Expected Questions and Verified Answers
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1. If your patient is in the catarrhal stage of pertussis, upon examination
you would find which of the following
Ans>> You would find mild upper respiratory symptoms with cough. And mild conjunctival
injection. It is really indistinguishable from the common cold.
2. What would NOT be considered a typical finding in a geriatric patient
Ans>> Low frequency hearing loss. A typical finding in a geriatric patient would be a high
frequency hearing loss. The speaking voice is high frequency. Degenerative changes of the ossicles, fewer
auditory neurons and atrophy of the hair cells results in sensorineural hearing loss.
3. Typical findings in a geriatric patient
,Ans>> Thinner epidermis, dermis and subcu- taneous layers of skin, bright purple-colored patches
on the forearms and hands, opaque white ring at the periphery of the cornea
4. Risk factors for age-related macular degeneration:
Tobacco use, aging, sun exposure and family history
7. A geriatric patient who has a 40 pack-year smoking history complains of painful
cramping in the leg muscles that occurs after walking for 20 minutes. After taking a
complete history and performing a physical exam, an NP decides that the most likely
diagnosis is
Ans>> Intermittent claudication
8. What is a common cause of acne
Ans>> Increase in androgens
9. In a 19-year-old who presents with a sore throat and anterior cervical
adenopathy, which causative agent would be suspected
,Ans>> Group A beta-he- molytic Streptococcus
10. When completing the initial assessment for depression in geriatric adults, the NP
should evaluate
Ans>> Mental status exam
11. What is the most common risk factor for developing severe hyperbiliru-
binemia in the newborn
Ans>> Blood incompatibility with the mother
12. Which trimester of pregnancy is a woman with a fundal height measure- ment at
the umbilicus
Ans>> Second
13. Which of the following conditions exacerbate urinary incontinence
Ans>> Im- pacted stool and atrophic vaginitis
, 14. An adult patient presents with a 2-day history of intermittent stabbing
chest pain that worsens with deep breaths. The patient reports a nonproduc- tive
cough and no fever for several days, and denies trauma, palpitations or GI symptoms.
VS normal. Lungs are clear, heart sounds normal. PE reveals localized chest wall
tenderness at the costal margin. EKG and CXR normal.
The most likely diagnosis is
Ans>> Costchondritis
15. The most common skin cancer is
Ans>> Basal cell carcinoma
16. What is true regarding depression in the elderly
Ans>> Depression can be in- duced by prescribed and OTC medications
17. Acute otitis media has what characteristics
Ans>> Loss of ossicular landmarks on the TM
18. What constellations of symptoms, lasting more than 3 months, is MOST common
in fibromyalgia
Ans>> Diffuse pain, sleep abnormality, fatigue
19. An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He
has a sedentary lifestyle and no family history of DM. VS normal, BMI =
31. What diabetes screening tests would an NP order