NR601 / NR-601 Primary Care of Adults
(FNP I) Midterm Exam 2 Study Set Q
& A (Latest ) Chamberlain
College Of Nursing
1. A 72-year-old male presents with resting tremor, rigidity, and bradykinesia.
What is the most likely diagnosis?
Parkinson’s disease
Bradykinesia, resting tremor, and rigidity are classic features of
Parkinson’s disease.
2. Which of the following medications is considered first-line treatment for
depression in the elderly?
Sertraline
SSRIs like sertraline are preferred in older adults due to a favorable side
effect profile.
3. What screening tool is most appropriate for assessing cognitive impairment
in an elderly patient?
Mini-Mental State Examination (MMSE)
The MMSE is widely used for initial cognitive screening in primary care
settings.
,4. A 68-year-old woman has a T-score of -2.6 on DEXA scan. What is the
diagnosis?
Osteoporosis
A T-score ≤ -2.5 indicates osteoporosis per WHO criteria.
5. A patient with chronic hypertension and diabetes develops proteinuria.
What is the next best step?
Start an ACE inhibitor
ACE inhibitors slow progression of diabetic nephropathy and reduce
proteinuria.
6. What is the best diagnostic test for confirming BPH?
Digital rectal exam and PSA level
These are standard initial evaluations for BPH symptoms in older men.
7. Which condition is most commonly associated with reversible dementia?
Vitamin B12 deficiency
B12 deficiency is a treatable cause of cognitive decline.
8. An older adult presents with confusion, dry mucous membranes, and poor
skin turgor. Likely cause?
Dehydration
Elderly patients are at high risk for dehydration, often presenting with
confusion.
9. What is a key side effect of anticholinergic medications in the elderly?
Confusion
Anticholinergics can worsen cognition and cause delirium in older adults.
, 10.A 78-year-old female has a new-onset systolic murmur. What is the most
likely cause?
Aortic stenosis
Aortic stenosis is the most common valvular disease in the elderly.
11.What is the most common cause of hypothyroidism in older adults?
Hashimoto’s thyroiditis
Autoimmune thyroiditis remains the leading cause of hypothyroidism.
12.Which of the following vaccines is recommended annually for older adults?
Influenza vaccine
The flu vaccine is recommended yearly for patients over 65.
13.Which geriatric syndrome is most associated with increased risk of falls?
Gait disturbance
Gait and balance issues significantly increase fall risk.
14.What is the most appropriate way to screen for depression in older adults?
Geriatric Depression Scale (GDS)
The GDS is a validated tool specifically for elderly patients.
15.What medication is most appropriate for newly diagnosed atrial fibrillation
in a 75-year-old with HTN?
Apixaban
DOACs like apixaban are preferred over warfarin in older adults for stroke
prevention.
16.A 69-year-old presents with sudden, painless vision loss in one eye. What is
the most likely diagnosis?
(FNP I) Midterm Exam 2 Study Set Q
& A (Latest ) Chamberlain
College Of Nursing
1. A 72-year-old male presents with resting tremor, rigidity, and bradykinesia.
What is the most likely diagnosis?
Parkinson’s disease
Bradykinesia, resting tremor, and rigidity are classic features of
Parkinson’s disease.
2. Which of the following medications is considered first-line treatment for
depression in the elderly?
Sertraline
SSRIs like sertraline are preferred in older adults due to a favorable side
effect profile.
3. What screening tool is most appropriate for assessing cognitive impairment
in an elderly patient?
Mini-Mental State Examination (MMSE)
The MMSE is widely used for initial cognitive screening in primary care
settings.
,4. A 68-year-old woman has a T-score of -2.6 on DEXA scan. What is the
diagnosis?
Osteoporosis
A T-score ≤ -2.5 indicates osteoporosis per WHO criteria.
5. A patient with chronic hypertension and diabetes develops proteinuria.
What is the next best step?
Start an ACE inhibitor
ACE inhibitors slow progression of diabetic nephropathy and reduce
proteinuria.
6. What is the best diagnostic test for confirming BPH?
Digital rectal exam and PSA level
These are standard initial evaluations for BPH symptoms in older men.
7. Which condition is most commonly associated with reversible dementia?
Vitamin B12 deficiency
B12 deficiency is a treatable cause of cognitive decline.
8. An older adult presents with confusion, dry mucous membranes, and poor
skin turgor. Likely cause?
Dehydration
Elderly patients are at high risk for dehydration, often presenting with
confusion.
9. What is a key side effect of anticholinergic medications in the elderly?
Confusion
Anticholinergics can worsen cognition and cause delirium in older adults.
, 10.A 78-year-old female has a new-onset systolic murmur. What is the most
likely cause?
Aortic stenosis
Aortic stenosis is the most common valvular disease in the elderly.
11.What is the most common cause of hypothyroidism in older adults?
Hashimoto’s thyroiditis
Autoimmune thyroiditis remains the leading cause of hypothyroidism.
12.Which of the following vaccines is recommended annually for older adults?
Influenza vaccine
The flu vaccine is recommended yearly for patients over 65.
13.Which geriatric syndrome is most associated with increased risk of falls?
Gait disturbance
Gait and balance issues significantly increase fall risk.
14.What is the most appropriate way to screen for depression in older adults?
Geriatric Depression Scale (GDS)
The GDS is a validated tool specifically for elderly patients.
15.What medication is most appropriate for newly diagnosed atrial fibrillation
in a 75-year-old with HTN?
Apixaban
DOACs like apixaban are preferred over warfarin in older adults for stroke
prevention.
16.A 69-year-old presents with sudden, painless vision loss in one eye. What is
the most likely diagnosis?
