FINAL EXAM QUESTIONS AND
ANSWERS
An 80-year-old man with hypertension and hyperlipidemia
presents with complaints of the rapid onset of severe low-back
pain accompanied by abdominal pain that is gradually
worsening. The patient appears pale and complains that he does
not feel well. During the abdominal exam, the nurse practitioner
detects a soft pulsatile mass just above the umbilicus as she
palpates this area with her hand. Which of the following
conditions is most likely? -<<<ANSWER>>>Abdominal aortic
aneurysm
Which of the following laboratory test is sensitive for evaluating
the renal function -<<<ANSWER>>>Estimated glomerular
filtration rate (eGFR)
Which of the following groups has been recommended to be
screened for thyroid disease? -<<<ANSWER>>>Women aged
50 years or older
, All of the following patients should be screened for diabetes
mellitus except: -<<<ANSWER>>>A 30-year-old White man
with hypertension
A 76-year-old woman reports that for the previous 4 months, she
has noticed severe stiffness and aching in her neck and both
shoulders and hips that is worsened by movement. She reports
having a difficult time getting out of bed because of the severe
stiffness and pain. It is difficult for her to put on a jacket or
blouse or to fasten her bra. Along with these symptoms, she also
has a low-grade fever, fatigue, loss of appetite, and weight loss.
Starting yesterday, the vision in her right eye has progressively
worsened. She has annual eye exams and denies that she has
glaucoma. Which of the following conditions is most likely? -
<<<ANSWER>>>Polymyalogia rheumatic (PMR)
A 28-year-old woman with a history of hypothyroidism presents
to an urgent care clinic complaining of numbness and tingling in
the fingertips of both her hands for several hours. On
examination, both radial pulses are at +2 and equal bilaterally.
The patient reports that over the past few months she has had
identical episodes, each lasting several hours. During these
episodes, the skin changes color from blue to white, and then to
dark red. Eventually, it returns to normal and the tingling and
numbness disappear. Which of the following conditions is best
described? -<<<ANSWER>>>Raynaud's phenomenon
A fracture on the navicular area of the wrist is usually caused by
falling forward and landing on the hands. The affected wrist is
hyperextended to break the fall. The nurse practitioner is aware