NRNP 6568 TEST QUESTIONS & ANSWERS ALL 100% CORRECT | combined Exam Package Deal

NRNP 6568 TEST QUESTIONS_ANSWERS ALL 100% CORRECT | combined Exam Package Deal NRNP 6568 TEST QUESTIONS_ANSWERS ALL 100% CORRECT | combined Exam Package Deal • Question 1 Release of information (ROI) to third parties requires authorization by the patient or his or her legal representative. True or False? Selected Answer: True Answers: True Fals e When giving patients written information, what is the suggested reading level for that health information? Selected Answer: 5th grade Answers: 10th gra de 7th grad e 1st grad e 5th grade An NP must have a DNP to prescribe controlled substances. True or False? Selected Answer: Fals e Answers: True Fals e DNP stands for Doctor of Nursing Profession Selected Answer: Fals e Answers: True Fals e A well-accepted change theory is the transtheoretical model (TTM), which conceptualizes the process of change in five stages. Pick the answer that lists the five stages in the correct order. Selected Answer: Precontemplation; contemplation; preparation; action; maintenance Answers: Preparation; precontemplation; contemplation; action; maintenance Precontemplation; contemplation; preparation; action; maintenance Action; maintenance; precontemplation; contemplation; preparation Preparation; contemplation; action; maintenance; precontemplation Different states have different titles for NPs. All of the following are recognized titles for Nurse Practitioners EXCEPT: How is the NP titled in your state? Also list the titles for NPs in two neighboring states. Selected Answer: Registered Nurse Practitioner Provider Answers: Advanced Practice Registered Nurse Advanced Registered Nurse Practitioner Certified Nurse Practitioner Registered Nurse Practitioner Provider A 55 year old male was admitted to hospital. The patient's mother wants to know what is happening with her son’s health. The provider begins to share medical information with mom. There is no signed HIPPA waiver in patients chart. This is not a HIPPA violation considering this is the patient’s mother, Selected Answer: Fals e Answers: True Fals e There are several titles for NPs, and some are based on the state requirement. What does ARNP stand for? Selected Answer: Advanced Registered Nurse Practitioner Answers: Adult Registered Nurse Practitioner Advanced Registered Nurse Practitioner Acute Registered Nurse Practitioner Advanced Registered Nurse Provider If an NP is at a social gathering and someone casually asks his/her medical opinion, that NP could be liable if something goes wrong. True or false? Selected Answer: True Answers: True Fals e Telemedicine is defined as Selected Answer: When care is provided remotely and the provider and patient are not physically present with each other Answers: When care is provided remotely and the provider and patient are not physically present with each other When care is provided remotely and the provider and patient are physically present with each other Remote care that is challenging and only used for psychiatric patients Remote care provided to patients by providers and does not require HIPPA compliant video conferencing What is it called when an NP bills for a higher level of visit than actually was conducted? Selected Answer: Upcoding Answers: Billing Productivit y Upcoding Down coding The review of systems (ROS) is documented in the Physical Exam section of the visit. Selected Answer: Fals e Answers: True Fals e An occurrence policy covers any incident that occurred while the NP was insured. A claims made policy covers an NP only when the insurance policy is active, no matter when the incident occurred. Selected Answer: True Answers: True Fals e If an NP is sued, it is important that the NP not call the insurance company immediately so as to prevent the rates from increasing. True or false? Selected Answer: Fals e Answers: True Fals e Standard of care is the use of unreasonable, extraordinary care, skill, and diligence as an NP in the type of patient practice in similar cases. Selected Answer: Fals e Answers: True Fals e A provider may be terribly negligent, but if there is no injury, there is no malpractice. True or False? Selected Answer: True Answers: True Fals e If a patient is dismissed from a practice, it is important that certain rules are followed. A patient should be sent a dismissal letter by First Class mail with return receipt requested. What elements need to be included in the letter? Selected Answer: The last day the practitioner will be available to render medical care, which should be at least 30 days; indication that med refills will be provided during this period; alternative sources of medical care; how to obtain medical records Answers: The last day the practitioner will be available to render medical care, which should be at least 30 days; indication that med refills will be provided during this period; alternative sources of medical care; how to obtain medical records The last day the practitioner will be available to render medical care, which can be immediately; referral information to another provider, and how to obtain medical records Notice of immediate discharge from the practitioners care, prescriptions for 30 days of their medications, and how to obtain medical records The last day the practitioner will be available to render medical care, which should be at least 60 days; indication that med refills will not be provided during this period; referral to new provider; how to obtain medical records There are (fill in a number) levels of evaluation/management visits. Selected Answer: four Answers: thre e four five six If an NP receives a letter from the Board of Nursing with concerns about a license issue, what should the NP do immediately? Selected Answer: Respond to the complaint to the Board of Nursing. Consider contacting a lawyer Answers: Contact his or her malpractice insurance carrier and a lawyer Notify his or her employer Respond to the complaint to the Board of Nursing. Consider contacting a lawyer Disregard the letter and wait for the formal complaint AMA stands for against medical advice. Selected Answer: True Answers: True Fals e • Question 1 1 out of 1 points A 25 patient comes into clinic with white, cottage-cheese like lesions that are easily removed with a swab. The NP recognizes this to be: Selected Answer: Oral thrush Answers: Oral gonorrhea Oral chlamydia • Question 2 Oral thrush Fungal infection 1 out of 1 points Match the definitions using the following three terms: hyposmia; anosmia, parosmia. o Question Correct Match Selected Match Olfactory dysfunction (loss of smell) A. anosmia A. anosmia Smell distortion B. parosmia B. parosmia Diminished sense of smell: C. hyposmia C. hyposmia o All Answer Choices A. anosmia B. parosmia C. hyposmia o • Question 3 1 out of 1 points How does an NP distinguish viral conjunctivitis from bacterial conjunctivitis? Viral conjunctivitis is: Selected Answer: watery discharge, unilateral, older children and adenopathy Answers: mucopurulent discharge, bilateral, and usually seen in preschoolers usually seen in adults, mucopurulent discharge, and unilateral, no adenopathy • Question 4 watery discharge, unilateral, older children and adenopathy watery discharge, adults, unilateral, no adenopathy 1 out of 1 points The NP recognizes common symptoms for allergic rhinitis include: Selected Answer: Runny nose and itchy eyes Answers: Bloody nasal discharge • Question 5 Runny nose and itchy eyes Purulent nasal discharge Cough and fever 1 out of 1 points What is the most important way to control allergic rhinitis? Selected Answer: environmental control Answers: Nasal saline • Question 6 environmental control Benadryl Antihistamines 1 out of 1 points A 15 year old child with sore throat comes to clinic and rapid strep is positive for strep. The NP will more than likely treat patient with: Selected Answer: All of the above Answers: PCN V 500 mg bid x10 days Salt water gargles Throat lozenges • Question 7 All of the above 1 out of 1 points What differentiates chronic rhinosinusitis from allergic rhinitis. Selected Answer: Allergic rhinitis has an acute onset Answers: Allergic rhinitis has persistent nasal blockage Chronic rhinosinusitis is characterized by sneezing and watery eyes • Question 8 Allergic rhinitis has an acute onset Chronic rhinosinusitis typically has a positive family history of similar problems. 1 out of 1 points What is the recommended first-line antibiotic and dosage for children with acute otitis media? Selected Answer: amoxicillin 80-90 mg/kg/day Answers: • Question 9 amoxicillin 80-90 mg/kg/day Ceftin 90 mg/kg/day Penicillin VK 10 mg/kg/day azithromycin 50 mg/kg/day 1 out of 1 points What is normal intraocular pressure? Selected Answer: 10—20 mm hg Answers: 5-8 mm hg 2-4 mm hg 10—20 mm hg 50 mm hg or greater The NP will use what to diagnose a corneal abrasion? Selected Answer: all of the above Answers: fluorescein staining under a cobalt blue light wood lamp all of the above • Question 1 Which of the following can reduce breast cancer risk? Selected Answer: All of the above Answers: Healthy diet Limiting ETOH intake Stop smoking Maintain normal body weight 1 out of 1 points • Question 2 All of the above A, B, & C only 1 out of 1 points Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. His likely diagnosis is: Selected Answer: Atypical pneumonia (Walking pneumonia) Answers: Bronchitis • Question 3 Atypical pneumonia (Walking pneumonia) Allergic rhinitis Community acquired bacterial pneumonia 1 out of 1 points Which of the following insulins is a “rapid acting” insulin? Selected Answer: Humalog Answers: Lantus Humulin N Humulin R • Question 4 Humalog 1 out of 1 points Diabetes mellitus causes both microvascular and macrovascular damage. All of the following are indications of microvascular damage except: Selected Answer: Atherosclerosis Answers: Retinopathy Nephropathy Neuropathy • Question 5 Atherosclerosis 1 out of 1 points Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticed that my ankles and feet are swollen and I have been putting on weight.” The most likely diagnosis for this patient is: Selected Answer: Congestive heart failure (CHF) Answers: Acute myocardial infarction (AMI) Infective endocarditis • Question 6 Congestive heart failure (CHF) Dissecting abdominal aortic aneurysm (AAA) 1 out of 1 points Mickey is a 23 y/o male who comes to the clinic with the following complaints: abdominal pain, chest pain, and seizures. In reviewing his record, the NP notices that this is his 20th visit this year. Furthermore, he has had six exploratory surgeries that have discovered nothing of consequence. His most likely diagnosis is: Selected Answer: Munchausen syndrome Answers: • Question 7 Munchausen syndrome Schizophrenia Posttraumatic syndrome Anorexia nervosa 1 out of 1 points Bupropion (Wellbutrin) is contraindicated in patients with anorexia/bulimia because of the potential for increasing the seizure threshold. Selected Answer: True Answers: True Fals e • Question 8 1 out of 1 points Martin is a 41 y/o male who comes to the clinic with the following symptoms: fever, chills, and malaise. On physical exam, the NP notes that he has a new murmur that was not present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Based on these finding alone the NP arrives at the following presumed diagnosis: Selected Answer: Infective endocarditis Answers: Congestive heart failure • Question 9 Infective endocarditis Dissecting abdominal aortic aneurysm (AAA) None of the above 0 out of 1 points Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Given Martin’s condition, the first line treatment would be all the following except: Selected Answer: Metaproterenol Answers: Albuterol Salmeterol Levalbuterol Metaproterenol • Question 10 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. The most likely cause is: Selected Answer: Irritable bowel syndrome Answers: Irritable bowel syndrome Peptic ulcer disease GERD Pancreatitis • Question 11 1 out of 1 points Oral contraceptives can be started anytime in the menstrual cycle. Selected Answer: True Answers: True Fals e • Question 12 0 out of 1 points Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticed that my ankles and feet are swollen and I have been putting on weight.” Treatment for Jay’s diagnosis could include which of the following? Selected Answer: A & C only Answers: Diuretics Calcium channel blockers Beta blockers All of the above A & C only • Question 13 1 out of 1 points Which of the following glands is responsible for calcium balance in the body? Selected Answer: Parathyroid glands Answers: Posterior pituitary Parathyroid glands Thyroid gland Pineal gland • Question 14 Melanoma is the most common type of skin cancer. Selected Answer: Fals 1 out of 1 points e Answers: True Fals e • Question 15 All diastolic murmurs are abnormal. Selected Answer: True Answers: 1 out of 1 points True Fals e • Question 16 St. John’s Wart has all the following potential uses except: Selected Answer: HIV/AIDS Answers: Depression Menopausal symptoms Wound healing HIV/AIDS • Question 17 1 out of 1 points 1 out of 1 points Angela is a 15 y/o who has a distorted perception of her body shape and size. She is currently down to 96 lbs. with a BMI of 17. Your physical exam and history note that she has lanugo, has not had a menses in 4 months, and has a daily history of vomiting and taking laxatives. The most likely diagnosis is: Selected Answer: Anorexia nervosa Answers: Schizophrenia Posttraumatic stress disorder (PTSD) Anorexia nervosa Munchausen syndrome • Question 18 1 out of 1 points Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides. Selected Answer: True Answers: True Fals e • Question 19 1 out of 1 points John is a 26 y/o Caucasian male who works as a landscaper for his father’s business. During the past couple of months, he has noticed a small dark popular lesion on his neck. He states that it sometimes bleeds and is a “sore that never heals.” The NP notes that he has a circumscribed 2mm lesion at the base of his neck just below the hairline. The most appropriate treatment for John’s lesion would be: Selected Answer: Mohs surgery Answers: Apply Aldara Cream Electrocautery Mohs surgery “Watch and wait” • Question 20 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. Knowing that her cervix is not dilated, the most appropriate treatment would be: Selected Answer: Strict bedrest Answers: An emergency room visit Strict bedrest Hospitalization All of the above • Question 21 1 out of 1 points An S3 heart sound can be a normal finding in all the following except: Selected Answer: 40 year old female Answers: Well trained athletes Pregnant women Children 40 year old female • Question 22 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. If Sara started having uterine cramping, then the most appropriate immediate treatment would be: Selected Answer: Intravenous magnesium Answers: Vaginal exam Ultrasound of the uterus C-section Intravenous magnesium • Question 23 1 out of 1 points Rescue drugs for patients with respiratory problems such as asthma or COPD would include both SABAs and LABAs. Selected Answer: Fals e Answers: True Fals e • Question 24 1 out of 1 points Bonnie is a 76 y/o female patient who resides in a nursing home. She is currently on a 10-day course of Clindamycin for a recurrent bacterial vaginal infection. She has started having 10–15 watery stools per day. The best way to treat Bonnie’s diarrhea is: Selected Answer: Discontinue her Clindamycin Answers: Put her on an antidiarrheal medication Replace lost fluids with an IV Discontinue her Clindamycin Give her an antacid • Question 25 0 out of 1 points Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. All of the following could be risk factors for Artie except: Selected Answer: A & B only Answers: Family history of identical condition Low fluid intake Gout Arthritis A & B only • Question 26 Antipsychotics lead to an increased risk of metabolic syndrome. Selected Answer: True 1 out of 1 points Answers: True Fals e • Question 27 1 out of 1 points Martin is a 17 y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. In the physical exam, the NP performs some abdominal maneuvers. What would be the most appropriate maneuvers for Martin’s symptomatology? Selected Answer: A & B only Answers: Psoas sign Obturator sign Rovsing’s sign Murphy’s sign A & B only • Question 28 1 out of 1 points Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatment for Randy’s diagnosis would be: Selected Answer: Metformin Answers: Insulin Actos Metformin Glucotrol • Question 29 1 out of 1 points Carlos is a 64 y/o male who has previously been diagnosed as a Category A COPD patient based on Gold guidelines (2017). Treatment for Carlos would include which of the following? Selected Answer: Short-acting beta agonist (SABA) Answers: Long-acting beta agonist (LABA) Short-acting beta agonist (SABA) Long-acting muscarinic agent (LAMA) Referral to a pulmonologist The most common side effects of giving SSRIs to depressed patients include: Selected Answer: All of the above Answers: Diarrhea Nausea and vomiting Sexual dysfunction • Question 1 All of the above 1 out of 1 points The NP has prescribed a beta blocker for 40 year old black male. The NP knows Selected Answer: The medication must be weaned off slowly Answers: Beta-blockers are medications that do not need to be weaned There is no concern with rebound hypertension. • Question 2 The medication must be weaned off slowly The patient can discontinue at any time he decides with no problems 1 out of 1 points COPD beings earlier in life while asthma symptoms don't usually appear until midlife Selected Answer: Fals e Answers: True Fals e • Question 3 1 out of 1 points Most patients with mitral valve prolapse are asymptomatic and require no intervention other than periodic clinical examinations and echocardiographic follow up evaluation every 3–5 years Selected Answer: True Answers: True Fals e • Question 4 1 out of 1 points A PPD skin test result that is a bright-red color and is not indurated is a positive result. Selected Answer: Fals e Answers: True Fals e • Question 5 Common causes of hemoptysis are: Selected Answer: All of the above Answers: acute bronchitis chronic bronchitis lung cancer 1 out of 1 points • Question 6 All of the above 1 out of 1 points Lobar consolidation is more common in pneumonia and bilateral diffuse. Infiltrates are seen more commonly in pneumonia. Selected Answer: typical; atypical Answers: • Question 7 typical; atypical atypical; typical fungal; viral viral; fungal 1 out of 1 points How would you interpret this EKG? Selected Answer: Ventricular tachycardia Answers: STEMI Third degree heart block Atrial fibrillation • Question 8 Ventricular tachycardia 1 out of 1 points Treatment of an abdominal aortic aneurysm is recommended when it has grown to greater than in diameter. Selected Answer: 5. 5 Answers: 4. 0 5. 0 5. 5 6. 5 • Question 9 1 out of 1 points Topics that the NP should discuss with a newly diagnosed hypertensive patient include dietary instructions, exercise recommendations, risk factor modification, and medication information. Selected Answer: True Answers: True Fals e An older patient complains of dyspnea, dry cough, fatigue, and swollen feet and ankles. These are symptoms of Selected Answer: Congestive Heart Failure Answers: Hypertension • Question 1 Congestive Heart Failure Myocardial infarction Acute renal failure 1 out of 1 points One of the most common side effects of SSRIs is: Selected Answer: Erectile dysfunction Answers: Nausea Ataxia • Question 2 Erectile dysfunction Seizures 1 out of 1 points Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. The most likely diagnosis is: Selected Answer: Acute pyelonephritis Answers: • Question 3 Acute pyelonephritis Nephrolithiasis Simple UTI None of the above 1 out of 1 points Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatment for Randy’s diagnosis would be: Selected Answer: Metformin Answers: Insulin Actos • Question 4 Metformin Glucotrol 1 out of 1 points Pneumococcal vaccine is recommended for which of the following groups of patients? Selected Answer: All of the above Answers: Persons > 65 y/o Impaired immunity Blood disorders Heart and lung disease • Question 5 All of the above A, B & D only 0 out of 1 points Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Your diagnosis is: Selected Answer: Emphysema Answers: Chronic bronchitis Emphysema • Question 6 COPD 1 out of 1 points Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. His most likely diagnosis is: Selected Answer: Nephrolithiasis (kidney stone) Answers: Acute pyelonephritis • Question 7 Nephrolithiasis (kidney stone) Bladder cancer None of the above 1 out of 1 points Which of the following insulins is a “rapid acting” insulin? Selected Answer: Humalog Answers: Lantus Humulin N Humulin R • Question 8 Humalog 1 out of 1 points Drew is a 13 y/o male who presents to the clinic with testicular pain, nausea, vomiting, scrotal edema, and redness. You perform a urine analysis, which is negative. What is your most likely treatment plan? Selected Answer: Send him to the ER. This is a surgical emergency. Answers: Use cold compresses on the groin area Start on antibiotics Give him acetaminophen and have him back in 24 hours • Question 9 Send him to the ER. This is a surgical emergency. 1 out of 1 points John is 17 y/o and decides to marry his high school sweetheart. Under what condition(s) would he be declared an “emancipated minor?” Selected Answer: B & C only Answers: Moving out of parents’ house Joining the Navy Legally married B & C only • Question 10 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. The most likely cause is: Selected Answer: Irritable bowel syndrome Answers: Irritable bowel syndrome Peptic ulcer disease GERD Pancreatitis • Question 11 1 out of 1 points At 12 weeks in a pregnancy the fundal height of the uterus should be: Selected Answer: Above the symphysis pubis Answers: Above the symphysis pubis Between symphysis pubis and umbilicus At level of umbilicus Below the umbilicus • Question 12 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. The most likely diagnosis for this condition is: Selected Answer: Placenta previa Answers: Placental abruption Severe preeclampsia Placenta previa None of the above • Question 13 1 out of 1 points Maria is a 26 y/o female in her third trimester of pregnancy. She has a sudden onset of vaginal bleeding and has a hypertonic uterus. She has a history of hypertension secondary to previous cocaine use. Her most likely diagnosis would be: Selected Answer: Placental abruption Answers: Placental abruption Placenta previa Severe preeclampsia Uterine rupture • Question 14 Which vaccine is required at birth of a newborn? Selected Answer: Hepatitis B Answers: Hepatitis A Hepatitis B DTAP Tdap • Question 15 1 out of 1 points 1 out of 1 points Mary is going through puberty at 13 y/o and notices that her areola/nipples separate and form a secondary mound. This is what state in Tanner? Selected Answer: Stage 4 Answers: Stage 2 Stage 3 Stage 4 Stage 5 • Question 16 Bacterial vaginosis has all the following signs/symptoms except: Selected Answer: Greenish discharge Answers: Fish-like odor 1 out of 1 points Milk-like discharge Non-itchy vulva Greenish discharge • Question 17 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. Treatment of Agnes’s condition would include which of the following: Selected Answer: All of the above Answers: Increased dietary fiber Avoid gas-producing foods Decrease stress in her life All of the above A & B only • Question 18 1 out of 1 points Zollinger-Ellison syndrome causes high levels of acid production in the stomach. Selected Answer: True Answers: True Fals e • Question 19 Hyperprolactinemia can be a sign of pituitary adenoma. Selected Answer: True Answers: 1 out of 1 points True Fals e • Question 20 0 out of 1 points A pregnant women who has gestational diabetes mellitus (GDM) in the second trimester has which type of diabetes? Selected Answer: Neith er Answers: Type I Type 2 Neith er • Question 21 1 out of 1 points Sal is a 56 y/o male who the NP has seen on many occasions in the clinic. During her physical exam of the heart, the NP notices that he has a new mitral regurgitation murmur that is described as a Grade II. She notes that his murmur is associated with which part of the cardiac cycle? Selected Answer: Systoli c Answers: Diastol ic Systoli c A & B • Question 22 1 out of 1 points Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. His most likely diagnosis is: Selected Answer: DM type 2 Answers: DM type 1 DM type 2 None of the above • Question 23 1 out of 1 points The diagnosis of a subclinical hypothyroidism would be identified by which lab test results? Selected Answer: Increased TSH and normal free T4 Answers: Increased TSH and normal free T4 Decreased TSH and normal free T4 Increased TSH and increased free T4 Decreased TSH and decreased free T4 • Question 24 1 out of 1 points Once cervical cancer screening is initiated in women, the screening interval should be: Selected Answer: Every 3 years Answers: Every 2 years Every 3 years Every 4 years Every 5 years • Question 25 1 out of 1 points Which of the following vaccines are contraindicated in pregnancy? Selected Answer: All of the above Answers: MMR Oral polio Varicella All of the above • Question 26 1 out of 1 points Oscar is a 41 y/o male who presents to the clinic with onset of fever, n&v, with a rapid onset of pain that radiates to the midback, epigastric region. On physical exam, you notice guarding over epigastric area and a positive Cullen’s and Grey-Turner’s sign. The most likely diagnosis is: Selected Answer: Acute pancreatitis Answers: GERD Acute pancreatitis Hepatitis Peptic ulcer disease • Question 27 1 out of 1 points When testing an infant for developmental dysplasia of the hip, which of the following tests could be used? Selected Answer: All of the above Answers: Ortolani test Barlow test Galeazzi (Allis) sign All of the above • Question 28 1 out of 1 points Martin is a 17y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. The most likely diagnosis for this patient is: Selected Answer: Acute appendicitis Answers: Acute appendicitis Cholecystitis Acute diverticulosis Acute pancreatitis • Question 29 1 out of 1 points Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation of the abdomen she feels a palpable mass that is greater than 3 cm in width. This could potentially be: Selected Answer: Abdominal aortic aneurysm Answers: An acute MI Abdominal aortic aneurysm Infective endocarditis Congestive heart failure In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope. Selected Answer: True Answers: True Fals e • Question 1 1 out of 1 points Abdominal pain must be present for an Irritable Bowel Syndrome (IBS) diagnosis. Selected Answer: True Answers: True Fals e • Question 2 1 out of 1 points In a patient with chronic cholecystitis, would you expect to see normal lab values for which of the following? Selected Answer: All of the above Answers: White blood count Amylase Lipase • Question 3 All of the above 1 out of 1 points The most common symptom of GERD is . Selected Answer: Heartburn Answers: Diarrhea Stomach pain GI bleeding • Question 4 Heartburn 1 out of 1 points Smoking is a major risk factor for bladder cancer. Selected Answer: True Answers: True Fals e • Question 5 1 out of 1 points For the Rome III Criteria for constipation to be fulfilled at least one of the symptoms listed below must be present for at least 3 months with onset 6 months before the diagnosis. Which symptom is correct? Selected Answer: sensation of straining Answers: fewer than 2 bowel movements per week • Question 6 sensation of straining no anorectal obstruction use of manual maneuvers to aid defecation in more than 10% of defecations 1 out of 1 points Which of the following is an appropriate treatment regimen for H. pylori? Selected Answer: lansoprazole 30 mg twice daily for 10 days; amoxicillin 1 mg twice a day for 10 days; clarithromycin 500 mg three times daily for 10 days Answers: omeprazole 40 mg daily x 7 day; azithromycin 250 mg daily x 7 days; bismuth subsalicylate 525 mg four times a day x 7 days lansoprazole 30 mg twice daily for 10 days; amoxicillin 1 mg twice a day for 10 days; clarithromycin 500 mg three times daily for 10 days metronidazole 250 mg four times daily for 14 days; clarithromycin 500 mg three times daily for 14 days • Question 7 1 out of 1 points What is the American Cancer Society (ACS) recommendation for routine screening for colon cancer in a low-risk individual? Selected Answer: FOBT or fit test annually Answers: • Question 8 FOBT or fit test annually sigmoidoscopy annually sigmoidoscopy every 10 years colonoscopy every 2 years 1 out of 1 points If a patient has a persistent proteinuria, what is the next step in testing? Selected Answer: 24-hour creatinine clearance and protein Answers: U/A 24-hour creatinine clearance and protein • Question 9 urine culture and sensitivity CT of abdomen 1 out of 1 points A glomerular filtration rate (GFR) of less than (fill in a value) is considered to be kidney failure, whereas greater or equal to (fill in a value) is considered to be normal. Selected Answer: 15; 90 Answers: 30; 120 15; 90 10; 50 60; 120 In acute appendicitis, when palpating the left lower quadrant of the abdomen and it leads to right lower quadrant pain, that is known as the sign. Selected Answer: Rosving Answers: • Question 1 Rosving Murph y Cullen Psoas 1 out of 1 points In a patient with hyperglycemia, the intracellular fluid may shift into the extracellular compartment, leading to decreased sodium levels. Selected Answer: Answers: True True Fals e • Question 2 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated blood pressure: systolic 140 mm Hg or higher and diastolic 95 mm Hg or higher, or drug treatment of previously diagnosed hypertension Selected Answer: Fals e Answers: True Fals e • Question 3 1 out of 1 points Levothyroxine typically TSH levels Selected Answer: decrease s Answers: increase decrease s don't effect • Question 4 mask 1 out of 1 points The NP suspects a patient has hypothyroidism. The NP would expect TSH and T4 level to be: Selected Answer: High TSH and low T4 Answers: Low TSH with High T4 levels Low TSH and low T4 High TSH and high T4 • Question 5 High TSH and low T4 1 out of 1 points Hypokalemia is typically a result of inadequate intake. True of False. Selected Answer: Fals e Answers: True Fals e • Question 6 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated triglyceride levels equal or greater than 150 mg/dL Selected Answer: Answers: True True Fals e • Question 7 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Reduced HDL cholesterol: below 50 mg/dL in males and below 60 in females, or specific treatment for this lipid abnormality Selected Answer: Fals e Answers: True Fals e • Question 8 What HgA1C level indicates a diagnosis of diabetes? 1 out of 1 points Selected Answer: 6.5 Answers: 5.7 6.0 6.5 • Question 9 7.0 1 out of 1 points What are cardinal signs of Type 1 Diabetes Mellitus? Selected Answer: Increased urination, increased thirst, increased appetite Answers: Weight gain, blurred vision, and increased energy Weight gain, blurred vision, insomnia Decreased urination, decreased thirst, and decreased appetite Increased urination, increased thirst, increased appetite • Question 10 1 out of 1 points Insulin doses typically remain the same when a woman with Type 1 Diabetes Mellitus becomes pregnant. True or False? Selected Answer: Fals e Answers: True Fals e • Question 1 1 out of 1 points Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Potential organisms that might have caused Sam’s condition include which of the following: Selected Answer: All of the above Answers: Mycoplasma pneumoniae Chlamydia pneumoniae Legionella pneumonia All of the above • Question 2 None of the above 0 out of 1 points The most common method of contraception is: Selected Answer: Condoms Answers: IUDs Sterilization Condoms • Question 3 Birth control pills 1 out of 1 points Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. The NP in Juan’s case should: Selected Answer: Refer to ER Answers: Refer to ER Try an antiemetic Draw labs • Question 4 Send for a CAT scan 1 out of 1 points Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides. Selected Answer: Answers: True True Fals e • Question 5 1 out of 1 points Mary is a 22 y/o female who is at 6 weeks gestation. She stated that her last menstrual period was June 10, 2020. Using Naegele’s rule, which of the following is her expected date of confinement (EDD)? Selected Answer: March 17, 2021 Answers: March 17, 2021 March 10, 2021 April 10, 2021 • Question 6 April 17, 2021 1 out of 1 points The CDC recommends HPV vaccine for males until what age? Selected Answer: 26 y/o Answers: 18 y/o 20 y/o 23 y/o • Question 7 26 y/o 1 out of 1 points Andre is a 52 y/o construction worker who stayed home today because he was having severe chest pain. His wife calls the clinic and describes his symptoms as: squeezing chest tightness, with pain that radiates to the left side of his neck, jaw, and left arm. The NP’s immediate response should be to tell the wife: Selected Answer: Call 911 immediately. Answers: Begin CPR and then call 911. Call 911 immediately. Have the wife drive the patient to the ER. • Question 8 Call back if the intensity of the pain increases. 1 out of 1 points In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope. Selected Answer: True Answers: True Fals e • Question 9 1 out of 1 points Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatment for Randy’s diagnosis would be: Selected Answer: Metformi n Answers: Insulin Actos Metformi n Glucotrol • Question 10 1 out of 1 points All of the following are characteristics of Kleinfelter syndrome in a male except: Selected Answer: Small stature Answers: Small testicles Wide hips Decreased body and facial hair Small stature • Question 11 1 out of 1 points Martin is a 41 y/o male who comes to the clinic with the following symptoms: fever, chills, and malaise. On physical exam, the NP notes that he has a new murmur that was not present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Based on these finding alone the NP arrives at the following presumed diagnosis: Selected Answer: Infective endocarditis Answers: Congestive heart failure Infective endocarditis Dissecting abdominal aortic aneurysm (AAA) None of the above • Question 12 1 out of 1 points Andreas is a 22 y/o male who comes to the clinic with a UTI. In reviewing the labs that were drawn yesterday, you know that there are many squamous epithelial in the specimen. This indicates: Selected Answer: Sample contamination Answers: Sample contamination Pyelonephritis Bladder cancer None of the above • Question 13 1 out of 1 points The most common drug trigger for Stevens-Johnson Syndrome include all the following except: Selected Answer: ASA Answers: ASA NSAIDS Anticonvulsa nts Allopurinol • Question 14 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. Treatment of Agnes’s condition would include which of the following: Selected Answer: All of the above Answers: Increased dietary fiber Avoid gas-producing foods Decrease stress in her life All of the above A & B only • Question 15 1 out of 1 points Andy comes to the clinic with a chief complaint of knee pain. He states that he plays quarterback on his high school football team and is captain of his basketball team. You palpate the tibial tuberosity and note pain, tenderness, and swelling. The most likely diagnosis is: Selected Answer: Osgood-Schlatter disease Answers: Kleinfelter syndrome Osgood-Schlatter disease Turner’s syndrome Meniscal tear • Question 16 1 out of 1 points John is 17 y/o and decides to marry his high school sweetheart. Under what condition(s) would he be declared an “emancipated minor?” Selected Answer: B & C only Answers: Moving out of parents’ house Joining the Navy Legally married B & C only • Question 17 1 out of 1 points Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is: Selected Answer: Korsakoff’s syndrome Answers: Korsakoff’s syndrome Insomnia Anorexia nervosa Bipolar disorder • Question 18 1 out of 1 points According to the CDC, an infant can start receiving live attenuated vaccine at 6 months of age. Selected Answer: Fals e Answers: True Fals e • Question 19 1 out of 1 points Hillary is an 18 y/o Caucasian who comes to the clinic with a chief complaint of hirsutism, acne, and amenorrhea. Her most likely diagnosis is: Selected Answer: Polycystic ovary syndrome (PCOS) Answers: Polycystic ovary syndrome (PCOS) Ovarian cancer Hyperprolactinemia Pregnancy • Question 20 1 out of 1 points Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. Treatment for Judy’s condition would include all the following drugs except: Selected Answer: Amoxicillin Answers: Cefotan Amoxicillin Ceftriaxone Metronidazole • Question 21 0 out of 1 points The CDC recommends that after a child receives a vaccine (s)he should be monitored for: Selected Answer: 30 minutes Answers: 15 minutes 20 minutes 30 minutes 60 minutes • Question 22 1 out of 1 points Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. This presentation is most typical of: Selected Answer: Pelvic inflammatory disease (PID) Answers: Pelvic inflammatory disease (PID) Vulvovaginitis Dysmenorrhea Amenorrhea • Question 23 1 out of 1 points Pneumococcal vaccine is recommended for which of the following groups of patients? Selected Answer: All of the above Answers: Persons > 65 y/o Impaired immunity Blood disorders Heart and lung disease All of the above A, B & D only • Question 24 1 out of 1 points The most common side effects of giving SSRIs to depressed patients include: Selected Answer: All of the above Answers: Diarrhea Nausea and vomiting Sexual dysfunction All of the above • Question 25 1 out of 1 points Ann is a primigravida in her 35th week of pregnancy and presents to the clinic with severe recurrent headaches, blurred vision, pitting edema, and right upper quadrant pain. Additionally, she has oliguria, nausea, and vomiting. Her urine protein is >1+. The only treatment for Ann would be: Selected Answer: Delivery of fetus Answers: Delivery of fetus Strict bedrest Intravenous magnesium sulfate Erythromycin • Question 26 All of the following are considered macular lesions except: 1 out of 1 points Selected Answer: A & C only Answers: Freckles Acne Lentigo Psoriatic lesions A & C only B & D only • Question 27 Which of the following vaccines are contraindicated in pregnancy? 1 out of 1 points Selected Answer: All of the above Answers: MMR Oral polio Varicella All of the above • Question 28 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. If Sara started having uterine cramping, then the most appropriate immediate treatment would be: Selected Answer: Intravenous magnesium Answers: Vaginal exam Ultrasound of the uterus C-section Intravenous magnesium • Question 29 1 out of 1 points Wen is a 48 y/o female who comes to the clinic with fatigue, weight gain, cold intolerance, constipation, and menstrual abnormalities. The NP orders a TSH and free serum T4 and thyroid peroxidase antibody (TPO). The TSH is 6.0 mU/L, the T4 is low, and the TPO is high. Her most likely diagnosis is: Selected Answer: Hashimoto’s thyroiditis Answers: Hyperthyroidism Hyperparathyroidism Hashimoto’s thyroiditis None of the above • Question 30 1 out of 1 points Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. His most likely diagnosis is: Selected Answer: Nephrolithiasis (kidney stone) Answers: Acute pyelonephritis Nephrolithiasis (kidney stone) Bladder cancer • Question 1 None of the above 0 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated fasting plasma glucose: 100 mg/dL or higher, or drug treatment for elevated glucose Selected Answer: Answers: Fals e True Fals e • Question 2 1 out of 1 points In a patient with hyperglycemia, the intracellular fluid may shift into the extracellular compartment, leading to decreased sodium levels. Selected Answer: Answers: True True Fals e • Question 3 Hypokalemia is typically a result of inadequate intake. True of False. 1 out of 1 points Selected Answer: Fals e Answers: True Fals e • Question 4 1 out of 1 points Alopecia of outer one third of eyebrow and myxedema is are symptoms of: Selected Answer: Hypothyroidism Answers: Hyperthyroidis m Thyroid CA Hypothyroidism • Question 5 Thyrotoxicosis 1 out of 1 points blood glucose levels may be the first sign of an impending illness in a patient with Diabetes Mellitus. Selected Answer: Answers: Rising Falling Decreasi ng Unstable • Question 6 Rising 1 out of 1 points Insulin doses typically remain the same when a woman with Type 1 Diabetes Mellitus becomes pregnant. True or False? Selected Answer: Fals e Answers: True Fals e • Question 7 1 out of 1 points In an ambulatory patient, the most common cause of hypercalcemia is . Selected Answer: Answers: Hyperparathyroidism Hypoparathyroidis m Hypothyroid Hyperparathyroidism Hyperthyroid • Question 8 1 out of 1 points Patients with Addison disease have serum ACTH concentration and levels of cortisol. Selected Answer: Answers: elevated; suppressed suppressed; normal normal; elevated suppressed; elevated • Question 9 elevated; suppressed 1 out of 1 points Several organizations have come together to define the diagnostic criteria for metabolic syndrome. One of these criteria is: Elevated blood pressure: systolic 140 mm Hg or higher and diastolic 95 mm Hg or higher, or drug treatment of previously diagnosed hypertension Selected Answer: Fals e Answers: True Fals e • Question 10 0 out of 1 points In patients with Type 1 or Type 2 Diabetes Mellitus and who have low CVD risk, aspirin is recommended. True or False? Selected Answer: True Answers: True Fals e • Question 1 1 out of 1 points Which of the following contraceptive drugs are used in the treatment of acne? Selected Answer: A, B, & C only Answers: Desogen Ortho- Tricyclen Yasmin Mirena • Question 2 A, B, & C only 1 out of 1 points Menopause is associated with a dramatic decline in estrogen levels. Selected Answer: Answers: True True Fals e • Question 3 Danger signs of oral contraceptives include all the following except: 1 out of 1 points Selected Answer: Weakness on both sides of the body Answers: Chest pain Severe headache Weakness on both sides of the body • Question 4 Visual changes in one eye 1 out of 1 points Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. The most likely cause is: Selected Answer: Irritable bowel syndrome Answers: Irritable bowel syndrome Peptic ulcer disease GERD • Question 5 Pancreatitis 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. If Sara started having uterine cramping, then the most appropriate immediate treatment would be: Selected Answer: Intravenous magnesium Answers: Vaginal exam Ultrasound of the uterus C-section • Question 6 Intravenous magnesium 1 out of 1 points Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Given Martin’s condition, the first line treatment would be all the following except: Selected Answer: Salmeterol Answers: Albuterol Salmeterol Levalbuterol • Question 7 Metaproteren ol 1 out of 1 points Martin is a 41 y/o male who comes to the clinic with the following symptoms: fever, chills, and malaise. On physical exam, the NP notes that he has a new murmur that was not present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Treatment for Martin would include which of the following: Selected Answer: Answers: All of the above IV antibiotics Debridement of prosthetic valve Dental evaluation and treatment All of the above • Question 8 A & B only 1 out of 1 points All of the following are in the LUQ of the abdomen except Selected Answer: Sigmoid colon Answers: Stomach Sigmoid colon Pancreas • Question 9 Kidney (left) 1 out of 1 points Wen is a 48 y/o female who comes to the clinic with fatigue, weight gain, cold intolerance, constipation, and menstrual abnormalities. The NP orders a TSH and free serum T4 and thyroid peroxidase antibody (TPO). The TSH is 6.0 mU/L, the T4 is low, and the TPO is high. Her most likely diagnosis is: Selected Answer: Hashimoto’s thyroiditis Answers: Hyperthyroidism Hyperparathyroidism Hashimoto’s thyroiditis None of the above • Question 10 1 out of 1 points John is a 7 y/o whose mother brings him to the clinic with the following chief complaint: “He fidgets and squirms all the time. His teachers tell me he has difficulty remaining in his seat, talks excessively, can’t wait for his turn, interrupts conversations, and acts like a robot.” Differential diagnoses for John would include all the following except: Selected Answer: Laziness Answers: Autism spectrum disorder Language delay Dysfunctional family situation Laziness • Question 11 1 out of 1 points In treating patients for depression, the first line pharmacological treatment would be: Selected Answer: Selective serotonin reuptake inhibitors (SSRIs) Answers: Monoamine oxidase inhibitors (MAOIs) Benzodiazepines Selective serotonin reuptake inhibitors (SSRIs) Tricyclic antidepressants (TCAs) • Question 12 0 out of 1 points Continuous antibiotic prophylaxis with which antibiotic is the most effective mode of treating UTIs: Selected Answer: TMP-SMX Answers: TMP-SMX Nitrofurantoi n Cephalexin Ciprofloxacin • Question 13 1 out of 1 points Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. The most likely diagnosis is: Selected Answer: Gastroesophageal reflux disease (GERD) Answers: Halitosis Peptic ulcer disease Gastroesophageal reflux disease (GERD) A or B only • Question 14 1 out of 1 points Ann is a primigravida in her 35th week of pregnancy and presents to the clinic with severe recurrent headaches, blurred vision, pitting edema, and right upper quadrant pain. Additionally, she has oliguria, nausea, and vomiting. Her urine protein is >1+. The only treatment for Ann would be: Selected Answer: Delivery of fetus Answers: Delivery of fetus Strict bedrest Intravenous magnesium sulfate Erythromycin • Question 15 1 out of 1 points Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. The most likely diagnosis for this condition is: Selected Answer: Placenta previa Answers: Placental abruption Severe preeclampsia Placenta previa None of the above • Question 16 1 out of 1 points Mary is a new mother who was tested HBsAG+ during her prenatal screening process. Upon the birth of her infant, the newborn should be given HBIG and Hep B within: Selected Answer: 12 hours of birth Answers: 12 hours of birth 24 hours of birth 36 hours of birth 48 hours of birth • Question 17 All diastolic murmurs are abnormal. 1 out of 1 points Selected Answer: Answers: True True Fals e • Question 18 1 out of 1 points Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation of the abdomen she feels a palpable mass that is greater than 3 cm in width. This could potentially be: Selected Answer: Answers: Abdominal aortic aneurysm An acute MI Abdominal aortic aneurysm Infective endocarditis Congestive heart failure • Question 19 1 out of 1 points Maria is a 26 y/o female in her third trimester of pregnancy. She has a sudden onset of vaginal bleeding and has a hypertonic uterus. She has a history of hypertension secondary to previous cocaine use. Her most likely diagnosis would be: Selected Answer: Placental abruption Answers: Placental abruption Placenta previa Severe preeclampsia Uterine rupture • Question 20 1 out of 1 points Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. The NP in Juan’s case should: Selected Answer: Refer to ER Answers: Refer to ER Try an antiemetic Draw labs Send for a CAT scan • Question 21 0 out of 1 points A 32 y/o female comes to the clinic for what she describes as “a dark-colored urine.” During the exam, the NP uses a urine dipstick to test for blood in the urine. In reading the results, he/she discovers the following false negative readings characterized by all the following except: Selected Answer: Prolonged exposure of dipstick to air before testing Answers: High concentration of ascorbic acid Dehydration High specific gravity Prolonged exposure of dipstick to air before testing • Question 22 1 out of 1 points Sal is a 56 y/o male who the NP has seen on many occasions in the clinic. During her physical exam of the heart, the NP notices that he has a new mitral regurgitation murmur that is described as a Grade II. She notes that his murmur is associated with which part of the cardiac cycle? Selected Answer: Systoli c Answers: Diastol ic Systoli c A & B • Question 23 1 out of 1 points Martin is a 17y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. The most likely diagnosis for this patient is: Selected Answer: Acute appendicitis Answers: Acute appendicitis Cholecystitis Acute diverticulosis Acute pancreatitis • Question 24 1 out of 1 points Andreas is a 22 y/o male who comes to the clinic with a UTI. In reviewing the labs that were drawn yesterday, you know that there are many squamous epithelial in the specimen. This indicates: Selected Answer: Sample contamination Answers: Sample contamination Pyelonephritis Bladder cancer None of the above • Question 25 1 out of 1 points The most common drug trigger for Stevens-Johnson Syndrome include all the following except: Selected Answer: Answers: ASA ASA NSAIDS Anticonvulsa nts Allopurinol • Question 26 1 out of 1 points Hillary is an 18 y/o Caucasian who comes to the clinic with a chief complaint o