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What does a KOH prep help the NP diagnose? - ANSWER ✓ Yeast infections
The following medications are SSRIs - ANSWER ✓ Prozac, Zoloft, Paxil CR
The following tests require the patient's voice to perform - ANSWER ✓
Egophony, Tactile fremitus, Whispered pectoriloquy
When checking for a red-reflex on a 3 y/o boy during a well child visit, a white
reflection is seen on a child's left pupil. What condition should be ruled out? -
ANSWER ✓ Retinoblastoma of the left eye
The following diseases are reportable to the health department. - ANSWER ✓
Lyme Disease
Gonorrhea
Syphilis
A menopausal woman with osteopenia is attending a dietary education class.
Which foods would likely be recommended for her - ANSWER ✓ Yogurt and
Sardines
A patient who is on warfarin sodium i advised to avoid eating large amounts of
leafy green vegetables because: - ANSWER ✓ The high levels of Vit K will
decrease bleeding time.
You are following up on a 65 yo male who has been on a new prescription of
fluvastatin (Lescol) for 6 wks. During follow-up visits, he reports feeling
extremely fatigued an having dark colored urine. He denies any generalized muscle
,soreness. What is the most appropriate treatment plan? - ANSWER ✓ Order Liver
Function Profile
Stop taking medication
Possible acute drug induced hepatitis
You are reviewing a bilirubin of a 3 day old full term neonate. You note that it is
10mg/dL. The infant has a slight yellow color to his skin, mucous membranes, and
sclera. The infant is feeding well, is not irritable and has 8-10 wet diapers per day.
What would you recommend? - ANSWER ✓ Keep on monitoring the infant's
bilirubin until it returns to normal in about a week.
The DPT and DT should not be given after what age? - ANSWER ✓ 7th birthday
How often should the Td be given? - ANSWER ✓ Every 10 yrs
What is a possible side effect of the Td vaccine? - ANSWER ✓ induration at the
injection site
What is the recommended initial treatment for a white adult with
microalbuminuria (chronic kidney disease) according to the JNC8 2014 Evidence
Based Guidelines? - ANSWER ✓ Angiotensin-converting enzyme (ACE)
inhibitors
A woman is being evaluated by the NP for complaints of dyspareunia. A
microscopy slide reveals a large number of atrophic squamous epithelial cells. The
vaginal pH is 4.0. There are very few leukocytes and no RBCs are seen on the wet
smear. What diagnosis is most likely? - ANSWER ✓ Atrophic vaginitis
A test called the visual field by confrontation is used to evaluate for - ANSWER ✓
Peripheral vision
The following skin findings are considered macules. - ANSWER ✓ Freckle,
Petechiae, A flat 0.5 brown birthmark
Clara is a 20-yr old college student who reports to the student health clinic with a
laceration in her left hand. She tells the NP that she cut her hand while working in
her garden. Her last Td booster was 5.5 yrs ago. What is the follow up plan? -
,ANSWER ✓ Administer the booster dose of the Td vaccine because it's been more
than 5yrs.
The apex of the heart is located at the? - ANSWER ✓ Left side of the sternum at
the 5th ICS by the midclavicular line
Do breastfed or bottle fed babies have a higher incidence of hyperbilirubinemia? -
ANSWER ✓ Breast fed
What is the mechanism of breast milk jaundice? - ANSWER ✓ Unknown
When does jaundice occur for breastfed infants? - ANSWER ✓ After the first
week of life
Koilonychia i associated with which condition? - ANSWER ✓ Iron deficiency
anemia
An abnormal shape of the nail, thin nailed, irregular edges and curves inward -
ANSWER ✓ Koilonychia
What laboratory test is positive in a large number of patients with systemic lupus
erythematous? - ANSWER ✓ Antinuclear antibody (ANA)
The S3 component of the heart sound occurs very early in diastole and is
sometimes called what? - ANSWER ✓ Opening snap
The S3 component of the heart sound is normal to find in which patients? -
ANSWER ✓ some children, healthy young adults, athletes
The S3 component if heard in an adult can signify what? - ANSWER ✓
Congestive Heart Failure
A positive straight leg raise test is indicative of what? - ANSWER ✓
Inflammation of the sciatic nerve/herniated disc
What would you recommend for on an annual basis for an elderly type 2 diabetic?
- ANSWER ✓ A dilated eye exam with an ophthalmologist
A podiatrist once or twice a year
, Flu shot annually
Pneumovax if over 60
Take baby ASA 81mg a day
A 72 y/o female complains to you of a crusty and non healing small unclear on her
upper lip that she has had for several years. What would you recommend? -
ANSWER ✓ The patient needs to be referred to a dermatologist for further
evaluation.
Heberden's nodes are commonly found in which disease? - ANSWER ✓
Degenerative joint disease
The red blood cells in a pernicious anemia will show? - ANSWER ✓ Macrocytic
and Normochromic cells
You notice a medium pitched harsh systolic murmur during an episodic exam. It is
best heard at the right upper border of the sternum. What is the most likely
diagnosis? - ANSWER ✓ Aortic stenosis
A small abscess on a hard follicle on the eyelid is called - ANSWER ✓
Hordeolum
A thickening of the bulbar conjunctiva located on the inner and outer margins of
the cornea - ANSWER ✓ Pinguecula
A thickening of the conjunctiva located on the nasal or temporal cornea. -
ANSWER ✓ Pterygium
What eye problem is caused by the UV light of long term sun exposure. -
ANSWER ✓ Pinguecula and Pterygium
The drooping of upper eyelid - ANSWER ✓ Ptosis
What is indicated for the prophylactic treatment of migraine headache? -
ANSWER ✓ Propanolol (Beta blocker) and TCA
A 40 y/o male complains to the NP of severe stabbing pains behind his eft eye for
the past 2 days. It is accompanied by some nasal congestion and rhiinorrhea, which