Nurs 5432 FNP 1 | Nurs 5432 Family 1 Midterm
And Final Exam University Of Texas At Arlington
(Uta) This Exam Includes Modules 1-6 Actual
Exam 2026/2027 Complete Accurate Questions
And Correct Detailed Answers (Verified
Solutions) Newest Updated Version
1. A 55-year-old male with no symptoms presents for a wellness visit. According to USPSTF, which
screening is recommended for colorectal cancer?
A) Colonoscopy every 5 years
B) Colonoscopy every 10 years or annual FIT
C) CT colonography every 3 years
D) No screening until age 60
Answer: B
Rationale: USPSTF recommends colorectal cancer screening from age 45-75 with colonoscopy every 10
years or annual FIT.
2. A 45-year-old female with a BMI of 32 and hypertension. What is the first-line medication for
hypertension?
A) Hydrochlorothiazide
B) Lisinopril
C) Amlodipine
D) Metoprolol
Answer: B
Rationale: ACE inhibitors are first-line for hypertension, especially with obesity and metabolic syndrome.
,3. A 62-year-old male with type 2 diabetes has an A1c of 7.5% on metformin. What is the next
step?
A) Add sulfonylurea
B) Add SGLT2 inhibitor or GLP-1 agonist
C) Start insulin
D) Increase metformin dose
Answer: B
Rationale: SGLT2 inhibitors or GLP-1 agonists are recommended for cardiovascular and renal benefits in
type 2 diabetes.
4. A 35-year-old female presents with dysuria, frequency, and suprapubic pain. Urinalysis shows
leukocytes and nitrites. What is the first-line antibiotic?
A) Ciprofloxacin
B) Nitrofurantoin
C) Amoxicillin
D) Doxycycline
Answer: B
Rationale: Nitrofurantoin is first-line for uncomplicated cystitis.
5. A 50-year-old male presents with a 3-month history of heartburn and regurgitation. What is the
first-line treatment?
A) Famotidine
B) Omeprazole
C) Metoclopramide
D) Sucralfate
Answer: B
Rationale: Proton pump inhibitors are most effective for GERD.
2
,6. A 70-year-old female with osteoporosis has a T-score of −2.5. What is the first-line medication?
A) Raloxifene
B) Alendronate
C) Teriparatide
D) Denosumab
Answer: B
Rationale: Bisphosphonates are first-line for osteoporosis.
7. A 28-year-old female presents with fatigue, weight gain, and cold intolerance. TSH is 25 mIU/L.
What is the treatment?
A) Methimazole
B) Levothyroxine
C) Liothyronine
D) Radioactive iodine
Answer: B
Rationale: Hypothyroidism is treated with levothyroxine.
8. A 45-year-old male presents with acute low back pain after lifting. No red flags. What is the
initial management?
A) Bed rest for 1 week
B) NSAIDs and continuation of normal activities
C) MRI
D) Muscle relaxants only
Answer: B
Rationale: Acute low back pain without red flags is managed with NSAIDs and activity as tolerated.
9. A 32-year-old female presents with a malar rash, joint pain, and fatigue. ANA is positive. What
is the most specific antibody for SLE?
3
, A) Anti-Ro
B) Anti-Sm
C) Anti-dsDNA
D) Anti-RNP
Answer: B
Rationale: Anti-Sm is highly specific for SLE.
10. A 55-year-old male with a 30-pack-year smoking history presents with hemoptysis. What is the
most appropriate initial test?
A) Chest X-ray
B) CT chest
C) Sputum cytology
D) Bronchoscopy
Answer: B
Rationale: CT chest is more sensitive for detecting lung masses in high-risk patients.
11. A 60-year-old female presents with a 2-week history of a painful, swollen knee. X-ray shows
joint space narrowing and osteophytes. What is the diagnosis?
A) Rheumatoid arthritis
B) Osteoarthritis
C) Gout
D) Septic arthritis
Answer: B
Rationale: Osteoarthritis shows joint space narrowing and osteophytes.
12. A 35-year-old male presents with a painless ulcer on the penis. Darkfield microscopy shows
spirochetes. What is the treatment?
A) Azithromycin
4
And Final Exam University Of Texas At Arlington
(Uta) This Exam Includes Modules 1-6 Actual
Exam 2026/2027 Complete Accurate Questions
And Correct Detailed Answers (Verified
Solutions) Newest Updated Version
1. A 55-year-old male with no symptoms presents for a wellness visit. According to USPSTF, which
screening is recommended for colorectal cancer?
A) Colonoscopy every 5 years
B) Colonoscopy every 10 years or annual FIT
C) CT colonography every 3 years
D) No screening until age 60
Answer: B
Rationale: USPSTF recommends colorectal cancer screening from age 45-75 with colonoscopy every 10
years or annual FIT.
2. A 45-year-old female with a BMI of 32 and hypertension. What is the first-line medication for
hypertension?
A) Hydrochlorothiazide
B) Lisinopril
C) Amlodipine
D) Metoprolol
Answer: B
Rationale: ACE inhibitors are first-line for hypertension, especially with obesity and metabolic syndrome.
,3. A 62-year-old male with type 2 diabetes has an A1c of 7.5% on metformin. What is the next
step?
A) Add sulfonylurea
B) Add SGLT2 inhibitor or GLP-1 agonist
C) Start insulin
D) Increase metformin dose
Answer: B
Rationale: SGLT2 inhibitors or GLP-1 agonists are recommended for cardiovascular and renal benefits in
type 2 diabetes.
4. A 35-year-old female presents with dysuria, frequency, and suprapubic pain. Urinalysis shows
leukocytes and nitrites. What is the first-line antibiotic?
A) Ciprofloxacin
B) Nitrofurantoin
C) Amoxicillin
D) Doxycycline
Answer: B
Rationale: Nitrofurantoin is first-line for uncomplicated cystitis.
5. A 50-year-old male presents with a 3-month history of heartburn and regurgitation. What is the
first-line treatment?
A) Famotidine
B) Omeprazole
C) Metoclopramide
D) Sucralfate
Answer: B
Rationale: Proton pump inhibitors are most effective for GERD.
2
,6. A 70-year-old female with osteoporosis has a T-score of −2.5. What is the first-line medication?
A) Raloxifene
B) Alendronate
C) Teriparatide
D) Denosumab
Answer: B
Rationale: Bisphosphonates are first-line for osteoporosis.
7. A 28-year-old female presents with fatigue, weight gain, and cold intolerance. TSH is 25 mIU/L.
What is the treatment?
A) Methimazole
B) Levothyroxine
C) Liothyronine
D) Radioactive iodine
Answer: B
Rationale: Hypothyroidism is treated with levothyroxine.
8. A 45-year-old male presents with acute low back pain after lifting. No red flags. What is the
initial management?
A) Bed rest for 1 week
B) NSAIDs and continuation of normal activities
C) MRI
D) Muscle relaxants only
Answer: B
Rationale: Acute low back pain without red flags is managed with NSAIDs and activity as tolerated.
9. A 32-year-old female presents with a malar rash, joint pain, and fatigue. ANA is positive. What
is the most specific antibody for SLE?
3
, A) Anti-Ro
B) Anti-Sm
C) Anti-dsDNA
D) Anti-RNP
Answer: B
Rationale: Anti-Sm is highly specific for SLE.
10. A 55-year-old male with a 30-pack-year smoking history presents with hemoptysis. What is the
most appropriate initial test?
A) Chest X-ray
B) CT chest
C) Sputum cytology
D) Bronchoscopy
Answer: B
Rationale: CT chest is more sensitive for detecting lung masses in high-risk patients.
11. A 60-year-old female presents with a 2-week history of a painful, swollen knee. X-ray shows
joint space narrowing and osteophytes. What is the diagnosis?
A) Rheumatoid arthritis
B) Osteoarthritis
C) Gout
D) Septic arthritis
Answer: B
Rationale: Osteoarthritis shows joint space narrowing and osteophytes.
12. A 35-year-old male presents with a painless ulcer on the penis. Darkfield microscopy shows
spirochetes. What is the treatment?
A) Azithromycin
4
