Midterm Questions With Correct
Answers
A patient with mitral regurgitation has developed the most common arrhythmia associated with MR. The
intervention most likely to prevent complications from this arrhythmia is: - correct
answers:anticoagulation
It is important to highlight the short term use of topical nasal decongestant because of this adverse
effect: - correct answers:rebound congestion
A patient presents to clinic with complaint of a red eye. Which assessment rules out the most worrisome
diagnosis? - correct answers:usual visual acuity
One cause of secondary hypertension is - correct answers:renal artery stenosis
A patient with Type II diabetes and CAD has the following lipid panel: LDL 128, HDL 30, Trig 208. What
should first line treatment be? - correct answers:Atorvastatin 80mg
The throat swab done to identify strep infection was negative in a patient with tonsillar exudate, fever
and sore throat. What statement is true regarding this? - correct answers:a second swab should be sent
to microbiology
A 42yo hypertensive patient was given a thiazide diuretic 4 weeks ago. On his return visit today, he
reports feeling weak and tired. What should the NP consider to evaluate the weakness and fatigue? -
correct answers:potassium level
An 80yo female has a blood pressure of 176/80. How should she be managed pharmacologically? -
correct answers:calcium channel blocker
Mild persistent asthma is characterized by - correct answers:symptoms occurring more than twice
weekly
, The common cold is caused by: - correct answers:rhinovirus
A 55yo male is obese, does not exercise and has hyperlipidemia. He is diagnosed with pre-hypertension
today. How should he be managed? - correct answers:lifestyle modifications are appropriate
The gold standard for diagnosing pneumonia on chest x-ray is: - correct answers:infiltrates
When considering an adult's risk for measles, mumps, and rubella, the NP considers the following: -
correct answers:patients born before 1957 have a high likelihood of immunity against these disease
because of a history of natural infection
A 63yo male has been your patient for several years. He is a former smoker who takes simvastatin,
ramipril, and ASA daily. His blood pressure and lipids are well controlled. He presents to you stating he is
"just not feeling well" and is fatigued. His vital signs and exam are normal. What should be done next? -
correct answers:order a CBC, metabolic panel, UA and TSH
In a patient with mononucleosis, which laboratory abnormality is most common? - correct
answers:lymphocytosis and atypical lymphocytes
Which of the following characteristics is always present in a patient with COPD? - correct
answers:obstructed airways
The diagnosis of mitral valve prolapse can be confirmed by: - correct answers:echocardogram
Where would the murmur associated with mitral regurgitation be best auscultated? - correct
answers:mitral listening point
The usual clinical course of mitral valve prolapse: - correct answers:is benign
A 25yo nurse presents to employee health for her annual TB screening. Her PPD one year ago was
negative. A PPD is placed and she returns in 48 hours to have it read. It shows 14mm of induration. The
nurse is asymptomatic and her chest x-ray is negative. The most appropriate management at this time
would be - correct answers:Prescribe 9 months of isoniazid
Answers
A patient with mitral regurgitation has developed the most common arrhythmia associated with MR. The
intervention most likely to prevent complications from this arrhythmia is: - correct
answers:anticoagulation
It is important to highlight the short term use of topical nasal decongestant because of this adverse
effect: - correct answers:rebound congestion
A patient presents to clinic with complaint of a red eye. Which assessment rules out the most worrisome
diagnosis? - correct answers:usual visual acuity
One cause of secondary hypertension is - correct answers:renal artery stenosis
A patient with Type II diabetes and CAD has the following lipid panel: LDL 128, HDL 30, Trig 208. What
should first line treatment be? - correct answers:Atorvastatin 80mg
The throat swab done to identify strep infection was negative in a patient with tonsillar exudate, fever
and sore throat. What statement is true regarding this? - correct answers:a second swab should be sent
to microbiology
A 42yo hypertensive patient was given a thiazide diuretic 4 weeks ago. On his return visit today, he
reports feeling weak and tired. What should the NP consider to evaluate the weakness and fatigue? -
correct answers:potassium level
An 80yo female has a blood pressure of 176/80. How should she be managed pharmacologically? -
correct answers:calcium channel blocker
Mild persistent asthma is characterized by - correct answers:symptoms occurring more than twice
weekly
, The common cold is caused by: - correct answers:rhinovirus
A 55yo male is obese, does not exercise and has hyperlipidemia. He is diagnosed with pre-hypertension
today. How should he be managed? - correct answers:lifestyle modifications are appropriate
The gold standard for diagnosing pneumonia on chest x-ray is: - correct answers:infiltrates
When considering an adult's risk for measles, mumps, and rubella, the NP considers the following: -
correct answers:patients born before 1957 have a high likelihood of immunity against these disease
because of a history of natural infection
A 63yo male has been your patient for several years. He is a former smoker who takes simvastatin,
ramipril, and ASA daily. His blood pressure and lipids are well controlled. He presents to you stating he is
"just not feeling well" and is fatigued. His vital signs and exam are normal. What should be done next? -
correct answers:order a CBC, metabolic panel, UA and TSH
In a patient with mononucleosis, which laboratory abnormality is most common? - correct
answers:lymphocytosis and atypical lymphocytes
Which of the following characteristics is always present in a patient with COPD? - correct
answers:obstructed airways
The diagnosis of mitral valve prolapse can be confirmed by: - correct answers:echocardogram
Where would the murmur associated with mitral regurgitation be best auscultated? - correct
answers:mitral listening point
The usual clinical course of mitral valve prolapse: - correct answers:is benign
A 25yo nurse presents to employee health for her annual TB screening. Her PPD one year ago was
negative. A PPD is placed and she returns in 48 hours to have it read. It shows 14mm of induration. The
nurse is asymptomatic and her chest x-ray is negative. The most appropriate management at this time
would be - correct answers:Prescribe 9 months of isoniazid
