3P PRACTICE QUESTIONS AND
ANSWERS WITH VERIFIED SOLUTIONS
2024
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - ANSWER flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: -
ANSWER vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on
percussion (looses ability to pump out blood)
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood
swings, is easily distracted, and constantly corrects his teachers. You have the high suspicion for bipolar if
which symptom was present? - ANSWER he sleeps less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a hx of
uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective
abortion? - ANSWER G4 T1 P1 A1 L3 (mult births count as 1 pregnancy and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? - ANSWER barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is contraindicated? -
ANSWER Heart disease
Severe aortic regurgitation symptoms with dyspnea - ANSWER dry cough, angina, hypotension, systolic
murmur
Unipolar depression. What medications are not considered? - ANSWER TCA (tricyclic antidepressants);
Buspar, SSR, wellbutin are all okay
Which of the following statements is most accurate about cough associated with ACEI? - ANSWER
Asthma
, Conductive Hearing loss - ANSWER External ear, middle ear, or both problem
Which of the following is a risk factor for the development of prostate enlargement? - ANSWER Diabetes;
Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom in the lower
extremity? - ANSWER Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to have
ascites and JVD should be evaluated for: - ANSWER heart failure
23 year old woman is having frequent migraines and needs a prophylactic medication. She also has
asthma. The medication should be avoided in this patient: - ANSWER Propranolol (inderal); can cause
increase bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is safe to use with
warfarin? - ANSWER Clarithromycin (PCN and cephalosporins are okay)
On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck and boutoniere
deformities which she knows are related to the diagnosis of - ANSWER rheumatoid arthritis
28 year old woman has symptoms of asthma daily and several nights a week. She uses a SABA and will
be starting fluticasone/salmeterol (Advair). Advair: - ANSWER is not effective during an acute asthma
attack
The main lymphatic channel that drains lymph back to the systemic circulation from the entire body,
with the exception of the RT arm, thorax, head and neck is the - ANSWER thoracic duct
Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35 weeks gestation if
the fundal height measurement is - ANSWER 32
A 22 year old patient presents with complaints of headaches with associated nausea and vomitting. The
LEAST likely differential diagnosis for this patient is - ANSWER tension headaches
ANSWERS WITH VERIFIED SOLUTIONS
2024
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - ANSWER flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: -
ANSWER vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on
percussion (looses ability to pump out blood)
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood
swings, is easily distracted, and constantly corrects his teachers. You have the high suspicion for bipolar if
which symptom was present? - ANSWER he sleeps less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a hx of
uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective
abortion? - ANSWER G4 T1 P1 A1 L3 (mult births count as 1 pregnancy and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? - ANSWER barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is contraindicated? -
ANSWER Heart disease
Severe aortic regurgitation symptoms with dyspnea - ANSWER dry cough, angina, hypotension, systolic
murmur
Unipolar depression. What medications are not considered? - ANSWER TCA (tricyclic antidepressants);
Buspar, SSR, wellbutin are all okay
Which of the following statements is most accurate about cough associated with ACEI? - ANSWER
Asthma
, Conductive Hearing loss - ANSWER External ear, middle ear, or both problem
Which of the following is a risk factor for the development of prostate enlargement? - ANSWER Diabetes;
Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom in the lower
extremity? - ANSWER Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to have
ascites and JVD should be evaluated for: - ANSWER heart failure
23 year old woman is having frequent migraines and needs a prophylactic medication. She also has
asthma. The medication should be avoided in this patient: - ANSWER Propranolol (inderal); can cause
increase bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is safe to use with
warfarin? - ANSWER Clarithromycin (PCN and cephalosporins are okay)
On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck and boutoniere
deformities which she knows are related to the diagnosis of - ANSWER rheumatoid arthritis
28 year old woman has symptoms of asthma daily and several nights a week. She uses a SABA and will
be starting fluticasone/salmeterol (Advair). Advair: - ANSWER is not effective during an acute asthma
attack
The main lymphatic channel that drains lymph back to the systemic circulation from the entire body,
with the exception of the RT arm, thorax, head and neck is the - ANSWER thoracic duct
Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35 weeks gestation if
the fundal height measurement is - ANSWER 32
A 22 year old patient presents with complaints of headaches with associated nausea and vomitting. The
LEAST likely differential diagnosis for this patient is - ANSWER tension headaches
