Conceptual Actual Emended Exam Questions
With Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
1. A 56-year-old male with recurrent upper GI bleeds has had an upper
endoscopy with no signs of bleeding found. Which procedure/procedures
could be done to further investigate his source of bleeding select all that
apply?
A. Pill video capsule
B. Colonoscopy
C. ERCP
D. Deep small bowel enteroscopy
- ANSWER D
2. An adult female returns to the clinic with severe profuse watery diarrhea,
abdominal pain, and cramping after treatment with Cipro x 10 days. WBC is
12.5, stool culture is positive for c diff. The NP would recommend:
A. Acidophilus
B. Cleocin 450
C. Metronidazole 500 tid for 10-14 d
D. No further treatment
- ANSWER C
3. A 45-year-old woman presents with chronic diarrhea, weight loss, and
abdominal pain. Endoscopy reveals villous atrophy of the small intestine.
What is the most appropriate initial management?
, A. High-fiber diet
B. Antibiotics
C. Gluten-free diet
D. Lactose-free diet
- ANSWER C
4. A 35-year-old man presents with sudden onset of severe flank pain
radiating to the groin, nausea, and vomiting. He reports a history of similar
episodes. What is the most likely diagnosis?
A. Renal calculi
B. Chronic kidney disease
C. Pyelonephritis
D. Acute cystitis
- ANSWER A
5. The most common side effect of the oral ribavirin used in the treatment of
hepatitis C is:
A. weight gain.
B. depression.
C. hemolytic anemia.
D. hypothyroidism
- ANSWER C
-
6. An adult female with rheumatoid arthritis presents to the office for a follow
up. She is currently taking methotrexate and over the counter Ibuprofen.
Today she complains of severe stomach pain and intense abdominal
cramping. After the nurse practitioner makes appropriate adjustments to
the patient's medication regimen, the patient still complains of abdominal
discomfort and reports dark stools. The practitioner suspects:
Gastric ulceration
,An older adult patient with new onset GERD, cough, heartburn. Initial tx
A. Antacid and lifestyle modification/weight loss
B. Sucralfate
C. H2 receptor antagonist
D. PPI
- ANSWER A
7. Which sphincter tends to be involved with the symptoms associated with
patients who have GERD?
A. Pyloric sphincter
B. Internal anal sphincter
C. Lower esophageal sphincter
D. leocecal sphincter
- ANSWER C
8. Which antibiotic is appropriate for initial treatment of sinusitis?
A. azithromycin (Zpack)
B. amoxicillin/clavulanic acid (Augmentin)
C. Cefdinir
D. penicillin (PCN
- ANSWER B
9. Your patient is on rivaroxaban, a potent novel oral anticoagulant, and
presents to the urgent care in no apparent distress with a right nare that is
bleeding through the current self-packed gauze. This has been persistent for
the past 30 minutes without any evidence of stopping. Which is the most
appropriate next action?
A. Apply direct manual compression to the bridge of the nose and consult
ENT
Consult anesthesia for intubation
, b. Remove the current nasal packing to evaluate further
c. Attempt blind cautery with silver nitrate sticks around the packing
- ANSWER A
10.A young adult presents with a sore throat, nasal congestion, postnasal drip,
no temperature elevation, and no lower respiratory involvement. The most
appropriate initial intervention is to:
A. Obtain a Monospot test
B. Obtain a nasopharyngeal culture and sensitivity
C. Prescribe a prophylactic course of oral penicillin
D. Recommend gargling with warm salt water
- ANSWER D
11.A 51-year-old male patient presents to the urgent care with a unilateral
injected cornea and nausea. He reports visual acuity changes and light
sensitivity. Which of the following is not included in your differential?
A. Digoxin toxicity
B. Acute angle glaucoma
C. Cluster headache
D. Chalazion
- ANSWER D
12.Patients presenting with globe rupture should be sent to immediate surgery
due to which of the following reasons?
A. Pain associated to the traumatic event is less when surgery is performed
immediately
B. Rapid surgery can increase incidence of endophthalmitis
C. Loss of vision is worse if surgery is immediate
D. Delay in surgery can increase incidence of choroidal hemorrhage
- ANSWER D
13.An older adult female reports nasal congestion, clear nasal secretions, and a
post-nasal drip since going through menopause. After a thorough