FAMILY PRIMARY CARE II QUIZ 3 ULTIMATE
STUDY SHEET 2026 PRACTICE SOLUTION
QUESTIONS WITH VERIFIED ANSWERS
◉ What is an important purpose of conducting an interview prior to
beginning neuropsychological testing on an older adult suspected of
having dementia? Answer: To assess the patient's ability to
cooperate with the testing
◉ A patient has unexplained weight loss and the provider notes
increased skin pigmentation on light-exposed skin folds along with
darkened palmar creases. Which laboratory test will the provider
NOT order? Answer: Serum cortisol
◉ A patient with cancer is expected to require long-term pain
medication to manage cancer pain. Which agent will be best for this
patient? Answer: Morphine
◉ A 16-year-old female has primary amenorrhea. A pregnancy test
is negative. Further testing reveals a normal TSH and an elevated
prolactin level. Which test will the provider order next? Answer:
Magnetic resonance imaging
,◉ During a well-baby exam on a 9-month-old infant, the parent
reports that the baby always uses the left hand to pick up objects
and asks if the baby will be left-handed. What will the primary care
nurse practitioner do? Answer: Perform a careful assessment of fine
and gross motor skills.
◉ An asymptomatic female learns that her boyfriend has gonorrhea
and asks about antibiotics. What will the provider recommend?
Answer: Empiric ceftriaxone and azithromycin
◉ A 16-year-old sexually active female has symptoms of PID with
fever. Cultures are pending. For outpatient treatment, what will the
provider order? Answer: Rocephin, doxycycline, and metronidazole
◉ A 30-year-old male patient has a positive leukocyte esterase and
nitrites on a random urine dipstick during a well patient exam. What
type of urinary tract infection does this represent? Answer:
Complicated
◉ A woman who has had routine Pap tests all of her adult life has an
abnormal Pap with low-grade intraepithelial lesion. What will the
provider tell her about this result? Answer: Colposcopy with biopsy
is necessary
,◉ A patient has bone pain and laboratory testing reveals an elevated
serum alkaline phosphatase (SAP). Which test can help distinguish
Paget's from malignant bone disease? Answer: Bone radiograph
◉ What is the most important role of the primary care provider in
cancer management? Answer: Counseling about healthy practices to
reduce risk factors
◉ A 35-year-old woman without a previous history of
dysmenorrhea reports lower pelvic pain and irregular bleeding
between periods. What is the initial action in managing this patient?
Answer: Performing an abdominal, pelvic, and rectovaginal
examination
◉ A patient being treated for cancer has had chemotherapy within
the past two weeks and comes to the primary care clinic with a fever
of 38.5° C. What is the initial action? Answer: Obtain a STAT CBC
with differential
◉ What is a possible cause of decreased arousal, libido, and orgasm
in a postmenopausal woman? Answer: Diminished testosterone
◉ A middle-school-age child is skipping school frequently and
getting poor grades since the child's father was killed while
deployed in the military. How will the primary care nurse
, practitioner manage this situation? Answer: Refer the child to a
mental health specialist for evaluation and treatment.
◉ A 40-year-old patient with primary hyperparathyroidism has
increased serum calcium 0.5 mg/dL above normal without signs of
nephrolithiasis. What is the recommended treatment for this
patient? Answer: Annual monitoring of calcium, creatinine, and bone
density
◉ What is true about HPV infection in women? Answer: Most HPV
lesions will resolve spontaneously without causing cancer.
◉ An elderly patient is diagnosed with osteoporosis. What is the
recommended treatment once the diagnosis is made? Answer:
Bisphosphonate therapy
◉ A postmenopausal woman reports unilateral breast pain that she
describes as sharp and burning and localized to one area. A breast
examination reveals no dimpling, discharge, or masses. Which
diagnostic test will the provider order? Answer: Bilateral
mammography
◉ An adolescent female has amenorrhea. The provider notes short
stature, neck webbing, and a pigeon chest deformity. Based on these
symptoms, what is the underlying disorder causing this patient's
amenorrhea? Answer: Turner's syndrome
STUDY SHEET 2026 PRACTICE SOLUTION
QUESTIONS WITH VERIFIED ANSWERS
◉ What is an important purpose of conducting an interview prior to
beginning neuropsychological testing on an older adult suspected of
having dementia? Answer: To assess the patient's ability to
cooperate with the testing
◉ A patient has unexplained weight loss and the provider notes
increased skin pigmentation on light-exposed skin folds along with
darkened palmar creases. Which laboratory test will the provider
NOT order? Answer: Serum cortisol
◉ A patient with cancer is expected to require long-term pain
medication to manage cancer pain. Which agent will be best for this
patient? Answer: Morphine
◉ A 16-year-old female has primary amenorrhea. A pregnancy test
is negative. Further testing reveals a normal TSH and an elevated
prolactin level. Which test will the provider order next? Answer:
Magnetic resonance imaging
,◉ During a well-baby exam on a 9-month-old infant, the parent
reports that the baby always uses the left hand to pick up objects
and asks if the baby will be left-handed. What will the primary care
nurse practitioner do? Answer: Perform a careful assessment of fine
and gross motor skills.
◉ An asymptomatic female learns that her boyfriend has gonorrhea
and asks about antibiotics. What will the provider recommend?
Answer: Empiric ceftriaxone and azithromycin
◉ A 16-year-old sexually active female has symptoms of PID with
fever. Cultures are pending. For outpatient treatment, what will the
provider order? Answer: Rocephin, doxycycline, and metronidazole
◉ A 30-year-old male patient has a positive leukocyte esterase and
nitrites on a random urine dipstick during a well patient exam. What
type of urinary tract infection does this represent? Answer:
Complicated
◉ A woman who has had routine Pap tests all of her adult life has an
abnormal Pap with low-grade intraepithelial lesion. What will the
provider tell her about this result? Answer: Colposcopy with biopsy
is necessary
,◉ A patient has bone pain and laboratory testing reveals an elevated
serum alkaline phosphatase (SAP). Which test can help distinguish
Paget's from malignant bone disease? Answer: Bone radiograph
◉ What is the most important role of the primary care provider in
cancer management? Answer: Counseling about healthy practices to
reduce risk factors
◉ A 35-year-old woman without a previous history of
dysmenorrhea reports lower pelvic pain and irregular bleeding
between periods. What is the initial action in managing this patient?
Answer: Performing an abdominal, pelvic, and rectovaginal
examination
◉ A patient being treated for cancer has had chemotherapy within
the past two weeks and comes to the primary care clinic with a fever
of 38.5° C. What is the initial action? Answer: Obtain a STAT CBC
with differential
◉ What is a possible cause of decreased arousal, libido, and orgasm
in a postmenopausal woman? Answer: Diminished testosterone
◉ A middle-school-age child is skipping school frequently and
getting poor grades since the child's father was killed while
deployed in the military. How will the primary care nurse
, practitioner manage this situation? Answer: Refer the child to a
mental health specialist for evaluation and treatment.
◉ A 40-year-old patient with primary hyperparathyroidism has
increased serum calcium 0.5 mg/dL above normal without signs of
nephrolithiasis. What is the recommended treatment for this
patient? Answer: Annual monitoring of calcium, creatinine, and bone
density
◉ What is true about HPV infection in women? Answer: Most HPV
lesions will resolve spontaneously without causing cancer.
◉ An elderly patient is diagnosed with osteoporosis. What is the
recommended treatment once the diagnosis is made? Answer:
Bisphosphonate therapy
◉ A postmenopausal woman reports unilateral breast pain that she
describes as sharp and burning and localized to one area. A breast
examination reveals no dimpling, discharge, or masses. Which
diagnostic test will the provider order? Answer: Bilateral
mammography
◉ An adolescent female has amenorrhea. The provider notes short
stature, neck webbing, and a pigeon chest deformity. Based on these
symptoms, what is the underlying disorder causing this patient's
amenorrhea? Answer: Turner's syndrome
