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You're a 22-year-old male patient states during his review of systems that his
scrotum is very enlarged and feels like it is full of worms. He is a power lifter and
works as a trash collector. You suspect that patient likely has which of the
following diagnosis?
A. meningocele
B. varicocele
C. hydrocele
D. rectocele
ANS:<< B. varicocele
Your patient has a diagnosis of Addison's disease. Which of the following might
you expect to find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face
ANS:<< C -Low body temperature
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2
should include which of the following while evaluating for end organ dysfunction
of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options
,ANS:<< D -All of these are appropriate options
During your visit with a 19 year old patient for a college health physical, your
health history includes a diagnosis of angioedema. What of the following parts of
the body are were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips
ANS:<< D -Face and Lips
The point of maximum impulse (PMI) is MOST often palpable in healthy adults
when positioned in the supine or left lateral decubitus position. Which one of the
following locations is most commonly described as the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line
ANS:<< B -Left 5th intercostal space, midclavicular line
A40 year old, female, African American patient presents for history and
physical. Upon your initial assessment, you notice she has severe exophthalmos
as pictured below. Which one of the following diagnoses below would be the
highest on your differential diagnose of this physical examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma
ANS:<< B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology
and has underwent a pulmonary function test (PFT) with spirometry. As the
patient's primary healthcare provider, you have been asked to explain the
findings of the PFT to the patient in afollow-up visit at which time the patient
asks what the study was evaluating. To describe the PFT to the patient in more
useful terms, you state that the large inspiration of air to the furthest extent they
could reasonably accomplish followed by a full exhalation is referred to as which
of the following measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
,C -Inspiratory Reserve
D -Forced Vital Capacity
ANS:<< D -Forced vital capacity
Which of the following dermatologic lesions is precancerous and likely due to
prolonged exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis
ANS:<< A -Actinic Keratosis
Based on your evaluation of ABCDE for melanoma, which of the following
represents a suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm
ANS:<< A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of clinical depression, you anticipate the
patient will benefit from treating their underlying deficit of which of the following
neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate
ANS:<< B -Serotonin
As a prudent nurse practitioner, the diabetic, hypertensive patient you are
seeing should be evaluated for early evidence of renal damage from both
diabetes and hypertension. Which of the following assessment tools should the
nurse practitioner order first for the evaluation of early renal dysfunction
secondary to diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium
, ANS:<< B -Urinalysis with micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you auscultate
crackles in the poster left lower lobe, have the patient cough, with follow-up
auscultation revealing clear breath sounds. Which one of the following would
you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis.
ANS:<< B -Atelectasis
Your 39 year old patient who has recently been hospitalized for an
appendectomy and is being seen in your clinic for post-operative follow-up with
primary care. On assessment, the patient complains of some incisional pain and
otherwise examination is normal, with the exception of dull percussion sounds
noted on the thorax over lung tissue. Which of the following diagnoses would be
explained by this finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease
ANS:<< C -Atelectasis
You are evaluating a 41 year old female patient in your clinic with symptoms of
right upper quadrant pain which worsens with deep breathing. The patient
exhibits a positive Murphy sign. These findings are most consistent which one of
the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis
ANS:<< B -Cholecystitis
In educating your patient about the non-pharmacologic management of
gastroesophageal reflux disease, you include teaching to the patient that their
heartburn is aggravated by al of the following except which one?
A -Activities including lifting or bending over
B -Alcohol intake