D115 - OA readiness questions with verified answers
___ occurs when the blood vessels become overcrowded with immature blast
cells in patients with AML who have high WBC counts, which can lead to ischemia
and infarcts in the pulmonary and cranial blood vessels. Ans✓✓✓ Leukostasis
A 12-year-old African American patient presents with unilateral eye swelling and
lower lip swelling. The patient's parent reports that the swelling is spontaneous
and resolves over several days. The patient does not have complaints of fever,
hives, or vomiting. Serum lab results show hyperactivation of three plasma
protein systems. The APRN suspects hereditary angioedema.
What is the cause of the genetic defect suspected in this situation?
A) Hageman factor
B) Plasminogen
C) C1 esterase inhibitor
D) Bradykinin Ans✓✓✓ C) C1 esterase inhibitor
A 16-year old presents to the urgent care clinic after a hard hit in football practice.
During the physical exam the Nurse Practitioner observes "battle's sign" and
immediately refers the patient to the ED. Which diagnosis is the NP concerned
about?
A) Concussion
B) Brain Tumor
C) CVA
D) Basilar Skull Fracture Ans✓✓✓ D) Basilar Skull Fracture
A Battle sign, or Battle's sign, is a bruise that indicates a fracture at the bottom of
the skull. At first, it can look just like a typical bruise that could heal on its own.
However, Battle's sign is a much more serious condition. The type of fracture that
causes Battle's sign is considered a medical emergency.
,A 17-year old female was diagnosed with angular cheilitis. She had treatment
failure after a course of topical antibiotics, topical steroids, moisture barrier
creams, and antifungals were prescribed. What would be the most appropriate
next step in this patient's plan of care?
A) Refer the patient to an allergist
B) Refer the patient to a dermatologist
C) Check the patient's vitamin B12 level
D) Check the patient's ferritin level Ans✓✓✓ C) Check the patient's vitamin B12
level
Angular cheilitis is a condition that causes red, swollen patches in the corners of
the mouth. The most common cause is a fungal infection. Other causes are
vitamin B12 deficiency and bacterial infections.
A 2-year old boy presents to the clinic with a fever. During the physical exam the
NP observes Koplik's spots inside of his buccal mucosa. Which would be the most
important to assess on this patient to aid in an appropriate diagnosis?
A) Vaccination status
B) Rapid strep test
C) Swallowing evaluation
D) Medication allergies Ans✓✓✓ A) Vaccination status
Koplik spots are seen with measles. They are small, white spots (often on a
reddened background) that occur on the inside of the cheeks early in the course
of measles.
A 20-year old female reports a history of "cold symptoms" for 12 days. Her
physical exam reveals unilateral facial pain and purulent nasal discharge. Which
diagnosis are these findings consistent with?
,A) Viral respiratory infection
B) Influenza B
C) Allergic Rhinitis
D) Acute Bacterial Rhinosinusitis Ans✓✓✓ D) Acute Bacterial Rhinosinusitis
Symptoms of acute bacterial rhinosinusitis include facial pain or pressure,
postnasal drip, nasal congestion, upper jaw or tooth pain, nasal discharge, fever,
and cough. Symptoms are present for 10 days or longer.
A 21-year-old white college female complains of fatigue, RLQ pain, and diarrhea
for the last 2 months. She has lost 10lbs and notes chills periodically. She denies
rectal bleeding. She notes she is stressed about final exam. The FNP would be
most concerned about:
A) IBS
B) Intestinal infection
C) Chron disease
D) Ulcerative colitis Ans✓✓✓ C) Chron disease
A 22-year-old woman has a new onset of panic disorder. As part of her clinical
presentation, you expect to find all of the following except:
A) Peak symptoms at 10 minutes into the panic attack.
B) History of agoraphobia.
C) Report of chest pain during the panic attack.
D) History of thought disorder. Ans✓✓✓ D) History of thought disorder
DSM-5 criteria for panic disorder include the experiencing of recurrent panic
attacks, with 1 or more attacks followed by at least 1 month of fear of another
panic attack or significant maladaptive behavior related to the attacks. A panic
, attack is an abrupt period of intense fear or discomfort accompanied by 4 or more
of the 13 systemic symptoms.
A 24-year-old man presents with a 3-month history of upper abdominal pain. He
describes it as an intermittent, centrally located burning feeling in his upper
abdomen, most often occuring 2-3 hours after meals. His presentation is most
consistent with the clinical presentation of:
A) acute gastritis
B) gastric ulcer
C) duodenal ulcer
D) cholecystitis Ans✓✓✓ C) duodenal ulcer
The pain associated with duodenal ulcers typically improves immediately
following meals and returns several hours after a meal.
A 26-year old presents to a clinic with complaints of left eye pain. The NP
performs fluorescent dye staining which reveals fern-like lines in the corneal
surface. Which would be the most appropriate history question to ask the
patient?
A) Do you wear contact lenses?
B) Have you ever had a cold sore?
C) Have you recently had an eye injury?
D) Have you recently experienced any dizziness? Ans✓✓✓ B) Have you ever had
a cold sore?
Ocular herpes is a viral infection of the eye that causes pain and can lead to
scarring and reduced vision. A fern-like pattern is visible under fluorescein dye.
The virus is caused by the same virus which causes oral and genital herpes.
___ occurs when the blood vessels become overcrowded with immature blast
cells in patients with AML who have high WBC counts, which can lead to ischemia
and infarcts in the pulmonary and cranial blood vessels. Ans✓✓✓ Leukostasis
A 12-year-old African American patient presents with unilateral eye swelling and
lower lip swelling. The patient's parent reports that the swelling is spontaneous
and resolves over several days. The patient does not have complaints of fever,
hives, or vomiting. Serum lab results show hyperactivation of three plasma
protein systems. The APRN suspects hereditary angioedema.
What is the cause of the genetic defect suspected in this situation?
A) Hageman factor
B) Plasminogen
C) C1 esterase inhibitor
D) Bradykinin Ans✓✓✓ C) C1 esterase inhibitor
A 16-year old presents to the urgent care clinic after a hard hit in football practice.
During the physical exam the Nurse Practitioner observes "battle's sign" and
immediately refers the patient to the ED. Which diagnosis is the NP concerned
about?
A) Concussion
B) Brain Tumor
C) CVA
D) Basilar Skull Fracture Ans✓✓✓ D) Basilar Skull Fracture
A Battle sign, or Battle's sign, is a bruise that indicates a fracture at the bottom of
the skull. At first, it can look just like a typical bruise that could heal on its own.
However, Battle's sign is a much more serious condition. The type of fracture that
causes Battle's sign is considered a medical emergency.
,A 17-year old female was diagnosed with angular cheilitis. She had treatment
failure after a course of topical antibiotics, topical steroids, moisture barrier
creams, and antifungals were prescribed. What would be the most appropriate
next step in this patient's plan of care?
A) Refer the patient to an allergist
B) Refer the patient to a dermatologist
C) Check the patient's vitamin B12 level
D) Check the patient's ferritin level Ans✓✓✓ C) Check the patient's vitamin B12
level
Angular cheilitis is a condition that causes red, swollen patches in the corners of
the mouth. The most common cause is a fungal infection. Other causes are
vitamin B12 deficiency and bacterial infections.
A 2-year old boy presents to the clinic with a fever. During the physical exam the
NP observes Koplik's spots inside of his buccal mucosa. Which would be the most
important to assess on this patient to aid in an appropriate diagnosis?
A) Vaccination status
B) Rapid strep test
C) Swallowing evaluation
D) Medication allergies Ans✓✓✓ A) Vaccination status
Koplik spots are seen with measles. They are small, white spots (often on a
reddened background) that occur on the inside of the cheeks early in the course
of measles.
A 20-year old female reports a history of "cold symptoms" for 12 days. Her
physical exam reveals unilateral facial pain and purulent nasal discharge. Which
diagnosis are these findings consistent with?
,A) Viral respiratory infection
B) Influenza B
C) Allergic Rhinitis
D) Acute Bacterial Rhinosinusitis Ans✓✓✓ D) Acute Bacterial Rhinosinusitis
Symptoms of acute bacterial rhinosinusitis include facial pain or pressure,
postnasal drip, nasal congestion, upper jaw or tooth pain, nasal discharge, fever,
and cough. Symptoms are present for 10 days or longer.
A 21-year-old white college female complains of fatigue, RLQ pain, and diarrhea
for the last 2 months. She has lost 10lbs and notes chills periodically. She denies
rectal bleeding. She notes she is stressed about final exam. The FNP would be
most concerned about:
A) IBS
B) Intestinal infection
C) Chron disease
D) Ulcerative colitis Ans✓✓✓ C) Chron disease
A 22-year-old woman has a new onset of panic disorder. As part of her clinical
presentation, you expect to find all of the following except:
A) Peak symptoms at 10 minutes into the panic attack.
B) History of agoraphobia.
C) Report of chest pain during the panic attack.
D) History of thought disorder. Ans✓✓✓ D) History of thought disorder
DSM-5 criteria for panic disorder include the experiencing of recurrent panic
attacks, with 1 or more attacks followed by at least 1 month of fear of another
panic attack or significant maladaptive behavior related to the attacks. A panic
, attack is an abrupt period of intense fear or discomfort accompanied by 4 or more
of the 13 systemic symptoms.
A 24-year-old man presents with a 3-month history of upper abdominal pain. He
describes it as an intermittent, centrally located burning feeling in his upper
abdomen, most often occuring 2-3 hours after meals. His presentation is most
consistent with the clinical presentation of:
A) acute gastritis
B) gastric ulcer
C) duodenal ulcer
D) cholecystitis Ans✓✓✓ C) duodenal ulcer
The pain associated with duodenal ulcers typically improves immediately
following meals and returns several hours after a meal.
A 26-year old presents to a clinic with complaints of left eye pain. The NP
performs fluorescent dye staining which reveals fern-like lines in the corneal
surface. Which would be the most appropriate history question to ask the
patient?
A) Do you wear contact lenses?
B) Have you ever had a cold sore?
C) Have you recently had an eye injury?
D) Have you recently experienced any dizziness? Ans✓✓✓ B) Have you ever had
a cold sore?
Ocular herpes is a viral infection of the eye that causes pain and can lead to
scarring and reduced vision. A fern-like pattern is visible under fluorescein dye.
The virus is caused by the same virus which causes oral and genital herpes.
