Fitzgerald NP Exam Review Post Test Questions With
Complete Solutions
Slapped cheek appearance
Which of the following is an expected finding in a 3-year-old
with Fifth disease?
Escitalopram.
Doc is a 62-year-old man who is diagnosed with anxiety but
without panic attacks. He recently experienced a myocardial
infarction and is currently taking dual antiplatelet therapy, a
statin, and combination antihypertensive medication. He will
initiate treatment with a SSRI but is concerned about drug-drug
interactions. The most appropriate choice would be:
“Are you experiencing any new adverse effects?”
The NP follows up with Doc via telephone one week after
starting SSRI treatment. Which of the following is the most
important question to ask?
Remain on the current regimen for an additional 4 weeks.
Four weeks of SSRI therapy should be sufficient time to see
improvement in symptoms with effective therapy. With an
inadequate response, an adjustment to his regimen should be
considered
Doc returns after 4 weeks of starting therapy and reports no
noticeable improvement in anxiety symptoms. He states that he
is taking his medication every day as instructed and has not
,experienced any adverse effects. The NP considers all of the
following options except:
A 62-year-old who currently has shingles
Which of the following individuals should not receive the
shingles vaccine?
Acute hepatitis B infection.
Resolution of a prior hepatitis B infection (or prior vaccination)
would be indicated by the presence of HBsAb (A). Chronic
hepatitis B infection is also supported by the presence of HBsAg
though with only minimally elevated levels of AST and ALT (C).
The presence of HBsAg suggests an active hepatitis B infection
During a routine examination of a healthy 36-year-old male,
laboratory results reveal AST/ALT about 4-fold above the upper
limit of normal. Follow-up testing for hepatitis reveals HBsAg
positive and HBsAb negative. He reports never getting the
hepatitis B vaccine. These findings most likely reveal:
State and federal law.
The authority to bill Medicare is from federal law only as this
program is funded through the federal government (B).
Medicaid is funded through the state with federal matching
funds and so both federal and state law determine the authority
to bill (A). Third party payers are not involved in Medicaid
reimbursement
When billing Medicaid, the NP authority to bill for services is
derived from:
,A discussion about prostate cancer screening history should
occur at age 50 years.
The NP sees a 47-year-old man for an annual physical
examination. He is generally healthy and there is no family
history of prostate cancer. He asks about the PSA test. The NP
replies:
This is largely a clinical diagnosis and no additional testing is
needed.
Amare is a 46-year-old man who presents with pain and
swelling in the right knee. He states that the day before, he
started a new running regimen to lose weight but thinks he
overdid it for his initial run. Suspecting prepatellar bursitis, the
NP considers:
Bursal aspiration.
Topical NSAID cream (D) or capsaicin ointment (B) are not
recommended as they will have limited penetration to the bursa
and will only provide little, if any, relief (A, B). Hyaluronic acid
injection in the synovial space is used to treat osteoarthritis of
the knee. This would not be helpful for bursitis
Amare works in retail and is on his feet most of the day. He asks
if there is anything that can reduce the pain. The NP
recommends
Oral decongestant
Which of the following should be avoided in a 54-year-old man
with poorly controlled hypertension and seasonal allergies?
, Ensure at least 8 to 12 feedings each day
A 3-day-old newborn who is being breastfed is diagnosed with
physiologic jaundice. The NP recommends which of the
following?
Cullen’s sign.
For a patient with acute pancreatitis, the finding of periumbilical
ecchymosis with superficial edema is known as:
Ocular mast cell stabilizer
Which of the following would be most appropriate for a 32-
year-old daycare worker who is experiencing allergic
conjunctivitis?
Benign prostatic hypertrophy.
Jerry is a 53-year-old man who complains about a weak urine
stream and difficulty emptying his bladder. The condition has
progressively gotten worse over the past couple of years. He
denies any perineal pain, painful urination, or blood in the urine.
The most likely diagnosis is:
Digital rectal exam.
Diagnostic approaches for BPH are largely aimed to rule out
other causes of symptoms, such as infection or malignancy. A
prostate biopsy would not be an initial diagnostic approach for
BPH but can be considered if other diagnostic tests suggest
prostate cancer (B). In these cases, referral to urology is
needed. An ultrasound would be the preferred initial imaging
technique for BPH while a CT scan can be considered if the
Complete Solutions
Slapped cheek appearance
Which of the following is an expected finding in a 3-year-old
with Fifth disease?
Escitalopram.
Doc is a 62-year-old man who is diagnosed with anxiety but
without panic attacks. He recently experienced a myocardial
infarction and is currently taking dual antiplatelet therapy, a
statin, and combination antihypertensive medication. He will
initiate treatment with a SSRI but is concerned about drug-drug
interactions. The most appropriate choice would be:
“Are you experiencing any new adverse effects?”
The NP follows up with Doc via telephone one week after
starting SSRI treatment. Which of the following is the most
important question to ask?
Remain on the current regimen for an additional 4 weeks.
Four weeks of SSRI therapy should be sufficient time to see
improvement in symptoms with effective therapy. With an
inadequate response, an adjustment to his regimen should be
considered
Doc returns after 4 weeks of starting therapy and reports no
noticeable improvement in anxiety symptoms. He states that he
is taking his medication every day as instructed and has not
,experienced any adverse effects. The NP considers all of the
following options except:
A 62-year-old who currently has shingles
Which of the following individuals should not receive the
shingles vaccine?
Acute hepatitis B infection.
Resolution of a prior hepatitis B infection (or prior vaccination)
would be indicated by the presence of HBsAb (A). Chronic
hepatitis B infection is also supported by the presence of HBsAg
though with only minimally elevated levels of AST and ALT (C).
The presence of HBsAg suggests an active hepatitis B infection
During a routine examination of a healthy 36-year-old male,
laboratory results reveal AST/ALT about 4-fold above the upper
limit of normal. Follow-up testing for hepatitis reveals HBsAg
positive and HBsAb negative. He reports never getting the
hepatitis B vaccine. These findings most likely reveal:
State and federal law.
The authority to bill Medicare is from federal law only as this
program is funded through the federal government (B).
Medicaid is funded through the state with federal matching
funds and so both federal and state law determine the authority
to bill (A). Third party payers are not involved in Medicaid
reimbursement
When billing Medicaid, the NP authority to bill for services is
derived from:
,A discussion about prostate cancer screening history should
occur at age 50 years.
The NP sees a 47-year-old man for an annual physical
examination. He is generally healthy and there is no family
history of prostate cancer. He asks about the PSA test. The NP
replies:
This is largely a clinical diagnosis and no additional testing is
needed.
Amare is a 46-year-old man who presents with pain and
swelling in the right knee. He states that the day before, he
started a new running regimen to lose weight but thinks he
overdid it for his initial run. Suspecting prepatellar bursitis, the
NP considers:
Bursal aspiration.
Topical NSAID cream (D) or capsaicin ointment (B) are not
recommended as they will have limited penetration to the bursa
and will only provide little, if any, relief (A, B). Hyaluronic acid
injection in the synovial space is used to treat osteoarthritis of
the knee. This would not be helpful for bursitis
Amare works in retail and is on his feet most of the day. He asks
if there is anything that can reduce the pain. The NP
recommends
Oral decongestant
Which of the following should be avoided in a 54-year-old man
with poorly controlled hypertension and seasonal allergies?
, Ensure at least 8 to 12 feedings each day
A 3-day-old newborn who is being breastfed is diagnosed with
physiologic jaundice. The NP recommends which of the
following?
Cullen’s sign.
For a patient with acute pancreatitis, the finding of periumbilical
ecchymosis with superficial edema is known as:
Ocular mast cell stabilizer
Which of the following would be most appropriate for a 32-
year-old daycare worker who is experiencing allergic
conjunctivitis?
Benign prostatic hypertrophy.
Jerry is a 53-year-old man who complains about a weak urine
stream and difficulty emptying his bladder. The condition has
progressively gotten worse over the past couple of years. He
denies any perineal pain, painful urination, or blood in the urine.
The most likely diagnosis is:
Digital rectal exam.
Diagnostic approaches for BPH are largely aimed to rule out
other causes of symptoms, such as infection or malignancy. A
prostate biopsy would not be an initial diagnostic approach for
BPH but can be considered if other diagnostic tests suggest
prostate cancer (B). In these cases, referral to urology is
needed. An ultrasound would be the preferred initial imaging
technique for BPH while a CT scan can be considered if the
