A 58-year-old female presents with shoulder and pelvic girdle pain for the past 6
months. She reports recent unintentional weight loss. On physical examination, there
is pain on ROM, with no weakness noted. Laboratory studies show a low hemoglobin
and an elevated sedimentation rate. Which of the following is the most likely
diagnosis?
1) Polymyalgia rheumatica
2) polymyositis
3) osteoarthritis
4) Fibromyalgia
,Give this one a try later!
1) polymyalgia rheumatica
A 66-year-old patient presents with bilateral otitis media with effusion and white
patches in the mouth that do not rub off when wiped with a 4 × 4. The patient should
be evaluated for:
1) lichen planus
2) HIV infection.
3) lymphoma
4) Candida lingua
Give this one a try later!
2) HIV infection (hairy luekaplakia-immune)
37. An older adult with a history of hypertension and atrial fibrillation is brought to the
ED after a fall. She is diagnosed with a fracture of the neck of the left femur and has
left open reduction internal fixation (ORIF). She is discharged for rehabilitation on
enoxaparin (Lovenox), 30 mg SC twice daily. On the third day of rehabilitation, she
reports increased swelling and tightness of the left leg. The nurse practitioner would
order a/an:
1. arterial Doppler.
2. arteriogram.
3. venous duplex ultrasound.
4. venous pyelogram.
Give this one a try later!
, 3. venous duplex ultrasound.
Which cranial nerves test the oculomotor eye movement and strabismus?
1) CN I III, IV
2) CV III, IV and VI
3) CN III, V, VII
Give this one a try later!
2) CV III, IV and VI
52. An elderly patient with a history of smoking presents with increased pedal edema
and dyspnea on exertion. The patient has a long history of poorly controlled blood
pressure on physical examination. The nurse practitioner hears an S4 gallop and
orders an echocardiogram. The results show an ejection fraction of 35%.
Which diagnosis is MOST descriptive of these signs and symptoms?
1. Congestive heart failure
2. Mitral valve regurgitation
3. Pleural effusion
4. COPD
Give this one a try later!
1. Congestive heart failure
39. A patient presents with unilateral ear pain of 1-week duration, nasal congestion,
and a sore throat. Physical examination reveals an opaque, hypomobile left tympanic
, membrane. The nurse practitioner performs a tuning fork test, expecting to find that
the:
1. Weber test shows lateralization to the left.
2. air conduction threshold is greater than bone conduction on the left.
3. air conduction threshold is less than bone conduction on the right.
4. Weber test shows lateralization to the right.
Give this one a try later!
1. Weber test shows lateralization to the left.
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-
up plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercise
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar
Give this one a try later!
2) continue NSAID, apply an arch support and encourage wt loss and
exercise
19. The triple approach for evaluation of a dominant breast mass in an adult female
includes a clinical breast examination, mammography, and:
1. bilateral ultrasound.
2. ductal lavage.
3. fine-needle aspiration.
4. MRI.
months. She reports recent unintentional weight loss. On physical examination, there
is pain on ROM, with no weakness noted. Laboratory studies show a low hemoglobin
and an elevated sedimentation rate. Which of the following is the most likely
diagnosis?
1) Polymyalgia rheumatica
2) polymyositis
3) osteoarthritis
4) Fibromyalgia
,Give this one a try later!
1) polymyalgia rheumatica
A 66-year-old patient presents with bilateral otitis media with effusion and white
patches in the mouth that do not rub off when wiped with a 4 × 4. The patient should
be evaluated for:
1) lichen planus
2) HIV infection.
3) lymphoma
4) Candida lingua
Give this one a try later!
2) HIV infection (hairy luekaplakia-immune)
37. An older adult with a history of hypertension and atrial fibrillation is brought to the
ED after a fall. She is diagnosed with a fracture of the neck of the left femur and has
left open reduction internal fixation (ORIF). She is discharged for rehabilitation on
enoxaparin (Lovenox), 30 mg SC twice daily. On the third day of rehabilitation, she
reports increased swelling and tightness of the left leg. The nurse practitioner would
order a/an:
1. arterial Doppler.
2. arteriogram.
3. venous duplex ultrasound.
4. venous pyelogram.
Give this one a try later!
, 3. venous duplex ultrasound.
Which cranial nerves test the oculomotor eye movement and strabismus?
1) CN I III, IV
2) CV III, IV and VI
3) CN III, V, VII
Give this one a try later!
2) CV III, IV and VI
52. An elderly patient with a history of smoking presents with increased pedal edema
and dyspnea on exertion. The patient has a long history of poorly controlled blood
pressure on physical examination. The nurse practitioner hears an S4 gallop and
orders an echocardiogram. The results show an ejection fraction of 35%.
Which diagnosis is MOST descriptive of these signs and symptoms?
1. Congestive heart failure
2. Mitral valve regurgitation
3. Pleural effusion
4. COPD
Give this one a try later!
1. Congestive heart failure
39. A patient presents with unilateral ear pain of 1-week duration, nasal congestion,
and a sore throat. Physical examination reveals an opaque, hypomobile left tympanic
, membrane. The nurse practitioner performs a tuning fork test, expecting to find that
the:
1. Weber test shows lateralization to the left.
2. air conduction threshold is greater than bone conduction on the left.
3. air conduction threshold is less than bone conduction on the right.
4. Weber test shows lateralization to the right.
Give this one a try later!
1. Weber test shows lateralization to the left.
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-
up plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercise
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar
Give this one a try later!
2) continue NSAID, apply an arch support and encourage wt loss and
exercise
19. The triple approach for evaluation of a dominant breast mass in an adult female
includes a clinical breast examination, mammography, and:
1. bilateral ultrasound.
2. ductal lavage.
3. fine-needle aspiration.
4. MRI.
