Fitzgerald Post Test Study Set
Assessment of the optic disc is a component of the evaluation of cranial nerve:
a. I
b. II
c. III
d. IV - Answer-b. II
You examine a 62-year-old woman with a 20-year history of hypertension. She reports intermittent use
of antihypertensive medications, stating, "I feel better without the medications." Today she presents for
a "check-up." On physical examination, you note the following: PMI with a downward and lateral shift as
well as a Gr II/VI holosystolic murmur with radiation to the axilla. This patient's health history is most
likely to include a report of:
A. Syncopal episodes
B. Episodes of chest pain at rest
C. Dyspnea with exertion
D. Vertigo - Answer-C. Dyspnea with exertion
Of the following, which should be performed first in assessing a 48 year old woman who has a 25 year
history of asthma and who now presents with an acute asthma flare?
a. Oxygen saturation
,b. Arterial blood gas
c. FEV1 (forced expiratory volume at 1 sec)
d. Chest X-ray - Answer-c. FEV1 (forced expiratory volume at 1 sec)
You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is most
desirable?
a. Community hall of a local church
b. Local hospital ambulatory care center
c. Mobile van
d. Space in a shopping center - Answer-C. Mobile van
PRIMARY OR SECONDARY PREVENTION?
A 46 year old woman with HTN and dislipidemia-
Action: counseling about reducing risk for sexually transmitted infection = - Answer-Primary Prevention
Primary or Secondary Prevention?
Skin survey for precancerous lesions= - Answer-Secondary Prevention
Primary or Secondary Prevention?
In a 66 year old woman with T2DM-
ordering the influenza vaccine - Answer-Primary Prevention
Primary, Secondary, Tertiary Prevention?
,Adjusting therapy to enhance glycemic control - Answer-Tertiary Prevention
Primary, Secondary, Tertiary Prevention?
Checking lipid profile - Answer-Secondary Prevention
Primary, Secondary, Tertiary Prevention?
Teaching the benefits of participating in a consistent program of moderate-intensity physical activity? -
Answer-Primary Prevention
Primary, Secondary, Tertiary Prevention?
76 year old man with COPD-
Ensuring adequate illumination at home - Answer-Primary Prevention
Primary, Secondary, Tertiary Prevention?
76 year old man with COPD-
Screening for physical, emotional, or finiancial abuse - Answer-Secondary Prevention
Joseph is a 28 year old man who presents to your practice with a 2 hour history of a superficial
laceration on his forearm that is approximately 5 cm in length that happened when he was replacing a
windowpane and was cut by the glass. Physical exam is consistent with history. His record notes a TDAP
vaccine approx. 2 years ago and documentation of a primary tetanus series. When considering his
immunization needs today, the NP appreciates that Joseph should receive a
o A. Td (tetanus, diphtheria) booster
, o B. A Tdap booster
o C. A dose of TIG (Tetanus immune globulin)
o D. No tetanus vaccine - Answer-o D. No tetanus vaccine
In a community undergoing a disaster, the use of select vaccines will be prioritized. Match the type of
disaster with the priority vaccine.
A. Immunization against tetanus
B. Immunization against influenza
C. Immunization against Hep A
Type of Disaster:
1. Uninjured adults and children evacuated to a crowded group setting:
2. Adults with multiple deep lacerations from flying debris:
3. A community exposed to unsafe water supply after a hurricane: - Answer-1. Uninjured adults and
children evacuated to a crowded group setting: B Immunization against influenza
2. Adults with multiple deep lacerations from flying debris: A immunization against tetanus
3. A community exposed to unsafe water supply after a hurricane: C immunization against Hep A
True or False:
Immune globulin is a concentrated solution of antibodies derived from pooled donated blood - Answer-
TRUE
True or False?
Given the contraindications to influenza and COVID 19 vaccines are rare, nearly everyone > 6 months of
age should be encouraged to receive these immunizations - Answer-TRUE
Assessment of the optic disc is a component of the evaluation of cranial nerve:
a. I
b. II
c. III
d. IV - Answer-b. II
You examine a 62-year-old woman with a 20-year history of hypertension. She reports intermittent use
of antihypertensive medications, stating, "I feel better without the medications." Today she presents for
a "check-up." On physical examination, you note the following: PMI with a downward and lateral shift as
well as a Gr II/VI holosystolic murmur with radiation to the axilla. This patient's health history is most
likely to include a report of:
A. Syncopal episodes
B. Episodes of chest pain at rest
C. Dyspnea with exertion
D. Vertigo - Answer-C. Dyspnea with exertion
Of the following, which should be performed first in assessing a 48 year old woman who has a 25 year
history of asthma and who now presents with an acute asthma flare?
a. Oxygen saturation
,b. Arterial blood gas
c. FEV1 (forced expiratory volume at 1 sec)
d. Chest X-ray - Answer-c. FEV1 (forced expiratory volume at 1 sec)
You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is most
desirable?
a. Community hall of a local church
b. Local hospital ambulatory care center
c. Mobile van
d. Space in a shopping center - Answer-C. Mobile van
PRIMARY OR SECONDARY PREVENTION?
A 46 year old woman with HTN and dislipidemia-
Action: counseling about reducing risk for sexually transmitted infection = - Answer-Primary Prevention
Primary or Secondary Prevention?
Skin survey for precancerous lesions= - Answer-Secondary Prevention
Primary or Secondary Prevention?
In a 66 year old woman with T2DM-
ordering the influenza vaccine - Answer-Primary Prevention
Primary, Secondary, Tertiary Prevention?
,Adjusting therapy to enhance glycemic control - Answer-Tertiary Prevention
Primary, Secondary, Tertiary Prevention?
Checking lipid profile - Answer-Secondary Prevention
Primary, Secondary, Tertiary Prevention?
Teaching the benefits of participating in a consistent program of moderate-intensity physical activity? -
Answer-Primary Prevention
Primary, Secondary, Tertiary Prevention?
76 year old man with COPD-
Ensuring adequate illumination at home - Answer-Primary Prevention
Primary, Secondary, Tertiary Prevention?
76 year old man with COPD-
Screening for physical, emotional, or finiancial abuse - Answer-Secondary Prevention
Joseph is a 28 year old man who presents to your practice with a 2 hour history of a superficial
laceration on his forearm that is approximately 5 cm in length that happened when he was replacing a
windowpane and was cut by the glass. Physical exam is consistent with history. His record notes a TDAP
vaccine approx. 2 years ago and documentation of a primary tetanus series. When considering his
immunization needs today, the NP appreciates that Joseph should receive a
o A. Td (tetanus, diphtheria) booster
, o B. A Tdap booster
o C. A dose of TIG (Tetanus immune globulin)
o D. No tetanus vaccine - Answer-o D. No tetanus vaccine
In a community undergoing a disaster, the use of select vaccines will be prioritized. Match the type of
disaster with the priority vaccine.
A. Immunization against tetanus
B. Immunization against influenza
C. Immunization against Hep A
Type of Disaster:
1. Uninjured adults and children evacuated to a crowded group setting:
2. Adults with multiple deep lacerations from flying debris:
3. A community exposed to unsafe water supply after a hurricane: - Answer-1. Uninjured adults and
children evacuated to a crowded group setting: B Immunization against influenza
2. Adults with multiple deep lacerations from flying debris: A immunization against tetanus
3. A community exposed to unsafe water supply after a hurricane: C immunization against Hep A
True or False:
Immune globulin is a concentrated solution of antibodies derived from pooled donated blood - Answer-
TRUE
True or False?
Given the contraindications to influenza and COVID 19 vaccines are rare, nearly everyone > 6 months of
age should be encouraged to receive these immunizations - Answer-TRUE
