D118 NURS 6820
Adult Primary Care
OA Review (Qns & Ans)
2025
1. Multiple Choice
Question : Which of the following is the most appropriate initial
diagnostic test for a 55-year-old male presenting with hematuria
and no other symptoms?
a) Complete blood count (CBC)
b) Computed tomography (CT) urography
c) Urinalysis with urine microscopy
d) Abdominal ultrasound
©2025
, ANS : c) Urinalysis with urine microscopy
Rationale : Urinalysis is the most appropriate initial test to
evaluate hematuria, as it provides basic information about the
presence of red blood cells, infection, or proteinuria.
---
2. Fill-in-the-Blank
Question : The first-line medication class for treating Stage 1
hypertension in adults with no comorbidities is __________.
ANS : Thiazide diuretics
Rationale : Thiazide diuretics are recommended as initial
therapy for uncomplicated hypertension due to their efficacy and
cost-effectiveness.
---
3. True/False
Question : Statins are contraindicated in pregnant patients due
to their potential teratogenic effects.
ANS : True
©2025
, Rationale : Statins are contraindicated in pregnancy because
they interfere with cholesterol synthesis, which is essential for
fetal development.
---
4. Multiple Response
Question : Which risk factors are commonly associated with
Type 2 diabetes mellitus?
a) Obesity
b) Sedentary lifestyle
c) Autoimmune conditions
d) Family history of diabetes
ANSs : a) Obesity, b) Sedentary lifestyle, d) Family history of
diabetes
Rationale : Obesity, inactivity, and genetic predisposition are
significant risk factors for Type 2 diabetes, while autoimmune
conditions are more closely linked to Type 1 diabetes.
---
©2025
, 5. Multiple Choice
Question : For a 70-year-old patient with atrial fibrillation and
no significant bleeding risk, which anticoagulant is most
appropriate for stroke prevention?
a) Aspirin
b) Warfarin
c) Apixaban
d) Clopidogrel
ANS : c) Apixaban
Rationale : Direct oral anticoagulants like apixaban are
preferred for stroke prevention in atrial fibrillation due to their
efficacy and lower bleeding risk compared to warfarin.
---
6. Fill-in-the-Blank
Question : The recommended screening interval for colorectal
cancer in adults aged 50–75 at average risk is every __________
years for a colonoscopy.
ANS : 10
©2025
Adult Primary Care
OA Review (Qns & Ans)
2025
1. Multiple Choice
Question : Which of the following is the most appropriate initial
diagnostic test for a 55-year-old male presenting with hematuria
and no other symptoms?
a) Complete blood count (CBC)
b) Computed tomography (CT) urography
c) Urinalysis with urine microscopy
d) Abdominal ultrasound
©2025
, ANS : c) Urinalysis with urine microscopy
Rationale : Urinalysis is the most appropriate initial test to
evaluate hematuria, as it provides basic information about the
presence of red blood cells, infection, or proteinuria.
---
2. Fill-in-the-Blank
Question : The first-line medication class for treating Stage 1
hypertension in adults with no comorbidities is __________.
ANS : Thiazide diuretics
Rationale : Thiazide diuretics are recommended as initial
therapy for uncomplicated hypertension due to their efficacy and
cost-effectiveness.
---
3. True/False
Question : Statins are contraindicated in pregnant patients due
to their potential teratogenic effects.
ANS : True
©2025
, Rationale : Statins are contraindicated in pregnancy because
they interfere with cholesterol synthesis, which is essential for
fetal development.
---
4. Multiple Response
Question : Which risk factors are commonly associated with
Type 2 diabetes mellitus?
a) Obesity
b) Sedentary lifestyle
c) Autoimmune conditions
d) Family history of diabetes
ANSs : a) Obesity, b) Sedentary lifestyle, d) Family history of
diabetes
Rationale : Obesity, inactivity, and genetic predisposition are
significant risk factors for Type 2 diabetes, while autoimmune
conditions are more closely linked to Type 1 diabetes.
---
©2025
, 5. Multiple Choice
Question : For a 70-year-old patient with atrial fibrillation and
no significant bleeding risk, which anticoagulant is most
appropriate for stroke prevention?
a) Aspirin
b) Warfarin
c) Apixaban
d) Clopidogrel
ANS : c) Apixaban
Rationale : Direct oral anticoagulants like apixaban are
preferred for stroke prevention in atrial fibrillation due to their
efficacy and lower bleeding risk compared to warfarin.
---
6. Fill-in-the-Blank
Question : The recommended screening interval for colorectal
cancer in adults aged 50–75 at average risk is every __________
years for a colonoscopy.
ANS : 10
©2025
