NURSE PRACTITIONER TEST 2
QUESTIONS WITH 100% SOLUTION
UPDATED 2026-2027
# Term Definition
1 Anterior pituitary gland
Where are growth hormones secreted
2 Give s+s of acromegaly
excessive acral growth, facial features, sweating, HA,
peripheral neuropathy, decrase energy osteoarthitis,
depression, galactorrhea
3
earliest most common: facial puffiness, broad nose,
Give physical exam of acromegaly
furrow brow, skin thickening
4 What is the Diagnostic for acromegaly
Definitive test is the oral glucose tolerance test: GH
secretion should be suppressed by oral glucose load
5 What is the management of
acromegaly Co-mange with endocrinologist, cure is reduction in
IGF-I to age adjust normal and suppressed GH after
oral glucose testing to less than 1ng/ml. Somatostatin
(octreotide) and dopamine agnonist (bromocriptine)
6 Agromegaly and patient education
life long chronic progressive disease, physical changes
don't remit w/ therapy. But may slow down or stop
just cant reverse.
7 destruction or reduction in adrenal gland
Addisons (adrenal gland disorder):
define
8 S+S of Addison disease
N/V, hypotension, acute shock (trauma or
illness). Chronic: n/v, dizzy, chronic abd pain,
hyperpigment, lethargy weakness
, 9 chronically ill, dehydrated
PE how do patients with addison look
10 What diagnostic test are needed for
Addison disease Elevated ACTH and suppressed cortisol, hyponatremia,
hypercalemia (CMP), CXray (exclude TB)
# Term Definition
11 Management of Addison disease
(chronic) oral hydrocortisone 20-30mg/d (restore diurnal
pattern) and fludrocortisone
(0.05-0.2mg/d) correct renal and hypotension.
12 What is the management of acute
adrenal insufficiency IV hydrocortisone 100mg q 6hr for 24hr then taper.
hypotension, hypovolemia, hypoglycemia ICU
13 What is patient education of Addison
med adjust w/ fever and common illness
Disease
(hydrocortison doubled quickly) never stop steroids
quickly
14 Define Cushings (basic) Over production of cortisol (adrenal disease)
15
What are S+S of chronic changes of weight loss, loss of menses, libido, depression
Cushings disease ,insomnia, bruising
16
What do you find on PE of Cushings exogenous/central obesity, moon face, thickening
disease facial fat, buffalo hump
17 24hr urine cortisol levels repeated 2-3x
What diagnostic do you perform for
Cushings
18
Depends on source of hypercortisolism:
What is the management of Cushings
pituitary resection, Chemo,
, 19 HTN >170systolic, arrhymias, tachy or brady
What do you find on PE of
pheochromocytoma:
20 CAGE
Initial eval of alcoholic would include
what
21 Work is affected last
What part of an alcoholics life is
usually affect last between family,
health, realtionships, work.
22 What are the 5 stages of
Prochaska's change framework 1. Precontemplation: not interested in change 2.
contemplation: consider change & pos/neg aspects 3.
Preparation: makes some change to behaviors or
thoughts but feeling of no tools to proceed 4. action:
ready to make change 5. maintenance/relaps: learns
to continue the change and deal w/ backsliding
# Term Definition
23 What are the 3 steps for alcohol
screening according to NIH 1. ask about use 2 assess for alcohol problems 3.
advise appropriate action 4. monitor patient progress
24 begin in 12 hrs after last drink and peak 24-48hrs w/
How soon after stopping due alcohol abatement over few days.
w/ drawals begin, and peak.
25 What are sx of alcohol w/drawal
agitation, hallucination , disorientation, seizures
26
What medication is useful for alcohol benzodiazepines: ativan. also tx dehydration,
w/drawals: malnourishment, infection
27 What are some inpatient detox criteria
other acute illness (infection, cardiac), alcohol related
for the alcoholic?
sx prior to detox, prior w/drawal sx of delirium
tremors or seizures, coexisting mental health like
depression
, 28 lorazepam (or other short acting) if no hepatic
What benzodazapine should be used deficiency then valium
on an alcoholic w/ hepatic dysfunction
29 no role, they are not used in alcohol w/drawals
What role do antipsychotic play in
managing w/drawal of alcohol
30 beta blocker (propanolol, atenolol)
What medication is used for the
physical sx of alcohol w/drawal such as
tachycardia or tremors?
31
What do you use for nutritional high dose B vitamin and supplement of thiamine,
deficencies in alcoholics pyridoxine, folic acid and vit C
32 Which is more specific for hepatic
ALT: more specific to liver due to limited concentration
damage: ALT or AST
in other organs. U should ID the ration of AST/ALT in
alcoholics
# Term Definition
33 How many criteria must be met
diagnose substance abuse? three of the following: -tolerance (need for increase
intake to produce same result) -Withdrawal
(substance needed to stop w/drawal sx) -use amount
or duration of use greater than intended -repeat
attempts to stop w/o success -to much time spent
using, recovering or trying to obtain -reducing or
abandoning social, occupation, rec activities
due to use -cont use despite knowing it causes
problems
34 women: thought to be due to higher use of health
Who have higher rates of misuse
system
of prescription medication? men
or women
35 rapid-onset or as needed basis increase abuse
Which benzodiazapine has a higher potential.
abuse potential: short or long acting
QUESTIONS WITH 100% SOLUTION
UPDATED 2026-2027
# Term Definition
1 Anterior pituitary gland
Where are growth hormones secreted
2 Give s+s of acromegaly
excessive acral growth, facial features, sweating, HA,
peripheral neuropathy, decrase energy osteoarthitis,
depression, galactorrhea
3
earliest most common: facial puffiness, broad nose,
Give physical exam of acromegaly
furrow brow, skin thickening
4 What is the Diagnostic for acromegaly
Definitive test is the oral glucose tolerance test: GH
secretion should be suppressed by oral glucose load
5 What is the management of
acromegaly Co-mange with endocrinologist, cure is reduction in
IGF-I to age adjust normal and suppressed GH after
oral glucose testing to less than 1ng/ml. Somatostatin
(octreotide) and dopamine agnonist (bromocriptine)
6 Agromegaly and patient education
life long chronic progressive disease, physical changes
don't remit w/ therapy. But may slow down or stop
just cant reverse.
7 destruction or reduction in adrenal gland
Addisons (adrenal gland disorder):
define
8 S+S of Addison disease
N/V, hypotension, acute shock (trauma or
illness). Chronic: n/v, dizzy, chronic abd pain,
hyperpigment, lethargy weakness
, 9 chronically ill, dehydrated
PE how do patients with addison look
10 What diagnostic test are needed for
Addison disease Elevated ACTH and suppressed cortisol, hyponatremia,
hypercalemia (CMP), CXray (exclude TB)
# Term Definition
11 Management of Addison disease
(chronic) oral hydrocortisone 20-30mg/d (restore diurnal
pattern) and fludrocortisone
(0.05-0.2mg/d) correct renal and hypotension.
12 What is the management of acute
adrenal insufficiency IV hydrocortisone 100mg q 6hr for 24hr then taper.
hypotension, hypovolemia, hypoglycemia ICU
13 What is patient education of Addison
med adjust w/ fever and common illness
Disease
(hydrocortison doubled quickly) never stop steroids
quickly
14 Define Cushings (basic) Over production of cortisol (adrenal disease)
15
What are S+S of chronic changes of weight loss, loss of menses, libido, depression
Cushings disease ,insomnia, bruising
16
What do you find on PE of Cushings exogenous/central obesity, moon face, thickening
disease facial fat, buffalo hump
17 24hr urine cortisol levels repeated 2-3x
What diagnostic do you perform for
Cushings
18
Depends on source of hypercortisolism:
What is the management of Cushings
pituitary resection, Chemo,
, 19 HTN >170systolic, arrhymias, tachy or brady
What do you find on PE of
pheochromocytoma:
20 CAGE
Initial eval of alcoholic would include
what
21 Work is affected last
What part of an alcoholics life is
usually affect last between family,
health, realtionships, work.
22 What are the 5 stages of
Prochaska's change framework 1. Precontemplation: not interested in change 2.
contemplation: consider change & pos/neg aspects 3.
Preparation: makes some change to behaviors or
thoughts but feeling of no tools to proceed 4. action:
ready to make change 5. maintenance/relaps: learns
to continue the change and deal w/ backsliding
# Term Definition
23 What are the 3 steps for alcohol
screening according to NIH 1. ask about use 2 assess for alcohol problems 3.
advise appropriate action 4. monitor patient progress
24 begin in 12 hrs after last drink and peak 24-48hrs w/
How soon after stopping due alcohol abatement over few days.
w/ drawals begin, and peak.
25 What are sx of alcohol w/drawal
agitation, hallucination , disorientation, seizures
26
What medication is useful for alcohol benzodiazepines: ativan. also tx dehydration,
w/drawals: malnourishment, infection
27 What are some inpatient detox criteria
other acute illness (infection, cardiac), alcohol related
for the alcoholic?
sx prior to detox, prior w/drawal sx of delirium
tremors or seizures, coexisting mental health like
depression
, 28 lorazepam (or other short acting) if no hepatic
What benzodazapine should be used deficiency then valium
on an alcoholic w/ hepatic dysfunction
29 no role, they are not used in alcohol w/drawals
What role do antipsychotic play in
managing w/drawal of alcohol
30 beta blocker (propanolol, atenolol)
What medication is used for the
physical sx of alcohol w/drawal such as
tachycardia or tremors?
31
What do you use for nutritional high dose B vitamin and supplement of thiamine,
deficencies in alcoholics pyridoxine, folic acid and vit C
32 Which is more specific for hepatic
ALT: more specific to liver due to limited concentration
damage: ALT or AST
in other organs. U should ID the ration of AST/ALT in
alcoholics
# Term Definition
33 How many criteria must be met
diagnose substance abuse? three of the following: -tolerance (need for increase
intake to produce same result) -Withdrawal
(substance needed to stop w/drawal sx) -use amount
or duration of use greater than intended -repeat
attempts to stop w/o success -to much time spent
using, recovering or trying to obtain -reducing or
abandoning social, occupation, rec activities
due to use -cont use despite knowing it causes
problems
34 women: thought to be due to higher use of health
Who have higher rates of misuse
system
of prescription medication? men
or women
35 rapid-onset or as needed basis increase abuse
Which benzodiazapine has a higher potential.
abuse potential: short or long acting
