LEIK FNP 2 practice questions Complete Verified
Answers
An 18yr old is being followed up for acne by the NP. The facial eat reveals that papule
and pustules are present mostly on the forehead and the chin area. The patient has
been using prescription topical and OTC medicated soap daily for 6 moths without much
improvement. What would you recommend? - ANSWER Tetracycline (Sumycin)
The following statements are true regarding herpes - ANSWER D/T reactivation of latent
varicella virus
It is more severe in immunocompromised people
Infection of the trigeminal nerve ophthalmic branch can cause cornmeal blindness.
A middle aged black male complains of a history of outbreaks of painful large nodules
and pustules on both his axillae that resolve after treatment with antibiotics. On
physical examination, the NP notices large red nodules that are tender to palpation. In
addition, several pustules are present along with multiple scars on the skin. The nP
advises the patient that the condition is caused by a bacterial infection of the seat
glands in the axillae. Which condition is being described? - ANSWER Hidradenitis
supperativa
A possible side effect from the use of nifedipine is: - ANSWER Edema of the ankles and
headaches
Which maneuver is contraindicated in patients with acute prostatitis? - ANSWER
Massaging the infected prostate
Erysipelas is an infection of the skin most commonly caused by which class of organism -
ANSWER Streptococci
,What is the first line class of antibiotics recommended by the American Thoracic Society
(ATS)for patients younger than 60yrs of age who are diagnosed with community
acquired pneumonia with no comorbidity - ANSWER Macrolide
The following eye conditions are associated with what chronic condition:
Grade 1: general arteriolar constriction seen as "silver wiring" and vascular toruosities
Grade 2: grade 1 plus irregularly located, tight constrictions known as "AV nicking" or
"AV nipping".
Grade 3: grade 2 plus cotton wool spots and flame-shaped hemorrhages.
Grade 4: grade 3 but with swelling of the optic disk (papilledema). - ANSWER Chronic
Uncontrolled Hypertension
What type of eye problem occurs as a result of diabetic neuropathy? - ANSWER Micro
aneurysms
While reviewing some lab reports, the NP notes that one of her teenage male patient's
lab results is abnormal. The liver function tests are all normal except for a slight elevate
in the alkaline phosphates level. The patient is a member of a soccer team and denies
any recent injury. What would be the next step in the evaluation? - ANSWER This is a
normal finding in this age group
What would be appropriate initial management of a second degree burn ? - ANSWER
Irrigate with normal saline and apply Silvadene cream BID
When Molluscum contagious is found on the genital area of children, what would be the
best explanation? - ANSWER It should raise suspicion of child sex abuse
An 80 yr old woman complain about her "thin" and dry skin. What is the best
explanation for her complaint. - ANSWER Loss of subcutaneous fat and lower collagen
content
,The following are true statements regarding licensure of NPs - ANSWER - It ensures a
minimum level of professional competency.
-It grants permission for an individual to practice in a profession
-It requires verification of educational training from an accredited graduate program
What is the proportion of arterioles and veins in the funds of the eye? - ANSWER The
veins are larger than the arterioles
The following conditions are found to increase the risk of _______________ in
predisposed individuals; Hypertension, Excessive alcohol intake in susceptible
individuals, Theophylline and pseudoephedrine. - ANSWER Atrial Fibrillation
At what age can a child copy a cross and ride a bicycle? - ANSWER 4 yrs old
You would associate a positive iliopsoas muscle test result with: - ANSWER Acute
Abdomen
Which cranial nerve innervates the extra ocular muscles of the eyes? - ANSWER CN III,
CN IV, CN VI
Which test confirms the diagnosis of beta thalassemia or sickle cell anemia? - ANSWER
Hemoglobin electrophoresis
These patients have an increased risk of developing adverse effects from Metformin
(Glucophage): - ANSWER Those with renal disease
Those with hypoxia
Obese pts
, Alcoholics
A middle aged hypertensive male presents to a public health clinic with complaints of an
acute onset of fever, shills, and cough that is productive of rusty-colored sputum. The
patient reports episodes of sharp pains on the left side of his back and chest whenever
he is coughing. His temp is 102.2 degrees F., the pulse=100 and BP=130/80. The UA does
not show leuks, nitrites or blood. What is the most likely diagnosis? - ANSWER Bacterial
pneumonia
Lifestyle modifications are an important aspect in the treatment of hypertension. What
are some of the modifications that can be made? - ANSWER Reduce intake of sodium
and saturated fats
Exercise at least 3-4x/day
Maintain an adequate intake of K+, Mag, Ca++
Which class of antihypertensive drugs should a patient weaned off slowly to avoid the
risk of severe rebound hypertension? - ANSWER beta blockers
A 70 yr old male with open angle glaucoma is prescribed Betimol(Timolol) ophthalmic
drops. The following are contraindications to these drops. s - ANSWER Overt heart
failure and sinus bradycardia
Asthmatic patients
Second or third degree AV block
At what time of the day would you recommend a scotch tape test be done to evaluate
for suspected case of enterobiasis? - ANSWER Early in the morning
At what age can a child copy a circle and ride a tricycle - ANSWER 3 years old
Answers
An 18yr old is being followed up for acne by the NP. The facial eat reveals that papule
and pustules are present mostly on the forehead and the chin area. The patient has
been using prescription topical and OTC medicated soap daily for 6 moths without much
improvement. What would you recommend? - ANSWER Tetracycline (Sumycin)
The following statements are true regarding herpes - ANSWER D/T reactivation of latent
varicella virus
It is more severe in immunocompromised people
Infection of the trigeminal nerve ophthalmic branch can cause cornmeal blindness.
A middle aged black male complains of a history of outbreaks of painful large nodules
and pustules on both his axillae that resolve after treatment with antibiotics. On
physical examination, the NP notices large red nodules that are tender to palpation. In
addition, several pustules are present along with multiple scars on the skin. The nP
advises the patient that the condition is caused by a bacterial infection of the seat
glands in the axillae. Which condition is being described? - ANSWER Hidradenitis
supperativa
A possible side effect from the use of nifedipine is: - ANSWER Edema of the ankles and
headaches
Which maneuver is contraindicated in patients with acute prostatitis? - ANSWER
Massaging the infected prostate
Erysipelas is an infection of the skin most commonly caused by which class of organism -
ANSWER Streptococci
,What is the first line class of antibiotics recommended by the American Thoracic Society
(ATS)for patients younger than 60yrs of age who are diagnosed with community
acquired pneumonia with no comorbidity - ANSWER Macrolide
The following eye conditions are associated with what chronic condition:
Grade 1: general arteriolar constriction seen as "silver wiring" and vascular toruosities
Grade 2: grade 1 plus irregularly located, tight constrictions known as "AV nicking" or
"AV nipping".
Grade 3: grade 2 plus cotton wool spots and flame-shaped hemorrhages.
Grade 4: grade 3 but with swelling of the optic disk (papilledema). - ANSWER Chronic
Uncontrolled Hypertension
What type of eye problem occurs as a result of diabetic neuropathy? - ANSWER Micro
aneurysms
While reviewing some lab reports, the NP notes that one of her teenage male patient's
lab results is abnormal. The liver function tests are all normal except for a slight elevate
in the alkaline phosphates level. The patient is a member of a soccer team and denies
any recent injury. What would be the next step in the evaluation? - ANSWER This is a
normal finding in this age group
What would be appropriate initial management of a second degree burn ? - ANSWER
Irrigate with normal saline and apply Silvadene cream BID
When Molluscum contagious is found on the genital area of children, what would be the
best explanation? - ANSWER It should raise suspicion of child sex abuse
An 80 yr old woman complain about her "thin" and dry skin. What is the best
explanation for her complaint. - ANSWER Loss of subcutaneous fat and lower collagen
content
,The following are true statements regarding licensure of NPs - ANSWER - It ensures a
minimum level of professional competency.
-It grants permission for an individual to practice in a profession
-It requires verification of educational training from an accredited graduate program
What is the proportion of arterioles and veins in the funds of the eye? - ANSWER The
veins are larger than the arterioles
The following conditions are found to increase the risk of _______________ in
predisposed individuals; Hypertension, Excessive alcohol intake in susceptible
individuals, Theophylline and pseudoephedrine. - ANSWER Atrial Fibrillation
At what age can a child copy a cross and ride a bicycle? - ANSWER 4 yrs old
You would associate a positive iliopsoas muscle test result with: - ANSWER Acute
Abdomen
Which cranial nerve innervates the extra ocular muscles of the eyes? - ANSWER CN III,
CN IV, CN VI
Which test confirms the diagnosis of beta thalassemia or sickle cell anemia? - ANSWER
Hemoglobin electrophoresis
These patients have an increased risk of developing adverse effects from Metformin
(Glucophage): - ANSWER Those with renal disease
Those with hypoxia
Obese pts
, Alcoholics
A middle aged hypertensive male presents to a public health clinic with complaints of an
acute onset of fever, shills, and cough that is productive of rusty-colored sputum. The
patient reports episodes of sharp pains on the left side of his back and chest whenever
he is coughing. His temp is 102.2 degrees F., the pulse=100 and BP=130/80. The UA does
not show leuks, nitrites or blood. What is the most likely diagnosis? - ANSWER Bacterial
pneumonia
Lifestyle modifications are an important aspect in the treatment of hypertension. What
are some of the modifications that can be made? - ANSWER Reduce intake of sodium
and saturated fats
Exercise at least 3-4x/day
Maintain an adequate intake of K+, Mag, Ca++
Which class of antihypertensive drugs should a patient weaned off slowly to avoid the
risk of severe rebound hypertension? - ANSWER beta blockers
A 70 yr old male with open angle glaucoma is prescribed Betimol(Timolol) ophthalmic
drops. The following are contraindications to these drops. s - ANSWER Overt heart
failure and sinus bradycardia
Asthmatic patients
Second or third degree AV block
At what time of the day would you recommend a scotch tape test be done to evaluate
for suspected case of enterobiasis? - ANSWER Early in the morning
At what age can a child copy a circle and ride a tricycle - ANSWER 3 years old
