3P Practice Questions
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - ANS -flex his hand
\When auscultating breath sounds in a patient who has left sided heart failure, the breath
sounds are: - ANS -vesicular with late inspiratory crackles in the dependent portions of the
lungs and resonant on percussion (loses ability to pump out blood)
\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? - ANS -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? - ANS -G4 T1 P1 A1 L3 (multi births count as 1 pregnancy and 1 birth)
\What is the most likely presenting symptom in a pediatric patient with croup? - ANS -barking
cough
\47 year old woman post total hysterectomy and estrogen hormone therapy. Which is
contraindicated? - ANS -Heart disease
\Severe aortic regurgitation symptoms with dyspnea - ANS -dry cough, angina, hypotension,
systolic murmur
\Unipolar depression. What medications are not considered? - ANS -TCA (tricyclic
antidepressants); Buspar, SSR, wellbutrin are all okay
\Which of the following statements is most accurate about cough associated with ACEI? - ANS
-Asthma
\Conductive Hearing loss - ANS -External ear, middle ear, or both problem
\Which of the following is a risk factor for the development of prostate enlargement? - ANS
-Diabetes; Obesity, heart and circulatory disease, DM2
\Patients with suspected PAD may be asymptomatic or may complain of which symptom in the
lower extremity? - ANS -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: - ANS -heart failure
\23 year old woman is having frequent migraines and needs prophylactic medication. She also
has asthma. The medication should be avoided in this patient: - ANS -Propranolol (inderal); can
cause increase bronchospasm
\45 year old woman with the first episode of DVT is being treated for CAP. Which antibiotic is
safe to use with warfarin? - ANS -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
boutonniere deformities which she knows are related to the diagnosis of - ANS -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: - ANS -is not effective during
an acute asthma attack
\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 - ANS -thoracic duct
\Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35 weeks
gestation if the fundal height measurement is - ANS -32
\A 22 year old patient presents with complaints of headaches with associated nausea and
vomiting. The LEAST likely differential diagnosis for this patient is - ANS -tension headaches
\The symptoms that will help differentiate acute pyelonephritis from acute nephrolithiasis is the
presence of - ANS -costovertebral pain
\While assessing an 80 year old man, the NP considers the need to evaluate for depression
based on the patient's - ANS -poor motivation to participate in care
\Acute gout attack. What should not be initiated? - ANS -Probenecid
\Serotonin syndrome is suspected. What symptoms? - ANS -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) - ANS -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? - ANS -A positive Cullen's sign
\Old man with BPH, Benadryl and anticholinergic may cause: - ANS -Urinary retention
\45 year old carpenter complains of a foreign body sensation in his LT eye with tearing and
itching. During the ophthalmoscopic exam, a triangular thickening of the bulbar conductive is
found at the outer surface of the cornea. This finding is consistent with: - ANS -pterygium
\The medication with the best safety profile to treat HTN in a woman who is 20 weeks pregnant
is - ANS -methyldopa
\Meningitis is suspected in a patient who has complaints of fever, headache, and nuchal rigidity.
The NP knows the initial presenting symptom are the result of - ANS -meningeal inflammation
\Dabigatran Etexilate works by - ANS -inhibiting factor II (thrombin)
\A factor that may increase the risk of contracting tinea corporis is - ANS -poor hygiene
measures
\To increase urine outflow in men with BPH, the NP should prescribe - ANS -alpha blocker
\25 year old female with primary hypothyroidism, what hormone level? - ANS -Elevated or
decreased TSH and decreased or elevated free T4
\The ankle-brachial index is a screening test used to assess a person's risk for - ANS
-peripheral artery
\Olecranon bursitis may be caused by all of the following except - ANS -frozen shoulder
\In patients who have allergic rhinitis, the nasal mucosa appears - ANS -pale
\A term used to describe an increase in muscular bulk with diminished strength - ANS
-pseudohypertrophy
\If abdominal pain persists when the patient raises his head and shoulders, the origin of
tenderness is probably - ANS -in the abdominal wall
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - ANS -flex his hand
\When auscultating breath sounds in a patient who has left sided heart failure, the breath
sounds are: - ANS -vesicular with late inspiratory crackles in the dependent portions of the
lungs and resonant on percussion (loses ability to pump out blood)
\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? - ANS -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? - ANS -G4 T1 P1 A1 L3 (multi births count as 1 pregnancy and 1 birth)
\What is the most likely presenting symptom in a pediatric patient with croup? - ANS -barking
cough
\47 year old woman post total hysterectomy and estrogen hormone therapy. Which is
contraindicated? - ANS -Heart disease
\Severe aortic regurgitation symptoms with dyspnea - ANS -dry cough, angina, hypotension,
systolic murmur
\Unipolar depression. What medications are not considered? - ANS -TCA (tricyclic
antidepressants); Buspar, SSR, wellbutrin are all okay
\Which of the following statements is most accurate about cough associated with ACEI? - ANS
-Asthma
\Conductive Hearing loss - ANS -External ear, middle ear, or both problem
\Which of the following is a risk factor for the development of prostate enlargement? - ANS
-Diabetes; Obesity, heart and circulatory disease, DM2
\Patients with suspected PAD may be asymptomatic or may complain of which symptom in the
lower extremity? - ANS -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: - ANS -heart failure
\23 year old woman is having frequent migraines and needs prophylactic medication. She also
has asthma. The medication should be avoided in this patient: - ANS -Propranolol (inderal); can
cause increase bronchospasm
\45 year old woman with the first episode of DVT is being treated for CAP. Which antibiotic is
safe to use with warfarin? - ANS -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
boutonniere deformities which she knows are related to the diagnosis of - ANS -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: - ANS -is not effective during
an acute asthma attack
\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 - ANS -thoracic duct
\Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35 weeks
gestation if the fundal height measurement is - ANS -32
\A 22 year old patient presents with complaints of headaches with associated nausea and
vomiting. The LEAST likely differential diagnosis for this patient is - ANS -tension headaches
\The symptoms that will help differentiate acute pyelonephritis from acute nephrolithiasis is the
presence of - ANS -costovertebral pain
\While assessing an 80 year old man, the NP considers the need to evaluate for depression
based on the patient's - ANS -poor motivation to participate in care
\Acute gout attack. What should not be initiated? - ANS -Probenecid
\Serotonin syndrome is suspected. What symptoms? - ANS -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) - ANS -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? - ANS -A positive Cullen's sign
\Old man with BPH, Benadryl and anticholinergic may cause: - ANS -Urinary retention
\45 year old carpenter complains of a foreign body sensation in his LT eye with tearing and
itching. During the ophthalmoscopic exam, a triangular thickening of the bulbar conductive is
found at the outer surface of the cornea. This finding is consistent with: - ANS -pterygium
\The medication with the best safety profile to treat HTN in a woman who is 20 weeks pregnant
is - ANS -methyldopa
\Meningitis is suspected in a patient who has complaints of fever, headache, and nuchal rigidity.
The NP knows the initial presenting symptom are the result of - ANS -meningeal inflammation
\Dabigatran Etexilate works by - ANS -inhibiting factor II (thrombin)
\A factor that may increase the risk of contracting tinea corporis is - ANS -poor hygiene
measures
\To increase urine outflow in men with BPH, the NP should prescribe - ANS -alpha blocker
\25 year old female with primary hypothyroidism, what hormone level? - ANS -Elevated or
decreased TSH and decreased or elevated free T4
\The ankle-brachial index is a screening test used to assess a person's risk for - ANS
-peripheral artery
\Olecranon bursitis may be caused by all of the following except - ANS -frozen shoulder
\In patients who have allergic rhinitis, the nasal mucosa appears - ANS -pale
\A term used to describe an increase in muscular bulk with diminished strength - ANS
-pseudohypertrophy
\If abdominal pain persists when the patient raises his head and shoulders, the origin of
tenderness is probably - ANS -in the abdominal wall
