NR 667 Practice Exam Week 2 Questions With
Complete Solutions
1st line treatment for generalized anxiety disorder:
wellbutrin
zoloft
buspar
remeron Correct Answers zoloft
A 13-year-old is concerned because she has not yet
begun to menstruate. Physical examination
indicates that the patient is at Sexual Maturity
Rating IV and is of average height and weight.
Which of the following would be the most
appropriate response to this patient?
"We'll need to refer you to an endocrinologist for a
complete workup."
"Your development is exactly as expected for your
age; you'll probably begin to have periods within a
year."
"I'll give you some pills that will make your periods
start."
"We'll need to do some tests to find out why you
are not having periods." Correct Answers "Your
development is exactly as expected for your age;
you'll probably begin to have periods within a
year."
,A 15-year-old adolescent athlete complains of
chest pain and fainting during intense exercise. On
examination, a systolic ejection murmur is heard
that increases with standing. What is the most
likely diagnosis?
Hypertrophic cardiomyopathy
Pulmonary hypertension
Mitral valve prolapse
Aortic stenosis Correct Answers Hypertrophic
cardiomyopathy
A 19-year-old patient who has used oral
contraceptives for 3 years plans to discontinue the
pill at the end of her current cycle to become
pregnant. Which of the following daily supplements
would receive the highest priority?
Folic acid
Ferrous sulfate
Multivitamin
Calcium carbonate Correct Answers Folic acid
A 25-year-old woman presents with a urinary tract
infection (UTI) confirmed by urinalysis. She has no
allergies. What is the most appropriate first-line
antibiotic treatment?
Nitrofurantoin
Ciprofloxacin
Amoxicillin
Trimethoprim-sulfamethoxazole Correct Answers
Trimethoprim-sulfamethoxazole
,A 27-year-old male patient, who works as a janitor,
presents with a 6-month history of an intermittent
rash on his hands. History reveals itching and
occasional burning. Examination reveals
irregularly-distributed scaly maculopapular
erythematous patches extending from the dorsum
of the hand several inches up the forearms, and
dry palms with no nail involvement. The most likely
diagnosis is:
contact dermatitis.
eczema.
scabies infestation.
psoriasis. Correct Answers contact dermatitis.
A 30-year-old woman presents with a history of
recurrent herpes simplex virus (HSV) infections on
her lips. She wants to know how to manage future
outbreaks. What is the most appropriate initial
management for recurrent HSV?
Oral antivirals at the onset of symptoms
Daily oral antiviral prophylaxis
Immunotherapy
Topical antibiotics during outbreaks Correct
Answers Oral antivirals at the onset of symptoms
A 33-year-old woman presents with intermittent
palpitations, anxiety, and heat intolerance. Her
thyroid function tests reveal low TSH and high free
T4. What is the most likely diagnosis?
, Hypothyroidism
Hyperthyroidism
Thyroiditis
Graves' disease Correct Answers Hyperthyroidism
A 35-year-old man presents with recurrent
episodes of severe pain in his back, chest, and
extremities. He has a history of sickle cell disease.
What is the most appropriate initial management
during a pain crisis?
Hospitalization for intravenous fluids and opioids
Blood transfusion
Hydroxyurea
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Correct Answers Hospitalization for intravenous
fluids and opioids
A 35-year-old woman presents with a new, darkly
pigmented lesion on her back that she noticed a
few months ago. The lesion is asymmetrical, has
irregular borders, and varies in color. What is the
most appropriate next step in management?
Perform an excisional biopsy
Perform a shave biopsy
Reassure the patient and advise regular monitoring
Perform a punch biopsy Correct Answers Perform
an excisional biopsy
A 39-year-old male with type 1 DM is seen in the
urgent care after a recent hospitalization for DKA.
Complete Solutions
1st line treatment for generalized anxiety disorder:
wellbutrin
zoloft
buspar
remeron Correct Answers zoloft
A 13-year-old is concerned because she has not yet
begun to menstruate. Physical examination
indicates that the patient is at Sexual Maturity
Rating IV and is of average height and weight.
Which of the following would be the most
appropriate response to this patient?
"We'll need to refer you to an endocrinologist for a
complete workup."
"Your development is exactly as expected for your
age; you'll probably begin to have periods within a
year."
"I'll give you some pills that will make your periods
start."
"We'll need to do some tests to find out why you
are not having periods." Correct Answers "Your
development is exactly as expected for your age;
you'll probably begin to have periods within a
year."
,A 15-year-old adolescent athlete complains of
chest pain and fainting during intense exercise. On
examination, a systolic ejection murmur is heard
that increases with standing. What is the most
likely diagnosis?
Hypertrophic cardiomyopathy
Pulmonary hypertension
Mitral valve prolapse
Aortic stenosis Correct Answers Hypertrophic
cardiomyopathy
A 19-year-old patient who has used oral
contraceptives for 3 years plans to discontinue the
pill at the end of her current cycle to become
pregnant. Which of the following daily supplements
would receive the highest priority?
Folic acid
Ferrous sulfate
Multivitamin
Calcium carbonate Correct Answers Folic acid
A 25-year-old woman presents with a urinary tract
infection (UTI) confirmed by urinalysis. She has no
allergies. What is the most appropriate first-line
antibiotic treatment?
Nitrofurantoin
Ciprofloxacin
Amoxicillin
Trimethoprim-sulfamethoxazole Correct Answers
Trimethoprim-sulfamethoxazole
,A 27-year-old male patient, who works as a janitor,
presents with a 6-month history of an intermittent
rash on his hands. History reveals itching and
occasional burning. Examination reveals
irregularly-distributed scaly maculopapular
erythematous patches extending from the dorsum
of the hand several inches up the forearms, and
dry palms with no nail involvement. The most likely
diagnosis is:
contact dermatitis.
eczema.
scabies infestation.
psoriasis. Correct Answers contact dermatitis.
A 30-year-old woman presents with a history of
recurrent herpes simplex virus (HSV) infections on
her lips. She wants to know how to manage future
outbreaks. What is the most appropriate initial
management for recurrent HSV?
Oral antivirals at the onset of symptoms
Daily oral antiviral prophylaxis
Immunotherapy
Topical antibiotics during outbreaks Correct
Answers Oral antivirals at the onset of symptoms
A 33-year-old woman presents with intermittent
palpitations, anxiety, and heat intolerance. Her
thyroid function tests reveal low TSH and high free
T4. What is the most likely diagnosis?
, Hypothyroidism
Hyperthyroidism
Thyroiditis
Graves' disease Correct Answers Hyperthyroidism
A 35-year-old man presents with recurrent
episodes of severe pain in his back, chest, and
extremities. He has a history of sickle cell disease.
What is the most appropriate initial management
during a pain crisis?
Hospitalization for intravenous fluids and opioids
Blood transfusion
Hydroxyurea
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Correct Answers Hospitalization for intravenous
fluids and opioids
A 35-year-old woman presents with a new, darkly
pigmented lesion on her back that she noticed a
few months ago. The lesion is asymmetrical, has
irregular borders, and varies in color. What is the
most appropriate next step in management?
Perform an excisional biopsy
Perform a shave biopsy
Reassure the patient and advise regular monitoring
Perform a punch biopsy Correct Answers Perform
an excisional biopsy
A 39-year-old male with type 1 DM is seen in the
urgent care after a recent hospitalization for DKA.
