2 Central obesity, “moon” face, and dorsocervical fat pad are associated with:
C.Cushing’s syndrome
• 3An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he
returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an
edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is:
D.Hydrochlorothiazide
• 4 The most effective treatment of non-infectious bursitis includes: Conservative treatment includes
rest, cold and heat treatments, elevation, administration of nonsteroidal anti-inflammatory drugs
(NSAIDs), bursal aspiration, and intrabursal steroid injections
• 5 What conditions must be met for you to bill “incident to” the physician, receiving 100%
reimbursement from Medicare?
Selected Answer: The physician must be on-site and engaged in patient care
Answers
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient care
You must be employed as an independent contractor
• 6Which of the following is not a risk factor associated with the development of syndrome X and type 2
diabetes mellitus?
The metabolic syndrome refers to the co-occurrence of several known cardiovascular risk factors,
including insulin resistance, obesity, atherogenic dyslipidemia and hypertension.
• 7Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
Strong urinary stream flow
• 8 Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his
lower esophageal sphincter pressure, which substances do you recommend that he avoid?
Food that is very hot or very cold
Fatty or fried foods Peppermint or spearmint, including flavoring
Coffee, tea, and soft drinks that contain caffeine
Spicy, highly seasoned foods
Fried food DT caffeine, chocolate and anticholinergics
• 9Which drug category contains the drugs that are the first line Gold standard therapy for COPD? Beta
antagonist
, • 10The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is:
Nsaid
• 11Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
Erythromycin
• 12A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns
6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight
loss. What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
• 16You are assessing a patient after a sports injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus
D. collateral ligament.
• 17A 32 year old female patient presents with fever, chills, right flank pain, right costovertebral angle
tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse
practitioner diagnoses pyelonephritis. The most appropriate management is:
Include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of extended-
release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin (Levaquin) once per day
for five days.
• 19A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower
humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial
epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most
likely cause of this patient’s pain is: epicondylitis
• 21The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy
is to measure albumin in a spot urine sample, collected either as the first urine in the morning or at
random, for example, at the medical visit. This method is accurate,:Early morning
• 22What is the first symptom seen in the majority of patients with Parkinson’s disease? Tremor at rest
• 23The most commonly recommended method for prostate cancer screening in a 55 year old male is:
digital rectal exams,
• 24Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming.
What do you suspect? Otitis externa/ swimmer’s ear
• 25Which of the following symptoms suggests a more serious cause of back pain? Pain associated with
lying down at night
C.Cushing’s syndrome
• 3An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he
returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an
edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is:
D.Hydrochlorothiazide
• 4 The most effective treatment of non-infectious bursitis includes: Conservative treatment includes
rest, cold and heat treatments, elevation, administration of nonsteroidal anti-inflammatory drugs
(NSAIDs), bursal aspiration, and intrabursal steroid injections
• 5 What conditions must be met for you to bill “incident to” the physician, receiving 100%
reimbursement from Medicare?
Selected Answer: The physician must be on-site and engaged in patient care
Answers
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient care
You must be employed as an independent contractor
• 6Which of the following is not a risk factor associated with the development of syndrome X and type 2
diabetes mellitus?
The metabolic syndrome refers to the co-occurrence of several known cardiovascular risk factors,
including insulin resistance, obesity, atherogenic dyslipidemia and hypertension.
• 7Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
Strong urinary stream flow
• 8 Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his
lower esophageal sphincter pressure, which substances do you recommend that he avoid?
Food that is very hot or very cold
Fatty or fried foods Peppermint or spearmint, including flavoring
Coffee, tea, and soft drinks that contain caffeine
Spicy, highly seasoned foods
Fried food DT caffeine, chocolate and anticholinergics
• 9Which drug category contains the drugs that are the first line Gold standard therapy for COPD? Beta
antagonist
, • 10The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is:
Nsaid
• 11Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
Erythromycin
• 12A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns
6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight
loss. What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
• 16You are assessing a patient after a sports injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus
D. collateral ligament.
• 17A 32 year old female patient presents with fever, chills, right flank pain, right costovertebral angle
tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse
practitioner diagnoses pyelonephritis. The most appropriate management is:
Include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of extended-
release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin (Levaquin) once per day
for five days.
• 19A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower
humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial
epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most
likely cause of this patient’s pain is: epicondylitis
• 21The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy
is to measure albumin in a spot urine sample, collected either as the first urine in the morning or at
random, for example, at the medical visit. This method is accurate,:Early morning
• 22What is the first symptom seen in the majority of patients with Parkinson’s disease? Tremor at rest
• 23The most commonly recommended method for prostate cancer screening in a 55 year old male is:
digital rectal exams,
• 24Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming.
What do you suspect? Otitis externa/ swimmer’s ear
• 25Which of the following symptoms suggests a more serious cause of back pain? Pain associated with
lying down at night
