3P EXAM WITH ACTUAL QUESTIONS AND CORRECTLY WELL DEFINED ANSWERS.

When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means: - correct answer Refer the patient to an opthalmologist The American psychiatric association's diagnostic and statistical manual of mental disorder defines Munchausen Syndrome By Proxy - correct answer A caregiver making up or causing an illness or injury in a person under his or her care Symptoms of depression are a side effect of which neurotransmitter medication? - correct answer Dopamine (serotonin, norepinephrine) Which lesion is dark raised and asymmetric with irregular border? - correct answer Melanoma A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting periorbital edema this finding is suggestive of this condition? - correct answer Myxedema A 42 years old woman with a past medical history of migraine headaches is requesting prophylactic medication treatment. Which medication should the Nurse practitioner prescribe? - correct answer Amitriptyline (Elavil) A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This clinical finding is consistent with: - correct answer Tinea Capitis What is the appropriate prophylactic medication for an 18 years old woman with a past medical history of migraine headaches? - correct answer Propanolol (Inderal) Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life - correct answer Her age and tobacco use During the breast examination of a perimenopausal woman the NP detects a bloody spontaneous discharge from the right nipple. This indicates further evaluation. - correct answer An intraductal papilloma Rh negative women should receive Rho (D) immunoglobulin at what gestational time? - correct answer 28 wks When interpreting a complete blood count (CBC) lab report which of the following results describes the size of the RBCs? - correct answer Mean corpuscular volume (MCV) What medication should be avoided when prescribe prophylactic therapy for headache - correct answer Venlataxin (Effexor) What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of the great arteries - correct answer To produce vasodilation on.... Which of the following complaints best describes lower extremity calf pain associated with peripheral artery disease - correct answer A dull pain or cramp Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47- year-old premenopausal woman? - correct answer Gynecomastia When treating a patient with asthma who is experiencing acute wheezing which medication should be given to relieve the symptom? - correct answer Short acting bronchodilator Which immunization reduces a patient's risk for infection with the virus that causes painful localized blistering rash? - correct answer Shingles (herpes zoster) vaccine Headache warning signs that need prompt investigation include all of the following EXCEPT: - correct answer Headache relieved with mild infrequent use of analgesics The client with iron deficiency anemia should be advised to take the iron supplement - correct answer on an empty stomach between meals Which one of the following statements is true of Munchausen syndrome by proxy? - correct answer Under the supervision of adults other than the abuser, the patient does not exhibit symptoms Which of the following is the most common presenting sign of substance abuse in adolescents? - correct answer Changes in behavior A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to document her maternal status - correct answer Gravida 4 Para 1114 The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years old patient. The Nurse Practitioner should asses the patents - correct answer Right forearm and hand Anticholinergics are indicated for the treatment of - correct answer urge incontinence A patient presents with signs of chest pain, the nurse practitioner observes jugular venous distention. Their finding is consistent with - correct answer heart failure On examination of the neck, a dome shaped lesion in the dermis forming a benign closed firm sac attached to the epidermis is noted on the right lateral side of the neck. The type of lesion is known as - correct answer a cutaneous cyst Symptoms of heartburn and regurgitation are associated with: - correct answer GERD A 70 years old man walks 20 minutes most days of the week. He has begun to complain of pain of his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 20 minutes walks without stopping to rest. What choice best describes the pain associated with peripheral artery disease? - correct answer A dull pain and cramp Papilledema is a cause for concern because it is suggestive of - correct answer Increased intracranial pressure A 38-year-old patient with a history of abdominal pain presents to the nurse practitioner. Findings reveal superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. Hemorrhagic pancreatic is suspected because of which finding? - correct answer A positive cullens sign A 57 years old post-menopausal female presents with a complaint of vaginal burning, pruritus and painful intercourse. On examination, the nurse practitioner would be most concern with the findings - correct answer A friable cervix What intervention does the American College of Rheumatology recommend as first line therapy for Osteoarthritis, rheumatoid arthritis or something else - correct answer Exercise and weight loss Which of the following drugs is not contraindicated for concurrent use with warfarin (Coumadin)? - correct answer Amoxicillin The lymphatic ducts drain into the - correct answer venous system Which of the following is the most appropriate treatment for trichomoniasis in a non- pregnant woman? - correct answer Flagyl Osteosarcoma in a pediatric patient is most often diagnosed when there is: - correct answer Pain in the affected bone In a patient who has a history of migraine headaches, which characteristics is most common? - correct answer Family history Symptoms associated with small bowel obstruction usually include: - correct answer nausea vomitting Unilateral rhinitis could be caused by all of the following except - correct answer Drug induced rhinitis A 7 years old child has been diagnosed with acute sinusitis. The drug class that should be avoided is: - correct answer Antihistimines A patient present with an elongated head with bony prominence of the forehead, nose and lower jaw. These facial features could be suggestive of: - correct answer Acromegaly Why would a child diagnosed with beta thalassemia and hemosiderosis receive deferoxamine (desferal)? - correct answer To eliminate excessive iron and prevent organ damage A patient has newly diagnosed hypothyroidism. What are the patients TSH level expected to be? - correct answer Higher than normal Which of the following symptoms would be a clinical manifestation noted during the secondary stage of syphilis? - correct answer Rash marked by red or reddish-brown, penny-sized lesions over the palms and soles An 84yo male with prostatic hypertrophy is at an increased risk of - correct answer UTIs A characteristic lesion observed in a male with primary syphilis is a: - correct answer Chancre During an acute attack of gout, the nurse practitioner knows NOT to prescribe - correct answer Allopurinol (zyloprim) What two vitamins and minerals should be included in oral multivitamins in women - correct answer folic acid and iron n a patient with bacterial meningitis, the most common reason for finding of headaches: - correct answer increased intracranial pressure