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Which of the following physiological changes would NOT be seen during
pregnancy? - ANSWER ✓ Cardiac output decreases by 1/3 by the last two
trimesters.
Scabies is commonly seen in which of the following populations? - ANSWER ✓
children
institutionalized persons
persons with AIDS
****all of the above
Your patient has a small nodule under the eyelid that moves and feels like a bead.
You understand that this is most likely which of the following? - ANSWER ✓
chalazion- A chalazion is a chronic inflammation of the sweat gland on the eyelid.
It is a small nodule that moves under the skin of the eyelid and is painless. If the
nodule enlarges or does not resolve in a few weeks, a biopsy should be done to rule
out squamous cell cancer.
Which of the following patients should NOT be prescribed tamsulosin? -
ANSWER ✓ A 43 year old female with kidney stones.
Tamsulosin is prescribed only for men. It is not known what the potential side
effects are for women since there are few clinical trials. It is most often used for
BPH, but can also be used for treatment of kidney stones.
A mother brings in her 11-year-old daughter who is having recurrent abdominal
pain. You rule out organic diseases and you develop a therapeutic plan for this
,child. This plan might contain all of the following EXCEPT: - ANSWER ✓
decreasing fiber in the diet
Which of the following is considered a complication associated with giant cell
arteritis? - ANSWER ✓ higher incidence of thoracic aortic aneurysm -
Giant cell arteritis is a systemic panarteritis affecting medium to large size vessels.
Complications of giant cell arteritis include higher incidence of thoracic aortic
aneurysm and blindness.
Arcus senilis in a patient aged 40 years old may be a sign of which of the
following? - ANSWER ✓ hypercholesterolemia.
-Arcus senilis is common in the elderly; but it can also appear earlier in life as the
result of hypercholesterolemia. It is a white, gray, or blue opaque ring in the
corneal margin, or white ring in front of the periphery of the iris.
Knowledge of the cranial nerves (CNs) is critical for accurate neurologic
assessment. Which of the following is the facial nerve? - ANSWER ✓ CN VII
CN VII is the facial nerve. It provides motor innervation to the muscles of facial
expression.
Which of the following injuries to a patient will show no specific radiographic
findings? - ANSWER ✓ tennis elbow
Mr. Barlow is a 50-year-old patient who has epididymitis. Which of the following
findings would NOT be consistent with this diagnosis? - ANSWER ✓ The scrotum
is not normal; it would be swollen
You are assessing the lab work for a patient who is pregnant. You notice that AFP
is high. Which of the following might this indicate? - ANSWER ✓ neural tube
defect
Part of the job of an FNP is educating parents on safety measures for children.
Which type of car seat or restraint is recommended for toddlers and preschoolers? -
ANSWER ✓ forward-facing convertible, combination
Which of the following NSAIDs has the FDA approved for primary
dysmenorrhea? - ANSWER ✓ ibuprofen
indomethacin
, naproxen sodium
****all of the above
A 42-year-old non-smoker is diagnosed with mild community-acquired
pneumonia. He is otherwise healthy and does not need hospitalization at this time.
Which antibiotic can be used for empirical treatment according to the 2007
Infectious Disease Society of America? - ANSWER ✓ azithromycin - macrolide
ATB
You are doing a complete physical exam on a 25-year-old female patient with
sleep apnea. Which of the following are you most likely to find in this patient? -
ANSWER ✓ increased blood pressure
Medicare Part A would cover all but which of the following? - ANSWER ✓
Nursing home care (custodial care)
Mr. Findlay is a patient who has no risk factors for tuberculosis. You administer a
TB test. Which of the following indurations would indicate a positive test for TB in
this patient? - ANSWER ✓ >15mm
An induration of >15 mm in a person who has no risk factors for TB is considered
a positive result. In an HIV-positive person, an induration of >5mm is considered
positive. In persons who have recently arrived from a high-prevalence country an
induration of > 10 mm is considered positive.
Which of the following tests is used to identify the specific source bacteria of
pneumonia and which antibiotics they are sensitive to? - ANSWER ✓ sputum Cx-
Sputum culture is used to identify the specific source bacteria of pneumonia and
which antibiotics they are sensitive to; that is, to determine which antibiotics will
work and which will not.
Which of the following skin lesions is normally greater than 1 cm in size? -
ANSWER ✓ bulla-
A bulla is an elevated superficial blister filled with serous fluid and greater than 1
cm in size. An example of a bulla is a second degree burn blister.
A 70-year-old female presents with a one-sided headache in the temple and
tenderness over the temporal artery. She complains of vision loss in one eye.