Answers
1.A 14yo male with bronchitis is being treated with fluids and expectorants.
He returns to the clinic with a fever of 103F, right pleuritic chest pain, and
green sputum. Which of the following examination results would be
expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion
Answer A. Right lower lobe crackles.
2.2 year old child is diagnosed with radial head subluxation ("nursemaid's
elbow"). After closed manipulation, the best indication of successful
treatment is that
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm
Answer C. The child quickly begins to use the affected arm.
3.Which of the following would be an appropriate alternative to
,erythromycin therapy in an 18 year old patient with Mycoplasma
pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin)
Answer A. Azithromycin
4.A 10-month old presents with a rash, runny nose, and cough. Examination
reveals a cluster of tiny white papuls with an erythematous base on the
buccal mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles
Answer D. Measles
5.Office Spriometry performed with an albuterol nebulizer treatment can
con- firm a diagnosis of asthma because it indicates
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D.Whether a patient has reversible airway obstruction
Answer D. Whether a patient has reversible airway obstruction
,6.An 18yr old patient presents with complaints of maxillary facial pain and
yellow nasal discharge for 14 days. What is the appropriate initial
pharmaco- logic intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin
Answer A. Amoxicillin-Clavulanate (Augmentin)
7.Which of the following is the leading cause of cancer-related deaths in
the majority of women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer
Answer D. Lung Cancer
8.A 29-year old male with noncomplicated Chlamidia infection may exhibit
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer
Answer B. No remarkable clinical symptoms
, 9.To assess a patient's ability to think abstractly, a nurse practitioner
could ask the patient
A. The meaning of a common proverb
B. What action the patient would take if their was a fire in the house
C. To count backwards from 100 by 7s
D. To spell a word backward.
Answer A. The meaning of a common proverb
10.A common rule to follow when prescribing many medications for
the elderly is to
A. Give most medications in the morning to allow slowed body functions
to have time to adjust to the drug.
B. Start at a lower dose than what is commonly prescribed for adults,
and increase the dose slowly.
C. Perform a creatinine clearance test for baseline data on all person over
age 70 before starting on new medications.
D. Give medication with a full glass of water to promote absorption and limit
harm to the kidneys.
Answer B. Start at a low dose than what is commonly prescribed for
adults, and increase the dose slowly.
11.A 72 year old female presents with a medical history unremarkable
except for the occasional headache. She enjoyed emotional health
throughout mar- riage and childrearing, although her family history is