AANP AGPCNP PRACTICE QUESTIONS & ANSWERS
1. An 88-year-old presents with right-side weakness after being unable to riseunassisted
following a fall to the bathroom floor. History includes aphasia and noncompliance with
hypertension medication regimen.What is the most likelydiagnosis?
Left-sided or right-sided CVA?
Answer LEFT-SIDED CVA
2. Which of the following signs/symtpoms are often associated withheadahces
due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset hours to days
4) pupillary constriction; stupor
Answer 1) pain worse laying down, focal neurologicalsigns
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3. Which of the following pharmacotherapeutics would be most important toadminister
to a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine
Answer 2) Gentamicin ophthalmic (Genoptic)
4. A 25-year-old presents with the chief complaint of decreased mobility and pain of the
right shoulder exacerbated by movement.The patient reports thathe participated in
extensive house painting 24 hours prior to the onset of pain.He denies any trauma. Passive
ROM is intact. No redness or ecchymosis is present. What is the next step to be taken in
order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
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3) MRI of shoulder
4) EMG
Answer 2) palpate structures
5. A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 com- plains of
midcycle spotting. She has not missed any doses and uses no othermedication.Which of
the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days
Answer 3) provide reassurance
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6. According to the Report of the U.S. Preventive ServicesTask Force, which ofthe following
is NOT a current recommendation guideline for preventive care in elderly female
patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines
Answer 3) Rubella serology or vaccination history
7. 87 y/o NH patient is drowsy and barely responsive. Temp 95, BP 110/70,Pulse 60, R
10.The best action is to
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming
Answer 1) initiate passive rewarming
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