulty initiating sleep
Diminished cognitive ability
Consistent early morning wakening
The NP is beginning pharmacologic management of dyslipidemia in a 47 yo male
patient whose labs are as follows:
Total cholesterol 249
HDL=39
TG=279
LDL=165
The appropriate class of agent is: - correct answer Omega 3 fatty acid
Fibric acid derivative
Cholesterol absorption inhibitor
HMG-coa reductase inhibitor
Your patient has been on oral contraceptives for 4 years and is now ready to start a
family. She asks how long she should wait after stopping her pills. You advise her that it
is safe to conceive: - correct answer Immediately
, After 1-2 months
After 3-4 months
After 2 normal menstrual cycles
COC use is not advise (category 4) in which of the following? - correct answer An
otherwise well woman over 35 yo
A 19 yo cigarette smoker
A 32 yo with hepatic adenoma
A 35 yo with well controlled HTN
You see a 14 yo girl at Tanner stage 2-3 with c/o being the shortest in her class. You
advise: - correct answer Referral to the endocrinologist.
That she is likely near her adult height.
That her growth spurt will start soon.
That bone age be determined.
While reviewing the records of a 3 yo patient who is new to your practice, you learn that
she has a Still's murmur. As a result you anticipate which of the following findings? -
correct answer An audible systolic murmur auscultated at the base of the heart.
Height and weight in the bottom 25% of the growth chart.
A hyperdynamic PMI.
Joint laxity and hyperextension.
A 22 yo man presents with new onset pain and swelling in the feet and ankles as well
as conjuncitivitis, oral lesions, and dysuria. The most important test to obtain is: - correct
answer Rheumatoid factor
ESR
Urethral culture
ANA
A distraught female patient presents to you the day after a condom break. She is very
concerned that she might be pregnant and is asking about emergency contraception.
Appropriate counseling about the use of hormonal emergency contraception includes all
of the following except: - correct answer An established pregnancy will not be
interrupted.
There is about a 50% reduction in pregnancy risk with properly timed use.
There is no increased risk of birth defect if pregnancy occurs.
Nausea is a common side effect but is usually transient.
Clinical evaluation management of a 43 you man with BMI=42 who presents with
recurrent genital Candida albicans infection should include all of the following except: -
correct answer Treatment with oral/topical antifungal
Offering testing for HIV
Avoidance of soap on genitals
Screening for DM
One site for atopic dermatitis usually only noted during infancy is the:
Face
Antecubital fossa
Buttocks
Hands - correct answer
A 75 yo man with symptomatic benign prostatic hyperplasia should not be prescribed:
Enalapril
Amitryptiline
Atenolol
Furosemide - correct answer
A first time father brings in his 1 month old infant for evaluation. He is concerned that
she "throws up all of the time". The child has an appropriate weight gain since the last
office visit at age 1 week and appears well today. The NP knows that the most common
cause of frequent spit-up and vomiting in a young infant is:
GI tract immaturity allowing reflux
Overfeeding
Pyloric stenosis
Allergy or intolerance to a component of infant formula - correct answer
A new patient presents for a check-up. He has no complaints, but admits that he's been
smoking 2 packs a day for 40 years. Spirometric assessment reveals an FEV1/FVC
ratio of 67%. Which additional finding would be consistent with a diagnosis of COPD?
Markedly increased chest AP diameter
Pleuritic chest pain
FEV1/FVC ratio < .70
FEV1 improving by 50% after SABA treatment - correct answer
The process of absorption, distribution, metabolism, and elimination of a drug is known
as:
Pharmacokinetics
Therapeutic transformation
Pharmacodynamics
Drug interactions study - correct answer
A 52 yo female of European ancestry with a BMI=24 is diagnosed with new onset HTN.
She has no significant medical history, no concomitant health problems, and takes no
,medications. Along with therapeutic lifestyle changes, therapy should begin with which
of the following classes of drug?
Aldosterone antagonist
Beta-adrenergic antagonist
Calcium channel blocker
Thiazide diuretic - correct answer
Actinic keratosis can be described as:
Hyperpigmented macules on sun exposed areas
Vesicular lesions along a dermatomal distribution
Ulcerating lesions in groin folds
Slightly rough, pink or flesh colored lesions on the face - correct answer
Which of the following is an absolute contraindication to post-menopausal hormone
therapy?
Unexplained vaginal bleeding
Seizure disorder
Endometriosis
Cigarette smoking - correct answer
Medicare Part B coverage includes:
Healthcare for individuals over age 65 with limited income
Hospitalization for citizens over age 65
Reimbursement for outpatient services
Payment for inpatient medications - correct answer
2 weeks ago, the NP saw a 2 yo in clinic. The child has not had a well-child checkup
since he was 4 months old and received a number of catch up vaccines at the visit.
Today, his mother calls to report he has a flat, pink rash all over his body but appears
otherwise well. The NP suspects that this is a normal reaction to which of the following
vaccines?
Varicella
MMR
Dtap
Influenza - correct answer
A 27 yo woman presents for care. She reports a 3 day history of intense vaginal itch,
burning with urination, and white, clumping discharge. She denies foul odor but says it
does smell a little musty. Which of the following history findings supports your
diagnosis?
,New sexual partner
Swimming in a local lake
Recent antibiotic use
Recent insertion of levonorgesteral-releasing IUD - correct answer
Your neighbor asks you to refill her high blood pressure medication as she could not
make her last office visit to her provider due to a family emergency. You are aware that
she is going through a difficult time personally and agree to call in the prescription. As a
result: - correct answer A healthcare provider-patient relationship has been formed.
The Good Samaritan Act will protect you from liability.
You should charge your neighbor for an office visit in order to maintain a professional
relationship.
You realize this action is acceptable as her medication is not a controlled substance.
One week into sertraline therapy, a 34 yo woman c/o recurrent dull frontal HA that is
relieved with acetaminophen. You advise her that: - correct answer This is a common,
transient SE of SSRI therapy
Diazepam should be substituted
Desipramine should be added
She should discontinue the medication
Actinic keratosis can be a precursor to: - correct answer Malignant melanoma
Acanthosis nigricans
Basal cell carcinoma
Squamous cell carcinoma
Which of the following is most consistent with the diagnosis of depression? - correct
answer Recurrent diarrhea and cramping
Difficulty initiating sleep
Diminished cognitive ability
Consistent early morning wakening
The NP is beginning pharmacologic management of dyslipidemia in a 47 yo male
patient whose labs are as follows:
Total cholesterol 249
HDL=39
TG=279
LDL=165
The appropriate class of agent is: - correct answer Omega 3 fatty acid
Fibric acid derivative
Cholesterol absorption inhibitor
HMG-coa reductase inhibitor
Your patient has been on oral contraceptives for 4 years and is now ready to start a
family. She asks how long she should wait after stopping her pills. You advise her that it
is safe to conceive: - correct answer Immediately
, After 1-2 months
After 3-4 months
After 2 normal menstrual cycles
COC use is not advise (category 4) in which of the following? - correct answer An
otherwise well woman over 35 yo
A 19 yo cigarette smoker
A 32 yo with hepatic adenoma
A 35 yo with well controlled HTN
You see a 14 yo girl at Tanner stage 2-3 with c/o being the shortest in her class. You
advise: - correct answer Referral to the endocrinologist.
That she is likely near her adult height.
That her growth spurt will start soon.
That bone age be determined.
While reviewing the records of a 3 yo patient who is new to your practice, you learn that
she has a Still's murmur. As a result you anticipate which of the following findings? -
correct answer An audible systolic murmur auscultated at the base of the heart.
Height and weight in the bottom 25% of the growth chart.
A hyperdynamic PMI.
Joint laxity and hyperextension.
A 22 yo man presents with new onset pain and swelling in the feet and ankles as well
as conjuncitivitis, oral lesions, and dysuria. The most important test to obtain is: - correct
answer Rheumatoid factor
ESR
Urethral culture
ANA
A distraught female patient presents to you the day after a condom break. She is very
concerned that she might be pregnant and is asking about emergency contraception.
Appropriate counseling about the use of hormonal emergency contraception includes all
of the following except: - correct answer An established pregnancy will not be
interrupted.
There is about a 50% reduction in pregnancy risk with properly timed use.
There is no increased risk of birth defect if pregnancy occurs.
Nausea is a common side effect but is usually transient.
Clinical evaluation management of a 43 you man with BMI=42 who presents with
recurrent genital Candida albicans infection should include all of the following except: -
correct answer Treatment with oral/topical antifungal
Offering testing for HIV
Avoidance of soap on genitals
Screening for DM
