Final by Oliva
1. Which of the following is a true statement about rheumatoid Arthritis? Select one.
a. Positive rheumatoid factor must be present for diagnosis.
b. It is an autoimmune disease that attacks synovial tissue.
c. Problems that cause RA include cartilage tears and congenital defectives.
d. It is a representative disease of mechanical joint problem.
2. What is the goal standard to diagnose Barrett’s Esophagus in a patient who has failed treatment
for GERD symptoms?
a. Upper Endoscopy with biopsy.
b. MRI of the abdomen with contrast.
c. None of the above.
d. Chest-X-ray AP and Lateral.
3. Diaphoresis. The patient is afebrile, B/P 96/45, AND 12-lead EKG appears below. Based on the
information provided, how would you proceed?
Select One:
a. Administer a beta blocker.
b. Administer digoxin.
c. Administer Atropine.
d. Administer amiodarone.
4. Initial testing in a case suspicious for acute pancreatitis should include all of the following
EXCEPT: Select one.
a. Serum lipase level.
b. Electrolyte panel.
c. Serum amylase level.
d. Barium swallow.
5. Which of the following patients has the LOWEST risk of developing colon cancer?
a. A Hispanic male with history of asthma.
b. A female whose aunt and grandmother both developed ovarian cancers.
c. A male with history of recurrent inflammatory bowel disease.
d. A female with a high fat diet that includes red meat and refined carbohydrates.
6. Ms. Cristina is a 22 years-old pleasant female with history of urinary tract infection about 3
months ago for which you prescribed a short regime with amoxicillin. She now returns with
dysuria, urinary frequency, and malodorous urine. Based on the information provided, what
would be the most appropriate plan of care?
Select one:
, a. Start the patient on a 7-day course of antibiotics after obtaining the urine culture, then
repeat the urine culture once the treatment is completed.
b. Order a urinalysis, urine culture and sensitivity, and start the patient on antibiotics once the
labs are resulted.
c. Prescribe a 10-day course with a stronger antibiotic such as a fluoroquinolone.
d. Order a urinalysis, urine culture and sensitivity, and start the patient on antibiotics.
7. A patient presents with recurrent abdominal pain and bloody diarrhea with mucus associated
with fatigue and some weight loss. The history is negative for recent travel or outdoor camping.
Based on the case presented, what is your presumptive diagnosis?
Select one:
a. Peptic ulcer disease.
b. Ulcerative colitis.
c. Diverticulitis.
d. Irritable bowel syndrome.
8. Which of the following laboratory parameters is a sensitive test for evaluating renal function?
Select one:
a. Serum creatinine.
b. Estimated glomerular filtration rate (eGFR).
c. Electrolyte panel.
d. Blood urea nitrogen.
9. When you elicit a painful Finkelstein’s sign, you are testing for:
Select one:
a. Bursitis of the shoulder.
b. Carpal tunnel syndrome.
c. Tennis elbow.
d. de Quervein’s synovitis.
10. Which of the following human papillomavirus (HPV) strains is associated with cervical cancer?
Select one:
a. HPV subtypes 16 and 18.
b. HPV subtype 30.
c. HPV subtypes 12 and 14.
d. HPV subtypes 20 and 26.
11. Miriam is a 68 years-old well-groomed woman that comes for a regular checkup. She has a
medical history of hypertension well controlled on daily Lisinopril 20 mg orally, type 2 Diabetes
mellitus for which she takes Metformin 500 mg orally twice a day, and morbid obesity. Last A1c
was 8. On physical examination you observe a non-raised area of hyperpigmentation around her
neck, particularly on the sides and back of the neck with a velvety texture on palpation that she
refers having for some time now despite daily scrubbing while in the shower. She admits
wearing a scarf regularly for its dirty appearance. The Family Nurse Practitioner explains to
Miriam that:
Select one:
a. This is a squamous cell carcinoma usually associated to prolonged sun exposure.
b. This is called tinea versicolor, better seen after sun exposure.
c. This is called acanthosis nigricans usually associated to obesity and diabetes mellitus.
, d. This is an age-related change and regular scrubbing of the area is recommended.
12. A positive psoas and obturator sign is highly suggested of which of the following conditions?
Select one:
a. Appendicitis.
b. Perforated gastric ulcer.
c. Pancreatitis.
d. Hepatitis.
13. Patricia is a 45 years-old overweight woman that presents to the Acute Care Clinic with
complaints of lower back pain. She refers having the pain for some time now after moving out of
her house and lifting heavy furniture. She then started noticing that the pain radiated bilaterally
to her buttocks and down her legs. She refers feeling her legs weak and is unable to stand up
over 5 minutes. On examination, you notice that she is wearing a pad to avoid accidents from
urinary leakage. Her perineal area is lesion free, but numbness is present. You promptly refer
Patricia to the hospital because:
Select one:
a. Her presentation is consistent with cauda equina syndrome.
b. Her presentation is consistent with Guillain-Barre syndrome.
c. She appears to have myasthenia gravis crisis.
d. Her presentation is consistent with nephrolithiasis.
14. A patient presents for a routine examination. His examination is significant for a BP of 147/80
but is otherwise unremarkable as are the labs. Last week he was seen in dermatologist office
where BP was 150/90, What is the next step of an FNP?
Select one:
a. Tell the patient to come back next week for Blood Pressure reassessment.
b. Initiate antihypertensive medication.
c. Do nothing.
d. Refer to cardiologist.
15. The relationship between a physician and a nurse practitioner is labeled as:
Select one:
a. Professional.
b. Collaborative.
c. Advocate.
d. Consultative.
16. Which of the following is considered a precancerous skin lesion?
Select one:
a. Lentigo.
b. Rosacea.
c. Seborrheic keratosis.
d. Actinic keratosis.
17. In a patient with Meniere’s disease, which of the following you expect to find?
Select one:
a. Vertigo, headaches, and conductive hearing loss.
b. Vertigo, tinnitus, and sensorial hearing loss.
c. Vertigo, headaches, and Weber test lateralizes to affected ear.
1. Which of the following is a true statement about rheumatoid Arthritis? Select one.
a. Positive rheumatoid factor must be present for diagnosis.
b. It is an autoimmune disease that attacks synovial tissue.
c. Problems that cause RA include cartilage tears and congenital defectives.
d. It is a representative disease of mechanical joint problem.
2. What is the goal standard to diagnose Barrett’s Esophagus in a patient who has failed treatment
for GERD symptoms?
a. Upper Endoscopy with biopsy.
b. MRI of the abdomen with contrast.
c. None of the above.
d. Chest-X-ray AP and Lateral.
3. Diaphoresis. The patient is afebrile, B/P 96/45, AND 12-lead EKG appears below. Based on the
information provided, how would you proceed?
Select One:
a. Administer a beta blocker.
b. Administer digoxin.
c. Administer Atropine.
d. Administer amiodarone.
4. Initial testing in a case suspicious for acute pancreatitis should include all of the following
EXCEPT: Select one.
a. Serum lipase level.
b. Electrolyte panel.
c. Serum amylase level.
d. Barium swallow.
5. Which of the following patients has the LOWEST risk of developing colon cancer?
a. A Hispanic male with history of asthma.
b. A female whose aunt and grandmother both developed ovarian cancers.
c. A male with history of recurrent inflammatory bowel disease.
d. A female with a high fat diet that includes red meat and refined carbohydrates.
6. Ms. Cristina is a 22 years-old pleasant female with history of urinary tract infection about 3
months ago for which you prescribed a short regime with amoxicillin. She now returns with
dysuria, urinary frequency, and malodorous urine. Based on the information provided, what
would be the most appropriate plan of care?
Select one:
, a. Start the patient on a 7-day course of antibiotics after obtaining the urine culture, then
repeat the urine culture once the treatment is completed.
b. Order a urinalysis, urine culture and sensitivity, and start the patient on antibiotics once the
labs are resulted.
c. Prescribe a 10-day course with a stronger antibiotic such as a fluoroquinolone.
d. Order a urinalysis, urine culture and sensitivity, and start the patient on antibiotics.
7. A patient presents with recurrent abdominal pain and bloody diarrhea with mucus associated
with fatigue and some weight loss. The history is negative for recent travel or outdoor camping.
Based on the case presented, what is your presumptive diagnosis?
Select one:
a. Peptic ulcer disease.
b. Ulcerative colitis.
c. Diverticulitis.
d. Irritable bowel syndrome.
8. Which of the following laboratory parameters is a sensitive test for evaluating renal function?
Select one:
a. Serum creatinine.
b. Estimated glomerular filtration rate (eGFR).
c. Electrolyte panel.
d. Blood urea nitrogen.
9. When you elicit a painful Finkelstein’s sign, you are testing for:
Select one:
a. Bursitis of the shoulder.
b. Carpal tunnel syndrome.
c. Tennis elbow.
d. de Quervein’s synovitis.
10. Which of the following human papillomavirus (HPV) strains is associated with cervical cancer?
Select one:
a. HPV subtypes 16 and 18.
b. HPV subtype 30.
c. HPV subtypes 12 and 14.
d. HPV subtypes 20 and 26.
11. Miriam is a 68 years-old well-groomed woman that comes for a regular checkup. She has a
medical history of hypertension well controlled on daily Lisinopril 20 mg orally, type 2 Diabetes
mellitus for which she takes Metformin 500 mg orally twice a day, and morbid obesity. Last A1c
was 8. On physical examination you observe a non-raised area of hyperpigmentation around her
neck, particularly on the sides and back of the neck with a velvety texture on palpation that she
refers having for some time now despite daily scrubbing while in the shower. She admits
wearing a scarf regularly for its dirty appearance. The Family Nurse Practitioner explains to
Miriam that:
Select one:
a. This is a squamous cell carcinoma usually associated to prolonged sun exposure.
b. This is called tinea versicolor, better seen after sun exposure.
c. This is called acanthosis nigricans usually associated to obesity and diabetes mellitus.
, d. This is an age-related change and regular scrubbing of the area is recommended.
12. A positive psoas and obturator sign is highly suggested of which of the following conditions?
Select one:
a. Appendicitis.
b. Perforated gastric ulcer.
c. Pancreatitis.
d. Hepatitis.
13. Patricia is a 45 years-old overweight woman that presents to the Acute Care Clinic with
complaints of lower back pain. She refers having the pain for some time now after moving out of
her house and lifting heavy furniture. She then started noticing that the pain radiated bilaterally
to her buttocks and down her legs. She refers feeling her legs weak and is unable to stand up
over 5 minutes. On examination, you notice that she is wearing a pad to avoid accidents from
urinary leakage. Her perineal area is lesion free, but numbness is present. You promptly refer
Patricia to the hospital because:
Select one:
a. Her presentation is consistent with cauda equina syndrome.
b. Her presentation is consistent with Guillain-Barre syndrome.
c. She appears to have myasthenia gravis crisis.
d. Her presentation is consistent with nephrolithiasis.
14. A patient presents for a routine examination. His examination is significant for a BP of 147/80
but is otherwise unremarkable as are the labs. Last week he was seen in dermatologist office
where BP was 150/90, What is the next step of an FNP?
Select one:
a. Tell the patient to come back next week for Blood Pressure reassessment.
b. Initiate antihypertensive medication.
c. Do nothing.
d. Refer to cardiologist.
15. The relationship between a physician and a nurse practitioner is labeled as:
Select one:
a. Professional.
b. Collaborative.
c. Advocate.
d. Consultative.
16. Which of the following is considered a precancerous skin lesion?
Select one:
a. Lentigo.
b. Rosacea.
c. Seborrheic keratosis.
d. Actinic keratosis.
17. In a patient with Meniere’s disease, which of the following you expect to find?
Select one:
a. Vertigo, headaches, and conductive hearing loss.
b. Vertigo, tinnitus, and sensorial hearing loss.
c. Vertigo, headaches, and Weber test lateralizes to affected ear.
