LEIK FNP Practice Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient presents with thick, yellow toenails and scaling between the toes. Which condition is
most likely?
A. Eczema
B. Psoriasis
✔✔C. Onychomycosis
D. Cellulitis
A 25-year-old presents with dysuria, urinary frequency, and no fever. Which is the most
appropriate first-line treatment?
A. Ciprofloxacin
✔✔B. Nitrofurantoin
C. Amoxicillin
D. Cephalexin
A patient reports severe unilateral headache with tearing and nasal congestion. Which type of
headache is most likely?
1
,A. Migraine
✔✔B. Cluster headache
C. Tension headache
D. Sinus headache
Which cranial nerve controls the sense of smell?
A. CN II
✔✔B. CN I
C. CN V
D. CN VII
A diabetic patient’s urine dipstick shows large amounts of protein. Which next step is most
appropriate?
A. Repeat urine dipstick in 6 months
B. Start metformin
✔✔C. Order a 24-hour urine for protein and creatinine
D. Order HbA1c
2
,Which vaccine is contraindicated in a pregnant patient?
A. Tdap
B. Influenza (inactivated)
✔✔C. MMR
D. Hepatitis B
A child presents with a “slapped cheek” rash on the face. Which pathogen is most likely?
A. Coxsackie virus
B. Measles virus
✔✔C. Parvovirus B19
D. Rubella virus
Which test is most specific for rheumatoid arthritis?
A. ESR
B. CRP
✔✔C. Anti-CCP antibodies
D. ANA
3
, A 40-year-old woman reports new-onset palpitations and weight loss. Which finding is most
consistent with Graves’ disease?
A. Bradycardia
✔✔B. Exophthalmos
C. Moon face
D. Buffalo hump
In which scenario is it most appropriate to prescribe a statin for primary prevention?
A. LDL 90 mg/dL in a 25-year-old
B. LDL 150 mg/dL in a 35-year-old
✔✔C. LDL 200 mg/dL in a 45-year-old with hypertension
D. LDL 120 mg/dL in a 60-year-old with no other risks
A patient has a positive Murphy’s sign. Which condition is most likely?
A. Appendicitis
B. Pancreatitis
✔✔C. Cholecystitis
D. Diverticulitis
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A patient presents with thick, yellow toenails and scaling between the toes. Which condition is
most likely?
A. Eczema
B. Psoriasis
✔✔C. Onychomycosis
D. Cellulitis
A 25-year-old presents with dysuria, urinary frequency, and no fever. Which is the most
appropriate first-line treatment?
A. Ciprofloxacin
✔✔B. Nitrofurantoin
C. Amoxicillin
D. Cephalexin
A patient reports severe unilateral headache with tearing and nasal congestion. Which type of
headache is most likely?
1
,A. Migraine
✔✔B. Cluster headache
C. Tension headache
D. Sinus headache
Which cranial nerve controls the sense of smell?
A. CN II
✔✔B. CN I
C. CN V
D. CN VII
A diabetic patient’s urine dipstick shows large amounts of protein. Which next step is most
appropriate?
A. Repeat urine dipstick in 6 months
B. Start metformin
✔✔C. Order a 24-hour urine for protein and creatinine
D. Order HbA1c
2
,Which vaccine is contraindicated in a pregnant patient?
A. Tdap
B. Influenza (inactivated)
✔✔C. MMR
D. Hepatitis B
A child presents with a “slapped cheek” rash on the face. Which pathogen is most likely?
A. Coxsackie virus
B. Measles virus
✔✔C. Parvovirus B19
D. Rubella virus
Which test is most specific for rheumatoid arthritis?
A. ESR
B. CRP
✔✔C. Anti-CCP antibodies
D. ANA
3
, A 40-year-old woman reports new-onset palpitations and weight loss. Which finding is most
consistent with Graves’ disease?
A. Bradycardia
✔✔B. Exophthalmos
C. Moon face
D. Buffalo hump
In which scenario is it most appropriate to prescribe a statin for primary prevention?
A. LDL 90 mg/dL in a 25-year-old
B. LDL 150 mg/dL in a 35-year-old
✔✔C. LDL 200 mg/dL in a 45-year-old with hypertension
D. LDL 120 mg/dL in a 60-year-old with no other risks
A patient has a positive Murphy’s sign. Which condition is most likely?
A. Appendicitis
B. Pancreatitis
✔✔C. Cholecystitis
D. Diverticulitis
4
