NUR 504 3P APEA
15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of
this information, it is essential for the NP to teach him about
a. Testicular self-examination
b. Protection of the testes during sports activities
c. Risk of testicular torsion
d. Practicing safer sex - ANS - a. Testicular self-examination
\24 y/o female taking oral contraceptive has missed her last 2 pills. What should
the NP advise her to do to minimize her risk of pregnancy?
a. Take today's dose and do not miss any more during this month
b. Double today's dose and use a barrier method for the rest of this month
c. Double today's dose and tomorrow's dose and use a barrier method for the rest
of this month
d. Stop the pills and restart a new pill pack in one week. - ANS - c. Double today's
dose and tomorrow's dose and use a barrier method for the rest of this month
\30 years old female comes into a clinic with classic signs and symptoms of
appendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures
and the woman die. This is an example of
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice - ANS - d. Malpractice
\40 y/o female with hx. Of frequent sun exposure present with multicolored lesion
on her back it has irregular borders and is about 11 mm in diameter. What should
the NP suspect?
a. Squamous cell carcinoma
b. Malignant melanoma
c. Common Nevis
d. Basal cell carcinoma - ANS - b. Malignant melanoma
\45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ
pain and epigastric "crampy pain". Symptoms are exacerbated by high-fat meal.
What is the most likelydiagnosis?
a. Hepatitis
b. Chronic cholecystitis
c. Acute pancreatitis
d. Myocarditis - ANS - b. Chronic cholecystitis
,\59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of
breast cancerat age 40 years. What is the appropriate initial treatment for this
patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS - d. Topical conjugate estrogen cream
\59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of
breast cancerat age 40 years. What is the appropriate initial treatment for this
patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS - d. Topical conjugate estrogen cream
\59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of
breast cancerat age 40 years. What is the appropriate initial treatment for this
patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS - d. Topical conjugate estrogen cream
\A 1-month-old presents with reported recurrent diarrhea, screaming, and
drawing up of the legs followed by periods of lethargy. On physical examination,
a "sausage-like" mass in the upper right quadrant of the distended abdomen.
Which of the following is the most likely
diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's disease
d. Foreign body in the GI tract - ANS - a. Intussusception
\A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute
otitis media because the
a. Tympanic membrane is bulging and glossy with tiny bubbles visible posteriorly
b. Tympanic membrane is retracted against boy landmarks
c. Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dulls and immobile.
d. Canal is narrowed, erythematous, and exquisitely tender with speculum
contact - ANS - Bony landmarks are obscured, and the tympanic membrane is
mildly erythematous, dulls and immobile.
, \A 12-month-old has conjunctivitis in his right eye with a mucopurulent
discharge. The mother asks if the child can forego for antibiotic eye drops
because he does not's like drops in his eyes. The NP replies that:
a. If untreated, conjunctivitis may permanently damage the cornea
b. Conjunctivitis is usually caused by a virus. Let's wait a few days
c. If no one else at the daycare has it, we can wait a few days.
d. An oral antihistamine may be prescribed instead of eye drops. - ANS - a. If
untreated, conjunctivitis may permanently damage the cornea
\A 13 y/o pt. complains that he fell while running during football practice. Now his
knee hurts and sometimes "lucks". The NP conducts McMurrays test. Which of
the following is TRUE about this test?
a. An audible or palpated "click" is positive for a torn meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient supine and flat
d. The knee is grasped with the examiner's fingers placed laterally. - ANS - a. An
audible or palpated "click" is positive for a torn meniscus
\A 15 years old high school student with a mild sore throat and low-grade fever
that has persisted for about 3 weeks. She reports general malaise, fatigue, and
loss of appetite. The NP suspects mononucleosis. Which of the following is the
LEAST appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase - ANS - d. Obtain an
urinalyses and serum for LFTs and amylase
\A 16 y/o male presents w/ mild sore throat, fever, fatigue, posterior cervical
adenopathy, and palatine petechia. With for this patient, what drug would be the
LEAST appropriate to
prescribe?
a. Ibuprofen
b. Erythromycin
c. Ampicillin
d. Doxycycline - ANS - c. Ampicillin
\a 16 y/o sexually active female presents to the clinic. She has never had
vaccinations for hepatitis A or B. She has had one MMR immunization, and her
last tetanus vaccination was 4 years ago. which vaccination would be
contraindicated without further testing?
a. Hepatitis B
b. Hepatitis A
c. MMR
15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of
this information, it is essential for the NP to teach him about
a. Testicular self-examination
b. Protection of the testes during sports activities
c. Risk of testicular torsion
d. Practicing safer sex - ANS - a. Testicular self-examination
\24 y/o female taking oral contraceptive has missed her last 2 pills. What should
the NP advise her to do to minimize her risk of pregnancy?
a. Take today's dose and do not miss any more during this month
b. Double today's dose and use a barrier method for the rest of this month
c. Double today's dose and tomorrow's dose and use a barrier method for the rest
of this month
d. Stop the pills and restart a new pill pack in one week. - ANS - c. Double today's
dose and tomorrow's dose and use a barrier method for the rest of this month
\30 years old female comes into a clinic with classic signs and symptoms of
appendicitis. The NP fails to refer the patient to a surgeon. The appendix ruptures
and the woman die. This is an example of
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice - ANS - d. Malpractice
\40 y/o female with hx. Of frequent sun exposure present with multicolored lesion
on her back it has irregular borders and is about 11 mm in diameter. What should
the NP suspect?
a. Squamous cell carcinoma
b. Malignant melanoma
c. Common Nevis
d. Basal cell carcinoma - ANS - b. Malignant melanoma
\45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ
pain and epigastric "crampy pain". Symptoms are exacerbated by high-fat meal.
What is the most likelydiagnosis?
a. Hepatitis
b. Chronic cholecystitis
c. Acute pancreatitis
d. Myocarditis - ANS - b. Chronic cholecystitis
,\59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of
breast cancerat age 40 years. What is the appropriate initial treatment for this
patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS - d. Topical conjugate estrogen cream
\59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of
breast cancerat age 40 years. What is the appropriate initial treatment for this
patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS - d. Topical conjugate estrogen cream
\59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of
breast cancerat age 40 years. What is the appropriate initial treatment for this
patient?
a. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS - d. Topical conjugate estrogen cream
\A 1-month-old presents with reported recurrent diarrhea, screaming, and
drawing up of the legs followed by periods of lethargy. On physical examination,
a "sausage-like" mass in the upper right quadrant of the distended abdomen.
Which of the following is the most likely
diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's disease
d. Foreign body in the GI tract - ANS - a. Intussusception
\A 12 y/o presents with eat pain or 36 hours duration. The NP diagnoses acute
otitis media because the
a. Tympanic membrane is bulging and glossy with tiny bubbles visible posteriorly
b. Tympanic membrane is retracted against boy landmarks
c. Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dulls and immobile.
d. Canal is narrowed, erythematous, and exquisitely tender with speculum
contact - ANS - Bony landmarks are obscured, and the tympanic membrane is
mildly erythematous, dulls and immobile.
, \A 12-month-old has conjunctivitis in his right eye with a mucopurulent
discharge. The mother asks if the child can forego for antibiotic eye drops
because he does not's like drops in his eyes. The NP replies that:
a. If untreated, conjunctivitis may permanently damage the cornea
b. Conjunctivitis is usually caused by a virus. Let's wait a few days
c. If no one else at the daycare has it, we can wait a few days.
d. An oral antihistamine may be prescribed instead of eye drops. - ANS - a. If
untreated, conjunctivitis may permanently damage the cornea
\A 13 y/o pt. complains that he fell while running during football practice. Now his
knee hurts and sometimes "lucks". The NP conducts McMurrays test. Which of
the following is TRUE about this test?
a. An audible or palpated "click" is positive for a torn meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient supine and flat
d. The knee is grasped with the examiner's fingers placed laterally. - ANS - a. An
audible or palpated "click" is positive for a torn meniscus
\A 15 years old high school student with a mild sore throat and low-grade fever
that has persisted for about 3 weeks. She reports general malaise, fatigue, and
loss of appetite. The NP suspects mononucleosis. Which of the following is the
LEAST appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase - ANS - d. Obtain an
urinalyses and serum for LFTs and amylase
\A 16 y/o male presents w/ mild sore throat, fever, fatigue, posterior cervical
adenopathy, and palatine petechia. With for this patient, what drug would be the
LEAST appropriate to
prescribe?
a. Ibuprofen
b. Erythromycin
c. Ampicillin
d. Doxycycline - ANS - c. Ampicillin
\a 16 y/o sexually active female presents to the clinic. She has never had
vaccinations for hepatitis A or B. She has had one MMR immunization, and her
last tetanus vaccination was 4 years ago. which vaccination would be
contraindicated without further testing?
a. Hepatitis B
b. Hepatitis A
c. MMR
