FNP LEIK SYSTEM EXAM SCRIPT 2026
QUESTIONS WITH ANSWERS
◉ Pelvic Inflammatory disease. Answer: What is Fitz-Hugh-Curtis
syndrome a complication of?
◉ 5mm. Answer: A string home resident reports to his physician
that his previous roommate was recently started on tuberculosis
treatment. A Mantoux test and chest x-ray are ordered for the
patient. What is the minimum size of induration considered positive
for this patient? (Remember he is high risk d/t exposure)
◉ Varicella. Answer: In small children with acquired
immunodeficiency syndrome (AIDS), which vaccines is
contraindicated?
◉ Inevitable abortion. Answer: A 44 y/o female who is undergoing
treatment for infertility complains of not having a menstrual cycle
for a few months. The night before, she started spotting and is now
having cramp-type pains in her pelvic area. Her blood pressure is
160/80, the pulse rate is 110 and she is afebrile. Her labs reveal a
mild anemia with mild leukocytosis. On pelvic exam, the uterine
funds is found above the symphysis pubis. The cervical os is dilated
to 3cm. What is the most likely diagnosis?
,◉ What is inevitable abortion?. Answer: Vaginal bleeding with pain
and cervical dilation and/or effacement.
◉ What is incomplete abortion?. Answer: Moderate to diffuse
vaginal bleeding, with the passage of tissue and painful uterine
cramping or contractions.
◉ Acute Pelvic Inflammatory Disease. Answer: A sudden onset of
inflammation and pain that affects the pelvic area, cervix uterus and
ovaries, which is caused by infection.
◉ Td and HepB vaccine. Answer: A 14y/o female who is sexually
active is brought in by her mother for an immunization update.
According to the mother, her daughter had 1 dose of hepatitis B
vaccine. Which vaccines would you administer at this visit?
◉ During the postpartum period. Answer: An Rhpneative pregnant
woman with negative Rubella titers should be vaccinated at what
time period in pregnancy?
◉ Eyeglasses and routine dental care. Answer: Medicare part B will
pay for outpatient physician visits that are medically necessary,
Durable medical equipment, outpatient laboratory and radiology
test. But it will NOT pay for:
,◉ Ishihara chart. Answer: What is used to screen for color blindness
in a 7 y/o boy?
◉ Left sided heart failure. Answer: A 67 y/o retired clerk presents
with complaints of SOB and weight gain over a 2 wk period. A non-
productive cough accompanies her symptoms. The lung exam is
positive for fine crackles in the lower lobes with no wheezing. The
exam is positive for egophony, What is the most likely diagnosis:
◉ Lasix. Answer: What drug is most likely to relieve the symptoms
of a 67 y/o patient with left sided heart failure?
◉ Foods with aspartame because they can trigger migraines..
Answer: A patient has recently been diagnosed with migraine
headache with aura. She wants advice on what she should eliminate
from her diet to reduce her risk of headaches. Your best response for
foods to avoid is?
◉ Prophylaxis is not recommended for this patient. Answer: A
patient with a history of mitral valve prolapse (MVP) is requesting
prophylaxis before her dental surgery. What would you prescribe
this patient?
◉ Measless. Answer: Kopek's spots are associated with what?
, ◉ Mitral regurgitation. Answer: Stella, a new mother, complains to
you that she has been feeling irritable and jittery almost daily for the
past few months. She complains of frequent palpitations and more
frequent bowel movements along with weight loss. Her BP is
160/70, her pulse is 110 and she is afebrile. Which of the following
differential diagnosis would not be appropriate? Mitral
regurgitation, grave's disease, generalized anxiety disorder, illicit
drug use.
◉ Haemophilus influenza
Mycoplasma pneumoniae
Streptococcus pnemoniae. Answer: An elderly patient with a
productive cough and fever is diagnosed with pneumonia. Which
organisms are capable of causing community acquired pneumonia?
◉ Placeneta. Answer: hCG is produced by what?
◉ Fetal liver. Answer: The majority of serum alpha fetoprotein is
produced by the?
◉ Order a enzyme-linked immunosorbent assay (ELISA) test as soon
as possible. Answer: Stella works in the housekeeping department of
a hospital. She presents to the employee health clinic with
complaints of a needle stick to her left thumb. The needle was in one
of the garbage bags from the emergency room. The patient had a
little bleeding that stopped spontaneously. What is the next step?
QUESTIONS WITH ANSWERS
◉ Pelvic Inflammatory disease. Answer: What is Fitz-Hugh-Curtis
syndrome a complication of?
◉ 5mm. Answer: A string home resident reports to his physician
that his previous roommate was recently started on tuberculosis
treatment. A Mantoux test and chest x-ray are ordered for the
patient. What is the minimum size of induration considered positive
for this patient? (Remember he is high risk d/t exposure)
◉ Varicella. Answer: In small children with acquired
immunodeficiency syndrome (AIDS), which vaccines is
contraindicated?
◉ Inevitable abortion. Answer: A 44 y/o female who is undergoing
treatment for infertility complains of not having a menstrual cycle
for a few months. The night before, she started spotting and is now
having cramp-type pains in her pelvic area. Her blood pressure is
160/80, the pulse rate is 110 and she is afebrile. Her labs reveal a
mild anemia with mild leukocytosis. On pelvic exam, the uterine
funds is found above the symphysis pubis. The cervical os is dilated
to 3cm. What is the most likely diagnosis?
,◉ What is inevitable abortion?. Answer: Vaginal bleeding with pain
and cervical dilation and/or effacement.
◉ What is incomplete abortion?. Answer: Moderate to diffuse
vaginal bleeding, with the passage of tissue and painful uterine
cramping or contractions.
◉ Acute Pelvic Inflammatory Disease. Answer: A sudden onset of
inflammation and pain that affects the pelvic area, cervix uterus and
ovaries, which is caused by infection.
◉ Td and HepB vaccine. Answer: A 14y/o female who is sexually
active is brought in by her mother for an immunization update.
According to the mother, her daughter had 1 dose of hepatitis B
vaccine. Which vaccines would you administer at this visit?
◉ During the postpartum period. Answer: An Rhpneative pregnant
woman with negative Rubella titers should be vaccinated at what
time period in pregnancy?
◉ Eyeglasses and routine dental care. Answer: Medicare part B will
pay for outpatient physician visits that are medically necessary,
Durable medical equipment, outpatient laboratory and radiology
test. But it will NOT pay for:
,◉ Ishihara chart. Answer: What is used to screen for color blindness
in a 7 y/o boy?
◉ Left sided heart failure. Answer: A 67 y/o retired clerk presents
with complaints of SOB and weight gain over a 2 wk period. A non-
productive cough accompanies her symptoms. The lung exam is
positive for fine crackles in the lower lobes with no wheezing. The
exam is positive for egophony, What is the most likely diagnosis:
◉ Lasix. Answer: What drug is most likely to relieve the symptoms
of a 67 y/o patient with left sided heart failure?
◉ Foods with aspartame because they can trigger migraines..
Answer: A patient has recently been diagnosed with migraine
headache with aura. She wants advice on what she should eliminate
from her diet to reduce her risk of headaches. Your best response for
foods to avoid is?
◉ Prophylaxis is not recommended for this patient. Answer: A
patient with a history of mitral valve prolapse (MVP) is requesting
prophylaxis before her dental surgery. What would you prescribe
this patient?
◉ Measless. Answer: Kopek's spots are associated with what?
, ◉ Mitral regurgitation. Answer: Stella, a new mother, complains to
you that she has been feeling irritable and jittery almost daily for the
past few months. She complains of frequent palpitations and more
frequent bowel movements along with weight loss. Her BP is
160/70, her pulse is 110 and she is afebrile. Which of the following
differential diagnosis would not be appropriate? Mitral
regurgitation, grave's disease, generalized anxiety disorder, illicit
drug use.
◉ Haemophilus influenza
Mycoplasma pneumoniae
Streptococcus pnemoniae. Answer: An elderly patient with a
productive cough and fever is diagnosed with pneumonia. Which
organisms are capable of causing community acquired pneumonia?
◉ Placeneta. Answer: hCG is produced by what?
◉ Fetal liver. Answer: The majority of serum alpha fetoprotein is
produced by the?
◉ Order a enzyme-linked immunosorbent assay (ELISA) test as soon
as possible. Answer: Stella works in the housekeeping department of
a hospital. She presents to the employee health clinic with
complaints of a needle stick to her left thumb. The needle was in one
of the garbage bags from the emergency room. The patient had a
little bleeding that stopped spontaneously. What is the next step?
