VERSION [QUESTIONS AND ANSWERS] WITH STUDY GUIDE DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
In the employee health office, you have diagnosed latent TB in an employee who has a
positive tuberculin skin test (TST) You have a positive QuantiFERON (QFT) test and a
chest x-ray that shows no active disease. What other diagnostic test would you order
before starting this employee on INH therapy? - CORRECT ANSWER LFT
The estimated attributed cause of lung cancer from active cigarette smoking is? -
CORRECT ANSWER 90%
Assessment finding of greatest concern in an individual who smokes with a chronic
cough that warrants CT scan - CORRECT ANSWER Persistent cough or change
As a primary care clinician, recommendations you would give a patient for smoking
cessation would be all the following except? - CORRECT ANSWER Recommend
against e-cigs
Bacterial causes of acute bronchitis include all of the following except: - CORRECT
ANSWER Pneumonia
All of the following are expected symptoms of pneumonia EXCEPT: - CORRECT
ANSWER read the question
carefully-altered mental status is not an answer
Which of the following is done to confirm a diagnosis of pneumonia? - CORRECT
ANSWER Chest Xray/Chest
radiograph
Guidelines recommend high risk patients be screened for lung cancer beginning at -
CORRECT ANSWER 55
Which of the following best describes asthma? - CORRECT ANSWER Chronic
airway inflammation with
superimposed bronchospasms
Treatment for a pulmonary embolus would include all the following pharmacological
agents except? - CORRECT ANSWER Plavix
Classic EKG changes seen in an individual with pulmonary emboli are: - CORRECT
ANSWER T inverted waves
in lead 3, S waves in lead 1, Q waves in lead 3
, A patient presents to your office with significant shortness of breath, tachycardia, and
recent history of travel. Your immediate concern would be to rule out? - CORRECT
ANSWER Pulmonary Embolism
Which of the following statements about lung cancer is NOT true? - CORRECT
ANSWER Usually dx early
Which of the following is NOT part of the differential diagnosis for a patient who
complains of cough? - CORRECT ANSWER Obesity
Which of the following is the gold standard in assessment and diagnosis of COPD? -
CORRECT ANSWER Post-
Bronchodilated spirometery (spirometery is the gold standard)
An example of a SAMA you would use in the treatment of COPD is: - CORRECT
ANSWER ipratropium/Atrovent
HFA (short acting)
A patient diagnosed with acute bronchitis and cough 5 days ago, calls to report that his
cough is persistent since yesterday. He has no other new symptoms. How should the
NP
manage this patient? - CORRECT ANSWER Order an antitussive (for relief and
severity of cough),
Dextromethorphan/Guaitenn soml, Deloyn 10ml BID
Ryan is a 28 year old male who presents to your practice with symptoms consistent with
acute bronchitis. Risk factors associated with acute bronchitis include the following
EXCEPT? - CORRECT ANSWER Male gender
When providing Ryan with patient education about his acute bronchitis, you explain
acute bronchitis is - CORRECT ANSWER Acute onset or persistent cough with or
without sputum
A 50 year old male patient presents to your practice with cough, pharyngitis, nasal
discharge, and fever. Which of these symptoms is most common with acute bronchitis?
- CORRECT ANSWER cough
A 25 year old female presents to the office with a hx of asthma. She states that she was
uses her albuterol inhalers 2-3 times a week with good relief symptoms and that is why
she doesn't use the ICS that was previously prescribed. She does not consider her
asthma to interfere with her life. She is requesting a refill of her albuterol. Your priority
advise to the patient is that - CORRECT ANSWER not effective recommend ICS