NP PRETEST EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
"Pustular" is a morphological classification of which skin
lesion?
A. Herpes simplex
B. A wart
C. Acne rosacea
D. Impetigo Correct Answer C. Acne rosacea
A "herald patch" is a hallmark finding in which condition?
A. Erythema infectiosum
B. Pityriasis rosacea
C. Seborrheic keratosis
D. Atopic dermatitis Correct Answer B. Pityriasis rosacea
- Pityriasis rosa is a self-limiting exanthematous skin disorder
characterized by several unique findings. It is more common in
young adults. A characteristic finding is the "herald" or
"mother" patch found on trunk. This looks like a ringworm and
precedes the generalized "Christmas tree" pattern rash. Lesions
are salmon-colored & oval. Most resolve in 4-6 weeks.
A "liver flap", associated with hepatic encephalopathy, uremia,
and respiratory acidosis, refers to
A. nonrhythmic flapping of the wrists and hands
B. a palpable liver that "flaps" against the palpating hand
C. a jaundiced color of the skin
D. urine that is the color of liver Correct Answer A.
nonrhythmic flapping of the wrists and hands
,A 10 year-old has thick, demarcated plaques on her elbows.
Which features are suggestive of psoriasis?
a. Scaly lesions on the scalp
b. Pruritis around the lesions
c. A scale border around the plaques
d. Silvery scales that are not pruritic Correct Answer d. Silvery
scales that are not pruritic
A 12 month-old was screened for iron deficiency anemia and
found to be anemic. The nurse practitioner ordered oral iron. In
one month the child's hemoglobin was re-assessed. It increased
only minimally. This may be due to many reasons, but NOT
because:
a. the mother administered it with his bottle of milk
b. the child had an insufficient dosage
c. the child has leukemia
d. of his diet Correct Answer d. of his diet
A 15 year-old male has worked this summer as a lifeguard at a
local swimming pool. He complains of itching in the groin area.
He is diagnosed with tinea cruris. The nurse practitioner is likely
to identify:
a. swelling of the scrotum
b. macular lesions on the penis
c. well marginated half moon macules on the inner thigh
d. maceration of the scrotal folds with erythema of the penis
Correct Answer c. well marginated half moon macules on the
inner thigh
A 16 year-old has been diagnosed with Lyme disease. Which
drug should be used to treat him?
,a. Doxycycline
b. Amoxicillin-clavulanate
c. Trimethroprim-sulfamethoxazole
d. Cephalexin Correct Answer a. Doxycycline
A 17 year old with nodulocystic acne is employed as a cook at a
local establishment. What might have the greatest positive
impact in managing his acne?
A. Retin-A plus minocycline
B. Benzoyl peroxide plus erythromycin
C. Isotretinoin (Accutane)
D. A change of occupation Correct Answer C.Isotretinoin
(Accutane)
- Nodulocystic acne is the most severe form of acne vulgaris.
They can be palpated and usually seen on the skin, although they
actually are under the skin's surface. They develop when the
follicle wall ruptures and leaks pus and cell contents in the
dermis. The contaminated material infects adjoining follicles &
the nodule developds. Isotretinoin, OCPs, & oral antibiotics are
only treatment.
A 19-year-old man presents with a chief complaint of a red,
irritated right eye for the past 48 hours with eyelids that were
"stuck together" this morning when he awoke. Examination
reveals injected palpebral and bulbar conjunctiva; reactive
pupils; vision screen with the Snellen chart of 20/30 in the right
eye (OD), left eye (OS), and both eyes (OU); and purulent eye
discharge on the right. This presentation is most consistent with:
A. suppurative conjunctivitis
B. viral conjunctivitis
C. allergic conjunctivitis
, D. mecahnical injury Correct Answer A. suppurative
conjunctivitis
A 19-year-old woman presents with a complaint of bilaterally
itchy, red eyes with tearing that occurs intermittently throughout
the year and is often accompanied by a ropelike eye discharge
and clear nasal discharge. This is most consistent with
conjunctival inflammation caused by a(n):
A. bacterium
B. virus
C. allergen
D. injury Correct Answer C. allergen
A 2 month-old is diagnosed with thrush. A microscopic exam of
this patient's saliva demonstrates:
a. hyphae
b. yeast
c. spores
d. a combination of hyphae and yeast Correct Answer b. yeast
A 22 year old client who plays in a rock band complains that he
finds it difficult to understand his fellow musicians at the end of
a night of performing, a problem that is compounded by the
noisy environment of the "club." These symptoms are most
characteristic of which of the following?
A. Sensorineural loss
B. Conductive loss
C. Tinnitus
D. Vertigo Correct Answer A. Sensorineural loss
SOLUTIONS
"Pustular" is a morphological classification of which skin
lesion?
A. Herpes simplex
B. A wart
C. Acne rosacea
D. Impetigo Correct Answer C. Acne rosacea
A "herald patch" is a hallmark finding in which condition?
A. Erythema infectiosum
B. Pityriasis rosacea
C. Seborrheic keratosis
D. Atopic dermatitis Correct Answer B. Pityriasis rosacea
- Pityriasis rosa is a self-limiting exanthematous skin disorder
characterized by several unique findings. It is more common in
young adults. A characteristic finding is the "herald" or
"mother" patch found on trunk. This looks like a ringworm and
precedes the generalized "Christmas tree" pattern rash. Lesions
are salmon-colored & oval. Most resolve in 4-6 weeks.
A "liver flap", associated with hepatic encephalopathy, uremia,
and respiratory acidosis, refers to
A. nonrhythmic flapping of the wrists and hands
B. a palpable liver that "flaps" against the palpating hand
C. a jaundiced color of the skin
D. urine that is the color of liver Correct Answer A.
nonrhythmic flapping of the wrists and hands
,A 10 year-old has thick, demarcated plaques on her elbows.
Which features are suggestive of psoriasis?
a. Scaly lesions on the scalp
b. Pruritis around the lesions
c. A scale border around the plaques
d. Silvery scales that are not pruritic Correct Answer d. Silvery
scales that are not pruritic
A 12 month-old was screened for iron deficiency anemia and
found to be anemic. The nurse practitioner ordered oral iron. In
one month the child's hemoglobin was re-assessed. It increased
only minimally. This may be due to many reasons, but NOT
because:
a. the mother administered it with his bottle of milk
b. the child had an insufficient dosage
c. the child has leukemia
d. of his diet Correct Answer d. of his diet
A 15 year-old male has worked this summer as a lifeguard at a
local swimming pool. He complains of itching in the groin area.
He is diagnosed with tinea cruris. The nurse practitioner is likely
to identify:
a. swelling of the scrotum
b. macular lesions on the penis
c. well marginated half moon macules on the inner thigh
d. maceration of the scrotal folds with erythema of the penis
Correct Answer c. well marginated half moon macules on the
inner thigh
A 16 year-old has been diagnosed with Lyme disease. Which
drug should be used to treat him?
,a. Doxycycline
b. Amoxicillin-clavulanate
c. Trimethroprim-sulfamethoxazole
d. Cephalexin Correct Answer a. Doxycycline
A 17 year old with nodulocystic acne is employed as a cook at a
local establishment. What might have the greatest positive
impact in managing his acne?
A. Retin-A plus minocycline
B. Benzoyl peroxide plus erythromycin
C. Isotretinoin (Accutane)
D. A change of occupation Correct Answer C.Isotretinoin
(Accutane)
- Nodulocystic acne is the most severe form of acne vulgaris.
They can be palpated and usually seen on the skin, although they
actually are under the skin's surface. They develop when the
follicle wall ruptures and leaks pus and cell contents in the
dermis. The contaminated material infects adjoining follicles &
the nodule developds. Isotretinoin, OCPs, & oral antibiotics are
only treatment.
A 19-year-old man presents with a chief complaint of a red,
irritated right eye for the past 48 hours with eyelids that were
"stuck together" this morning when he awoke. Examination
reveals injected palpebral and bulbar conjunctiva; reactive
pupils; vision screen with the Snellen chart of 20/30 in the right
eye (OD), left eye (OS), and both eyes (OU); and purulent eye
discharge on the right. This presentation is most consistent with:
A. suppurative conjunctivitis
B. viral conjunctivitis
C. allergic conjunctivitis
, D. mecahnical injury Correct Answer A. suppurative
conjunctivitis
A 19-year-old woman presents with a complaint of bilaterally
itchy, red eyes with tearing that occurs intermittently throughout
the year and is often accompanied by a ropelike eye discharge
and clear nasal discharge. This is most consistent with
conjunctival inflammation caused by a(n):
A. bacterium
B. virus
C. allergen
D. injury Correct Answer C. allergen
A 2 month-old is diagnosed with thrush. A microscopic exam of
this patient's saliva demonstrates:
a. hyphae
b. yeast
c. spores
d. a combination of hyphae and yeast Correct Answer b. yeast
A 22 year old client who plays in a rock band complains that he
finds it difficult to understand his fellow musicians at the end of
a night of performing, a problem that is compounded by the
noisy environment of the "club." These symptoms are most
characteristic of which of the following?
A. Sensorineural loss
B. Conductive loss
C. Tinnitus
D. Vertigo Correct Answer A. Sensorineural loss
