A 36 year old female patient is seen in the clinic for a reported
fever and back pain. She complained of pain when the NP
percussed over the left CVA angle. This finding supports which
of the following differential diagnosis?
A. Pyelonephritis
B. Left lower lobe pneumonia
C. Splenomegaly
D. Cholesystitis Correct Answer A. Pyelonephritis
A 40 year old male patient presents with sinus pain, pressure and
yellow nasal discharge. Your exam would include palpation of:
A. Ethmoid and frontal sinuses
B. Maxillary and sphenoid sinuses
C. Frontal and maxillary sinuses
D. Sphenoid and ethmoid sinuses Correct Answer C. Frontal
and maxillary sinuses
A 60 y.o presents with a 3 day history of left eye irritation.
Which of the following findings should be recorded in the ROS?
A. Patient denies eye pain or change in vision
B. Vision is 20/20 by Snellen Chary
C. Yellow crust is visible at the inner canthus of the left eye
D. all of the above Correct Answer A. Patient denies eye pain
or change in vision
,A linear arrangement along a nerve distribution is a description
of which type of skin lesion?
A. Annular
B. Zosteriform
C. Keratitis
D. Linear Correct Answer B. Zosteriform
A newborn is in the office with cold symptoms. you go into the
room to see a distressed mom who is very concerned about her
baby. She expresses to you that something is wrong. Your initial
thought that comes to mind is that this could be RSV. You must
look for signs of respiratory distress. Those signs
include________________
A. Vomiting and diarrhea
B. coughing, pulling legs up
C. retractions, nasal flaring, tachypnea, grunting
D. fever of 100.4 or higher, tachypnea, vomiting Correct
Answer C. retractions, nasal flaring, tachypnea, grunting
A patient is seen in the office for amenorrhea, for which you
obtain a urine pregnancy test in the office that returns negative.
You would document this finding in which of the following
sections of the ecounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data Correct Answer D. Objective Data
, A patient you are seeing for the first time in your office, brings
their previous medical records for the review. you would
document a summer of the previous medical records in which of
the following sections of the encounter note?
A. HPI
B. CC
C. Subjective Data
D. Objective Data Correct Answer C. Subjective Data
A wood's lamp is especially useful in diagnosing __________
A. tine versicolor
B. herpes zoster
C. contact dermatitis
D. All of the above Correct Answer A. tine versicolor (woods
lamp helps diagnosis yeast infections)
An 85 y.o. woman is brought to the urgent care center for
possible aspiration pneumonia. The NP understands that, based
on normal anatomy adventitious lung sounds will most likely be
heard in which of the following areas?
A. left upper lobe
B. left middle & lower lobes
C. right upper lobe
D. Right middle and lower lobes Correct Answer D. Right
middle and lower lobes
Barrel chest is an abnormal chest configuration that may occur
in which of the following disorders?