Solved Correct.
In examination of the nose, the clinician observes gray, pale mucous membranes with clear,
serous discharge. This is most likely indicative of: - Answer b) Allergic rhinitis
Your patient complains of a feeling of heaviness in the lower legs daily. You note varicosities,
edema, and dusky color of both ankles and feet. Which of the following is the most likely cause
for these symptoms? - Answer c) Venous insufficiency
Which of the following is the most important question to ask during cardiovascular health
history? - Answer c) The sudden death of a family member
Rheumatic heart disease is a complication that can arise from which type of infection? - Answer
c) Group A beta hemolytic streptococcus
[p. 515 Primary Care: Art and Science]
A cough is described as chronic if it has been present for: - Answer b) 8 weeks or more
[p. 357 Primary Care]
A key symptom of ischemic heart disease is chest pain. However, angina equivalents may
include exertional dyspnea. Angina equivalents are important because - Answer a) Women
with ischemic heart disease many times do not present with chest pain b) Some patients may
have no symptoms or atypical symptoms; diagnosis may only be made at the time of an actual
myocardial infarction
d) A & B only [p. 453]
A woman with an X-linked dominant disorder will: - Answer b) Transmit the disorder to 50% of
her offspring (male or female)
A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on
heavy exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm
without ST segment abnormalities. Your plan may include: - Answer b) Exercise stress test
The aging process causes what normal physiological changes in the heart? - Answer a) The
, Your patient is a 78-year-old female with a smoking history of 120-pack years. She complains of
hoarseness that has developed over the last few months. It is important to exclude the
possibility of: - Answer b) Laryngeal cancer
In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds
a suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology.
Which is the most common oral precancerous lesion? - Answer d) Leukoplakia
A 20-year-old engineering student complains of episodes of abdominal discomfort, bloating,
and episodes of diarrhea. The symptoms usually occur after eating, and pain is frequently
relieved with bowel movement. She is on a "celiac diet" and the episodic symptoms persist.
Physical examination and diagnostic tests are negative. Colonoscopy is negative for any
abnormalities. This is a history and physical consistent with: - Answer b) Irritable bowel
syndrome
The most common cause of eye redness is - Answer a) Conjunctivitis
In AR disorders, carriers have - Answer D. One copy of a gene mutation but not the disease
According to the Genetic Information Nondiscrimination Act (GINA): - Answer a) Nurse
Practitioners (NPs) should keep all genetic information of patients confidential
b) NPs must obtain informed consent prior to genetic testing of all patients
c) Employers cannot inquire about an employee's genetic information
d) All of the above ***
Aortic regurgitation requires medical treatment for early signs of CHF with: - Answer b) ACE
inhibitors
Which of the following is the most common cause of heartburn-type epigastric pain? - Answer
d) Peptic ulcer disease
The best way to diagnose structural heart disease/dysfunction non-invasively is: - Answer c)
Echocardiogram