FHEA (FACULTY FOR THE HEALTH EDUCATION OF
ADVANCED PRACTICE) EXAM PREP- COMPLETE
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE
THIS YEAR JUST RELEASED
Question 1: A 22-year-old man presents with new-onset pain and
swelling in the feet and ankles as well as conjunctivitis, oral
lesions, and dysuria. The most important test to obtain is:
A. Rheumatoid factor.
B. Sedimentation rate.
C. Urethral cultures.
D. Antinuclear antibody.
Answer:
Urethral cultures.
Question 2: Laboratory assessment of a patient with subclinical
hypothyroidism is likely to reveal:
A. TSH=0.1 mIU/L (0.4-4.0 mIU/L); total T4=7.2 mcg/dL (4.5-12.0
mcg/dL).
B. TSH=2.6 mIU/L (0.4-4.0 mIU/L); total T3=310 ng/dL (95-190
ng/dL).
C. TSH=7.7 mIU/L (0.4-4.0 mIU/L); free T4=22 pmol/L (10-27 pmol/L).
D. TSH=0.2 mIU/L (0.4-4.0 mIU/L); free T3=1.7 ng/dL (0.2-0.5 ng/dL).
Answer:
TSH=7.7 mIU/L (0.4-4.0 mIU/L); free T4=22 pmol/L (10-27 pmol/L).
Question 3: Which of the following is most consistent with the
diagnosis of herpes zoster?
, A. Papules in a dermatomal distribution
B. Low-grade fever and malaise prior to eruption
C. Presence of pustules and honey-crusted lesions
D. A 1-2-day prodrome of pain prior to lesions erupting
Answer:
A 1-2-day prodrome of pain prior to lesions erupting
Question 4: When prescribing an SSRI, the nurse practitioner
considers that:
A. There will be full therapeutic effect within 2-3 days of the first dose.
B. These drugs are potentially photosensitizing.
C. These medications cannot be used in patients with cardiovascular
disease.
D. Mild GI upset is often reported in first weeks of use.
Answer:
Mild GI upset is often reported in first weeks of use.
Question 5: *******Which of the following is most consistent with
the diagnosis of depression?
A. Recurrent diarrhea and cramping
B. Difficulty initiating sleep
C. Diminished cognitive ability
D. Consistent early morning wakening
Answer:
Consistent early morning wakening
Question 6: *******Which of the following is an absolute
contraindication to post-menopausal hormone therapy?
, A. Unexplained vaginal bleeding
B. Seizure disorder
C. Endometriosis
D. Cigarette smoking
Answer:
Unexplained vaginal bleeding
Question 7: A 36-year-old man presents with a 12-h history of
anorexia, nausea, and right lower quadrant abdominal pain. A white
blood cell count with differential demonstrates: -TWBC=16,500
cells/mm3 -Neutrophils=66% -Bands=8% -Lymphocytes=22%
Expected physical examination findings include: Murphy's sign. A
palpable left lower quadrant mass. Periumbilical ecchymosis. A
positive obturator sign.
Answer:
A positive obturator sign.
Question 8: A 36-year-old man with asthma has been treating his
asthma with albuterol once or twice a week for the last few years.
He reports that for the last month or so he has had to use it much
more often—"not every day, but almost." The nurse practitioner
should consider all of the following except:
A. Administering the Asthma Control Test questionnaire.
B. Spirometric assessment.
C. A complete symptom assessment.
D. Adding an inhaled long-acting beta2-agonist.
Answer:
Adding an inhaled long-acting beta2-agonist.
, Question 9: A 41-year-old woman was recently diagnosed with
systemic lupus erythematous. She complains of feeling generally
fatigued and sometimes palpitations. Her hemogram results are as
follows: -Hb=9.5 g/dL (95 g/L) -Hct=28% (.28 proportion) -MCV=86 fL
-RDW= 12.5% -Reticulocytes=0.9% (.09 proportion) These findings
are most consistent with: Iron deficiency anemia. Anemia of
chronic disease. Pernicious anemia. Alpha thalassemia minor.
Answer:
Anemia of chronic disease.
Question 10: A 45-year-old man complains of bilateral, intermittent
itchy eyes, often accompanied by rope-like discharge and without
vision change or eye pain. The nurse practitioner expects that the
history will include a patient report of:
A. Trauma to the eye.
B. Sexually transmitted infection.
C. Seasonal allergies
D. Decreased visual acuity.
Answer:
Seasonal allergies
Question 11: ********A 47-year-old man of Northern European
ancestry presents for evaluation of erythematous, papular lesions
on his forehead and chin. Which of the following differential
diagnoses is most likely?
A. Acne rosacea
B. Tinea facialis
C. Hidradenitis suppurativa
D. Atopic dermatitis
Answer:
ADVANCED PRACTICE) EXAM PREP- COMPLETE
QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE
THIS YEAR JUST RELEASED
Question 1: A 22-year-old man presents with new-onset pain and
swelling in the feet and ankles as well as conjunctivitis, oral
lesions, and dysuria. The most important test to obtain is:
A. Rheumatoid factor.
B. Sedimentation rate.
C. Urethral cultures.
D. Antinuclear antibody.
Answer:
Urethral cultures.
Question 2: Laboratory assessment of a patient with subclinical
hypothyroidism is likely to reveal:
A. TSH=0.1 mIU/L (0.4-4.0 mIU/L); total T4=7.2 mcg/dL (4.5-12.0
mcg/dL).
B. TSH=2.6 mIU/L (0.4-4.0 mIU/L); total T3=310 ng/dL (95-190
ng/dL).
C. TSH=7.7 mIU/L (0.4-4.0 mIU/L); free T4=22 pmol/L (10-27 pmol/L).
D. TSH=0.2 mIU/L (0.4-4.0 mIU/L); free T3=1.7 ng/dL (0.2-0.5 ng/dL).
Answer:
TSH=7.7 mIU/L (0.4-4.0 mIU/L); free T4=22 pmol/L (10-27 pmol/L).
Question 3: Which of the following is most consistent with the
diagnosis of herpes zoster?
, A. Papules in a dermatomal distribution
B. Low-grade fever and malaise prior to eruption
C. Presence of pustules and honey-crusted lesions
D. A 1-2-day prodrome of pain prior to lesions erupting
Answer:
A 1-2-day prodrome of pain prior to lesions erupting
Question 4: When prescribing an SSRI, the nurse practitioner
considers that:
A. There will be full therapeutic effect within 2-3 days of the first dose.
B. These drugs are potentially photosensitizing.
C. These medications cannot be used in patients with cardiovascular
disease.
D. Mild GI upset is often reported in first weeks of use.
Answer:
Mild GI upset is often reported in first weeks of use.
Question 5: *******Which of the following is most consistent with
the diagnosis of depression?
A. Recurrent diarrhea and cramping
B. Difficulty initiating sleep
C. Diminished cognitive ability
D. Consistent early morning wakening
Answer:
Consistent early morning wakening
Question 6: *******Which of the following is an absolute
contraindication to post-menopausal hormone therapy?
, A. Unexplained vaginal bleeding
B. Seizure disorder
C. Endometriosis
D. Cigarette smoking
Answer:
Unexplained vaginal bleeding
Question 7: A 36-year-old man presents with a 12-h history of
anorexia, nausea, and right lower quadrant abdominal pain. A white
blood cell count with differential demonstrates: -TWBC=16,500
cells/mm3 -Neutrophils=66% -Bands=8% -Lymphocytes=22%
Expected physical examination findings include: Murphy's sign. A
palpable left lower quadrant mass. Periumbilical ecchymosis. A
positive obturator sign.
Answer:
A positive obturator sign.
Question 8: A 36-year-old man with asthma has been treating his
asthma with albuterol once or twice a week for the last few years.
He reports that for the last month or so he has had to use it much
more often—"not every day, but almost." The nurse practitioner
should consider all of the following except:
A. Administering the Asthma Control Test questionnaire.
B. Spirometric assessment.
C. A complete symptom assessment.
D. Adding an inhaled long-acting beta2-agonist.
Answer:
Adding an inhaled long-acting beta2-agonist.
, Question 9: A 41-year-old woman was recently diagnosed with
systemic lupus erythematous. She complains of feeling generally
fatigued and sometimes palpitations. Her hemogram results are as
follows: -Hb=9.5 g/dL (95 g/L) -Hct=28% (.28 proportion) -MCV=86 fL
-RDW= 12.5% -Reticulocytes=0.9% (.09 proportion) These findings
are most consistent with: Iron deficiency anemia. Anemia of
chronic disease. Pernicious anemia. Alpha thalassemia minor.
Answer:
Anemia of chronic disease.
Question 10: A 45-year-old man complains of bilateral, intermittent
itchy eyes, often accompanied by rope-like discharge and without
vision change or eye pain. The nurse practitioner expects that the
history will include a patient report of:
A. Trauma to the eye.
B. Sexually transmitted infection.
C. Seasonal allergies
D. Decreased visual acuity.
Answer:
Seasonal allergies
Question 11: ********A 47-year-old man of Northern European
ancestry presents for evaluation of erythematous, papular lesions
on his forehead and chin. Which of the following differential
diagnoses is most likely?
A. Acne rosacea
B. Tinea facialis
C. Hidradenitis suppurativa
D. Atopic dermatitis
Answer:
