EXAM
QUESTIONS
AND
ANSWERS
QUESTION 1
Joan is a 39 y/o female who presents to the clinic with a chief complaint of:
3-day history of fever (101 F degrees), chills, n & v, and flank pain. During
the physical exam, the NP notices that Joan has CVA tenderness. In a
urine check, the NP notes that she has many leukocytes, hematuria, WBC
casts, and mild proteinuria. Complications for Joan would include all the
following except:
a) Shock
b) Renal failure
c) Gram-positive septicemia
d) None of the above
QUESTION 2
Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work
that was drawn at her last visit. Her labs showed a low TSH and an increase
in both her serum free T4 and T3. Sierra's most likely diagnosis is:
a) Hypothyroidism
b) Primary hyperthyroidism (Graves' disease)
c) Primary hyperparathyroidism
d) None of the above
QUESTION 3
,Susan is a 29 y/o female who comes to the clinic with a 3-day history of
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T fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does
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a urine dipstick and discoverthat Susan is positive for nitrites, leukocytes,
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and >10 WBCs. The physical exam reveals a
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CVA tenderness. Within 2 weeks, Susan returns to the clinic and a culture
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T of her urine shows she has the same bacteria as when the NP first saw her.
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This would be referred toas:
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a) Relapsing UTI T
b) Recurring UTI T
c) Persistent UTI T
d) None of the above T T T
QUESTION 4 T
Juan, an 82 y/o male, is brought to the clinic by his daughter with sudden
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LLQ pain, nausea,vomiting, diarrhea, or constipation. The patient has a
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T temperature of 100.4 and reports blood in stool. Juan's most likely T T T T T T T T T T
T diagnosis is: T
a) PUD
b) Acute diverticulitis T
c) Acute pancreatitis T
d) Hepatitis
QUESTION 5 T
Martin is a 73 y/o male who has a 50 pack/year history of smoking and
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T comes to the clinic for his annual physical. As you are leading him back to
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the exam room you note that he has dyspnea with minimal cough, a barrel
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T chest, and appears to have lost weight since his last visit. Your physical
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T exam confirms a 20 lb. weight loss and more noticeable pursed lip
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, T breathing. Given Martin's condition, the first line treatment would be all the
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following except:
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a) Albuterol
b) Salmeterol
c) Levalbuterol
d) Metaproterenol
QUESTION 6 T
Wen is a 48 y/o female who comes to the clinic with fatigue, weight gain,
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cold intolerance,constipation, and menstrual abnormalities. The NP orders
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T a TSH and free serum T4 and thyroid peroxidase antibody (TPO). The TSH
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T is 6.0 mU/L, the T4 is low, and the TPO is high. Her most likely diagnosis
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T is:
a) Hyperthyroidism
b) Hyperparathyroidism
c) Hashimoto's thyroiditis T
d) None of the above T T T
QUESTION 8 T
Risk factors for Alcohol Use Disorder include which of the following?
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a) Family history T