AANP AGPCNP Practice Exam | Questions and
Verified Answers | Guaranteed Pass |
Which of the following is a common presenting feature of hyperthyroidism in the
elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression - ANSWER -3) atrial fibrillation
A 35-year-old lawn maintenance worker presents reporting "something in my eye"
since the previous day. The eye was rinsed with over-the-counter eyewash, without
relief. The patient denies visual disturbances or drainage. In formulating a plan of
care, the nurse practitioner would FIRST:
1) send to ophthalmologists
2) florescreen staining
3) test visual field
4) prescribe eyedrops - ANSWER -3) test visual field
A 72-year-old patient presents with dry, itchy eyes. During the course of the
physical examination, the nurse practitioner notes the presence of a gray band of
opacity in the cornea that encircles the iris. The band is 1.0-1.5 mm wide. This
finding is most consistent with a diagnosis of a/an:
1. corneal abrasion
2. arcus senilis
3. corneal ulcer
4. herpetic infection of the eye - ANSWER -2) arcus senilis
A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise,
fever, night sweats, and a cough that has been present for 4 weeks. The diagnostic
study to perform first would be:
1) xray
2) pulmonary function test
3) bronchoscopy
,4) H & H - ANSWER -1) xray (tb-night sweats)
A 44-year-old female is complaining of frequent anxiety attacks with chest
discomfort and fatigue. On physical examination, her lungs are clear bilaterally.
There are a midsystolic click and a grade II/VI systolic murmur at the apex.
Further evaluation would include which of the following?
1) EKG, flat plate of the abdomen, lipid profile
2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
4) EEG, Anxiety Scale, and electrolytes - ANSWER -2) Echocardiogram, Doppler,
EKG
A healthy 84 y/o would like to start an exercise program, what would you do
before this takes place?
1) physical exam
2) EKG
3) knee xrays
4) PT Stress test - ANSWER -1) Physical Exam
29 y/o has uncomplicated Chlamydia infection will exhibit:
1) green penile discharge
2) uticartia
3) unremarkable symtpoms
4) penile ulcer - ANSWER -3) unremarkable symptoms
37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should be:
1) spirometry
2) MRI
3) COntract venogra[hy
4) helical CT pulmonary angiograph - ANSWER -4) helical CT pulmonary
angiography.
A 12-lead EKG shows an undulating baseline with no visible P waves and an
irregularly irregular R-R interval. This arrhythmia is:
, 1) atrial flutter
2) atrial fibrillation
3) second degree heart block
4) Wolff-White Syndrome - ANSWER -2) atrial fibrillation
After a 3-week camping trip, a 17-year-old is seen for a target lesion with central
clearing, located in the inguinal area. The patient has had a severe headache,
malaise, fatigue, and generalized musculoskeletal pain for several days.
Pharmacologic management of this condition includes:
1) Bactrim
2) azithromycin
3) doxycycline (Doryx).
4) metronidazole - ANSWER -3) doxycycline (Doryx). Rocky Mountain spotted
fever (Lyme disease-test with WEstern Blot)
According to the American Diabetes Association, the newest standard for
determining the presence of diabetes mellitus based on fasting plasma sugar level
is a value equal to or greater than:
1) 110 mg/dL.
2) 126 mg/dL.
3) 135
4) whatever - ANSWER -2) 126 mg/dl
In the elderly, one pathophysiologic mechanism of isolated systolic hypertension
involves:
1) decreased cardiac output.
2) loss of vascular tissue elasticity.
3) hyperactive baroreceptors - ANSWER -2) loss of vascular tissue elasticity
A 58-year-old female presents with shoulder and pelvic girdle pain for the past 6
months. She reports recent unintentional weight loss. On physical examination,
there is pain on ROM, with no weakness noted. Laboratory studies show a low
hemoglobin and an elevated sedimentation rate. Which of the following is the most
likely diagnosis?
Verified Answers | Guaranteed Pass |
Which of the following is a common presenting feature of hyperthyroidism in the
elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression - ANSWER -3) atrial fibrillation
A 35-year-old lawn maintenance worker presents reporting "something in my eye"
since the previous day. The eye was rinsed with over-the-counter eyewash, without
relief. The patient denies visual disturbances or drainage. In formulating a plan of
care, the nurse practitioner would FIRST:
1) send to ophthalmologists
2) florescreen staining
3) test visual field
4) prescribe eyedrops - ANSWER -3) test visual field
A 72-year-old patient presents with dry, itchy eyes. During the course of the
physical examination, the nurse practitioner notes the presence of a gray band of
opacity in the cornea that encircles the iris. The band is 1.0-1.5 mm wide. This
finding is most consistent with a diagnosis of a/an:
1. corneal abrasion
2. arcus senilis
3. corneal ulcer
4. herpetic infection of the eye - ANSWER -2) arcus senilis
A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise,
fever, night sweats, and a cough that has been present for 4 weeks. The diagnostic
study to perform first would be:
1) xray
2) pulmonary function test
3) bronchoscopy
,4) H & H - ANSWER -1) xray (tb-night sweats)
A 44-year-old female is complaining of frequent anxiety attacks with chest
discomfort and fatigue. On physical examination, her lungs are clear bilaterally.
There are a midsystolic click and a grade II/VI systolic murmur at the apex.
Further evaluation would include which of the following?
1) EKG, flat plate of the abdomen, lipid profile
2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
4) EEG, Anxiety Scale, and electrolytes - ANSWER -2) Echocardiogram, Doppler,
EKG
A healthy 84 y/o would like to start an exercise program, what would you do
before this takes place?
1) physical exam
2) EKG
3) knee xrays
4) PT Stress test - ANSWER -1) Physical Exam
29 y/o has uncomplicated Chlamydia infection will exhibit:
1) green penile discharge
2) uticartia
3) unremarkable symtpoms
4) penile ulcer - ANSWER -3) unremarkable symptoms
37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should be:
1) spirometry
2) MRI
3) COntract venogra[hy
4) helical CT pulmonary angiograph - ANSWER -4) helical CT pulmonary
angiography.
A 12-lead EKG shows an undulating baseline with no visible P waves and an
irregularly irregular R-R interval. This arrhythmia is:
, 1) atrial flutter
2) atrial fibrillation
3) second degree heart block
4) Wolff-White Syndrome - ANSWER -2) atrial fibrillation
After a 3-week camping trip, a 17-year-old is seen for a target lesion with central
clearing, located in the inguinal area. The patient has had a severe headache,
malaise, fatigue, and generalized musculoskeletal pain for several days.
Pharmacologic management of this condition includes:
1) Bactrim
2) azithromycin
3) doxycycline (Doryx).
4) metronidazole - ANSWER -3) doxycycline (Doryx). Rocky Mountain spotted
fever (Lyme disease-test with WEstern Blot)
According to the American Diabetes Association, the newest standard for
determining the presence of diabetes mellitus based on fasting plasma sugar level
is a value equal to or greater than:
1) 110 mg/dL.
2) 126 mg/dL.
3) 135
4) whatever - ANSWER -2) 126 mg/dl
In the elderly, one pathophysiologic mechanism of isolated systolic hypertension
involves:
1) decreased cardiac output.
2) loss of vascular tissue elasticity.
3) hyperactive baroreceptors - ANSWER -2) loss of vascular tissue elasticity
A 58-year-old female presents with shoulder and pelvic girdle pain for the past 6
months. She reports recent unintentional weight loss. On physical examination,
there is pain on ROM, with no weakness noted. Laboratory studies show a low
hemoglobin and an elevated sedimentation rate. Which of the following is the most
likely diagnosis?
