FNP 3 Questions || with errorless answers.
A 23 year old male presents with low back pain. he lifted a heavy box yesterday at work but had
no symptoms yesterday. Today however, he began to feel pain and stiffness in his lower back
that hurts worse when he bends forward. On exam he has pain with flexion and extension and a
negative straight leg raise test. What management plan would be appropriate for him at this time?
A: order lumbar spine radiographies
B: refer for epidural steroid injections
C: Over the counter NSAID's, ice/heat, and return to work in 2 days
D: Order MRI lumbar spine correct answers C: Over the counter NSAID's, ICE/HEAT, and
return to work in 2 days
Which of the following diagnostic tools is the best measure of renal function in a patient
suspected of CKD?
A: Electrolytes
B: Creatinine clearance
C: BUN and Creatinine
D: Urinalysis correct answers B: Creatinine clearance
A 32 year old woman comes to the clinic for evaluation of hand pain for the past 6 months. She
also experiences numbness in the first through third fingers, and half of the fourth finger.
Additionally she states she has been dropping things much more than usual. Physical
examination is significant for tingling sensation triggered by palmar surface wrist percussion.
Which of the following is a known risk factor for this condition?
A: Hypertention
B: Pregnancy
C: Osteoarthtitis
D: Anemia correct answers B: Pregnancy
A 38 year-old-man comes to the clinic for evaluation of low back pain which radiates into the
entire right lower extremity.physical examination reveals decreased sensation to the top of the
right foot and decreased strength with resisted flexion of the right great toe. Lower extremity
deep tendon reflexes are 2/4 and symmetrical. Compression of which of the following nerve
roots is most likely?
A: L5
B: L3
C: L4
D: S1 correct answers A: L5
A 78 year old woman tripped and fell in the hallfway of your office and is complaining of right
hip pain and severe pain with movement of that extremity which of the following finding is
expected on physical examination if you suspect a hip fracture?
, A: Right hip and leg in flexion, internally rotated and shortened
B: Right hip and leg in flexion and internally rotated
C: Right hip and leg in flexion, externally roatatd and shortened
D: Right hip and leg in flexion and externally rotated correct answers A: Right hip and leg in
flexion, internally rotated, and shortened
John is a 16 year old boy who presents to the emergency room after hurting his knee in a football
game. He describes twisting his knee and then not being able extend it completely. John tells the
clinician that he heard a pop when the injury occurred and has been experiencing localized pain.
The clinician suspects a meniscal tear. Which test would be the most appropriate to assess for the
presence of a meniscal tear?
A: Valgus stress test
B: Lachman test
C: Varus stress test
D: McMurray circumduction test correct answers D: McMurray cicrumduction test
When prescribing oxybutynin (ditropan) for the patient with overactive bladder symptoms,
which disorder in the patient's medical history must the family nurse practitioner consider before
prescribing?
A: Cough
B: Narrow angle Glaucoma
C: Diabetes
D: Gallstones correct answers B: Narrow angle Glaucoma
A 30 year old woman comes into the clinic for evaluation of right wrist pain for the past 2
months. She denies any known trauma to the wrist, and has not started any new hobbies or
activities. She stays home with her 4 month old infant, and has had increasing difficulty holding
her baby due to pain. Physical examination is significant for tenderness with palpation of the
radial aspect of the wrist, and pain is aggravated when the patient grasps her thumb while
performing ulnar deviation of the wrist. Which of the following is the most appropriate initial
management?
A: Intra Articular steroid injection
B: Thumb spica splint
C: Surgical release
D: Prescribe acetominophen correct answers B: Thumb Spica Splint
A patient with a known lumbar disc herniation presents with increased pain, difficulty urinating,
and saddle anesthesia. What is the most appropriate management option?
A: Order transcutaneous electrical stimulation (TENS)
B: Provide patient with a narcotic analgesic for pain relief and re-evaluate in 24 hours
C: Refer for emergent surgical decompression
D: refer epidural steroid injection
A 23 year old male presents with low back pain. he lifted a heavy box yesterday at work but had
no symptoms yesterday. Today however, he began to feel pain and stiffness in his lower back
that hurts worse when he bends forward. On exam he has pain with flexion and extension and a
negative straight leg raise test. What management plan would be appropriate for him at this time?
A: order lumbar spine radiographies
B: refer for epidural steroid injections
C: Over the counter NSAID's, ice/heat, and return to work in 2 days
D: Order MRI lumbar spine correct answers C: Over the counter NSAID's, ICE/HEAT, and
return to work in 2 days
Which of the following diagnostic tools is the best measure of renal function in a patient
suspected of CKD?
A: Electrolytes
B: Creatinine clearance
C: BUN and Creatinine
D: Urinalysis correct answers B: Creatinine clearance
A 32 year old woman comes to the clinic for evaluation of hand pain for the past 6 months. She
also experiences numbness in the first through third fingers, and half of the fourth finger.
Additionally she states she has been dropping things much more than usual. Physical
examination is significant for tingling sensation triggered by palmar surface wrist percussion.
Which of the following is a known risk factor for this condition?
A: Hypertention
B: Pregnancy
C: Osteoarthtitis
D: Anemia correct answers B: Pregnancy
A 38 year-old-man comes to the clinic for evaluation of low back pain which radiates into the
entire right lower extremity.physical examination reveals decreased sensation to the top of the
right foot and decreased strength with resisted flexion of the right great toe. Lower extremity
deep tendon reflexes are 2/4 and symmetrical. Compression of which of the following nerve
roots is most likely?
A: L5
B: L3
C: L4
D: S1 correct answers A: L5
A 78 year old woman tripped and fell in the hallfway of your office and is complaining of right
hip pain and severe pain with movement of that extremity which of the following finding is
expected on physical examination if you suspect a hip fracture?
, A: Right hip and leg in flexion, internally rotated and shortened
B: Right hip and leg in flexion and internally rotated
C: Right hip and leg in flexion, externally roatatd and shortened
D: Right hip and leg in flexion and externally rotated correct answers A: Right hip and leg in
flexion, internally rotated, and shortened
John is a 16 year old boy who presents to the emergency room after hurting his knee in a football
game. He describes twisting his knee and then not being able extend it completely. John tells the
clinician that he heard a pop when the injury occurred and has been experiencing localized pain.
The clinician suspects a meniscal tear. Which test would be the most appropriate to assess for the
presence of a meniscal tear?
A: Valgus stress test
B: Lachman test
C: Varus stress test
D: McMurray circumduction test correct answers D: McMurray cicrumduction test
When prescribing oxybutynin (ditropan) for the patient with overactive bladder symptoms,
which disorder in the patient's medical history must the family nurse practitioner consider before
prescribing?
A: Cough
B: Narrow angle Glaucoma
C: Diabetes
D: Gallstones correct answers B: Narrow angle Glaucoma
A 30 year old woman comes into the clinic for evaluation of right wrist pain for the past 2
months. She denies any known trauma to the wrist, and has not started any new hobbies or
activities. She stays home with her 4 month old infant, and has had increasing difficulty holding
her baby due to pain. Physical examination is significant for tenderness with palpation of the
radial aspect of the wrist, and pain is aggravated when the patient grasps her thumb while
performing ulnar deviation of the wrist. Which of the following is the most appropriate initial
management?
A: Intra Articular steroid injection
B: Thumb spica splint
C: Surgical release
D: Prescribe acetominophen correct answers B: Thumb Spica Splint
A patient with a known lumbar disc herniation presents with increased pain, difficulty urinating,
and saddle anesthesia. What is the most appropriate management option?
A: Order transcutaneous electrical stimulation (TENS)
B: Provide patient with a narcotic analgesic for pain relief and re-evaluate in 24 hours
C: Refer for emergent surgical decompression
D: refer epidural steroid injection
