LEIK FNP COMPREHENSIVE EXAM
PRACTICE QUESTIONS AND ANSWERS
1. A 72-year-old patient presents with a harsh systolic murmur heard best at the right second
intercostal space, which radiates to the carotid arteries. The patient reports occasional
dizziness. What is the most likely diagnosis?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Mitral Stenosis
D. Aortic Regurgitation
Answer: A
Conceptual Explanation: Aortic stenosis is characterized by a crescendo-decrescendo
systolic murmur at the right upper sternal border radiating to the carotids, often
presenting with the triad of chest pain, heart failure, and syncope.
2. Which of the following interventions is categorized as primary prevention?
A. A routine mammogram for a 50-year-old female
B. Administration of the Influenza vaccine to a healthy adult
,C. A colonoscopy for a patient with a family history of polyps
D. A hemoglobin A1c test for a patient with obesity
Answer: B
Conceptual Explanation: Primary prevention aims to prevent disease before it occurs
(e.g., immunizations). Mammograms and colonoscopies are secondary prevention
(screening).
3. A 13-year-old female is evaluated and found to have breast elevation and the enlargement
of the areola without separation of their contours. What Tanner stage is this?
A. Tanner Stage 2
B. Tanner Stage 5
C. Tanner Stage 4
D. Tanner Stage 3
Answer: D
Conceptual Explanation: In Tanner Stage 3, there is further enlargement of the breast and
areola with no separation of contour. Stage 2 involves the breast bud, and Stage 4 involves
a secondary mound.
, 4. A patient presents with sudden onset of facial drooping on the right side and an inability to
close the right eye. The forehead is also affected. This likely indicates a cranial nerve (CN)
palsy of:
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN VIII (Vestibulocochlear)
D. CN VI (Abducens)
Answer: B
Conceptual Explanation: CN VII (Facial nerve) palsy, known as Bell’s Palsy, results in
paralysis of the facial muscles, including the forehead, which distinguishes it from a central
stroke where the forehead is often spared.
5. What is the first-line antibiotic treatment for an uncomplicated Acute Otitis Media in a
child who has not received antibiotics in the last month?
A. Amoxicillin 80-90 mg/kg/day
B. Ceftriaxone 50 mg/kg IM
C. Azithromycin 10 mg/kg on day 1
D. Trimethoprim-Sulfamethoxazole
Answer: A
PRACTICE QUESTIONS AND ANSWERS
1. A 72-year-old patient presents with a harsh systolic murmur heard best at the right second
intercostal space, which radiates to the carotid arteries. The patient reports occasional
dizziness. What is the most likely diagnosis?
A. Aortic Stenosis
B. Mitral Regurgitation
C. Mitral Stenosis
D. Aortic Regurgitation
Answer: A
Conceptual Explanation: Aortic stenosis is characterized by a crescendo-decrescendo
systolic murmur at the right upper sternal border radiating to the carotids, often
presenting with the triad of chest pain, heart failure, and syncope.
2. Which of the following interventions is categorized as primary prevention?
A. A routine mammogram for a 50-year-old female
B. Administration of the Influenza vaccine to a healthy adult
,C. A colonoscopy for a patient with a family history of polyps
D. A hemoglobin A1c test for a patient with obesity
Answer: B
Conceptual Explanation: Primary prevention aims to prevent disease before it occurs
(e.g., immunizations). Mammograms and colonoscopies are secondary prevention
(screening).
3. A 13-year-old female is evaluated and found to have breast elevation and the enlargement
of the areola without separation of their contours. What Tanner stage is this?
A. Tanner Stage 2
B. Tanner Stage 5
C. Tanner Stage 4
D. Tanner Stage 3
Answer: D
Conceptual Explanation: In Tanner Stage 3, there is further enlargement of the breast and
areola with no separation of contour. Stage 2 involves the breast bud, and Stage 4 involves
a secondary mound.
, 4. A patient presents with sudden onset of facial drooping on the right side and an inability to
close the right eye. The forehead is also affected. This likely indicates a cranial nerve (CN)
palsy of:
A. CN V (Trigeminal)
B. CN VII (Facial)
C. CN VIII (Vestibulocochlear)
D. CN VI (Abducens)
Answer: B
Conceptual Explanation: CN VII (Facial nerve) palsy, known as Bell’s Palsy, results in
paralysis of the facial muscles, including the forehead, which distinguishes it from a central
stroke where the forehead is often spared.
5. What is the first-line antibiotic treatment for an uncomplicated Acute Otitis Media in a
child who has not received antibiotics in the last month?
A. Amoxicillin 80-90 mg/kg/day
B. Ceftriaxone 50 mg/kg IM
C. Azithromycin 10 mg/kg on day 1
D. Trimethoprim-Sulfamethoxazole
Answer: A
