LEIK FNP practice questions & answers
Bouchard's nodes ✔️✔️You note bony nodules located at the proximal interphalangeal joints
on both the hands of your 65 yr old female patient. What is the most likely diagnosis?
Heberden's nodes ✔️✔️Nodules on the distal phalangeal joints are?
Tophi deposits ✔️✔️Nodules on the joints that can eventually destroy the bone that occur with
high levels of uric acid
Osteoarthritic nodules ✔️✔️Nodes that develop in the joints of the hands
Diabetes Mellitus ✔️✔️Which chronic illness disproportionately affects the Hispanic
population?
Initiate a prescription of nicotinic acid (niacin/niaspan) ✔️✔️A lipid profile done on a newly
diagnosed hypertensive patient shows a triglyceride level of 650mg/dL, total cholesterol
240mg/dL, LDL 145mg/dL, and and HDL of 35mg/dL. What is the best intervention for this
patient?
Cullen's Sign ✔️✔️A yellowish blue skin color change around the umbilicus that is most
commonly associated with acute appendicitis
,An endoscopy with a tissue biopsy ✔️✔️The gold standard for the diagnosis of active
Helicobacter pylori infection of the stomach or the duodenum is?
Iron-fortified cereal ✔️✔️What food would you advise a mother to introduce to her 6mo. old
infant first?
Fasting plasma glucose level >126
Glycosylated HbA1c > 6
Glucose tolerance test >200 ✔️✔️Jim Wheeler is obese (BMI=33), fatigued and complaining
of excessive thirst and hunger. You suspect type2 diabetes mellitus. Initial testing to confirm
diagnosis can include
Bulla ✔️✔️A superficial vesicle filled with serious fluid greater than 1cm in size
Give the baby both hepatitis B vaccine and hepatitis B immunoglobulin ✔️✔️A newborn's
mother is discovered to be HBsAg positive. What would you recommend for the infant?
Western Blot ✔️✔️What is a confirmatory test for the HIV screening test?
Maculopapular rash of the palms and soles
Lymphadenopathy
,Condyloma lata ✔️✔️The following are associated with the secondary stage of an infection by
the organism Treponema pallidum:
diaphragm with spermicide
Progesterone only pills
Condoms ✔️✔️What are acceptable methods of birth control for a breastfeeding mother?
Ectopic pregnancy
Scarring of the fallopian tubes
Infertility ✔️✔️Women with a history of pelvic inflammatory disease (PID) have an increased
risk for the following complications:
Syphilis
Genital herpes
Chancroid ✔️✔️The differential diagnosis for genital ulceration includes the following:
Microcytic anemia ✔️✔️Lead poisoning can cause which type of anemia
The pelvis ✔️✔️Hypovolemic shock would most likely occur with fractures of what?
Gout ✔️✔️Podagra is associated with what?
, Podagra ✔️✔️Pain in the joint of the great toe caused by the accumulation of uric acid and
salts in the joint
Grade IV ✔️✔️While assessing for a cardiac murmur, the first time that a thrill can be
palpated is at what Grade?
Aortic stenosis ✔️✔️A medium-pitched harsh mid-systolic murmur is best heard at the right
second ICS of the chest. It radiates into the neck. What would be the diagnosis?
Both hepatitis B and hepatitis C ✔️✔️Which type of hepatitis virus infection is more likely to
result in chronic hepatitis and increased risk of developing hepatocellular carcinoma.
20 kcal.30mL ✔️✔️What is the caloric content of infant formula an breast milk?
Hepatitis B vaccination and hepatitis B immunoglobulin. ✔️✔️A 19 y/o female has recently
been diagnosed with acute hepatitis B. She is sexually active and is monogamous. She reports
using condoms inconsistently. What would you recommend for her male sexual partner who was
also tested for hepatitis with the following results: HBsAg(-), anti-HBs(-), anti-HCV (-), Anti-
HAV (+)
Rheumatoid arthritis
Lupus
Bouchard's nodes ✔️✔️You note bony nodules located at the proximal interphalangeal joints
on both the hands of your 65 yr old female patient. What is the most likely diagnosis?
Heberden's nodes ✔️✔️Nodules on the distal phalangeal joints are?
Tophi deposits ✔️✔️Nodules on the joints that can eventually destroy the bone that occur with
high levels of uric acid
Osteoarthritic nodules ✔️✔️Nodes that develop in the joints of the hands
Diabetes Mellitus ✔️✔️Which chronic illness disproportionately affects the Hispanic
population?
Initiate a prescription of nicotinic acid (niacin/niaspan) ✔️✔️A lipid profile done on a newly
diagnosed hypertensive patient shows a triglyceride level of 650mg/dL, total cholesterol
240mg/dL, LDL 145mg/dL, and and HDL of 35mg/dL. What is the best intervention for this
patient?
Cullen's Sign ✔️✔️A yellowish blue skin color change around the umbilicus that is most
commonly associated with acute appendicitis
,An endoscopy with a tissue biopsy ✔️✔️The gold standard for the diagnosis of active
Helicobacter pylori infection of the stomach or the duodenum is?
Iron-fortified cereal ✔️✔️What food would you advise a mother to introduce to her 6mo. old
infant first?
Fasting plasma glucose level >126
Glycosylated HbA1c > 6
Glucose tolerance test >200 ✔️✔️Jim Wheeler is obese (BMI=33), fatigued and complaining
of excessive thirst and hunger. You suspect type2 diabetes mellitus. Initial testing to confirm
diagnosis can include
Bulla ✔️✔️A superficial vesicle filled with serious fluid greater than 1cm in size
Give the baby both hepatitis B vaccine and hepatitis B immunoglobulin ✔️✔️A newborn's
mother is discovered to be HBsAg positive. What would you recommend for the infant?
Western Blot ✔️✔️What is a confirmatory test for the HIV screening test?
Maculopapular rash of the palms and soles
Lymphadenopathy
,Condyloma lata ✔️✔️The following are associated with the secondary stage of an infection by
the organism Treponema pallidum:
diaphragm with spermicide
Progesterone only pills
Condoms ✔️✔️What are acceptable methods of birth control for a breastfeeding mother?
Ectopic pregnancy
Scarring of the fallopian tubes
Infertility ✔️✔️Women with a history of pelvic inflammatory disease (PID) have an increased
risk for the following complications:
Syphilis
Genital herpes
Chancroid ✔️✔️The differential diagnosis for genital ulceration includes the following:
Microcytic anemia ✔️✔️Lead poisoning can cause which type of anemia
The pelvis ✔️✔️Hypovolemic shock would most likely occur with fractures of what?
Gout ✔️✔️Podagra is associated with what?
, Podagra ✔️✔️Pain in the joint of the great toe caused by the accumulation of uric acid and
salts in the joint
Grade IV ✔️✔️While assessing for a cardiac murmur, the first time that a thrill can be
palpated is at what Grade?
Aortic stenosis ✔️✔️A medium-pitched harsh mid-systolic murmur is best heard at the right
second ICS of the chest. It radiates into the neck. What would be the diagnosis?
Both hepatitis B and hepatitis C ✔️✔️Which type of hepatitis virus infection is more likely to
result in chronic hepatitis and increased risk of developing hepatocellular carcinoma.
20 kcal.30mL ✔️✔️What is the caloric content of infant formula an breast milk?
Hepatitis B vaccination and hepatitis B immunoglobulin. ✔️✔️A 19 y/o female has recently
been diagnosed with acute hepatitis B. She is sexually active and is monogamous. She reports
using condoms inconsistently. What would you recommend for her male sexual partner who was
also tested for hepatitis with the following results: HBsAg(-), anti-HBs(-), anti-HCV (-), Anti-
HAV (+)
Rheumatoid arthritis
Lupus
