QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+||CURRENT UPDATE!!
Your 22 year old male patient states during his review of systems thathis scrotum is very
enlarged and feels like it is full a powerlifter and works as a trash collector. You suspect the
patient likely has which of the following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele - DETAILED ANSWER-A -Varicocele
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when positioned
in the supine or left lateral decubitus position. Which one of the following locations is most
commonly described as the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line - DETAILED ANSWER-B -Left 5th intercostal
space, midclavicular line
The hypertensive adult male patient aged 55 years has been initiated on lisinopril (Privinil) for
two consecutive in-clinic blood pressure
readings over 140/90. As you provide the patient with medication education, which of the
following levels should the patient be aware of may elevate and become potentially life
threatening if untreated?
,A -BNP
B -Calcium
C -Pro-BNP
D -Potassium - DETAILED ANSWER-D -Potassium
Decreased reflexes, worsening of the confusional state and sleepiness, bladder paralysis,
flushing, headache, and constipation are al evidence of toxic levels of which of the following? A
-Azithromycin (Zithromax)
B -Magnesium
C -Oxymetazoline (Afrin)
D -Digitalis glycosides (Digoxin) - DETAILED ANSWER-B -Magnesium
A40 year old, female, African American patient presents for history and physical. Upon your
initial assessment, you notice she has severe exophthalmos as pictured below. Which one of the
following diagnoses below would be the highest on your differential diagnose of this physical
examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma - DETAILED ANSWER-B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
underwent a pulmonary function test (PFT) with spirometry. As the patient's primary healthcare
provider, you have been asked to explain the findings of the PFT to the patient in afollow-up
visit at which time the patient asks what the study was evaluating. To describe the PFT to the
patient in more useful terms, you state that the large inspiration of air to the furthest extent
they could reasonably accomplish followed by a full exhalation is referred to as which of the
following measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
,B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity - DETAILED ANSWER-D -Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the following might you expect to
find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face - DETAILED ANSWER-B -Dowager hump
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should include
which of the following while evaluating for end organ dysfunction of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options - DETAILED ANSWER-D -All of these are appropriate
options
During your visit with a 19 year old patient for a college health physical, your health history
includes a diagnosis of angioedema. What of the following parts of the body are were likely
involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips - DETAILED ANSWER-D -Face and Lips
, Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis - DETAILED ANSWER-A -Actinic Keratosis
Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm - DETAILED ANSWER-A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and anhedonia.
Suspecting a diagnosis of clinical depression, you anticipate the patient will benefit from
treating their underlying deficit of which of the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate - DETAILED ANSWER-B -Serotonin
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should be
evaluated for early evidence of renal damage from both diabetes and hypertension. Which of
the following assessment tools should the nurse practitioner order first for the evaluation of
early renal dysfunction secondary to diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin