FITZGERALD NP EXAM REVIEW POST
A 16-year-old presents with moderate acne consisting of about 25 inflammatory
lesions on her face, neck, and shoulders. First-line treatment can include: -
ANSWER Topical benzoyl peroxide plus topical antimicrobial.
Lisa is a 48-year-old woman who presents with a 5-day history of painful urination
and mucopurulent vaginal discharge. Suspecting chlamydial infection, which of the
following findings would support this diagnosis? - ANSWER Friable cervix
The NAAT assay is performed for Lisa and chlamydia infection is confirmed. Which of
the following is the most appropriate treatment choice? - ANSWER Oral
azithromycin
Which of the following is recommended prior to Lisa leaving the clinic? -
ANSWER Encourage screening for HIV and other STIs
A 27-year-old male is diagnosed with gonorrhea. He is otherwise healthy, has no drug
allergies, and has not been treated with an antimicrobial in the past year.
Recommended treatment is: - ANSWER IM ceftriaxone.
The NP is counseling Rene, a 22-year-old woman, who reports having unprotected
intercourse 3 days ago and asks about emergency contraception. She is not currently
taking any form of contraception and her last menses ended 7 days ago. The NP
advises: - ANSWER A prescription is not needed for levonorgestrel emergency
contraception.
Rene calls the clinic 4 weeks after taking emergency contraception and reports that
she has not yet started her menses. She is concerned because her cycle is normally
predictable. The NP recommends: - ANSWER Taking a pregnancy test.
1
,Wellman is a 48-year-old roofer who presents because he is concerned about a
painless nodule that developed on the tip of his nose over the past couple of
months. The nodule is about 8 mm in diameter, opaque, ulcerating, with non-distinct
borders. This most likely represents: - ANSWER Squamous cell carcinoma.
The next-best course of action for Wellman is: - ANSWER Schedule a biopsy of
the lesion.
A 66-year-old woman is newly diagnosed with osteoporosis and will initiate daily oral
bisphosphonate therapy. After counseling the patient on the medication, the NP
realizes additional education is needed when the patient says: - ANSWER "I
should take my medication with the largest meal of the day."
Which of the following is the preferred treatment option for malignant melanoma of
about 2 cm in diameter at the widest point on the shoulder of a 47-year-old
woman? - ANSWER Mohs micrographic surgery
The NP is reviewing the vaccination history of a 22-year-old woman. The records
indicate that she received the first dose of the 4-valent HPV vaccine 6 years ago but
did not complete the regimen. The NP recommends: - ANSWER Completing the
series with 2 shots of HPV-9 given over 6 months.
Which of the following best describes the Tinel sign used during the evaluation of an
individual with suspected carpal tunnel syndrome? - ANSWER Lightly tapping
over the nerve elicits a tingling sensation
Which of the following is most useful in making the diagnosis of carpal tunnel
syndrome? - ANSWER Electromyography
A 56-year-old woman was diagnosed with carpal tunnel syndrome 2 weeks ago. She
was instructed to use a volar splint at night and to take acetaminophen for pain
2
, relief. Today she reports little improvement in symptoms. The NP recommends: -
ANSWER A corticosteroid injection near the carpal tunnel.
Grant is a 70-year-old African American male with a long history of type 2 diabetes
mellitus. An eye examination reveals poor peripheral vision. He denies any eye pain
and there is no redness or any noticeable change in visual acuity since his last exam.
The most likely diagnosis is: - ANSWER Open-angle glaucoma.
Nancy is a 68-year-old woman with a history of deep vein thrombosis and BMI of 36
kg/m2 who presents with complaints of pain, itching and swelling of the lower legs
that have gotten progressively worse over the past 8 months. Suspecting chronic
venous insufficiency, the NP would expect which of the following on physical
examination? - ANSWER Thin, shiny skin
Chronic venous insufficiency is a common complication of DVT and results in
decreased venous return because of vessel damage. The earliest signs include lower
leg edema, aching, and itchiness. The edema progressively worsens over time and
results in the development of thin, shiny skin, often with brown pigmentation
A recommended first-line treatment for chronic venous insufficiency for Nancy would
be: - ANSWER Prescription compression stockings.
Doreen is a 52-year-old African American woman with a history of type 2 diabetes
mellitus and hypertension. According to the American Diabetes Association, her A1C
goal is: - ANSWER <7.0%.
Doreen is currently taking metformin and it is decided she needs a second agent to
meet her A1C goal. She expresses some concern with weight gain and has a fear of
hypoglycemia. Which of the following would be the most appropriate treatment
choice to add to metformin? - ANSWER A GLP-1 receptor agonist
The sulfonylureas are associated with hypoglycemia risk (A) while the
thiazolidinediones can be associated with weight gain (B). The alpha-glucosidase
3
A 16-year-old presents with moderate acne consisting of about 25 inflammatory
lesions on her face, neck, and shoulders. First-line treatment can include: -
ANSWER Topical benzoyl peroxide plus topical antimicrobial.
Lisa is a 48-year-old woman who presents with a 5-day history of painful urination
and mucopurulent vaginal discharge. Suspecting chlamydial infection, which of the
following findings would support this diagnosis? - ANSWER Friable cervix
The NAAT assay is performed for Lisa and chlamydia infection is confirmed. Which of
the following is the most appropriate treatment choice? - ANSWER Oral
azithromycin
Which of the following is recommended prior to Lisa leaving the clinic? -
ANSWER Encourage screening for HIV and other STIs
A 27-year-old male is diagnosed with gonorrhea. He is otherwise healthy, has no drug
allergies, and has not been treated with an antimicrobial in the past year.
Recommended treatment is: - ANSWER IM ceftriaxone.
The NP is counseling Rene, a 22-year-old woman, who reports having unprotected
intercourse 3 days ago and asks about emergency contraception. She is not currently
taking any form of contraception and her last menses ended 7 days ago. The NP
advises: - ANSWER A prescription is not needed for levonorgestrel emergency
contraception.
Rene calls the clinic 4 weeks after taking emergency contraception and reports that
she has not yet started her menses. She is concerned because her cycle is normally
predictable. The NP recommends: - ANSWER Taking a pregnancy test.
1
,Wellman is a 48-year-old roofer who presents because he is concerned about a
painless nodule that developed on the tip of his nose over the past couple of
months. The nodule is about 8 mm in diameter, opaque, ulcerating, with non-distinct
borders. This most likely represents: - ANSWER Squamous cell carcinoma.
The next-best course of action for Wellman is: - ANSWER Schedule a biopsy of
the lesion.
A 66-year-old woman is newly diagnosed with osteoporosis and will initiate daily oral
bisphosphonate therapy. After counseling the patient on the medication, the NP
realizes additional education is needed when the patient says: - ANSWER "I
should take my medication with the largest meal of the day."
Which of the following is the preferred treatment option for malignant melanoma of
about 2 cm in diameter at the widest point on the shoulder of a 47-year-old
woman? - ANSWER Mohs micrographic surgery
The NP is reviewing the vaccination history of a 22-year-old woman. The records
indicate that she received the first dose of the 4-valent HPV vaccine 6 years ago but
did not complete the regimen. The NP recommends: - ANSWER Completing the
series with 2 shots of HPV-9 given over 6 months.
Which of the following best describes the Tinel sign used during the evaluation of an
individual with suspected carpal tunnel syndrome? - ANSWER Lightly tapping
over the nerve elicits a tingling sensation
Which of the following is most useful in making the diagnosis of carpal tunnel
syndrome? - ANSWER Electromyography
A 56-year-old woman was diagnosed with carpal tunnel syndrome 2 weeks ago. She
was instructed to use a volar splint at night and to take acetaminophen for pain
2
, relief. Today she reports little improvement in symptoms. The NP recommends: -
ANSWER A corticosteroid injection near the carpal tunnel.
Grant is a 70-year-old African American male with a long history of type 2 diabetes
mellitus. An eye examination reveals poor peripheral vision. He denies any eye pain
and there is no redness or any noticeable change in visual acuity since his last exam.
The most likely diagnosis is: - ANSWER Open-angle glaucoma.
Nancy is a 68-year-old woman with a history of deep vein thrombosis and BMI of 36
kg/m2 who presents with complaints of pain, itching and swelling of the lower legs
that have gotten progressively worse over the past 8 months. Suspecting chronic
venous insufficiency, the NP would expect which of the following on physical
examination? - ANSWER Thin, shiny skin
Chronic venous insufficiency is a common complication of DVT and results in
decreased venous return because of vessel damage. The earliest signs include lower
leg edema, aching, and itchiness. The edema progressively worsens over time and
results in the development of thin, shiny skin, often with brown pigmentation
A recommended first-line treatment for chronic venous insufficiency for Nancy would
be: - ANSWER Prescription compression stockings.
Doreen is a 52-year-old African American woman with a history of type 2 diabetes
mellitus and hypertension. According to the American Diabetes Association, her A1C
goal is: - ANSWER <7.0%.
Doreen is currently taking metformin and it is decided she needs a second agent to
meet her A1C goal. She expresses some concern with weight gain and has a fear of
hypoglycemia. Which of the following would be the most appropriate treatment
choice to add to metformin? - ANSWER A GLP-1 receptor agonist
The sulfonylureas are associated with hypoglycemia risk (A) while the
thiazolidinediones can be associated with weight gain (B). The alpha-glucosidase
3
