Exam 1 - Questions from Leik review book
A 30 yr old with chief complaint of pruritic hives over her chest and arms but denies difficulty
swallowing or breathing. Reports family history of allergic rhinitis and asthma. Which of the
following interventions is most appropriate?
A. Perform a complete and thorough history
B. Prescribe an oral antihistamine such as diphenhydramine 25 mg po qi
C. Give an injection of epinephrine 1:1000 IM stat
D. Call 911 - ANSA
All of the following are infections that affect mostly the labia and vagina except:
A. Bacterial vaginosis
B. Candidiasis
C. Trichomoniasis
D. Chlamydia trachomatis - ANSD
Which of the following symptoms is assoc. with vitamin B 12 deficiency>
A. Spoon-shaped nails and pica
B. An abnormal neurological exam
C. A vegan diet
D. Tingling and numbness of b/l feet - ANSD
Rocky Mountain spotted fever is caused by the bite of the:
A. Mosquito
B. Tick
C. Insect
D. Flea - ANSB
All of the following are false statement about atopic dermatitis except:
A. Contact with cold objects may exacerbate the condition
B. It does not have a linear distribution
C. It is assoc. with bullae
D. The lesions have vesicles that are full of serous exudate - ANSB
Koplik's spots are assoc. with
A. Poxvirus infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - ANSB
Measles symptoms include - ANSSymptoms include fever over 101 F, coryza, cough,
conjunctivitis, rash, and koplik's spots on the buccal mucosa
, An NP is giving dietary counseling to an alcoholic male who has recently been dx with folic acid
deficiency anemia. Which of the following foods should the NP recommend?
A. Tomatoes, oranges, and bananas
B. Cheese, yogurt, milk
C. Lettuce, beef, and dairy products
D. Spinach, liver and whole wheat bread - ANSD
10 yr old patient, concerned about dx of actinic keratosis which is the following the best
explanation to the client?
A. It is a benign condition
B. It is a precancerous lesion and should be followed up with her dermatologist
C. Apply hydrocortisone cream 1% bid x 2 wks
D. It is important for her to follow up with oncologist - ANSB
Physiologic anemia in pregnant is due to
A. An increase in cardiac output at end of 2 nd trimester
B. A physiologic decrease in the production of RBCs in pregnant women
C. An increase up to 50% of plasma volume during pregnancy
D. Increase in the need for dietary iron in pregnancy - ANSC
A fawn tail nevus is a sign of which of the following?
A. Down syndrome
B. Infantile scoliosis
C. Congenital heart disease
D. Spina bifida - ANSD
Café au lait spots look like tan to light brown stains that have irregular borders. That can be
located anywhere on the body. Which of the following is a correct statement?
A. They are associated with neurofibromatosis or von Recklinghausen's disease
B. They may be considered as precancerous after a biopsy
C. They are more common in darker skinned children
D. They are associated with Wilson's disease - ANSA
Which of the following is the recommended treatment for erythema migrans or early Lyme
disease?
A. Doxycycline (Vibramycin) 100 mg BID x 21 days
B. Ciprofloxacin (cipro) 250 mg bid x 14 days
C. Erythromycin (E-mycin) 333 mg po TID x 10 days
D. Dicloxacillin 500 mg po BID x 10 days - ANSA
You are checking a 75 yr old woman's breast during an annual gyn exam. The left nipple and
areola are scaly and reddened. The patient denies pain and pruritus. She has noticed this
scaliness on her left nipple for the past 8 months. Her dermatologist gave her a potent topical
A 30 yr old with chief complaint of pruritic hives over her chest and arms but denies difficulty
swallowing or breathing. Reports family history of allergic rhinitis and asthma. Which of the
following interventions is most appropriate?
A. Perform a complete and thorough history
B. Prescribe an oral antihistamine such as diphenhydramine 25 mg po qi
C. Give an injection of epinephrine 1:1000 IM stat
D. Call 911 - ANSA
All of the following are infections that affect mostly the labia and vagina except:
A. Bacterial vaginosis
B. Candidiasis
C. Trichomoniasis
D. Chlamydia trachomatis - ANSD
Which of the following symptoms is assoc. with vitamin B 12 deficiency>
A. Spoon-shaped nails and pica
B. An abnormal neurological exam
C. A vegan diet
D. Tingling and numbness of b/l feet - ANSD
Rocky Mountain spotted fever is caused by the bite of the:
A. Mosquito
B. Tick
C. Insect
D. Flea - ANSB
All of the following are false statement about atopic dermatitis except:
A. Contact with cold objects may exacerbate the condition
B. It does not have a linear distribution
C. It is assoc. with bullae
D. The lesions have vesicles that are full of serous exudate - ANSB
Koplik's spots are assoc. with
A. Poxvirus infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - ANSB
Measles symptoms include - ANSSymptoms include fever over 101 F, coryza, cough,
conjunctivitis, rash, and koplik's spots on the buccal mucosa
, An NP is giving dietary counseling to an alcoholic male who has recently been dx with folic acid
deficiency anemia. Which of the following foods should the NP recommend?
A. Tomatoes, oranges, and bananas
B. Cheese, yogurt, milk
C. Lettuce, beef, and dairy products
D. Spinach, liver and whole wheat bread - ANSD
10 yr old patient, concerned about dx of actinic keratosis which is the following the best
explanation to the client?
A. It is a benign condition
B. It is a precancerous lesion and should be followed up with her dermatologist
C. Apply hydrocortisone cream 1% bid x 2 wks
D. It is important for her to follow up with oncologist - ANSB
Physiologic anemia in pregnant is due to
A. An increase in cardiac output at end of 2 nd trimester
B. A physiologic decrease in the production of RBCs in pregnant women
C. An increase up to 50% of plasma volume during pregnancy
D. Increase in the need for dietary iron in pregnancy - ANSC
A fawn tail nevus is a sign of which of the following?
A. Down syndrome
B. Infantile scoliosis
C. Congenital heart disease
D. Spina bifida - ANSD
Café au lait spots look like tan to light brown stains that have irregular borders. That can be
located anywhere on the body. Which of the following is a correct statement?
A. They are associated with neurofibromatosis or von Recklinghausen's disease
B. They may be considered as precancerous after a biopsy
C. They are more common in darker skinned children
D. They are associated with Wilson's disease - ANSA
Which of the following is the recommended treatment for erythema migrans or early Lyme
disease?
A. Doxycycline (Vibramycin) 100 mg BID x 21 days
B. Ciprofloxacin (cipro) 250 mg bid x 14 days
C. Erythromycin (E-mycin) 333 mg po TID x 10 days
D. Dicloxacillin 500 mg po BID x 10 days - ANSA
You are checking a 75 yr old woman's breast during an annual gyn exam. The left nipple and
areola are scaly and reddened. The patient denies pain and pruritus. She has noticed this
scaliness on her left nipple for the past 8 months. Her dermatologist gave her a potent topical
