PRACTICE EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS | ALREADY GRADED
A+<RECENT VERSION>
1) When reading a TST(PPD) all of the following indicate a positive test
except - answer Healthy
2) In the employee health office, you have diagnosed latent TB in an
employee who has a positive tuberculin skin test (TST) You have a
positive QuantiFERON (QFT) test and a chest x-ray that shows no active
disease. What other diagnostic test would you order before starting this
employee on INH therapy? - answer LFT
3) The estimated attributed cause of lung cancer from active cigarette
smoking is? - answer 90%
4) Assessment finding of greatest concern in an individual who smokes with
a chronic cough that warrants CT scan - answer Persistent cough or
change
5) As a primary care clinician, recommendations you would give a patient
for smoking cessation would be all the following except? - answer
Recommend against e-cigs
,6) Bacterial causes of acute bronchitis include all of the following except: -
answer Pneumonia
7) All of the following are expected symptoms of pneumonia EXCEPT: -
answer read the question
carefully-altered mental status is not an answer
8) Which of the following is done to confirm a diagnosis of pneumonia? -
answer Chest Xray/Chest
radiograph
9) Guidelines recommend high risk patients be screened for lung cancer
beginning at - answer 55
10) Which of the following best describes asthma? - answer
Chronic airway inflammation with superimposed bronchospasms
11) Treatment for a pulmonary embolus would include all the
following pharmacological agents except? - answer Plavix
12) Classic EKG changes seen in an individual with pulmonary emboli
are: - answer T inverted waves in lead 3, S waves in lead 1, Q waves
in lead 3
13) A patient presents to your office with significant shortness of
breath, tachycardia, and recent history of travel. Your immediate concern
would be to rule out? - answer Pulmonary Embolism
14) Which of the following statements about lung cancer is NOT true?
- answer Usually dx early
,15) Which of the following is NOT part of the differential diagnosis for
a patient who complains of cough? - answer Obesity
16) Which of the following is the gold standard in assessment and
diagnosis of COPD? - answer Post-
Bronchodilated spirometery (spirometery is the gold standard)
17) An example of a SAMA you would use in the treatment of COPD
is: - answer ipratropium/Atrovent
HFA (short acting)
18) A patient diagnosed with acute bronchitis and cough 5 days ago,
calls to report that his cough is persistent since yesterday. He has no other
new symptoms. How should the NP manage this patient? - answer
Order an antitussive (for relief and severity of
cough),Dextromethorphan/Guaitenn soml, Deloyn 10ml BID
19) Ryan is a 28 year old male who presents to your practice with
symptoms consistent with acute bronchitis. Risk factors associated with
acute bronchitis include the following
EXCEPT? - answer Male gender
20) When providing Ryan with patient education about his acute
bronchitis, you explain acute bronchitis is - answer Acute onset or
persistent cough with or without sputum
21) A 50 year old male patient presents to your practice with cough,
pharyngitis, nasal discharge, and fever. Which of these symptoms is most
common with acute bronchitis? - answer cough
22) A 25 year old female presents to the office with a hx of asthma.
She states that she was uses her albuterol inhalers 2-3 times a week with
, good relief symptoms and that is why she doesn't use the ICS that was
previously prescribed. She does not consider her asthma to interfere with
her life. She is requesting a refill of her albuterol. Your priority advise to
the patient is that - answer not effective recommend ICS
23) Which of the following is a basis of drug therapy used in the
treatment of moderate persistent asthma? - answer Low to medium IS
+ long acting bronchodilator (flutacusone+salmetrol-Advair) Flutucosone
propronate salmetrol
24) Which of the following would be an appropriate treatment choice
for a 40-year-old female diagnosed with community aquired pneumonia
who has no co-morbidities? (select 2) - answer ANS: Amoxicillin,
doxycycline, azithromycin or clarithromycin doxycycline 100
BID,Azithromycin
25) A 21 year old presents with ear pain. On PE, you observe pain with
palpation of pinna and tragus and redness swelling of the external
auditory canal. The patient has tympanostomy tubes. Which medication
would you NOT prescribe: - answer Cipro (hydrocortisone)
26) A 35 year old female presents with redness in her eyes, yellowish
drainage and some discomfort, she does not feel comfortable using her
contact lenses. She has no visual disturbance. Her son who is in grade
school had the same problem and was treated by the pediatrician. You
diagnose her with acute bacterial conjunctivitis. The most appropriate
antibiotic to prescribe is - answer levofloxacin
27) Lily has nasal congestion with purulent nasal discharge and facial
pain without improvement for the past 12 days. She has a PCN allergy.
The best option for initial therapy is: - answer Moxifloxacin,
levofloxacin, doxycycline