3P PRACTICE QUESTIONS AND ANSWERS
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - Answers-flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath
sounds are: - Answers-vesicular with late inspiratory crackles in the dependent portions
of the lungs and resonant on percussion (looses ability to pump out blood)
Severe aortic regurgitation symptoms with dyspnea - Answers-dry cough, angina,
hypotension, systolic murmur
Unipolar depression. What medications are not considered? - Answers-TCA (tricyclic
antidepressants); Buspar, SSR, wellbutin are all okay
Which of the following statements is most accurate about cough associated with ACEI?
- Answers-Asthma
Conductive Hearing loss - Answers-External ear, middle ear, or both problem
Which of the following is a risk factor for the development of prostate enlargement? -
Answers-Diabetes; Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom
in the lower extremity? - Answers-Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is
found to have ascites and JVD should be evaluated for: - Answers-heart failure
23 year old woman is having frequent migraines and needs a prophylactic medication.
She also has asthma. The medication should be avoided in this patient: - Answers-
Propranolol (inderal); can cause increase bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is
safe to use with warfarin? - Answers-Clarithromycin (PCN and cephalosporins are okay)
On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck
and boutoniere deformities which she knows are related to the diagnosis of - Answers-
rheumatoid arthritis
28 year old woman has symptoms of asthma daily and several nights a week. She uses
a SABA and will be starting fluticasone/salmeterol (Advair). Advair: - Answers-is not
effective during an acute asthma attack
, You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he
has severe mood swings, is easily distracted, and constantly corrects his teachers. You
have the high suspicion for bipolar if which symptom was present? - Answers-he sleeps
less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a
hx of uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8
week elective abortion? - Answers-G4 T1 P1 A1 L3 (mult births count as 1 pregnancy
and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? - Answers-
barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is
contraindicated? - Answers-Heart disease
The main lymphatic channel that drains lymph back to the systemic circulation from the
entire body, with the exception of the RT arm, thorax, head and neck is the - Answers-
thoracic duct
Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35
weeks gestation if the fundal height measurement is - Answers-32
A 22 year old patient presents with complaints of headaches with associated nausea
and vomitting. The LEAST likely differential diagnosis for this patient is - Answers-
tension headaches
The symptoms that will help differentiate acute pyelonephritis from acute nephrolithiasis
is the presence of - Answers-costovertebral pain
While assessing an 80 year old man, the NP considers the need to evaluate for
depression based on the patient's - Answers-poor motivation to participate in care
Acute gout attack. What should not be initiated? - Answers-Probenecid
Serotonin syndrome is suspected. What symptoms? - Answers-rapid heart rate and
high blood pressure
Which medication class is not recommended in the outpatient treatment of a pediatric
patient with acute bacterial rhinosinusitis (ABRS) - Answers-Antihistamines
A 44 year old man presents with complaints of sudden pain in the right upper abdominal
quadrant. The NP suspects pancreatitis due to historical findings. What assessment
supports this? - Answers-A positive Cullen's sign
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - Answers-flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath
sounds are: - Answers-vesicular with late inspiratory crackles in the dependent portions
of the lungs and resonant on percussion (looses ability to pump out blood)
Severe aortic regurgitation symptoms with dyspnea - Answers-dry cough, angina,
hypotension, systolic murmur
Unipolar depression. What medications are not considered? - Answers-TCA (tricyclic
antidepressants); Buspar, SSR, wellbutin are all okay
Which of the following statements is most accurate about cough associated with ACEI?
- Answers-Asthma
Conductive Hearing loss - Answers-External ear, middle ear, or both problem
Which of the following is a risk factor for the development of prostate enlargement? -
Answers-Diabetes; Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom
in the lower extremity? - Answers-Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is
found to have ascites and JVD should be evaluated for: - Answers-heart failure
23 year old woman is having frequent migraines and needs a prophylactic medication.
She also has asthma. The medication should be avoided in this patient: - Answers-
Propranolol (inderal); can cause increase bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is
safe to use with warfarin? - Answers-Clarithromycin (PCN and cephalosporins are okay)
On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck
and boutoniere deformities which she knows are related to the diagnosis of - Answers-
rheumatoid arthritis
28 year old woman has symptoms of asthma daily and several nights a week. She uses
a SABA and will be starting fluticasone/salmeterol (Advair). Advair: - Answers-is not
effective during an acute asthma attack
, You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he
has severe mood swings, is easily distracted, and constantly corrects his teachers. You
have the high suspicion for bipolar if which symptom was present? - Answers-he sleeps
less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a
hx of uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8
week elective abortion? - Answers-G4 T1 P1 A1 L3 (mult births count as 1 pregnancy
and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? - Answers-
barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is
contraindicated? - Answers-Heart disease
The main lymphatic channel that drains lymph back to the systemic circulation from the
entire body, with the exception of the RT arm, thorax, head and neck is the - Answers-
thoracic duct
Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35
weeks gestation if the fundal height measurement is - Answers-32
A 22 year old patient presents with complaints of headaches with associated nausea
and vomitting. The LEAST likely differential diagnosis for this patient is - Answers-
tension headaches
The symptoms that will help differentiate acute pyelonephritis from acute nephrolithiasis
is the presence of - Answers-costovertebral pain
While assessing an 80 year old man, the NP considers the need to evaluate for
depression based on the patient's - Answers-poor motivation to participate in care
Acute gout attack. What should not be initiated? - Answers-Probenecid
Serotonin syndrome is suspected. What symptoms? - Answers-rapid heart rate and
high blood pressure
Which medication class is not recommended in the outpatient treatment of a pediatric
patient with acute bacterial rhinosinusitis (ABRS) - Answers-Antihistamines
A 44 year old man presents with complaints of sudden pain in the right upper abdominal
quadrant. The NP suspects pancreatitis due to historical findings. What assessment
supports this? - Answers-A positive Cullen's sign
