1
FNP 652 / FNP 6552 Midterm Exam
Actual Exam 2026/2027 | Family
Primary Care I | GCU | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 24-year-old woman presents for a routine wellness visit. She denies any
acute symptoms and reports regular menses. Which USPSTF-recommended
screening test is most appropriate to offer at this visit?
Options:
A. Lipid panel
B. Cervical cytology (HPV test every 5 years starting at age 25) - CORRECT
C. Colonoscopy
D. Bone density scan
ANSWER: B
Q002: A 16-year-old male presents with a 3-day history of nasal congestion, sore
throat, and low-grade fever. On exam, he has tonsillar exudate and tender anterior
cervical lymphadenopathy. A rapid strep test is positive. What is the first-line
treatment?
Options:
A. Amoxicillin 500 mg PO BID x 10 days - CORRECT
B. Azithromycin 500 mg PO day 1 then 250 mg days 2-5
C. Supportive care only
, 2
D. Prednisone 40 mg PO daily x 5 days
ANSWER: A
Q003: A 58-year-old man with newly diagnosed type 2 diabetes (A1C 8.1 %) asks
about initial therapy. He has no contraindications. According to 2026 ADA
guidelines, which medication is preferred first-line?
Options:
A. Glipizide 5 mg PO BID
B. Metformin 500 mg PO BID - CORRECT
C. Insulin glargine 10 units daily
D. Sitagliptin 100 mg PO daily
ANSWER: B
Q004: A healthy 30-year-old woman at 28 weeks gestation presents for routine
prenatal care. She has no allergies. Which immunization is routinely recommended
during this visit?
Options:
A. MMR vaccine
B. Tdap vaccine - CORRECT
C. Varicella vaccine
D. HPV vaccine
ANSWER: B
Q005: A 42-year-old woman reports a 2-week history of fatigue, weight gain, and
cold intolerance. TSH is 8.5 mIU/L (ref 0.4-4.0). Free T4 is low. What is the initial
treatment?
Options:
A. Levothyroxine 1.6 mcg/kg PO daily - CORRECT
B. Liothyronine 25 mcg PO BID
, 3
C. Methimazole 10 mg PO daily
D. Observation and repeat TSH in 3 months
ANSWER: A
Q006: A 7-year-old girl presents with a 1-day history of itchy, vesicular rash on the
trunk and face. Several lesions are in different stages of evolution. What is the
most likely diagnosis?
Options:
A. Hand-foot-and-mouth disease
B. Varicella (chickenpox) - CORRECT
C. Measles
D. Impetigo
ANSWER: B
Q007: A 65-year-old man with HTN (BP 150/90 on lisinopril 10 mg) asks about
goal BP. According to 2026 ACC/AHA guidelines, what is the recommended target
for most adults?
Options:
A. <150/90 mm Hg
B. <140/90 mm Hg
C. <130/80 mm Hg - CORRECT
D. <120/80 mm Hg
ANSWER: C
Q008: A 20-year-old college student presents with a 2-day history of dysuria and
frequency. UA shows 15 WBCs, positive leukocyte esterase, and negative nitrites.
What is the first-line empiric therapy?
Options:
A. Nitrofurantoin 100 mg PO BID x 5 days - CORRECT
FNP 652 / FNP 6552 Midterm Exam
Actual Exam 2026/2027 | Family
Primary Care I | GCU | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 24-year-old woman presents for a routine wellness visit. She denies any
acute symptoms and reports regular menses. Which USPSTF-recommended
screening test is most appropriate to offer at this visit?
Options:
A. Lipid panel
B. Cervical cytology (HPV test every 5 years starting at age 25) - CORRECT
C. Colonoscopy
D. Bone density scan
ANSWER: B
Q002: A 16-year-old male presents with a 3-day history of nasal congestion, sore
throat, and low-grade fever. On exam, he has tonsillar exudate and tender anterior
cervical lymphadenopathy. A rapid strep test is positive. What is the first-line
treatment?
Options:
A. Amoxicillin 500 mg PO BID x 10 days - CORRECT
B. Azithromycin 500 mg PO day 1 then 250 mg days 2-5
C. Supportive care only
, 2
D. Prednisone 40 mg PO daily x 5 days
ANSWER: A
Q003: A 58-year-old man with newly diagnosed type 2 diabetes (A1C 8.1 %) asks
about initial therapy. He has no contraindications. According to 2026 ADA
guidelines, which medication is preferred first-line?
Options:
A. Glipizide 5 mg PO BID
B. Metformin 500 mg PO BID - CORRECT
C. Insulin glargine 10 units daily
D. Sitagliptin 100 mg PO daily
ANSWER: B
Q004: A healthy 30-year-old woman at 28 weeks gestation presents for routine
prenatal care. She has no allergies. Which immunization is routinely recommended
during this visit?
Options:
A. MMR vaccine
B. Tdap vaccine - CORRECT
C. Varicella vaccine
D. HPV vaccine
ANSWER: B
Q005: A 42-year-old woman reports a 2-week history of fatigue, weight gain, and
cold intolerance. TSH is 8.5 mIU/L (ref 0.4-4.0). Free T4 is low. What is the initial
treatment?
Options:
A. Levothyroxine 1.6 mcg/kg PO daily - CORRECT
B. Liothyronine 25 mcg PO BID
, 3
C. Methimazole 10 mg PO daily
D. Observation and repeat TSH in 3 months
ANSWER: A
Q006: A 7-year-old girl presents with a 1-day history of itchy, vesicular rash on the
trunk and face. Several lesions are in different stages of evolution. What is the
most likely diagnosis?
Options:
A. Hand-foot-and-mouth disease
B. Varicella (chickenpox) - CORRECT
C. Measles
D. Impetigo
ANSWER: B
Q007: A 65-year-old man with HTN (BP 150/90 on lisinopril 10 mg) asks about
goal BP. According to 2026 ACC/AHA guidelines, what is the recommended target
for most adults?
Options:
A. <150/90 mm Hg
B. <140/90 mm Hg
C. <130/80 mm Hg - CORRECT
D. <120/80 mm Hg
ANSWER: C
Q008: A 20-year-old college student presents with a 2-day history of dysuria and
frequency. UA shows 15 WBCs, positive leukocyte esterase, and negative nitrites.
What is the first-line empiric therapy?
Options:
A. Nitrofurantoin 100 mg PO BID x 5 days - CORRECT
