1. Cranial nerves responsible for extraocular motor movements are:
a. Cranial nerves 2, 3, and 6
b. Cranial nerves 3, 4, and 6
c. Cranial nerves 1, 2, and 3
d. Cranial nerves 5, 7, and 8
Answer: b. Cranial nerves 3, 4, and 6
Rationale: Cranial nerves III (oculomotor), IV (trochlear), and VI (abducens) control
extraocular eye movements.
2. A patient with a history of hypertension and stroke now presenting with memory loss and
confusion most likely has:
a. Alzheimer’s disease
b. Parkinson’s disease
c. Vascular dementia
d. Delirium
Answer: c. Vascular dementia
Rationale: Vascular dementia is associated with impaired blood flow to the brain, commonly
linked to hypertension and previous strokes.
3. The CAGE questionnaire is primarily used to screen for:
a. Anxiety disorder
b. Alcohol abuse
c. Depression
d. Dementia
,Answer: b. Alcohol abuse
Rationale: The CAGE questionnaire is a screening tool used to identify possible alcohol
dependence or abuse.
4. The most appropriate long-term treatment for chronic alcoholism is:
a. Antibiotic therapy
b. Insulin therapy
c. Counseling and support programs
d. Anticoagulation therapy
Answer: c. Counseling and support programs
Rationale: Chronic alcoholism is best managed with behavioral therapy, counseling,
rehabilitation, and support groups.
5. In frail elderly patients, mammography commonly shows breast tissue that is:
a. Dense
b. Fibrocystic
c. Inflamed
d. Fatty replaced
Answer: d. Fatty replaced
Rationale: Aging breast tissue becomes less dense and more fatty, making mammographic
interpretation easier.
6. A patient with Barrett’s esophagus requests continuation of medication after losing
gastroenterology coverage. The FNP should:
a. Refer immediately to oncology
b. Stop the medication
, c. Refill the prescription
d. Recommend surgery
Answer: c. Refill the prescription
Rationale: Barrett’s esophagus requires ongoing acid suppression therapy, and continuity of
treatment is important.
7. According to the American College of Gastroenterology, first-line treatment for GERD is:
a. Antacids only
b. H2 receptor blockers
c. Proton pump inhibitors (PPIs)
d. Antibiotics
Answer: c. Proton pump inhibitors (PPIs)
Rationale: PPIs are the preferred initial treatment because they are more effective at acid
suppression and healing esophagitis.
8. A patient taking thyroid medication has elevated TSH with normal T4 levels. What is the
best management?
a. Increase medication dose
b. Decrease medication dose
c. Stop the medication
d. No treatment needed
Answer: a. Increase medication dose
Rationale: Elevated TSH indicates inadequate thyroid hormone replacement despite normal T4
levels.
9. A triglyceride level of 1500 mg/dL places the patient at greatest risk for:
a. Pancreatitis
, b. Stroke
c. Asthma
d. Pneumonia
Answer: a. Pancreatitis
Rationale: Severe hypertriglyceridemia significantly increases the risk of acute pancreatitis.
10. Increased creatinine in a frail elderly patient is most suggestive of:
a. Liver disease
b. Renal insufficiency
c. Hyperthyroidism
d. Asthma
Answer: b. Renal insufficiency
Rationale: Elevated creatinine levels commonly indicate impaired kidney function.
11. The preferred treatment for a fingernail hematoma is:
a. Apply heat only
b. Splint the finger
c. Drill a hole to drain the blood
d. Remove the entire nail
Answer: c. Drill a hole to drain the blood
Rationale: Trephination relieves pressure and pain caused by subungual hematoma.
12. A Pap smear showing abnormal cells should be followed by:
a. Repeat Pap smear in 10 years
b. Chest X-ray
c. Mammography
d. Referral for colposcopy
a. Cranial nerves 2, 3, and 6
b. Cranial nerves 3, 4, and 6
c. Cranial nerves 1, 2, and 3
d. Cranial nerves 5, 7, and 8
Answer: b. Cranial nerves 3, 4, and 6
Rationale: Cranial nerves III (oculomotor), IV (trochlear), and VI (abducens) control
extraocular eye movements.
2. A patient with a history of hypertension and stroke now presenting with memory loss and
confusion most likely has:
a. Alzheimer’s disease
b. Parkinson’s disease
c. Vascular dementia
d. Delirium
Answer: c. Vascular dementia
Rationale: Vascular dementia is associated with impaired blood flow to the brain, commonly
linked to hypertension and previous strokes.
3. The CAGE questionnaire is primarily used to screen for:
a. Anxiety disorder
b. Alcohol abuse
c. Depression
d. Dementia
,Answer: b. Alcohol abuse
Rationale: The CAGE questionnaire is a screening tool used to identify possible alcohol
dependence or abuse.
4. The most appropriate long-term treatment for chronic alcoholism is:
a. Antibiotic therapy
b. Insulin therapy
c. Counseling and support programs
d. Anticoagulation therapy
Answer: c. Counseling and support programs
Rationale: Chronic alcoholism is best managed with behavioral therapy, counseling,
rehabilitation, and support groups.
5. In frail elderly patients, mammography commonly shows breast tissue that is:
a. Dense
b. Fibrocystic
c. Inflamed
d. Fatty replaced
Answer: d. Fatty replaced
Rationale: Aging breast tissue becomes less dense and more fatty, making mammographic
interpretation easier.
6. A patient with Barrett’s esophagus requests continuation of medication after losing
gastroenterology coverage. The FNP should:
a. Refer immediately to oncology
b. Stop the medication
, c. Refill the prescription
d. Recommend surgery
Answer: c. Refill the prescription
Rationale: Barrett’s esophagus requires ongoing acid suppression therapy, and continuity of
treatment is important.
7. According to the American College of Gastroenterology, first-line treatment for GERD is:
a. Antacids only
b. H2 receptor blockers
c. Proton pump inhibitors (PPIs)
d. Antibiotics
Answer: c. Proton pump inhibitors (PPIs)
Rationale: PPIs are the preferred initial treatment because they are more effective at acid
suppression and healing esophagitis.
8. A patient taking thyroid medication has elevated TSH with normal T4 levels. What is the
best management?
a. Increase medication dose
b. Decrease medication dose
c. Stop the medication
d. No treatment needed
Answer: a. Increase medication dose
Rationale: Elevated TSH indicates inadequate thyroid hormone replacement despite normal T4
levels.
9. A triglyceride level of 1500 mg/dL places the patient at greatest risk for:
a. Pancreatitis
, b. Stroke
c. Asthma
d. Pneumonia
Answer: a. Pancreatitis
Rationale: Severe hypertriglyceridemia significantly increases the risk of acute pancreatitis.
10. Increased creatinine in a frail elderly patient is most suggestive of:
a. Liver disease
b. Renal insufficiency
c. Hyperthyroidism
d. Asthma
Answer: b. Renal insufficiency
Rationale: Elevated creatinine levels commonly indicate impaired kidney function.
11. The preferred treatment for a fingernail hematoma is:
a. Apply heat only
b. Splint the finger
c. Drill a hole to drain the blood
d. Remove the entire nail
Answer: c. Drill a hole to drain the blood
Rationale: Trephination relieves pressure and pain caused by subungual hematoma.
12. A Pap smear showing abnormal cells should be followed by:
a. Repeat Pap smear in 10 years
b. Chest X-ray
c. Mammography
d. Referral for colposcopy
