1. A patient has recurrent cluster headaches and asks C. Oxygen
about abortive therapy. Which therapy is effective for
a majority of patients with cluster headaches?
a. Lithium
b. NSAIDs
c. Oxygen
d. Verapamil
2. A patient reports recurrent headaches occurring 1 or c. Rizatriptan
2 times per month that generally occur with weather
changes or when sleep patterns are disrupted and
describes them as severe, with throbbing on one side
of the head and sometimes accompanied by nausea.
What is the recommended treatment for this type of
headache?
a. Gabapentin
b. Propranolol
c. Rizatriptan
d. Topiramate
3. Which medication is NOT useful in treating ten- b. Lithium
sion-type headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
d. NSAIDse. Oxygen
4. A patient reports two episodes of visual disturbances b. Magnetic resonance
and eye pain that lasted 1 to 2 days each about imaging
2 months apart. Which diagnostic testing will the
provider order initially?
a. Lumbar puncture
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b. Magnetic resonance imaging
c. Optical Coherence Tomography
d. Visual evoked potential
5. A patient with Parkinson's disease (PD) has been tak- a. Amantadine
ing carbidopa-levodopa (Sinemet) with good results
but develops increased dyskinesia. Which drug will be
added to this patient's regimen to help control this
symptom?
a. Amantadine
b. Benztropine
c. Ropinirole
d. Tolcapone
6. All of the following are common symptoms seen in c. Hyperphonia
patients with Parkinson's disease except:
a. Bradykinesia
b. Festination
c. Hyperphonia
d. Rigidity
e. Symmetric tremor
7. Which drug is used to treat patients with focal epilepsy a. Carbamazepine
and complex partial seizures?
a. Carbamazepine
b. Ethosuximide
c. Lamotrigine
d. Topiramate
8. A patient develops a gait disorder and the patient's c. Examination of the optic
spouse reports noticing recent personality changes. fundi
The provider suspects a brain lesion. Which evaluation
is especially important in the initial physical examina-
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tion?
a. Assessment of peripheral reflexes
b. Evaluation of speech
c. Examination of the optic fundi
d. Testing for memory loss
9. A toddler has begun hitting and biting other children B. Engage the parent in
at a day care center and is exhibiting temper tantrums positive parenting strate-
and bad language at home. The parent reports that gies to facilitate appropri-
these behaviors began shortly after a sibling was ate child coping.
born. What will the primary care pediatric nurse prac-
titioner do?
A. Advise the parent that the child is exhibiting early
symptoms of ADHD.
B. Engage the parent in positive parenting strategies
to facilitate appropriate child coping.
C. Recommend evaluating the child for conduct or
oppositional defiant disorder.
D. Suggest putting the child in another day care center
to ameliorate the problems
10. A 14yearold female comes to the clinic with amenor- A. Anorexia nervosa
rhea for 3 months. A pregnancy test is negative. The
adolescent's body weight is at 82% of expected for
height and age. The mother reports that her daughter
often throws up and refuses to eat most foods. Which
condition does the primary care pediatric nurse prac-
titioner suspect?
A. Anorexia nervosa
B. Bulimia nervosa
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C. Depression
D. Substance abuse
11. During a well child examination on a 4monthold in- b. "I let my baby cry a while
fant, the primary care pediatric nurse practitioner to learn to be patient."
evaluates mental health issues. Which statement by
the parent indicates a potential problem with the par-
ent infant relationship?
a. "I can sense a difference in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises."
12. The primary care pediatric nurse practitioner at- d. Observation of the child
tempts to learn more about the emotional health of with caretakers in struc-
an 18monthold child through which assessment strat- tured and unstructured
egy? situations
a. Asking the child to tell a story using dolls and other
props
b. Asking the child to draw a picture of him or herself
and other family members
c. Interviewing the child separately from caretakers
and parents
d. Observation of the child with caretakers in struc-
tured and unstructured situations
13. The parent of a 4 year old child reports that the child a. Ask the parent if
seems to be having trouble adjusting to a new day the child is slow to warm
up to
care and reportedly is always engaging in solitary play other new situations.
when the parent arrives to pick up the child. What will
the primary care pediatric nurse practitioner do?