CORRECT ANSWERS|LATEST
Your 22 year old male patient states during his review of systems thathis scrotum is very enlar
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ged and feels like it is full a powerlifter and works as a trash collector. You suspect the patient li
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kely has which of the following diagnoses?
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A -Varicocele
B
B -Meningocele
B
C -Rectocele
B
D -Hydrocele - ANSWER
B B B A -Varicocele
B
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when positione
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d in the supine or left lateral decubitus position. Which one of the following locations is most c
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ommonly described as the PMI in a healthy adult?
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A -Left 2nd intercostal space, midaxillary line
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B -Left 5th intercostal space, midclavicular line
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C -Right 4th intercostal space, midaxillary line
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D -Right 2nd intercostal space, midclavicular line - ANSWER
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Left 5th intercostal space, midclavicular line
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A40 year old, female, African American patient presents for history and physical. Upon your ini
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tial assessment, you notice she has severe exophthalmos as pictured below. Which one of the
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following diagnoses below would be the highest on your differential diagnose of this physical
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examination finding? B
A -Bilateral conjunctivitis
B B
B -Hyperthyroidism
B
C -hypothyroidism
B
D -Myexedma - ANSWER
B B B B -Hyperthyroidism
B
1
,Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has unde
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rwent a pulmonary function test (PFT) with spirometry. As the patient's primary healthcare pr
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ovider, you have been asked to explain the findings of the PFT to the patient in afollow-
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up visit at which time the patient asks what the study was evaluating. To describe the PFT to th
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e patient in more useful terms, you state that the large inspiration of air to the furthest extent
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they could reasonably accomplish followed by a full exhalation is referred to as which of the fo
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llowing measurements during the PFT?
B B B B
A -Forced Expiratory Volume over 1 second (FEV1)
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B -Functional Reserve Capacity
B B B
C -Inspiratory Reserve
B B
D -Forced Vital Capacity - ANSWER
B B B B B D -Forced vital capacity
B B B
Your patient has a diagnosis of Addison's disease. Which of the following might you expect to f
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ind during examination?
B B
A -Abdominal striae
B B
B -Dowager hump
B B
C -Low body temperature
B B B
D -Moon face - ANSWER
B B B B B -Dowager hump
B B
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should include w
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hich of the following while evaluating for end organ dysfunction of the disease?
B B B B B B B B B B B B
A -Renal function panel
B B B
B -Urinalysis
B
C -Non-dilated eye exam
B B B
D -All of these are appropriate options - ANSWER
B B B B B B B B D -All of these are appropriate options
B B B B B B
During your visit with a 19 year old patient for a college health physical, your health history inc
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ludes a diagnosis of angioedema. What of the following parts of the body are were likely invol
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ved?
A -Isolated to the colon
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2
,B -Anywhere in the enteral tract
B B B B B
C -Chest
B
D -Face and Lips - ANSWER
B B B B B D -Face and Lips
B B B
Which of the following dermatologic lesions is precancerous and likely due to prolonged expo
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sure to UV-B?
B B
A -Actinic Keratosis
B B
B -Basal cell carcinoma
B B B
C -Verucca
B
D -Seborrheic dermatitis - ANSWER
B B B B A -Actinic Keratosis
B B
Based on your evaluation of ABCDE for melanoma, which of the following represents a suspico
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us finding?
B
A -Irregular borders
B B
B -Symmetrical nature
B B
C -Brown color
B B
D -Diameter of 0.4 cm - ANSWER
B B B B B B A -Irregular borders
B B
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and anhedonia. S
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uspecting a diagnosis of clinical depression, you anticipate the patient will benefit from treatin
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g their underlying deficit of which of the following neurotransmitters?
B B B B B B B B B
A -GABA
B
B -Serotonin
B
C -Dobutamine
B
D -Glutamate - ANSWER
B B B B -Serotonin
B
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should be ev
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aluated for early evidence of renal damage from both diabetes and hypertension. Which of th
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e following assessment tools should the nurse practitioner order first for the evaluation of earl
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y renal dysfunction secondary to diabetes or hypertension?
B B B B B B B
3
, A -BUN/creatinine ratio
B B
B -Urinalysis with micro/macro albumin
B B B B
C -Renal biopsy
B B
D -Urine sodium - ANSWER
B B B B B -Urinalysis with micro/macro albumin
B B B B
While evaluating a patient in your clinic for a routine health visit, you auscultate crackles in the
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poster left lower lobe, have the patient cough, with follow-
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up auscultation revealing clear breath sounds. Which one of the following would you suspect?
B B B B B B B B B B B B B
A -Congestive heart failure
B B B
B -Atelectasis
B
C -Laryngospasm
B
D -Bronchiactasis. - ANSWER
B B B B -Atelectasis
B
Your 39 year old patient who has recently been hospitalized for an appendectomy and is being
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seen in your clinic for post-operative follow-
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up with primary care. On assessment, the patient complains of some incisional pain and other
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wise examination is normal, with the exception of dull percussion sounds noted on the thorax
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over lung tissue. Which of the following diagnoses would be explained by this finding in post-
B B B B B B B B B B B B B B B
operative patient? B
A -Left-sided heart failure
B B B
B -Chronic bronchitis
B B
C -Atelectasis
B
D -Healthy patient with no coexising disease - ANSWER
B B B B B B B B C -Atelectasis
B
You are evaluating a 41 year old female patient in your clinic with symptoms of right upper qua
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drant pain which worsens with deep breathing. The patient exhibits a positive Murphy sign. Th
B B B B B B B B B B B B B B
ese findings are most consistent which one of the following?
B B B B B B B B B
A -Appendicitis
B
B -Cholecystitis
B
C -Crohn's flare
B B
4
Your 22 year old male patient states during his review of systems thathis scrotum is very enlar
B B B B B B B B B B B B B B B B
ged and feels like it is full a powerlifter and works as a trash collector. You suspect the patient li
B B B B B B B B B B B B B B B B B B B
kely has which of the following diagnoses?
B B B B B B
A -Varicocele
B
B -Meningocele
B
C -Rectocele
B
D -Hydrocele - ANSWER
B B B A -Varicocele
B
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when positione
B B B B B B B B B B B B B B
d in the supine or left lateral decubitus position. Which one of the following locations is most c
B B B B B B B B B B B B B B B B B
ommonly described as the PMI in a healthy adult?
B B B B B B B B
A -Left 2nd intercostal space, midaxillary line
B B B B B B
B -Left 5th intercostal space, midclavicular line
B B B B B B
C -Right 4th intercostal space, midaxillary line
B B B B B B
D -Right 2nd intercostal space, midclavicular line - ANSWER
B B B B B B B B B- B
Left 5th intercostal space, midclavicular line
B B B B B
A40 year old, female, African American patient presents for history and physical. Upon your ini
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tial assessment, you notice she has severe exophthalmos as pictured below. Which one of the
B B B B B B B B B B B B B B B
following diagnoses below would be the highest on your differential diagnose of this physical
B B B B B B B B B B B B B B
examination finding? B
A -Bilateral conjunctivitis
B B
B -Hyperthyroidism
B
C -hypothyroidism
B
D -Myexedma - ANSWER
B B B B -Hyperthyroidism
B
1
,Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has unde
B B B B B B B B B B B B B B B
rwent a pulmonary function test (PFT) with spirometry. As the patient's primary healthcare pr
B B B B B B B B B B B B B
ovider, you have been asked to explain the findings of the PFT to the patient in afollow-
B B B B B B B B B B B B B B B B
up visit at which time the patient asks what the study was evaluating. To describe the PFT to th
B B B B B B B B B B B B B B B B B B
e patient in more useful terms, you state that the large inspiration of air to the furthest extent
B B B B B B B B B B B B B B B B B B
they could reasonably accomplish followed by a full exhalation is referred to as which of the fo
B B B B B B B B B B B B B B B B
llowing measurements during the PFT?
B B B B
A -Forced Expiratory Volume over 1 second (FEV1)
B B B B B B B
B -Functional Reserve Capacity
B B B
C -Inspiratory Reserve
B B
D -Forced Vital Capacity - ANSWER
B B B B B D -Forced vital capacity
B B B
Your patient has a diagnosis of Addison's disease. Which of the following might you expect to f
B B B B B B B B B B B B B B B B
ind during examination?
B B
A -Abdominal striae
B B
B -Dowager hump
B B
C -Low body temperature
B B B
D -Moon face - ANSWER
B B B B B -Dowager hump
B B
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should include w
B B B B B B B B B B B B B B
hich of the following while evaluating for end organ dysfunction of the disease?
B B B B B B B B B B B B
A -Renal function panel
B B B
B -Urinalysis
B
C -Non-dilated eye exam
B B B
D -All of these are appropriate options - ANSWER
B B B B B B B B D -All of these are appropriate options
B B B B B B
During your visit with a 19 year old patient for a college health physical, your health history inc
B B B B B B B B B B B B B B B B B
ludes a diagnosis of angioedema. What of the following parts of the body are were likely invol
B B B B B B B B B B B B B B B B
ved?
A -Isolated to the colon
B B B B
2
,B -Anywhere in the enteral tract
B B B B B
C -Chest
B
D -Face and Lips - ANSWER
B B B B B D -Face and Lips
B B B
Which of the following dermatologic lesions is precancerous and likely due to prolonged expo
B B B B B B B B B B B B B
sure to UV-B?
B B
A -Actinic Keratosis
B B
B -Basal cell carcinoma
B B B
C -Verucca
B
D -Seborrheic dermatitis - ANSWER
B B B B A -Actinic Keratosis
B B
Based on your evaluation of ABCDE for melanoma, which of the following represents a suspico
B B B B B B B B B B B B B B
us finding?
B
A -Irregular borders
B B
B -Symmetrical nature
B B
C -Brown color
B B
D -Diameter of 0.4 cm - ANSWER
B B B B B B A -Irregular borders
B B
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and anhedonia. S
B B B B B B B B B B B B B
uspecting a diagnosis of clinical depression, you anticipate the patient will benefit from treatin
B B B B B B B B B B B B B
g their underlying deficit of which of the following neurotransmitters?
B B B B B B B B B
A -GABA
B
B -Serotonin
B
C -Dobutamine
B
D -Glutamate - ANSWER
B B B B -Serotonin
B
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should be ev
B B B B B B B B B B B B B B
aluated for early evidence of renal damage from both diabetes and hypertension. Which of th
B B B B B B B B B B B B B B
e following assessment tools should the nurse practitioner order first for the evaluation of earl
B B B B B B B B B B B B B B
y renal dysfunction secondary to diabetes or hypertension?
B B B B B B B
3
, A -BUN/creatinine ratio
B B
B -Urinalysis with micro/macro albumin
B B B B
C -Renal biopsy
B B
D -Urine sodium - ANSWER
B B B B B -Urinalysis with micro/macro albumin
B B B B
While evaluating a patient in your clinic for a routine health visit, you auscultate crackles in the
B B B B B B B B B B B B B B B B
poster left lower lobe, have the patient cough, with follow-
B B B B B B B B B B
up auscultation revealing clear breath sounds. Which one of the following would you suspect?
B B B B B B B B B B B B B
A -Congestive heart failure
B B B
B -Atelectasis
B
C -Laryngospasm
B
D -Bronchiactasis. - ANSWER
B B B B -Atelectasis
B
Your 39 year old patient who has recently been hospitalized for an appendectomy and is being
B B B B B B B B B B B B B B B
seen in your clinic for post-operative follow-
B B B B B B B
up with primary care. On assessment, the patient complains of some incisional pain and other
B B B B B B B B B B B B B B
wise examination is normal, with the exception of dull percussion sounds noted on the thorax
B B B B B B B B B B B B B B B
over lung tissue. Which of the following diagnoses would be explained by this finding in post-
B B B B B B B B B B B B B B B
operative patient? B
A -Left-sided heart failure
B B B
B -Chronic bronchitis
B B
C -Atelectasis
B
D -Healthy patient with no coexising disease - ANSWER
B B B B B B B B C -Atelectasis
B
You are evaluating a 41 year old female patient in your clinic with symptoms of right upper qua
B B B B B B B B B B B B B B B B B
drant pain which worsens with deep breathing. The patient exhibits a positive Murphy sign. Th
B B B B B B B B B B B B B B
ese findings are most consistent which one of the following?
B B B B B B B B B
A -Appendicitis
B
B -Cholecystitis
B
C -Crohn's flare
B B
4