1
3P’s EXAM
1. When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and
20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding
2. The American psychiatric association’s diagnostic and statistical manual of mental disorder
defines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under his or her
care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the victim
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The caretaker of a
child, most often a mother, either makes up fake symptoms or causes real symptoms to make it
look like the child is sick.
3. Symptoms of depression are a side effect of which neurotransmitter medication?
a) dopamine
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregular border?
a) Nevus
b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
periorbital edema this finding is suggestive of this condition?
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
with advanced hypothyroidism. The classic skin changes are: swelling of face, lips, eyelids, and
tongue or swelling and thickening of skin anywhere on the body, especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of hyperthyroidism.
Myxedema can also occur in Hashimoto’s thyroiditis a form of hypothyroidism.
, 2
6. A 42 years old woman with a past medical history of migraine headaches is requesting
prophylactic medication treatment. Which medication should the Nurse practitioner
prescribe?
a) Sumatriptan (Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for prophylactic
treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
7. A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This
clinical finding is consistent with:
a) Tinea capitis
b) Seborrheic dermatitis
c) Trichotillomania
d) Alopecia areata
8. What is the appropriate prophylactic medication for an 18 years old woman with a past
medical history of migraine headaches?
a) Sumatriptan (Imitrex)
b) Propanolol (Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
9. Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45, breastfeeding, smoking,
HTN, diabetes or hx of stroke
10. During the breast examination of a perimenopausal woman the NP detects a bloody
spontaneous discharge from the right nipple. This indicates further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown
nonbloody nipple discharge that tends to leak without pressure or squeezing
c) An intraductal papilloma
d) Pituitary prolactinoma
Intraductal papillomas are usually solitary and smaller than 1 cm. They are located in large
lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple Discharge
, 3
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
What happens is the client is Rh negative and has a negative antibody screen?
She will need repeat antibody screens and should receive Rho(D) immune globulin (RhoGAM)
at 28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders)
12. When interpreting a complete blood count (CBC) lab report which of the following results
describes the size of the RBCs?
a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw)
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average size of the RBCs.
Small-sized RBCs result in a lower MCV, while larger RBCs result in a higher MCV.
13. What medication should be avoided when prescribe prophylactic therapy for headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients should
have drug free period for 3-4 weeks after every 6 months of treatment (pharmacology book page
1047)
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of
the great arteries
a) To maintain equal pressure in the ventricles
b) To maintain patency of the great arteries
c) To produce vasodilation on …………….
d) To prevent cyanotic episodes by trapping blood in the lower …………
15. Which of the following complaints best describes lower extremity calf pain associated with
peripheral artery disease
a) A sharp stabbing pains
b) A dull pain or cramp
c) An electric shock
d) A pulsating pain
Peripheral artery disease signs and symptoms include: Painful cramping in one or both of your
hips, thighs or calf muscles after certain activities, such as walking or climbing stairs
(claudication) Leg numbness or weakness. Coldness in your lower leg or foot, especially when
compared with the other side. (Mayoclinic)
, 4
16. Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-
year-old premenopausal woman?
a) Hirsutism
b) Gynecomastia
c) Oligomenorrhea
d) Acne
Hyperprolactinemia causes typical symptoms in premenopausal women and in men, but not in
postmenopausal women. Premenopausal women — Hyperprolactinemia in premenopausal
women causes hypogonadism, with symptoms that include infertility, oligomenorrhea, or
amenorrhea and less often galactorrhea. (uptodate.com/clinical-manifestations)
17. When treating a patient with asthma who is experiencing acute wheezing which medication
should be given to relieve the symptom?
a) Short acting bronchodilator
b) Long acting bronchodilator
c) Inhaled corticosteroid
d) Combination of methylxanthine and long acting bronchodilator
Short-Acting Beta Agonist (SABA) inhalers; used for acute asthma attacks; quickly reduce
airway constriction & restore normal airflow; agonists/stimulators of adrenergic receptors in SNS
(sympathomimetics); albuterol (Ventolin), levalburterol (Xopenex), pirbuterol (Maxair),
terbutaline (Brethine), metaproterenol (Alupent). (Quizlet Pharm Ch 37 Respiratory drugs)
18. Which immunization reduces a patient’s risk for infection with the virus that causes painful
localized blistering rash?
a) Smallpox vaccine
b) Varicella vaccine (chicken Pox)
c) Shingles (herpes zoster) vaccine
d) Meningococcal vaccine
Shingles (herpes zoster) is an extremely painful skin rash caused by the varicella zoster virus, the
same virus that causes chickenpox. In people who have had chickenpox, the virus is never fully
cleared from the body; instead, it remains dormant in the nerve tissues. (medicinet.com/shingles)
19. Headache warning signs that need prompt investigation include all of the following
EXCEPT:
a) new onset after age 50
b) aggravated or relieved by change of position
c) precipitated by Valsalva maneuver
d) Headache relieved with mild infrequent use of analgesics
20. The client with iron deficiency anemia should be advised to take the iron supplement
a) With milk to avoid stomach upset
b) With milk of magnesia at bedtime to avoid constipation
c) On an empty stomach between meals
3P’s EXAM
1. When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and
20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding
2. The American psychiatric association’s diagnostic and statistical manual of mental disorder
defines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under his or her
care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the victim
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The caretaker of a
child, most often a mother, either makes up fake symptoms or causes real symptoms to make it
look like the child is sick.
3. Symptoms of depression are a side effect of which neurotransmitter medication?
a) dopamine
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregular border?
a) Nevus
b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
periorbital edema this finding is suggestive of this condition?
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if patients
with advanced hypothyroidism. The classic skin changes are: swelling of face, lips, eyelids, and
tongue or swelling and thickening of skin anywhere on the body, especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of hyperthyroidism.
Myxedema can also occur in Hashimoto’s thyroiditis a form of hypothyroidism.
, 2
6. A 42 years old woman with a past medical history of migraine headaches is requesting
prophylactic medication treatment. Which medication should the Nurse practitioner
prescribe?
a) Sumatriptan (Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for prophylactic
treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
7. A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This
clinical finding is consistent with:
a) Tinea capitis
b) Seborrheic dermatitis
c) Trichotillomania
d) Alopecia areata
8. What is the appropriate prophylactic medication for an 18 years old woman with a past
medical history of migraine headaches?
a) Sumatriptan (Imitrex)
b) Propanolol (Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
9. Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45, breastfeeding, smoking,
HTN, diabetes or hx of stroke
10. During the breast examination of a perimenopausal woman the NP detects a bloody
spontaneous discharge from the right nipple. This indicates further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark brown
nonbloody nipple discharge that tends to leak without pressure or squeezing
c) An intraductal papilloma
d) Pituitary prolactinoma
Intraductal papillomas are usually solitary and smaller than 1 cm. They are located in large
lactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple Discharge
, 3
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
What happens is the client is Rh negative and has a negative antibody screen?
She will need repeat antibody screens and should receive Rho(D) immune globulin (RhoGAM)
at 28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders)
12. When interpreting a complete blood count (CBC) lab report which of the following results
describes the size of the RBCs?
a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw)
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average size of the RBCs.
Small-sized RBCs result in a lower MCV, while larger RBCs result in a higher MCV.
13. What medication should be avoided when prescribe prophylactic therapy for headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients should
have drug free period for 3-4 weeks after every 6 months of treatment (pharmacology book page
1047)
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of
the great arteries
a) To maintain equal pressure in the ventricles
b) To maintain patency of the great arteries
c) To produce vasodilation on …………….
d) To prevent cyanotic episodes by trapping blood in the lower …………
15. Which of the following complaints best describes lower extremity calf pain associated with
peripheral artery disease
a) A sharp stabbing pains
b) A dull pain or cramp
c) An electric shock
d) A pulsating pain
Peripheral artery disease signs and symptoms include: Painful cramping in one or both of your
hips, thighs or calf muscles after certain activities, such as walking or climbing stairs
(claudication) Leg numbness or weakness. Coldness in your lower leg or foot, especially when
compared with the other side. (Mayoclinic)
, 4
16. Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-
year-old premenopausal woman?
a) Hirsutism
b) Gynecomastia
c) Oligomenorrhea
d) Acne
Hyperprolactinemia causes typical symptoms in premenopausal women and in men, but not in
postmenopausal women. Premenopausal women — Hyperprolactinemia in premenopausal
women causes hypogonadism, with symptoms that include infertility, oligomenorrhea, or
amenorrhea and less often galactorrhea. (uptodate.com/clinical-manifestations)
17. When treating a patient with asthma who is experiencing acute wheezing which medication
should be given to relieve the symptom?
a) Short acting bronchodilator
b) Long acting bronchodilator
c) Inhaled corticosteroid
d) Combination of methylxanthine and long acting bronchodilator
Short-Acting Beta Agonist (SABA) inhalers; used for acute asthma attacks; quickly reduce
airway constriction & restore normal airflow; agonists/stimulators of adrenergic receptors in SNS
(sympathomimetics); albuterol (Ventolin), levalburterol (Xopenex), pirbuterol (Maxair),
terbutaline (Brethine), metaproterenol (Alupent). (Quizlet Pharm Ch 37 Respiratory drugs)
18. Which immunization reduces a patient’s risk for infection with the virus that causes painful
localized blistering rash?
a) Smallpox vaccine
b) Varicella vaccine (chicken Pox)
c) Shingles (herpes zoster) vaccine
d) Meningococcal vaccine
Shingles (herpes zoster) is an extremely painful skin rash caused by the varicella zoster virus, the
same virus that causes chickenpox. In people who have had chickenpox, the virus is never fully
cleared from the body; instead, it remains dormant in the nerve tissues. (medicinet.com/shingles)
19. Headache warning signs that need prompt investigation include all of the following
EXCEPT:
a) new onset after age 50
b) aggravated or relieved by change of position
c) precipitated by Valsalva maneuver
d) Headache relieved with mild infrequent use of analgesics
20. The client with iron deficiency anemia should be advised to take the iron supplement
a) With milk to avoid stomach upset
b) With milk of magnesia at bedtime to avoid constipation
c) On an empty stomach between meals
