FNPx f practicex f testx f 1x f (AANPC
B)
1. Whichxf isx f contraindicatedx f inx f influenzax f vaccine
- asthma
- sicklex f cell
- <5months
- Americanx f Indianx f heritage:
2. Whichx f ofx f thex f followingx f associatedx f withx f thyroidx f hypofunction
a. Graves
b. Eyexfdisorder
c. Thyroidx f storm
d. Myxedema:x f Myxedema
skinxfchangesxf(thickened)
Tx:xfHighxfdosexfofxfthyroidxfhormone
3. 14xfy/oxfboyxfwithxffeelingxfofxfbeingxfbloated,xfupsetxfstomach,xfandxfloosexfstool
sxfforxfmonths,xfproblemsxfgainingxfweightxfandxfisxfshortxfforxfhisxfage.xfSymptoms
x f worsexfafterxfeatingxfcrackers. xfNoxfbloodxfinxfstool.xfWhatxfcondition xfisxfmostxflik
elyxftoxfoccur?:xfCeliacxfdisease
avoidxfgluten;xfcausesxfmalabsorption
IgAxfandxfIgGxfelevated
4. 67xfy/oxffemalexfwithxf3-
dayxfoldxfcatxfbitexfthatsxfswollen,xfredxfandxfpainfulxftoxftouch.xfTherexfisxfPurulentxf
Dischargexfatxfsitexfofxfbite.xfWhichxfmedicationxfdoxfyouxfprescribe?:xfAmoxicillin
symptomsxfassoc.withxfPasteurellaxf multocidaxfwhichxfisxfanaerobicxf gramxfneg
5. 14xfy/oxfgirlxfwithxfshortxfstature,xfswollenxfhandsxfandxffeetxfandxfwebbedxfneck
.xfFoundxftoxfbexfatxfTannerxfstagexf1....
Whatxftestxfdoxfyouxforderxftoxfconfirm:xfKaryotypexftoxffindxfsecondxfchromosome
tannerxf1xfprepuberty
signsxfsuggestxfTurnerxfsyndrome
xf xf
, FNPx f practicex f testx f 1x f (AANPC
B)
6. 67xfy/oxfwomanxfwithxf30xfpack-
yearxfhistoryxfofxfsmokingxfatxfannualxfphysical.xfCom-
plainsxfofxfbeingxfshortxfofxfbreathexfeasilyxfandxffatigued.xfExamxfrevealsxfdiminish
edxfbreathxfsounds,xfhyperresonace,xfandxffatiguedxfmuscles.xfCBCxfresultsxfshowed
xfHctxfelevatedxfandxfpulmonaryxffunctionxftestxfshowedxfincreased xftotalxflungxfcapa
city.
Whatxfdiagnosisxfisxfmostxflikely:xfCOPDxf(Emphyse
maxfandxfchronicxfbronchitis)
dyspnea,xfchronicxfcough,xfsputumxfproductionxfL
ungsxfarexfhyper-
inflated,xfdiminishedxfBSxfCreatesxfHighxfhctxffro
mxfhypoxia
7. Elderlyx f malex f atx f routinex f exam,x f showsx f multiplex f roughx f scalyx f patchesx f onx f f
ore-
armxfandxffacexfandxfneckxfandxfbackxfofxfears.xfWhatxfdiagnosisxfisxfmostxflikely:xfSenile
xfactinicxfkeratosis
mostxfcommonxfprecancerousxflesionxfinxfsmallxfcellxfcarcinomaxfde
velopsxffromxfyearsxfofxfsunxfexposure
8. Youxfarexfassessingxfaxf63xfy/oxfmalexfwithxfhistoryxfofxfIV-
drugxfabusexfsincexfyoungxfadulthood.xfPresentsxfwithxffatiguexfandxfnausea.xfWhat
xfscreeningxfisxfrecommend-ed?:xfHepxfC
9. You'rex f performingx f anx f assessmentx f ofx f 6x f monthx f old.x f Whatx f motorx f skillsx
f arexfexpectedxf?:xfPalmarxfGraspsxfofxfobject
10. Youxf(NP)xfarexfmanagingxfaxfstable-
middlexfagedxfmalexfwithxfemphysema.xfWhatxfannualxfinterventionxfisxfrecommendedxfbes
idesxfstopping.:xf(QIV)xfQuadrivalentxfinnactivexffluxfvaccine
-O
11. Duringx f sportsx f exam,x f 14x f y/ox f youx f noticex f ax f splitx f ofx f s2x f componentx f ofx f thex
f heartxfduringxfdeepxfinspiration.xfDisappearsxfonxfexpiration.xfHRxfregular,xfnoxfmu
rmurs.
xf xf
, FNPx f practicex f testx f 1x f (AANPC
B)
whatx f isx f thisx f likelyx f of:x f Normalxfasxflongxfasxfitxfdisappearsxfafterxfexpiration
12. Whichxffindingxfwouldxfyouxffindxfinxf13y/oxfMxfwithxfCushing'sxfsyndrome:xfDelayed
x f puberty
13. Whichx f life-
stylex f isx f associatedx f withx f secondaryx f polycythemiax f Vera:x f Smoking
xf xf
, FNPx f practicex f testx f 1x f (AANPC
B)
14. Whichxftestxfconfirmsxfprostatexfcancer:xfTissuexfbiopsy
15. 60x f Fx f truckx f driverx f withx f worseningx f lowerx f backx f painx f overx f fewx f days.x f Num
bnessxfinxfperinealxfarea.xfSharpxfandxfburningxfandxfpointsxftoxfleftxfbuttock.
Painx f startedx f midx f buttockx f ofx f leftx f legx f andx f wentx f tox f lateralx f sidex f towardx f topx f ofx
f foot.
Anklexfandxfkneexfjerkxfreflexxfisxf+2xfandxfonxfaffectedxflegxf+1
whatxftestxfdoxfyouxfconsider?:xfOrderxfMRI
16. Whenx f assessingx f ax f ptx f usingx f Snellenx f chart,x f thex f NP(youx f hehe)x f reportsx f v
isualxfacuityxf80/20.xfWhatxfdatxfmean?:xfPatientxfcanxfseexfatxf20xffeetxfwhatxfaxfpersonxfcanxfseexfatxf80
top:distancexfptxfcanxfseexfinxfft
bottom:xfdistancexfthatxfnormalxfvisionxfcanxfreadxfthexfsamexfline
17. Obesexf28y/femalexfatxfdocxfseenxfwithxfArachne,xfhirsutismxfandxfoligomenor-
rhea.xfBloodxfdrawxfshowsxffreexfandrogenxfindexxf9.8xfwithxfdiagnosisxfofxfpolyxfcyst
icxfovarianxfsyndromexfwhichxfputsxfpatientxfatxfriskxfforxfwhatxf?:xfCHD,xfTypexf2xfDM,xfmetaboli
cxfsyndrome
18. Middlex f agex f manx f withx f HTNx f withx f acutex f onsetx f ofx f fever,x f chillsx f andx f produ
ctivexfcoughxfandxfrustyxfcoloredxfsputum.xfSharpxfpainxfonxfleftxfsidexfofxfbackxfandxf
chestxfwhenxfcoughing.xfTempxf102xfpulsexfisxf100xfandxfBpxf130/80
urinalysisxfshowxfnoxfleukocytes,nitrite,xforxfblood:xfbacterialxfpneumoniaxf
Typicallyxfcomesxfonxfquicklyxfsometimexfwithxfyellow/brownxfsputum
goldxfstandardxfDx:xfChestxfx-
rayxfthatxfshowsxfinfiltratesxfandxflobarxfconsolidationxfdeterminexfbacteriaxfinxfurinexftoxfdeterminexfwhichxfAbx
19. Youx f palpatex f URQx f whilex f ptx f talkedx f deepx f breathx f whatx f isx f thisx f test:x f Murphyxfsign
20. Elderlyx f fairx f skinnedx f malex f withx f lesionx f onx f nose,x f translucentx f Paulettex f
withx f centralxfulcerationxftelangiectasis,xfandxfrolledxfborders:xfBasalxfcellxfcarcinoma
21. Cauliflower-
xflikexfgrowthxfwithxffoulsxfsmellingxfdischarge xfofxfleftxfearxfinxf8yoxfm.xfTempanicxfm
xf xf
B)
1. Whichxf isx f contraindicatedx f inx f influenzax f vaccine
- asthma
- sicklex f cell
- <5months
- Americanx f Indianx f heritage:
2. Whichx f ofx f thex f followingx f associatedx f withx f thyroidx f hypofunction
a. Graves
b. Eyexfdisorder
c. Thyroidx f storm
d. Myxedema:x f Myxedema
skinxfchangesxf(thickened)
Tx:xfHighxfdosexfofxfthyroidxfhormone
3. 14xfy/oxfboyxfwithxffeelingxfofxfbeingxfbloated,xfupsetxfstomach,xfandxfloosexfstool
sxfforxfmonths,xfproblemsxfgainingxfweightxfandxfisxfshortxfforxfhisxfage.xfSymptoms
x f worsexfafterxfeatingxfcrackers. xfNoxfbloodxfinxfstool.xfWhatxfcondition xfisxfmostxflik
elyxftoxfoccur?:xfCeliacxfdisease
avoidxfgluten;xfcausesxfmalabsorption
IgAxfandxfIgGxfelevated
4. 67xfy/oxffemalexfwithxf3-
dayxfoldxfcatxfbitexfthatsxfswollen,xfredxfandxfpainfulxftoxftouch.xfTherexfisxfPurulentxf
Dischargexfatxfsitexfofxfbite.xfWhichxfmedicationxfdoxfyouxfprescribe?:xfAmoxicillin
symptomsxfassoc.withxfPasteurellaxf multocidaxfwhichxfisxfanaerobicxf gramxfneg
5. 14xfy/oxfgirlxfwithxfshortxfstature,xfswollenxfhandsxfandxffeetxfandxfwebbedxfneck
.xfFoundxftoxfbexfatxfTannerxfstagexf1....
Whatxftestxfdoxfyouxforderxftoxfconfirm:xfKaryotypexftoxffindxfsecondxfchromosome
tannerxf1xfprepuberty
signsxfsuggestxfTurnerxfsyndrome
xf xf
, FNPx f practicex f testx f 1x f (AANPC
B)
6. 67xfy/oxfwomanxfwithxf30xfpack-
yearxfhistoryxfofxfsmokingxfatxfannualxfphysical.xfCom-
plainsxfofxfbeingxfshortxfofxfbreathexfeasilyxfandxffatigued.xfExamxfrevealsxfdiminish
edxfbreathxfsounds,xfhyperresonace,xfandxffatiguedxfmuscles.xfCBCxfresultsxfshowed
xfHctxfelevatedxfandxfpulmonaryxffunctionxftestxfshowedxfincreased xftotalxflungxfcapa
city.
Whatxfdiagnosisxfisxfmostxflikely:xfCOPDxf(Emphyse
maxfandxfchronicxfbronchitis)
dyspnea,xfchronicxfcough,xfsputumxfproductionxfL
ungsxfarexfhyper-
inflated,xfdiminishedxfBSxfCreatesxfHighxfhctxffro
mxfhypoxia
7. Elderlyx f malex f atx f routinex f exam,x f showsx f multiplex f roughx f scalyx f patchesx f onx f f
ore-
armxfandxffacexfandxfneckxfandxfbackxfofxfears.xfWhatxfdiagnosisxfisxfmostxflikely:xfSenile
xfactinicxfkeratosis
mostxfcommonxfprecancerousxflesionxfinxfsmallxfcellxfcarcinomaxfde
velopsxffromxfyearsxfofxfsunxfexposure
8. Youxfarexfassessingxfaxf63xfy/oxfmalexfwithxfhistoryxfofxfIV-
drugxfabusexfsincexfyoungxfadulthood.xfPresentsxfwithxffatiguexfandxfnausea.xfWhat
xfscreeningxfisxfrecommend-ed?:xfHepxfC
9. You'rex f performingx f anx f assessmentx f ofx f 6x f monthx f old.x f Whatx f motorx f skillsx
f arexfexpectedxf?:xfPalmarxfGraspsxfofxfobject
10. Youxf(NP)xfarexfmanagingxfaxfstable-
middlexfagedxfmalexfwithxfemphysema.xfWhatxfannualxfinterventionxfisxfrecommendedxfbes
idesxfstopping.:xf(QIV)xfQuadrivalentxfinnactivexffluxfvaccine
-O
11. Duringx f sportsx f exam,x f 14x f y/ox f youx f noticex f ax f splitx f ofx f s2x f componentx f ofx f thex
f heartxfduringxfdeepxfinspiration.xfDisappearsxfonxfexpiration.xfHRxfregular,xfnoxfmu
rmurs.
xf xf
, FNPx f practicex f testx f 1x f (AANPC
B)
whatx f isx f thisx f likelyx f of:x f Normalxfasxflongxfasxfitxfdisappearsxfafterxfexpiration
12. Whichxffindingxfwouldxfyouxffindxfinxf13y/oxfMxfwithxfCushing'sxfsyndrome:xfDelayed
x f puberty
13. Whichx f life-
stylex f isx f associatedx f withx f secondaryx f polycythemiax f Vera:x f Smoking
xf xf
, FNPx f practicex f testx f 1x f (AANPC
B)
14. Whichxftestxfconfirmsxfprostatexfcancer:xfTissuexfbiopsy
15. 60x f Fx f truckx f driverx f withx f worseningx f lowerx f backx f painx f overx f fewx f days.x f Num
bnessxfinxfperinealxfarea.xfSharpxfandxfburningxfandxfpointsxftoxfleftxfbuttock.
Painx f startedx f midx f buttockx f ofx f leftx f legx f andx f wentx f tox f lateralx f sidex f towardx f topx f ofx
f foot.
Anklexfandxfkneexfjerkxfreflexxfisxf+2xfandxfonxfaffectedxflegxf+1
whatxftestxfdoxfyouxfconsider?:xfOrderxfMRI
16. Whenx f assessingx f ax f ptx f usingx f Snellenx f chart,x f thex f NP(youx f hehe)x f reportsx f v
isualxfacuityxf80/20.xfWhatxfdatxfmean?:xfPatientxfcanxfseexfatxf20xffeetxfwhatxfaxfpersonxfcanxfseexfatxf80
top:distancexfptxfcanxfseexfinxfft
bottom:xfdistancexfthatxfnormalxfvisionxfcanxfreadxfthexfsamexfline
17. Obesexf28y/femalexfatxfdocxfseenxfwithxfArachne,xfhirsutismxfandxfoligomenor-
rhea.xfBloodxfdrawxfshowsxffreexfandrogenxfindexxf9.8xfwithxfdiagnosisxfofxfpolyxfcyst
icxfovarianxfsyndromexfwhichxfputsxfpatientxfatxfriskxfforxfwhatxf?:xfCHD,xfTypexf2xfDM,xfmetaboli
cxfsyndrome
18. Middlex f agex f manx f withx f HTNx f withx f acutex f onsetx f ofx f fever,x f chillsx f andx f produ
ctivexfcoughxfandxfrustyxfcoloredxfsputum.xfSharpxfpainxfonxfleftxfsidexfofxfbackxfandxf
chestxfwhenxfcoughing.xfTempxf102xfpulsexfisxf100xfandxfBpxf130/80
urinalysisxfshowxfnoxfleukocytes,nitrite,xforxfblood:xfbacterialxfpneumoniaxf
Typicallyxfcomesxfonxfquicklyxfsometimexfwithxfyellow/brownxfsputum
goldxfstandardxfDx:xfChestxfx-
rayxfthatxfshowsxfinfiltratesxfandxflobarxfconsolidationxfdeterminexfbacteriaxfinxfurinexftoxfdeterminexfwhichxfAbx
19. Youx f palpatex f URQx f whilex f ptx f talkedx f deepx f breathx f whatx f isx f thisx f test:x f Murphyxfsign
20. Elderlyx f fairx f skinnedx f malex f withx f lesionx f onx f nose,x f translucentx f Paulettex f
withx f centralxfulcerationxftelangiectasis,xfandxfrolledxfborders:xfBasalxfcellxfcarcinoma
21. Cauliflower-
xflikexfgrowthxfwithxffoulsxfsmellingxfdischarge xfofxfleftxfearxfinxf8yoxfm.xfTempanicxfm
xf xf
