If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the
following? - You would find mild upper respiratory symptoms with cough. And mild conjunctival
injection. It is really indistinguishable from the common cold.
What would NOT be considered a typical finding in a geriatric patient? - Low frequency hearing loss.
A typical finding in a geriatric patient would be a high frequency hearing loss. The speaking voice is
high frequency. Degenerative changes of the ossicles, fewer auditory neurons and atrophy of the
hair cells results in sensorineural hearing loss.
Typical findings in a geriatric patient? - Thinner epidermis, dermis and subcutaneous layers of skin,
bright purple-colored patches on the forearms and hands, opaque white ring at the periphery of the
cornea
Risk factors for age-related macular degeneration - Tobacco use, aging, sun exposure and family
history
Underweight BMI - <18.5
Normal BMI - 18.5-24.9
Overweight BMI - 25-29.9
Obese BMI - 30-39.9
Grossly obese BMI - >40
Pregnancy Category A Drugs - Vitamins and levothyroxine
Pregnancy Category B Drugs - Acetaminophen, ibuprofen, penicillins, cephalosporins, and
azithromycin and erythromycin antibiotics.
,A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the leg
muscles that occurs after walking for 20 minutes. After taking a complete history and performing a
physical exam, an NP decides that the most likely diagnosis is? - Intermittent claudication
What is a common cause of acne? - Increase in androgens
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative
agent would be suspected? - Group A beta-hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should evaluate? -
Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the newborn? -
Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus? -
Second
Which of the following conditions exacerbate urinary incontinence? - Impacted stool and atrophic
vaginitis
An adult patient presents with a 2-day history of intermittent stabbing chest pain that worsens with
deep breaths. The patient reports a nonproductive cough and no fever for several days, and denies
trauma, palpitations or GI symptoms. VS normal. Lungs are clear, heart sounds normal. PE reveals
localized chest wall tenderness at the costal margin. EKG and CXR normal. The most likely diagnosis
is? - Costchondritis
The most common skin cancer is? - Basal cell carcinoma
What is true regarding depression in the elderly? - Depression can be induced by prescribed and OTC
medications
Acute otitis media has what characteristics? - Loss of ossicular landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia? -
Diffuse pain, sleep abnormality, fatigue
, An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has a sedentary
lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes screening tests would an
NP order? - Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for
participation in sports, what should be considered? - Characteristics of the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of? -
Cauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever? - A
40-year old male who is living in a wooded area raising dogs
What condition is associated with the development of type 2 DM? - Delivery of a neonate weighing 9
lb or greater
What condition is a risk factor for development of DVT and PE? - Visceral malignancy
Research studies indicate that ED in geriatric patients is a common complication in? - Vascular
disease
What neuro signs are characteristic of the patient with AD? - Gait disorder and impaired
stereognosis
A frail elderly male patient complains of difficulty with urination. The International Prostate
Symptom Score can assist with decisions regarding the diagnosis of BPH. What symptom is
consistent with the items on this scale? - Nocturia
The best medication for a patient who complains of IBS with cramping is? - Dicyclomine (Bentyl)
Major causes of CKD include? - Amyloidosis and SLE
A risk factor postmeno osteoporosis is? - History of tobacco use
following? - You would find mild upper respiratory symptoms with cough. And mild conjunctival
injection. It is really indistinguishable from the common cold.
What would NOT be considered a typical finding in a geriatric patient? - Low frequency hearing loss.
A typical finding in a geriatric patient would be a high frequency hearing loss. The speaking voice is
high frequency. Degenerative changes of the ossicles, fewer auditory neurons and atrophy of the
hair cells results in sensorineural hearing loss.
Typical findings in a geriatric patient? - Thinner epidermis, dermis and subcutaneous layers of skin,
bright purple-colored patches on the forearms and hands, opaque white ring at the periphery of the
cornea
Risk factors for age-related macular degeneration - Tobacco use, aging, sun exposure and family
history
Underweight BMI - <18.5
Normal BMI - 18.5-24.9
Overweight BMI - 25-29.9
Obese BMI - 30-39.9
Grossly obese BMI - >40
Pregnancy Category A Drugs - Vitamins and levothyroxine
Pregnancy Category B Drugs - Acetaminophen, ibuprofen, penicillins, cephalosporins, and
azithromycin and erythromycin antibiotics.
,A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the leg
muscles that occurs after walking for 20 minutes. After taking a complete history and performing a
physical exam, an NP decides that the most likely diagnosis is? - Intermittent claudication
What is a common cause of acne? - Increase in androgens
In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative
agent would be suspected? - Group A beta-hemolytic Streptococcus
When completing the initial assessment for depression in geriatric adults, the NP should evaluate? -
Mental status exam
What is the most common risk factor for developing severe hyperbilirubinemia in the newborn? -
Blood incompatibility with the mother
Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus? -
Second
Which of the following conditions exacerbate urinary incontinence? - Impacted stool and atrophic
vaginitis
An adult patient presents with a 2-day history of intermittent stabbing chest pain that worsens with
deep breaths. The patient reports a nonproductive cough and no fever for several days, and denies
trauma, palpitations or GI symptoms. VS normal. Lungs are clear, heart sounds normal. PE reveals
localized chest wall tenderness at the costal margin. EKG and CXR normal. The most likely diagnosis
is? - Costchondritis
The most common skin cancer is? - Basal cell carcinoma
What is true regarding depression in the elderly? - Depression can be induced by prescribed and OTC
medications
Acute otitis media has what characteristics? - Loss of ossicular landmarks on the TM
What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia? -
Diffuse pain, sleep abnormality, fatigue
, An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has a sedentary
lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes screening tests would an
NP order? - Fasting plasma glucose
An adolescent presents for a preparticipation athlete exam. In determining clearance for
participation in sports, what should be considered? - Characteristics of the sport
Urinary and bowel dysfunction, saddle anesthesia, and leg weakness or foot drop are signs of? -
Cauda equina syndrome
The NP would suspect what person to be at the highest risk for Rocky Mountain spotted fever? - A
40-year old male who is living in a wooded area raising dogs
What condition is associated with the development of type 2 DM? - Delivery of a neonate weighing 9
lb or greater
What condition is a risk factor for development of DVT and PE? - Visceral malignancy
Research studies indicate that ED in geriatric patients is a common complication in? - Vascular
disease
What neuro signs are characteristic of the patient with AD? - Gait disorder and impaired
stereognosis
A frail elderly male patient complains of difficulty with urination. The International Prostate
Symptom Score can assist with decisions regarding the diagnosis of BPH. What symptom is
consistent with the items on this scale? - Nocturia
The best medication for a patient who complains of IBS with cramping is? - Dicyclomine (Bentyl)
Major causes of CKD include? - Amyloidosis and SLE
A risk factor postmeno osteoporosis is? - History of tobacco use
