Aanp Agpcnp Psi Test 1 & 2 Final
Exam Questions With Correct
Answers
An P 88-year-old P presents P with P right-
side Pweakness Pafter Pbeing Punable Pto Prise Punassisted Pfollowing Pa Pfall Pto Pthe Pbathroom Pfloor.
PHistory Pinclu Pdes Paphasia Pand Pnoncompliance Pwith Phypertension Pmedication Pregimen. PWhat Pis
Pthe Pmost Plikely Pdiagnos Pis?
Left-sided Por Pright-sided PCVA? P- Pcorrect Panswer-LEFT-SIDED PCVA
Which P of P the P following P signs/symtpoms P are P often P associated P with P headahces P due P to
P intracranial P tumor?
1) pain P worse P laying P down, P focal P neurological P signs
2) Hyperflexia, P personality P change
3) acute P onset: P hours P to P days
4) pupillary P constriction; P stupor P - P correct P answer-1) P pain P worse P laying P down, P focal P neurological
P signs
Which Pof Pthe Pfollowing Ppharmacotherapeutics Pwould Pbe Pmost Pimportant Pto Padminister Pto Pa
Ppatient Pwho Phas Pa Pcorneal Pabrasion?
1) Timolol
2) Gentamicin P ophthalmic
3) Cromolyn P optha
4) Olopatadine P - P correct P answer-2) P Gentamicin P ophthalmic P (Genoptic)
,A P 25-year-
old P presents P with Pthe P chief P complaint P of P decreased P mobility P and P pain P of P the P right
P shoulder P exacerbated Pby Pmovement. PThe Ppatient Preports Pthat Phe Pparticipated Pin Pextensive
Phouse Ppainting P24 Phours Pprior Pto Pthe P onset P of P pain. P He P denies P any P trauma. P Passive
P ROM P is P intact. P No P redness P or P ecchymosis P is P present. P Wh Pat P is P the P next P step P to P be
P taken P in P order P to Pmake P a P diagnosis?
1) Xray P of P shoulder
,2) Palpate P structures P around P the P shoulder.
3) MRI P of P shoulder
4) EMG P - P correct P answer-2) P palpate P structures
A P 16-year-old P female P in P the P first P month P of P taking P Ortho-
Novum P7/7/7 Pcomplains Pof Pmidcycle Pspotting. PShe Phas Pnot Pmissed Pany Pdoses Pand Puses Pno
Pother Pmedicat P ion. PWhich Pof Pthe Pfollowing Pis Pappropriate?
1) Changing P to P Ortho-Novum P 1/35
2) Discontinue P use
3) Providing P reassurance
4) Double P dose-for P two P days P - P correct P answer-3) P provide P reassurance
According Pto Pthe PReport Pof Pthe PU.S. PPreventive PServices PTask PForce, Pwhich Pof Pthe
Pfollowing Pis PNOT Pa P current Precommendation Pguideline Pfor Ppreventive Pcare Pin Pelderly
Pfemale Ppatients?
1) Mammogram P and P clinical P breast P exams
2) Fecal P Occult P blood P test P and/or P sig
3) Rubella P serology P or P vaccination P history
4) Pnuemo P and P influenza P vaccines P - P correct P answer-3) P Rubella P serology P or P vaccination P history
87 Py/o PNH Ppatient Pis Pdrowsy Pand Pbarely Presponsive. PTemp P95, PBP: P110/70, PPulse P60, PRA10.
PThe Pbest Pact P ion Pis Pto:
1) initiate P passive P warming
2) apply P a P rebreather
3) Perform P fluid P replacement
4) initiate P active P warming P - P correct P answer-1) P initiate P passive P rewarming
A Ppatient Pis Preferred Pwith PDM, P HTN Pand PCAD. PHe Pis Pon Pinsulin Pand Pa Pbeta Pblocker.
PHow Pwould Pyou Ped P ucate Pthis Ppatient Pon Precognizing Pthe Psigns Pand Psymptoms Pof
Phypoglycemia?
, 1) Edema
2) Tachycardia
3) palpitations
4) sweating P - P correct P answer-4) P sweating
A P 65-year-
old P overweight P patient P is P diagnosed P with P plantar P fasciitis. P Initial P therapy P of P NSAIDs,
P stretching, Pice, P an Pd P rest P has P proven P ineffective P after P 3 P weeks. P The P best P follow-up
P plan P of P care P would P be P to:
1) stop P NSAID, P apply P a P heel P cup P and P encourage P exercise P and P wt P loss.
2) continue P NSAID, P apply P an P arch P support P and P encourage P wt P loss P and P exercise
3) continue P NSAID, P xray P and P add P a P short-leg P night P splint
4) COntinue P NSAID, P xray P and P add P a P metatarsal P bar P - P correct P answer-
2) P continue P NSAID, P apply P an P arch P support P and P encourage P wt P loss P and P exercise
Fundoscopic P exam P of P Hypertensive P patient.
1) nicking P of P arteriols P and P viens, P and P small P retinol P hemorrages
2) drusen P bodies P and P pale P retina
3) pale P macula P and P swollen P disk P margins
4) microaneurysms P and P optic P disc P cupping P - P correct P answer-
1) nicking P of P arteriols P and P viens, P and P small P retinol P hemorrages
Which P of P the P following P is P a P common P presenting P feature P of P hyperthyroidism P in P the P elderly?
1) elevated P TSH
2) Thyroid P enlargement
3) atrial P fibrillation
4) abnormal P T3 P suppression P - P correct P answer-3) P atrial P fibrillation
A P 35-year-
old P lawn P maintenance P worker P presents P reporting P "something P in P my P eye" P since P the P previous
P day. P The P ey
Exam Questions With Correct
Answers
An P 88-year-old P presents P with P right-
side Pweakness Pafter Pbeing Punable Pto Prise Punassisted Pfollowing Pa Pfall Pto Pthe Pbathroom Pfloor.
PHistory Pinclu Pdes Paphasia Pand Pnoncompliance Pwith Phypertension Pmedication Pregimen. PWhat Pis
Pthe Pmost Plikely Pdiagnos Pis?
Left-sided Por Pright-sided PCVA? P- Pcorrect Panswer-LEFT-SIDED PCVA
Which P of P the P following P signs/symtpoms P are P often P associated P with P headahces P due P to
P intracranial P tumor?
1) pain P worse P laying P down, P focal P neurological P signs
2) Hyperflexia, P personality P change
3) acute P onset: P hours P to P days
4) pupillary P constriction; P stupor P - P correct P answer-1) P pain P worse P laying P down, P focal P neurological
P signs
Which Pof Pthe Pfollowing Ppharmacotherapeutics Pwould Pbe Pmost Pimportant Pto Padminister Pto Pa
Ppatient Pwho Phas Pa Pcorneal Pabrasion?
1) Timolol
2) Gentamicin P ophthalmic
3) Cromolyn P optha
4) Olopatadine P - P correct P answer-2) P Gentamicin P ophthalmic P (Genoptic)
,A P 25-year-
old P presents P with Pthe P chief P complaint P of P decreased P mobility P and P pain P of P the P right
P shoulder P exacerbated Pby Pmovement. PThe Ppatient Preports Pthat Phe Pparticipated Pin Pextensive
Phouse Ppainting P24 Phours Pprior Pto Pthe P onset P of P pain. P He P denies P any P trauma. P Passive
P ROM P is P intact. P No P redness P or P ecchymosis P is P present. P Wh Pat P is P the P next P step P to P be
P taken P in P order P to Pmake P a P diagnosis?
1) Xray P of P shoulder
,2) Palpate P structures P around P the P shoulder.
3) MRI P of P shoulder
4) EMG P - P correct P answer-2) P palpate P structures
A P 16-year-old P female P in P the P first P month P of P taking P Ortho-
Novum P7/7/7 Pcomplains Pof Pmidcycle Pspotting. PShe Phas Pnot Pmissed Pany Pdoses Pand Puses Pno
Pother Pmedicat P ion. PWhich Pof Pthe Pfollowing Pis Pappropriate?
1) Changing P to P Ortho-Novum P 1/35
2) Discontinue P use
3) Providing P reassurance
4) Double P dose-for P two P days P - P correct P answer-3) P provide P reassurance
According Pto Pthe PReport Pof Pthe PU.S. PPreventive PServices PTask PForce, Pwhich Pof Pthe
Pfollowing Pis PNOT Pa P current Precommendation Pguideline Pfor Ppreventive Pcare Pin Pelderly
Pfemale Ppatients?
1) Mammogram P and P clinical P breast P exams
2) Fecal P Occult P blood P test P and/or P sig
3) Rubella P serology P or P vaccination P history
4) Pnuemo P and P influenza P vaccines P - P correct P answer-3) P Rubella P serology P or P vaccination P history
87 Py/o PNH Ppatient Pis Pdrowsy Pand Pbarely Presponsive. PTemp P95, PBP: P110/70, PPulse P60, PRA10.
PThe Pbest Pact P ion Pis Pto:
1) initiate P passive P warming
2) apply P a P rebreather
3) Perform P fluid P replacement
4) initiate P active P warming P - P correct P answer-1) P initiate P passive P rewarming
A Ppatient Pis Preferred Pwith PDM, P HTN Pand PCAD. PHe Pis Pon Pinsulin Pand Pa Pbeta Pblocker.
PHow Pwould Pyou Ped P ucate Pthis Ppatient Pon Precognizing Pthe Psigns Pand Psymptoms Pof
Phypoglycemia?
, 1) Edema
2) Tachycardia
3) palpitations
4) sweating P - P correct P answer-4) P sweating
A P 65-year-
old P overweight P patient P is P diagnosed P with P plantar P fasciitis. P Initial P therapy P of P NSAIDs,
P stretching, Pice, P an Pd P rest P has P proven P ineffective P after P 3 P weeks. P The P best P follow-up
P plan P of P care P would P be P to:
1) stop P NSAID, P apply P a P heel P cup P and P encourage P exercise P and P wt P loss.
2) continue P NSAID, P apply P an P arch P support P and P encourage P wt P loss P and P exercise
3) continue P NSAID, P xray P and P add P a P short-leg P night P splint
4) COntinue P NSAID, P xray P and P add P a P metatarsal P bar P - P correct P answer-
2) P continue P NSAID, P apply P an P arch P support P and P encourage P wt P loss P and P exercise
Fundoscopic P exam P of P Hypertensive P patient.
1) nicking P of P arteriols P and P viens, P and P small P retinol P hemorrages
2) drusen P bodies P and P pale P retina
3) pale P macula P and P swollen P disk P margins
4) microaneurysms P and P optic P disc P cupping P - P correct P answer-
1) nicking P of P arteriols P and P viens, P and P small P retinol P hemorrages
Which P of P the P following P is P a P common P presenting P feature P of P hyperthyroidism P in P the P elderly?
1) elevated P TSH
2) Thyroid P enlargement
3) atrial P fibrillation
4) abnormal P T3 P suppression P - P correct P answer-3) P atrial P fibrillation
A P 35-year-
old P lawn P maintenance P worker P presents P reporting P "something P in P my P eye" P since P the P previous
P day. P The P ey
