ACTUAL EXAM
◉ Marsha presents with symptoms resembling both fibromyalgia
and chronic fatigue syndrome, which have many similarities. Which
of the following is more characteristic of fibromyalgia Answer:
Musculoskeletal pain
◉ Differential diagnosis of proteinuria includes which of the
following? Answer: Orthostatic proteinuria
◉ A patient presenting for an annual physical exam has a BMI of 25
kg/m2 This patient would be classified as: Answer: overweight
◉ Reed-Sternberg B lymphocytes are associated with which of the
following disorders Answer: Hodgkin's lympoma
◉ A 77-year-old female presents to the office complaining a sudden
swelling on her right elbow. She denies fever, chills, trauma, or pain.
The physical exam reveals a non-tender area of swelling over the
extensor surface over the right elbow with evidence of trauma or
irritation. The nurse practitioner suspects: Answer: olecranon
bursitis
,◉ Establishment of a definitive diagnosis of osteomyelitis requires:
Answer: Biopsy of culture of the pathogen from blood or bone
aspirate.
◉ The most accurate measure of diabetes control is: Answer: HbA1c
has evolved to become the gold standard outcome to measure the
efficacy of glucose-lowering medications.
◉ A patient has been diagnosed with generalized anxiety disorder
(GAD). Which of the following medications may be used to treat
generalized anxiety disorder? Answer:
◉ The most common presentation of thyroid cancer is: Answer: A
solitary thyroid nodule
◉ Which of the following accounts for half of the bladder tumors
among men and one-third in women? Answer: Cigarette smoke, both
active and passive inhalation
◉ You have a new patient that presents with generalized
lymphadenopathy. You know that this is indicative of: Answer:
Cancer of the liver
, ◉ Sally, a computer programmer, has just been given a new
diagnosis of carpal tunnel syndrome. Your next step is to Answer: try
neutral position wrist splinting and order an oral NSAID
◉ Which drug category contains the drugs that are the first line Gold
standard therapy for COPD? Answer: Inhaled beta-2 agonist
bronchodilators
◉ Potential causes of septic arthritis include which of the following?
Answer: A and B
◉ A patient has been taking fluoxetine (Prozac) since being
diagnosed with major depression, first episode, 2 months ago. She
reports considerable improvement in her symptoms and her
intention to discontinue the medication. What should be the nurse
practitioner's recommendation? Answer: Recommend that the
patient continue the antidepressant medication for at least 4 more
months
◉ Your patient has an elevated mean cell volume (MCV). What
should you be considering in terms of diagnosis? Answer: Liver
disease
◉ Which of the following medications increase the risk for metabolic
syndrome? Answer: All of the above