FNP Predictor Exam Study Guide:100% Verified Questions &Answers: Latest Updated

A 45-year-old patient has subclinical hypothyroidism, TSH 6.2. What are the major risks of prescribing levothyroxine? A. There are very few risks B. Hyperlipidemia, atrial fibrillation C. Accelerated bone loss, atrial fibrillation D. She may develop hypertension and tachycardia (Ans- C. Accelerated bone loss, atrial fibrillation A 58 year old female is found to be euthyroid. Which of the following is the next step of care? A. Repeat TSH in 4-6 weeks. B. Increase levothyroxine until therapeutic. C. Monitor TSH annually unless symptoms develop D. Decrease levothyroxine until therapeutic. (Ans- C. Monitor TSH annually unless symptoms develop. A 44 year old obese woman complains of abdominal pain. What physical assessment finding might indicate that the etiology of her pain is acute cholecystitis? A. Pain at McBurney's point.B. Positive Murthy's sign C. Severe epigastric pain D. Thinking bowel sounds (Ans- B. Positive Murphy's sign A 68 year old male has LLQ abdominal pain and suspected diverticulitis. Which initial diagnostic test would be ordered? A. Ultrasound B. Abdominal CT C. Abdominal MRI D. KUB X-ray (Ans- A. Ultrasound A 34 year old woman states that she has had diarrhea for 1 week. What factor should make the provider strongly consider inflammatory bowel disease? A. CBC demonstrates elevated WBCs. B. She has a family history of irritable bowel syndrome. C. She feels tired, weak, and has a fever. D. She is having bloody nocturnal diarrhea. (Ans- D. She is having bloody nocturnal diarrhea.What is the frequency of colonoscopy screening for adults? What is the frequency if the patient is found to have polyps? A. annually B. 1-3 years C. 5 years D. 10 years (Ans- D. And C. A 68 year old male has the following lab values. He states that he feels well. What should be done next? WBC = 10 ALT = 348 AST = 148 A. repeat enzymes in 2 weeks B. Order alkaline phosphatase C. Order a hepatitis panel D. Repeat the labs now (Ans- C. Order a hepatitis panelEach of the following patients have an elevated alkaline phosphatase. Which two of the following choices indicate pathology? A. Adolescent B. Pregnant patient C. 68 year old man with hematochezia D. 56 year old man with prostate cancer (Ans- C and D