3P Practice Questions
23 year old woman is having frequent migraines and needs a prophylactic medication. She also has asthma. The
medication should be avoided in this patient: - Correct Answer Propranolol (inderal); can cause increase
bronchospasm
25 year old female with primary hypothyroidism, what hormone level? - Correct Answer Elevated or decreased TSH
and decreased or elevated free T4
28 year old woman has symptoms of asthma daily and several nights a week. She uses a SABA and will be starting
fluticasone/salmeterol (Advair). Advair: - Correct Answer is not effective during an acute asthma attack
45 year old carpenter complains of a foreign body sensation in his LT eye with tearing and itching. During the
ophthalmoscopic exam, a triangular thickening of the bulbar conductive is found at the outer surface of the cornea.
This finding is consistent with: - Correct Answer pterygium
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is safe to use with warfarin? -
Correct Answer Clarithromycin (PCN and cephalosporins are okay)
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is contraindicated? - Correct
Answer Heart disease
A 22 year old patient presents with complaints of headaches with associated nausea and vomitting. The LEAST likely
differential diagnosis for this patient is - Correct Answer tension headaches
A 26 year old man with a past history of sickle cell disease arrives at the office with complaints of a penile erection
that has lasted 4 hours. He is experiencing symptoms of - Correct Answer low flow priapism
high flow - penis engorged or partially erect
A 44 year old man presents with complaints of sudden pain in the right upper abdominal quadrant. The NP suspects
pancreatitis due to historical findings. What assessment supports this? - Correct Answer A positive Cullen's sign
A 50 year old male describes difficulty emptying the bladder. On exam, a distended bladder is noted following
urination. This is an example of - Correct Answer overflow urination
A 60 year old patient presents with severe, deep LT eye pain. Findings reveal dilated and fixed LT dilated and fixed
LT pupil and the cornea is cloudy. There is no ocular discharge noted. These findings are most likely consistent with -
Correct Answer acute angle closure glaucoma
A 86 year old man with uncontrolled HTN presents with sudden, intense LT lower abdominal pain that radiates to the
back. The pain is associated with a tearing sensation. These findings are MOST likely associated with - Correct
Answer an abdominal aortic aneurysm (AAA)
A factor that may increase the risk of contracting tinea corporis is - Correct Answer poor hygiene measures
A fine rhythmic oscillation of the eyes is termed - Correct Answer nystagmus
A patient complains of some pain in the distal portions of her fingers on both hands. She states that it tends to occur
more frequently with exposure to cold. These symptoms are consistent with - Correct Answer Raynaud's disease
A patient has a hx of heat intolerance with a preference to light clothing, this behavior could be consistent with -
Correct Answer hyperthyroidism
A patient has a papule with an ulcerated center on the lower lid and medial canthus of the eye. This is consistent
with: - Correct Answer a basal cell carcinoma
, A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with -
Correct Answer Cancer of the sigmoid colon
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to have ascites and
JVD should be evaluated for: - Correct Answer heart failure
A patient with cirrhosis develops portal HTN as indicated by the presence of - Correct Answer a splenomegaly
A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth and enlarge
during the first 10-15 months is characteristic of a - Correct Answer cavernous hemangioma
A term used to describe an increase in muscular bulk with diminished strength - Correct Answer pseudohypertrophy
A term used to describe drainage from the nose is - Correct Answer rhinorrhea
A whitish sebaceous secretion that collects between the glans and foreskin or in the vulva isknown as - Correct
Answer smegma
Acute gout attack. What should not be initiated? - Correct Answer Probenecid
anticipatory guidance for the family of a pre-adolescent with cognitive impairment should include information about -
Correct Answer sexual developement
bowel sounds increase in the presence of - Correct Answer early intestinal obstruction
Conductive Hearing loss - Correct Answer External ear, middle ear, or both problem
Dabigatran Etexilate works by - Correct Answer inhibiting factor II (thrombin)
Depigmented macules appearing on the face, hands, feet, and other parts of the body due to the lack of melanin are
termed - Correct Answer vitiligo
During pregnancy, which hormone is responsible for increasing insulin resistance and hyperglycemia associated with
diabetes - Correct Answer human placental lactogen
During pregnancy, which hormone results in increased blood viscosity? - Correct Answer erythropoietin
During this type of seizure, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient
may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity
is referred to as - Correct Answer a focal seizure that becomes generalized
focal tenderness over the trochanter confirms - Correct Answer bursitis
Following injury to the extremities, assessment ofor neurovascular competency should include - Correct Answer skin
color, temperature, movement, and sensation of the extremity
Hairy leukoplakia is associated with - Correct Answer AIDS
Heart sound (where to place to place stethoscope) - Correct Answer Aortic valve - second RT intercostal space, RT
sternal border
pulmonic valve - second LT intercostal space, LT sternal border
Erb's point - Third LT intercostal space, LT sternal border
tricuspid valve - forth LT intercostal space, LT sternal border
Hypofunctioning of the thyroid gland would lead to all the following disorders except - Correct Answer Graves
Disease (Hyperthyroid)
If abdominal pain persists when the patient raises his head and shoulders, the origin of tenderness is probably -
Correct Answer in the abdominal wall
In a female diagnosed with first-degree uterine prolaspe, the cervix - Correct Answer has slipped but is well within the
vagina
23 year old woman is having frequent migraines and needs a prophylactic medication. She also has asthma. The
medication should be avoided in this patient: - Correct Answer Propranolol (inderal); can cause increase
bronchospasm
25 year old female with primary hypothyroidism, what hormone level? - Correct Answer Elevated or decreased TSH
and decreased or elevated free T4
28 year old woman has symptoms of asthma daily and several nights a week. She uses a SABA and will be starting
fluticasone/salmeterol (Advair). Advair: - Correct Answer is not effective during an acute asthma attack
45 year old carpenter complains of a foreign body sensation in his LT eye with tearing and itching. During the
ophthalmoscopic exam, a triangular thickening of the bulbar conductive is found at the outer surface of the cornea.
This finding is consistent with: - Correct Answer pterygium
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is safe to use with warfarin? -
Correct Answer Clarithromycin (PCN and cephalosporins are okay)
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is contraindicated? - Correct
Answer Heart disease
A 22 year old patient presents with complaints of headaches with associated nausea and vomitting. The LEAST likely
differential diagnosis for this patient is - Correct Answer tension headaches
A 26 year old man with a past history of sickle cell disease arrives at the office with complaints of a penile erection
that has lasted 4 hours. He is experiencing symptoms of - Correct Answer low flow priapism
high flow - penis engorged or partially erect
A 44 year old man presents with complaints of sudden pain in the right upper abdominal quadrant. The NP suspects
pancreatitis due to historical findings. What assessment supports this? - Correct Answer A positive Cullen's sign
A 50 year old male describes difficulty emptying the bladder. On exam, a distended bladder is noted following
urination. This is an example of - Correct Answer overflow urination
A 60 year old patient presents with severe, deep LT eye pain. Findings reveal dilated and fixed LT dilated and fixed
LT pupil and the cornea is cloudy. There is no ocular discharge noted. These findings are most likely consistent with -
Correct Answer acute angle closure glaucoma
A 86 year old man with uncontrolled HTN presents with sudden, intense LT lower abdominal pain that radiates to the
back. The pain is associated with a tearing sensation. These findings are MOST likely associated with - Correct
Answer an abdominal aortic aneurysm (AAA)
A factor that may increase the risk of contracting tinea corporis is - Correct Answer poor hygiene measures
A fine rhythmic oscillation of the eyes is termed - Correct Answer nystagmus
A patient complains of some pain in the distal portions of her fingers on both hands. She states that it tends to occur
more frequently with exposure to cold. These symptoms are consistent with - Correct Answer Raynaud's disease
A patient has a hx of heat intolerance with a preference to light clothing, this behavior could be consistent with -
Correct Answer hyperthyroidism
A patient has a papule with an ulcerated center on the lower lid and medial canthus of the eye. This is consistent
with: - Correct Answer a basal cell carcinoma
, A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with -
Correct Answer Cancer of the sigmoid colon
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to have ascites and
JVD should be evaluated for: - Correct Answer heart failure
A patient with cirrhosis develops portal HTN as indicated by the presence of - Correct Answer a splenomegaly
A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth and enlarge
during the first 10-15 months is characteristic of a - Correct Answer cavernous hemangioma
A term used to describe an increase in muscular bulk with diminished strength - Correct Answer pseudohypertrophy
A term used to describe drainage from the nose is - Correct Answer rhinorrhea
A whitish sebaceous secretion that collects between the glans and foreskin or in the vulva isknown as - Correct
Answer smegma
Acute gout attack. What should not be initiated? - Correct Answer Probenecid
anticipatory guidance for the family of a pre-adolescent with cognitive impairment should include information about -
Correct Answer sexual developement
bowel sounds increase in the presence of - Correct Answer early intestinal obstruction
Conductive Hearing loss - Correct Answer External ear, middle ear, or both problem
Dabigatran Etexilate works by - Correct Answer inhibiting factor II (thrombin)
Depigmented macules appearing on the face, hands, feet, and other parts of the body due to the lack of melanin are
termed - Correct Answer vitiligo
During pregnancy, which hormone is responsible for increasing insulin resistance and hyperglycemia associated with
diabetes - Correct Answer human placental lactogen
During pregnancy, which hormone results in increased blood viscosity? - Correct Answer erythropoietin
During this type of seizure, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient
may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity
is referred to as - Correct Answer a focal seizure that becomes generalized
focal tenderness over the trochanter confirms - Correct Answer bursitis
Following injury to the extremities, assessment ofor neurovascular competency should include - Correct Answer skin
color, temperature, movement, and sensation of the extremity
Hairy leukoplakia is associated with - Correct Answer AIDS
Heart sound (where to place to place stethoscope) - Correct Answer Aortic valve - second RT intercostal space, RT
sternal border
pulmonic valve - second LT intercostal space, LT sternal border
Erb's point - Third LT intercostal space, LT sternal border
tricuspid valve - forth LT intercostal space, LT sternal border
Hypofunctioning of the thyroid gland would lead to all the following disorders except - Correct Answer Graves
Disease (Hyperthyroid)
If abdominal pain persists when the patient raises his head and shoulders, the origin of tenderness is probably -
Correct Answer in the abdominal wall
In a female diagnosed with first-degree uterine prolaspe, the cervix - Correct Answer has slipped but is well within the
vagina
