3P Practice Questions and Correct
Answers
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - correct answers:flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: -
correct answers:vesicular with late inspiratory crackles in the dependent portions of the lungs and
resonant on percussion (looses ability to pump out blood)
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood
swings, is easily distracted, and constantly corrects his teachers. You have the high suspicion for bipolar if
which symptom was present? - correct answers:he sleeps less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a hx of
uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective
abortion? - correct answers:G4 T1 P1 A1 L3 (mult births count as 1 pregnancy and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? - correct answers:barking
cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is contraindicated? -
correct answers:Heart disease
Severe aortic regurgitation symptoms with dyspnea - correct answers:dry cough, angina, hypotension,
systolic murmur
Unipolar depression. What medications are not considered? - correct answers:TCA (tricyclic
antidepressants); Buspar, SSR, wellbutin are all okay
Which of the following statements is most accurate about cough associated with ACEI? - correct
answers:Asthma
, Conductive Hearing loss - correct answers:External ear, middle ear, or both problem
Which of the following is a risk factor for the development of prostate enlargement? - correct
answers:Diabetes; Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom in the lower
extremity? - correct answers:Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to have
ascites and JVD should be evaluated for: - correct answers:heart failure
23 year old woman is having frequent migraines and needs a prophylactic medication. She also has
asthma. The medication should be avoided in this patient: - correct answers:Propranolol (inderal); can
cause increase bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is safe to use with
warfarin? - correct answers:Clarithromycin (PCN and cephalosporins are okay)
On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck and boutoniere
deformities which she knows are related to the diagnosis of - correct answers:rheumatoid arthritis
28 year old woman has symptoms of asthma daily and several nights a week. She uses a SABA and will
be starting fluticasone/salmeterol (Advair). Advair: - correct answers:is not effective during an acute
asthma attack
The main lymphatic channel that drains lymph back to the systemic circulation from the entire body,
with the exception of the RT arm, thorax, head and neck is the - correct answers:thoracic duct
Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35 weeks gestation if
the fundal height measurement is - correct answers:32
Answers
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - correct answers:flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: -
correct answers:vesicular with late inspiratory crackles in the dependent portions of the lungs and
resonant on percussion (looses ability to pump out blood)
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood
swings, is easily distracted, and constantly corrects his teachers. You have the high suspicion for bipolar if
which symptom was present? - correct answers:he sleeps less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a hx of
uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective
abortion? - correct answers:G4 T1 P1 A1 L3 (mult births count as 1 pregnancy and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? - correct answers:barking
cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is contraindicated? -
correct answers:Heart disease
Severe aortic regurgitation symptoms with dyspnea - correct answers:dry cough, angina, hypotension,
systolic murmur
Unipolar depression. What medications are not considered? - correct answers:TCA (tricyclic
antidepressants); Buspar, SSR, wellbutin are all okay
Which of the following statements is most accurate about cough associated with ACEI? - correct
answers:Asthma
, Conductive Hearing loss - correct answers:External ear, middle ear, or both problem
Which of the following is a risk factor for the development of prostate enlargement? - correct
answers:Diabetes; Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom in the lower
extremity? - correct answers:Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to have
ascites and JVD should be evaluated for: - correct answers:heart failure
23 year old woman is having frequent migraines and needs a prophylactic medication. She also has
asthma. The medication should be avoided in this patient: - correct answers:Propranolol (inderal); can
cause increase bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is safe to use with
warfarin? - correct answers:Clarithromycin (PCN and cephalosporins are okay)
On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck and boutoniere
deformities which she knows are related to the diagnosis of - correct answers:rheumatoid arthritis
28 year old woman has symptoms of asthma daily and several nights a week. She uses a SABA and will
be starting fluticasone/salmeterol (Advair). Advair: - correct answers:is not effective during an acute
asthma attack
The main lymphatic channel that drains lymph back to the systemic circulation from the entire body,
with the exception of the RT arm, thorax, head and neck is the - correct answers:thoracic duct
Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35 weeks gestation if
the fundal height measurement is - correct answers:32
