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Questions and Answers
During a post-hospital discharge visit, you notice your 71 year old female patient has been diagnosed
with a "new murmur" found by the hospitalist during their recent hospitalization for CHF
exacerbation. In evaluating the patient, during which phase of the cardiac cycle would you anticipate
auscultation of a S3 or S4 heart sound?
*Diastole
*53 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole
Diastole
A 16-year-old female patient with heavy menses has been diagnosed with iron deficiency anemia.
She is also having longer and more irregular periods than is typical as well as extremely painful
cramping. You would likely need to consider which of the following diagnoses in your workup:
*Sarcoidosis.
*Endometriosis.
*Pelvic inflammatory disease.
*Thalassemia.
Endometriosis
While managing the care of the patient with chronic alcoholism, the nurse practitioner would likely
anticipate which findings on the CBC with differential?
*Low MCV and MCH.
*Normal MCV and MCH.
*Chronic alcoholism will not affect the differential.
*Elevated MCV and MCH.
Elevated MCV and MCH.
,Your 43 year old female patient with no otherwise remarkable health history has a routine health
visit and when evaluating the labwork, you notice a platelet count of 80,000. Which of the following
is a correct diagnosis for this patient?
*Thrombastemia.
*Pancytopenia.
*Thrombocytopenia.
*Thrombocytosis.
Thrombocytopenia
The nurse practitioner is caring for a patient with an elevated WBC, fever, chills, and malaise. When
developing a differential diagnosis for this finding, which of the following is not a potential cause of
the elevated WBC?
*Sepsis.
*Diabetes Mellitus Type 2.
*Leukemia.
*Recent oral corticosteroid therapy.
Diabetes Mellitus Type 2.
After a recent hospitalization for weakness, a diagnosis of myasthenia gravis has been made in a
patient under your long term management. In the process of the examination, a CT of the chest was
performed, and an object was identified as enlarged and was
remarked that it needs to be removed as it is thought to be related to this diagnosis. The patient
now in your clinic states they don't remember what the object was and hoped you might know. The
prudent nurse practitioner understands that the item likely represents which of the following?
*Potts tumor.
*Coumeral's diverticulum.
*Arenal tumor.
*Thymic remnant.
Thymic remnant.
,While working as a volunteer nurse practitioner at a college football game, a 17 year old female
patient who was at the football game has received a bee sting. She is experiencing swelling of the
face and is having difficulty breathing. Which of the following representsrect
the most common diagnosis?
*Type 2 hypersensitivity reaction.
*Angioedema.
*Tachyphylaxis.
*IgE mediated type 1 hypersensitivity reaction
IgE mediated type 1 hypersensitivity reaction
As a prudent nurse practitioner, you know that a 28 year old male patient with human
immunodeficiency virus (HIV) would be considered well managed when they have which of the
following in addition to having undetectable or very low viral copies?
*CD4 count of 100.
*CD4 count undetectable.
*CD4 count of 500.
*CD4 count of 50.
CD4 count of 500.
Your 22 year old female patient has been identified by labwork for a diagnosis of Systemic Lupus
Erythematosus (SLE). In addition to labwork, SLE si most commonly identified by which of the
following findings?
*Butterfly rash on the face.
*Myoglobinuria.
*Elevated WBC count.
*Diffuse rash on the torso.
Butterfly rash on the face
Your 38 year old male patient Mark is being seen in your clinic for routine health physical and
complaints of heartburn. During your evaluation you identify darkened or velvety skin in the neck,
groin, and/or axilla with associated achrocordons. This is most likely a
, diagnosis of which of the following?
*Seborrheic Kerstosis
*Actinic keratosis
*Keratoacanthoma
*Acanthuses nigricans
Acanthuses nigricans
Your 21 year old sexually active female patient states during a routine health exam that they have
some "weird bumps" on their vulva.
She is concerned she has a sexually transmitted infection. You notify her that condyloma are caused
by exposure to which of the following?
*Chlamydia
*Herpes zoster
*Human papilomavirus type 6 and 1
*Parvovirus B19
Human papilomavirus type 6 and 1
Your patient has expressed concern about a skin lesion which you identify as darkened, round, and
raised. This benign lesion that appears like "stuck on" to the skin. Which of the following lesions best
fits this description?
*Seborrheic Keratosis.
*Hemangioma.
*Basal cell carcinoma.
*Achrocordon.
Seborrheic Keratosis.
A62 year old female patient with erythema on the face surrounding the nasolabial folds as well as
very fine dandruff in the hair and skin is most likely describing with which of the following diseases?
*Rosacea.
*Tinea capitis.