ACTUAL QUESTIONS AND ANSWERS
GRADED A+ SOUTH UNIVERSITY
A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a
chest x-ray that shows infiltrates. Which of the following medications is first line
treatment?
A. Amoxicillin
B. Levofloxacin
C. Azithromycin
D. Doxycycline
B. Levofloxacin
A 58 year old female is found to be euthyroid. Which of the following is the next
step of care?
A. Repeat TSH in 4-6 weeks.
B. Increase levothyroxine until therapeutic.
C. Monitor TSH annually unless symptoms develop
D. Decrease levothyroxine until therapeutic.
C. Monitor TSH annually unless symptoms develop.
,A 44 year old obese woman complains of abdominal pain. What physical
assessment finding might indicate that the etiology of her pain is acute
cholecystitis?
A. Pain at McBurney's point.
B. Positive Murthy's sign
C. Severe epigastric pain
D. Thinking bowel sounds
B. Positive Murphy's sign
A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a
chest x-ray that shows infiltrates. Which of the following is the most likely
pathogen?
A. H. flu
B. S. Pneumoniae
C. B. Pertussis
D. Viral infection
A. H. flu.
A 56 year old male has suspected COPD. Which of the following symptoms are
indicative of COPD?
A. Progressive dyspnea
, B. Acute cough
C. Sputum productive over the past 2 months
D. FEV1/FVC ratio >0.70
E. Alpha-1 antitrypsin deficiency
A. C. E.
Chronic cough >8 weeks and FEV1/FVC ration <0.70.
A 32 year old man has acute bronchitis. He is a non smoker and is otherwise
healthy. How should he be managed?
A. Treat symptoms only
B. Prescribe a macrolide antibiotic.
C. Prescribe an an antitussive.
D. Prescribe an antibiotic and antitussive.
A. Treat symptoms only
An 84 year old male has acute bronchitis. Which of the following tests would you
perform as the Nurse Practitioner?
A. Sputum culture
B. Chest X-ray
C. Chest CT
D. Chest MRI
B. Chest X-ray