WT FNP 2019 study guide questions with complete
solutions graded A+
Your patient Kenneth, age 62, presents to the clinic with pruritis and complaints of
lymphadenopathy in his neck. He also complains of night sweats and a low grade fever. He
has no weight loss and otherwise feels well today. He is widowed and has been dating a
new woman recently. On physical exam, you find enlarged supraclavicular nodes. You
suspect a diagnosis of - Correct Answer hodgkins lymphoma
The majority of the body's iron is obtained from: - Correct Answer recycled iron content
from aged RBCs
Physical examination findings in otitis externa include: - Correct Answer increased ear
pain with tragus palpation
When should a rescue course of prednisolone be initiated for an attack of asthma? -
Correct Answer Whenever the client needs it, at any time and any step
Decongestants work primarily through: - Correct Answer Vasoconstriction
The first choice of therapy for a client who is positive for HIV and has oral candidiasis is : -
Correct Answer Clotrimazole troches (10mg) five times daily or nystatin (Mycostatin)
suspension 500,000-1,000,000 units three to five times daily
- Because of the common recurrence of oral candidiasis and increased rates of drug
resistance, systemic fungicides, such as fluconazole, ketoconazole, and griseofulvin,
should be reserved for severe cases, such as esophageal candidiasis and clients with
dysphagia.
When a neonate is initially protected against measles, mumps, and rubella because the
mother is immune, this is an example of which type of immunity? - Correct Answer natural
passive
,Which of the following best describes asthma? - Correct Answer chronic airway
inflammation with superimposed bronchospasm
One of the most prominent clinical features of bronchiolitis is: - Correct Answer Wheezing
Antihistamines work primarily through: - Correct Answer action on the histamine-1 (H1)
receptor sites
What would you expect to find in a patient with acute rhinosinusitis? - Correct Answer
Erythematous & edematous nasal mucosa w/o purulence & watery discharge
Which of the following best describes hearing loss associated with presbycusis? - Correct
Answer slowly progressive, usually symmetric, and predominantly high frequency
A risk factor for external otitis is: - Correct Answer -Swimming
-Hot/humid climates
-Trauma (qtips, pens etc)
-Hearing aids (trauma)
-Atopic dermatitis
Treatment of viral conjunctivitis can include: - Correct Answer No Antibiotic Therapy
Needed
The Epstein-Barr virus is primarily transmitted via: - Correct Answer oropharyngeal
secretions
Joanne, age 16, has had her asthma well controlled by using only a beta-adrenergic
metered-dose inhaler. Lately, she has had difficult breathing during the night, and her
sleep has been interrupted about three times a week. What do you do? - Correct Answer
Prescribe an inhaled steroid
Expected findings in acute otitis media include: - Correct Answer tympanic membrane
immobility
,What is the most common rosacea trigger? - Correct Answer Sun exposure
The "herald patch" is present in almost all cases of - Correct Answer Pityriasis rosea
John, age 49, is a construction worker. He has a nevus on his shoulder that has recently
changed from brown to bluish black in color. You advise him to - Correct Answer Have an
excisional biopsy
Choose the correct description of fissure. - Correct Answer a linear crack extending from
the epidermis to the dermis
Expected findings in acute otitis media include: - Correct Answer tympanic membrane
immobility
One of the more common sites for atopic dermatitis in an adult is: - Correct Answer Flexor
surfaces
Which of the following is a predisposing condition for furunculosis? - Correct Answer
Diabetes mellitus
- Predisposing conditions for furunculosis or carbuncles include diabetes mellitus, HIV,
and injection drug use
Which of the following is among the most common causes of congestive heart failure? -
Correct Answer hypertensive heart disease
You are suspecting an appendicitis in Andrew, who is age 18 years. With his right hip and
knee flexed, you slowly rotate his right leg internally to stretch a muscle. He states that it is
painful over his right lower quadrant area. Which sign did you elicit? - Correct Answer
Obturator Sign
The progestin component of hormone therapy is given to: - Correct Answer minimize the
endometrial hyperplasia
, Which of the following laboratory tests are utilized to confirm diagnosis of HIV? - Correct
Answer ELISA, Western Blot
Daniel is a 12 month old male who is new to your practice. His mother brings him in one day
with a chief complaint of vomiting for 2 days. Before you step into the exam room to see him
you know the most frequent cause of vomiting in this age group is related to which of the
following? - Correct Answer Gastroenteritis (I'm pretty sure)
All of the following are likely reported in the woman with an initial episode of genital human
herpesvirus-2 infection except: - Correct Answer Pustular lesions
Which of the following women is the best candidate for progestin-only pill use? - Correct
Answer A 32 year old woman who is breastfeeding
What immunizations may be safely administered during the first trimester of pregnancy? -
Correct Answer Influenza
-TDAP can technically be given, but is recommended at third trimester
Developmental tasks of early adulthood (ages 20-45) include which of the following? -
Correct Answer Psychological separation from parents and developing a capacity for
intimacy with a partner
Which of the following antihypertensive agents would most likely produce a rebound
hypertensive crisis following its abrupt withdrawal? - Correct Answer Clonidine
The most likely causative pathogen in a 26 year old woman with PID is: - Correct Answer C.
Trichamotis
Marvin asks you for a prescription for sildenafil (Viagra). The only medication he takes is
isosorbide mononitrate. He has a history of diet controlled diabetes. What do you tell him? -
Correct Answer It's contraindicated with isosorbide mononitrate, let's discuss other options
What is the best treatment for a child with asymptomatic swallowed foreign body? - Correct
Answer I'm not sure what answer I chose at the moment or what the correct answer
solutions graded A+
Your patient Kenneth, age 62, presents to the clinic with pruritis and complaints of
lymphadenopathy in his neck. He also complains of night sweats and a low grade fever. He
has no weight loss and otherwise feels well today. He is widowed and has been dating a
new woman recently. On physical exam, you find enlarged supraclavicular nodes. You
suspect a diagnosis of - Correct Answer hodgkins lymphoma
The majority of the body's iron is obtained from: - Correct Answer recycled iron content
from aged RBCs
Physical examination findings in otitis externa include: - Correct Answer increased ear
pain with tragus palpation
When should a rescue course of prednisolone be initiated for an attack of asthma? -
Correct Answer Whenever the client needs it, at any time and any step
Decongestants work primarily through: - Correct Answer Vasoconstriction
The first choice of therapy for a client who is positive for HIV and has oral candidiasis is : -
Correct Answer Clotrimazole troches (10mg) five times daily or nystatin (Mycostatin)
suspension 500,000-1,000,000 units three to five times daily
- Because of the common recurrence of oral candidiasis and increased rates of drug
resistance, systemic fungicides, such as fluconazole, ketoconazole, and griseofulvin,
should be reserved for severe cases, such as esophageal candidiasis and clients with
dysphagia.
When a neonate is initially protected against measles, mumps, and rubella because the
mother is immune, this is an example of which type of immunity? - Correct Answer natural
passive
,Which of the following best describes asthma? - Correct Answer chronic airway
inflammation with superimposed bronchospasm
One of the most prominent clinical features of bronchiolitis is: - Correct Answer Wheezing
Antihistamines work primarily through: - Correct Answer action on the histamine-1 (H1)
receptor sites
What would you expect to find in a patient with acute rhinosinusitis? - Correct Answer
Erythematous & edematous nasal mucosa w/o purulence & watery discharge
Which of the following best describes hearing loss associated with presbycusis? - Correct
Answer slowly progressive, usually symmetric, and predominantly high frequency
A risk factor for external otitis is: - Correct Answer -Swimming
-Hot/humid climates
-Trauma (qtips, pens etc)
-Hearing aids (trauma)
-Atopic dermatitis
Treatment of viral conjunctivitis can include: - Correct Answer No Antibiotic Therapy
Needed
The Epstein-Barr virus is primarily transmitted via: - Correct Answer oropharyngeal
secretions
Joanne, age 16, has had her asthma well controlled by using only a beta-adrenergic
metered-dose inhaler. Lately, she has had difficult breathing during the night, and her
sleep has been interrupted about three times a week. What do you do? - Correct Answer
Prescribe an inhaled steroid
Expected findings in acute otitis media include: - Correct Answer tympanic membrane
immobility
,What is the most common rosacea trigger? - Correct Answer Sun exposure
The "herald patch" is present in almost all cases of - Correct Answer Pityriasis rosea
John, age 49, is a construction worker. He has a nevus on his shoulder that has recently
changed from brown to bluish black in color. You advise him to - Correct Answer Have an
excisional biopsy
Choose the correct description of fissure. - Correct Answer a linear crack extending from
the epidermis to the dermis
Expected findings in acute otitis media include: - Correct Answer tympanic membrane
immobility
One of the more common sites for atopic dermatitis in an adult is: - Correct Answer Flexor
surfaces
Which of the following is a predisposing condition for furunculosis? - Correct Answer
Diabetes mellitus
- Predisposing conditions for furunculosis or carbuncles include diabetes mellitus, HIV,
and injection drug use
Which of the following is among the most common causes of congestive heart failure? -
Correct Answer hypertensive heart disease
You are suspecting an appendicitis in Andrew, who is age 18 years. With his right hip and
knee flexed, you slowly rotate his right leg internally to stretch a muscle. He states that it is
painful over his right lower quadrant area. Which sign did you elicit? - Correct Answer
Obturator Sign
The progestin component of hormone therapy is given to: - Correct Answer minimize the
endometrial hyperplasia
, Which of the following laboratory tests are utilized to confirm diagnosis of HIV? - Correct
Answer ELISA, Western Blot
Daniel is a 12 month old male who is new to your practice. His mother brings him in one day
with a chief complaint of vomiting for 2 days. Before you step into the exam room to see him
you know the most frequent cause of vomiting in this age group is related to which of the
following? - Correct Answer Gastroenteritis (I'm pretty sure)
All of the following are likely reported in the woman with an initial episode of genital human
herpesvirus-2 infection except: - Correct Answer Pustular lesions
Which of the following women is the best candidate for progestin-only pill use? - Correct
Answer A 32 year old woman who is breastfeeding
What immunizations may be safely administered during the first trimester of pregnancy? -
Correct Answer Influenza
-TDAP can technically be given, but is recommended at third trimester
Developmental tasks of early adulthood (ages 20-45) include which of the following? -
Correct Answer Psychological separation from parents and developing a capacity for
intimacy with a partner
Which of the following antihypertensive agents would most likely produce a rebound
hypertensive crisis following its abrupt withdrawal? - Correct Answer Clonidine
The most likely causative pathogen in a 26 year old woman with PID is: - Correct Answer C.
Trichamotis
Marvin asks you for a prescription for sildenafil (Viagra). The only medication he takes is
isosorbide mononitrate. He has a history of diet controlled diabetes. What do you tell him? -
Correct Answer It's contraindicated with isosorbide mononitrate, let's discuss other options
What is the best treatment for a child with asymptomatic swallowed foreign body? - Correct
Answer I'm not sure what answer I chose at the moment or what the correct answer
