3P Practice UPDATED ACTUAL Exam
Questions and CORRECT Answers
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - CORRECT ANSWER - flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds
are: - CORRECT ANSWER - vesicular with late inspiratory crackles in the dependent
portions of the lungs and resonant on percussion (looses ability to pump out blood)
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has
severe mood swings, is easily distracted, and constantly corrects his teachers. You have the high
suspicion for bipolar if which symptom was present? - CORRECT ANSWER - he sleeps
less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a hx of
uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective
abortion? - CORRECT ANSWER - G4 T1 P1 A1 L3 (mult births count as 1 pregnancy
and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? - CORRECT
ANSWER - barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is
contraindicated? - CORRECT ANSWER - Heart disease
Severe aortic regurgitation symptoms with dyspnea - CORRECT ANSWER - dry cough,
angina, hypotension, systolic murmur
Unipolar depression. What medications are not considered? - CORRECT ANSWER -
TCA (tricyclic antidepressants); Buspar, SSR, wellbutin are all okay
, Which of the following statements is most accurate about cough associated with ACEI? -
CORRECT ANSWER - Asthma
Conductive Hearing loss - CORRECT ANSWER - External ear, middle ear, or both
problem
Which of the following is a risk factor for the development of prostate enlargement? -
CORRECT ANSWER - Diabetes; Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom in the
lower extremity? - CORRECT ANSWER - Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to
have ascites and JVD should be evaluated for: - CORRECT ANSWER - heart failure
23 year old woman is having frequent migraines and needs a prophylactic medication. She also
has asthma. The medication should be avoided in this patient: - CORRECT ANSWER -
Propranolol (inderal); can cause increase bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is safe
to use with warfarin? - CORRECT ANSWER - Clarithromycin (PCN and cephalosporins
are okay)
On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck and
boutoniere deformities which she knows are related to the diagnosis of - CORRECT
ANSWER - rheumatoid arthritis
28 year old woman has symptoms of asthma daily and several nights a week. She uses a SABA
and will be starting fluticasone/salmeterol (Advair). Advair: - CORRECT ANSWER - is
not effective during an acute asthma attack
Questions and CORRECT Answers
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - CORRECT ANSWER - flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds
are: - CORRECT ANSWER - vesicular with late inspiratory crackles in the dependent
portions of the lungs and resonant on percussion (looses ability to pump out blood)
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has
severe mood swings, is easily distracted, and constantly corrects his teachers. You have the high
suspicion for bipolar if which symptom was present? - CORRECT ANSWER - he sleeps
less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a hx of
uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective
abortion? - CORRECT ANSWER - G4 T1 P1 A1 L3 (mult births count as 1 pregnancy
and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? - CORRECT
ANSWER - barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is
contraindicated? - CORRECT ANSWER - Heart disease
Severe aortic regurgitation symptoms with dyspnea - CORRECT ANSWER - dry cough,
angina, hypotension, systolic murmur
Unipolar depression. What medications are not considered? - CORRECT ANSWER -
TCA (tricyclic antidepressants); Buspar, SSR, wellbutin are all okay
, Which of the following statements is most accurate about cough associated with ACEI? -
CORRECT ANSWER - Asthma
Conductive Hearing loss - CORRECT ANSWER - External ear, middle ear, or both
problem
Which of the following is a risk factor for the development of prostate enlargement? -
CORRECT ANSWER - Diabetes; Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom in the
lower extremity? - CORRECT ANSWER - Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to
have ascites and JVD should be evaluated for: - CORRECT ANSWER - heart failure
23 year old woman is having frequent migraines and needs a prophylactic medication. She also
has asthma. The medication should be avoided in this patient: - CORRECT ANSWER -
Propranolol (inderal); can cause increase bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is safe
to use with warfarin? - CORRECT ANSWER - Clarithromycin (PCN and cephalosporins
are okay)
On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck and
boutoniere deformities which she knows are related to the diagnosis of - CORRECT
ANSWER - rheumatoid arthritis
28 year old woman has symptoms of asthma daily and several nights a week. She uses a SABA
and will be starting fluticasone/salmeterol (Advair). Advair: - CORRECT ANSWER - is
not effective during an acute asthma attack
