6531 midterm exam questions with
correct answers
The |most |common |cancer |found |on |the |auricle |is: |- |CORRECT |ANSWER✔✔-Basal |cell |
carcinoma
Which |of |the |following |medication |classes |should |be |avoided |in |patients |with |acute |or |chronic
|bronchitis |because |it |will |contribute |to |ventilation-perfusion |mismatch |in |the |patient? |- |
CORRECT |ANSWER✔✔-Antihistimines
A |47 |year |old |male |patient |presents |to |the |clinic |with |a |single |episode |of |a |moderate |amount |
of |bright |red |rectal |bleeding. |On |examination, |external |hemorrhoids |are |noted. |How |should |
the |nurse |practitioner |proceed? |- |CORRECT |ANSWER✔✔-Refer |the |patient |for |a |barium |
enema |and |sigmoidoscopy.
Which |of |the |following |patient |characteristics |are |associated |with |chronic |bronchitis? |- |
CORRECT |ANSWER✔✔-Overweight, |cyanosis, |and |normal |or |slightly |increased |respiratory |rate
A |65-year-old |female |with |a |past |medical |history |of |hypertension, |hyperlipidemia, |and |
polymyalgia |rheumatica |presents |to |urgent |care |with |new |onset |left |lower |quadrant |pain. |Her |
current |medications |include |omeprazole |20 |milligrams |po |daily, |lisinopril |20 |milligrams |po |
daily, |simvastatin |20 |milligrams |po |daily, |and |prednisone |12 |milligrams |po |daily. |The |nurse |
practitioner |suspects |acute |diverticulitis |and |possibly |an |abscess. |The |most |appropriate |
diagnostic |test |for |this |patient |at |this |time |is: |- |CORRECT |ANSWER✔✔-CT |scan
A |patient |reports |"something |flew |in |my |eye" |about |an |hour |ago |while |he |was |splitting |logs. |If
|there |were |a |foreign |body |in |his |eye, |the |nurse |practitioner |would |expect |to |find |all |except: |- |
CORRECT |ANSWER✔✔-Purulent |drainage
, A |21 |year |old |college |student |presents |to |the |student |health |center |with |copious, |markedly |
purulent |discharge |from |her |left |eye. |The |nurse |practitioner |student |should |suspect: |- |
CORRECT |ANSWER✔✔-Gonococcal |conjunctivitis
A |35 |year |old |man |presents |with |radicular |pain |followed |by |the |appearance |of |grouped |
vesicles |consisting |of |about |15 |lesions |across |3 |different |thoracic |dermatomes. |He |complains |
of |pain, |burning, |and |itching. |The |nurse |practitioner |should |suspect: |- |CORRECT |ANSWER✔✔-
Herpes |zoster |and |consider |that |this |patient |may |be |immunocompromised
Which |type |of |lung |cancer |has |the |poorest |prognosis? |- |CORRECT |ANSWER✔✔-Small |cell |
carcinoma
An |83-year-old |female |presents |to |the |office |complaining |of |diarrhea |for |several |days. |She |
explains |she |has |even |had |fecal |incontinence |one |time. |She |describes |loose |stools |3-4 |times |a |
day |for |several |weeks |and |denies |fever, |chills, |pain, |recent |antibiotic |use. |The |history |suggests |
that |the |patient |has: |- |CORRECT |ANSWER✔✔-Chronic |diarrhea
Margaret, |age |32, |comes |into |the |office |with |painful |joints |and |a |distinctive |rash |in |a |butterfly |
distribution |on |her |face. |The |rash |has |red |papules |and |plaques |with |a |fine |scale. |What |do |you |
suspect? |- |CORRECT |ANSWER✔✔-Systemic |lupus |erythematosus
Antibiotic |administration |has |been |demonstrated |to |be |of |little |benefit |to |the |treatment |of |
which |of |the |following |disease |processes? |- |CORRECT |ANSWER✔✔-Acute |bronchitis
Lisa, |age |49, |has |daily |symptoms |of |asthma. |She |uses |her |inhaled |short-acting |beta-2 |agonist |
daily. |Her |exacerbations |affect |her |activities |and |they |occur |at |least |twice |weekly |and |may |last
|for |days. |She |is |affected |more |than |once |weekly |during |the |night |with |an |exacerbation. |Which
|category |of |asthma |severity |is |Lisa |in? |- |CORRECT |ANSWER✔✔-Moderate |persistent
correct answers
The |most |common |cancer |found |on |the |auricle |is: |- |CORRECT |ANSWER✔✔-Basal |cell |
carcinoma
Which |of |the |following |medication |classes |should |be |avoided |in |patients |with |acute |or |chronic
|bronchitis |because |it |will |contribute |to |ventilation-perfusion |mismatch |in |the |patient? |- |
CORRECT |ANSWER✔✔-Antihistimines
A |47 |year |old |male |patient |presents |to |the |clinic |with |a |single |episode |of |a |moderate |amount |
of |bright |red |rectal |bleeding. |On |examination, |external |hemorrhoids |are |noted. |How |should |
the |nurse |practitioner |proceed? |- |CORRECT |ANSWER✔✔-Refer |the |patient |for |a |barium |
enema |and |sigmoidoscopy.
Which |of |the |following |patient |characteristics |are |associated |with |chronic |bronchitis? |- |
CORRECT |ANSWER✔✔-Overweight, |cyanosis, |and |normal |or |slightly |increased |respiratory |rate
A |65-year-old |female |with |a |past |medical |history |of |hypertension, |hyperlipidemia, |and |
polymyalgia |rheumatica |presents |to |urgent |care |with |new |onset |left |lower |quadrant |pain. |Her |
current |medications |include |omeprazole |20 |milligrams |po |daily, |lisinopril |20 |milligrams |po |
daily, |simvastatin |20 |milligrams |po |daily, |and |prednisone |12 |milligrams |po |daily. |The |nurse |
practitioner |suspects |acute |diverticulitis |and |possibly |an |abscess. |The |most |appropriate |
diagnostic |test |for |this |patient |at |this |time |is: |- |CORRECT |ANSWER✔✔-CT |scan
A |patient |reports |"something |flew |in |my |eye" |about |an |hour |ago |while |he |was |splitting |logs. |If
|there |were |a |foreign |body |in |his |eye, |the |nurse |practitioner |would |expect |to |find |all |except: |- |
CORRECT |ANSWER✔✔-Purulent |drainage
, A |21 |year |old |college |student |presents |to |the |student |health |center |with |copious, |markedly |
purulent |discharge |from |her |left |eye. |The |nurse |practitioner |student |should |suspect: |- |
CORRECT |ANSWER✔✔-Gonococcal |conjunctivitis
A |35 |year |old |man |presents |with |radicular |pain |followed |by |the |appearance |of |grouped |
vesicles |consisting |of |about |15 |lesions |across |3 |different |thoracic |dermatomes. |He |complains |
of |pain, |burning, |and |itching. |The |nurse |practitioner |should |suspect: |- |CORRECT |ANSWER✔✔-
Herpes |zoster |and |consider |that |this |patient |may |be |immunocompromised
Which |type |of |lung |cancer |has |the |poorest |prognosis? |- |CORRECT |ANSWER✔✔-Small |cell |
carcinoma
An |83-year-old |female |presents |to |the |office |complaining |of |diarrhea |for |several |days. |She |
explains |she |has |even |had |fecal |incontinence |one |time. |She |describes |loose |stools |3-4 |times |a |
day |for |several |weeks |and |denies |fever, |chills, |pain, |recent |antibiotic |use. |The |history |suggests |
that |the |patient |has: |- |CORRECT |ANSWER✔✔-Chronic |diarrhea
Margaret, |age |32, |comes |into |the |office |with |painful |joints |and |a |distinctive |rash |in |a |butterfly |
distribution |on |her |face. |The |rash |has |red |papules |and |plaques |with |a |fine |scale. |What |do |you |
suspect? |- |CORRECT |ANSWER✔✔-Systemic |lupus |erythematosus
Antibiotic |administration |has |been |demonstrated |to |be |of |little |benefit |to |the |treatment |of |
which |of |the |following |disease |processes? |- |CORRECT |ANSWER✔✔-Acute |bronchitis
Lisa, |age |49, |has |daily |symptoms |of |asthma. |She |uses |her |inhaled |short-acting |beta-2 |agonist |
daily. |Her |exacerbations |affect |her |activities |and |they |occur |at |least |twice |weekly |and |may |last
|for |days. |She |is |affected |more |than |once |weekly |during |the |night |with |an |exacerbation. |Which
|category |of |asthma |severity |is |Lisa |in? |- |CORRECT |ANSWER✔✔-Moderate |persistent
