Predictor Study Guide Questions With
Complete Solutions
A 45-year-old man presents with a 2-day history of
a red, swollen, and painful lower leg. Examination
reveals erythema and warmth suggestive of
cellulitis. He has no known allergies. What is the
most appropriate initial antibiotic treatment?
*Doxycycline
*Clindamycin
*Trimethoprim-sulfamethoxazole
*Cephalexin
Cephalexin
A 55-year-old woman presents with fatigue, hair
loss, and cold intolerance. Her thyroid function
tests reveal high TSH and low free T4. What is the
most appropriate treatment?
*Methimazole
*Beta-blockers
*Radioactive iodine
*Levothyroxine
Levothyroxine
An adult patient who was already taking Tramadol
for back pain recently initiated Sertraline for new-
onset depression. The patient returns, complaining
of feeling unwell. Which of the following signs
,would make the nurse practitioner suspect that the
patient has developed serotonin syndrome?
*Bradycardia
*Muscle flaccidity
*Fever
*Hypotension
Fever
A patient with diabetes mellitus who is taking
insulin presents for a follow up. The patient's blood
glucose log reveals wide variations in readings, as
well as numerous episodes of hyperglycemia and
hypoglycemia. Which is the nurse practitioner's
best therapeutic intervention?
*Decrease the overall insulin dose
*Refer the patient for diet teaching
*Increase the overall insulin dose
*Instruct the patient to start daily exercise
Refer the patient for diet teaching
A patient presents for recheck of their thyroid-
stimulating hormone (TSH). The patient was
started on levothyroxine (Synthroid) 50 mcg 8
weeks ago. Today the TSH is 10.5 μU/mL [normal =
0.4-2.5 μU/mL]. Based on this lab work, which is
the most appropriate action?
*Decrease levothyroxine (Synthroid) to 25 mcg
,daily.
*Keep levothyroxine (Synthroid) at 50 mcg daily.
*Increase levothyroxine (Synthroid) to 75 mcg
daily.
*Change to Armour Thyroid 50 mcg daily.
Increase levothyroxine (Synthroid) to 75 mcg daily.
A starting dose for a elderly adult patient with a
BMI of 20 needing levothryoxine
*100 mcg
*25 mcg
*75 mcg
*125 mcg
25 mcg
A patient has a 3 cm pituitary mass noted on CT.
What is your next step in evaluating the patient?
*Repeat MRI in 3 months
*Refer to surgery
*Screen for hormone deficiencies
*Start Cabergoline
Screen for hormone deficiencies
An adult patient presents with tachycardia and
nervousness. The patient is currently taking
levothyroxine (Synthroid), 75 mcg daily. The nurse
practitioner orders a thyroid-stimulating hormone
(TSH) and anticipates having to:
*continue the same daily dose.
, *raise the dose to 100 mcg daily.
*add atenolol, 50 mg daily.
*lower the dose to 50 mcg daily.
lower the dose to 50 mcg daily.
A 33-year-old woman presents with irregular
menstrual cycles, hirsutism, and obesity.
Laboratory tests reveal elevated serum
testosterone and LH ratio > 2:1. What is the most
appropriate initial treatment?
*Metformin
*Spironolactone
*Clomiphene
*Oral contraceptives
Oral contraceptives
A 35-year-old woman with a history of
hypothyroidism presents with fatigue, weight gain,
constipation, and cold intolerance. Her TSH level is
elevated, and her free T4 is low. What is the most
appropriate next step in management?
*Refer to an endocrinologist
*Start methimazole
*Increase levothyroxine dosage
*Order an antithyroperoxidase antibody test
Increase levothyroxine dosage
Complete Solutions
A 45-year-old man presents with a 2-day history of
a red, swollen, and painful lower leg. Examination
reveals erythema and warmth suggestive of
cellulitis. He has no known allergies. What is the
most appropriate initial antibiotic treatment?
*Doxycycline
*Clindamycin
*Trimethoprim-sulfamethoxazole
*Cephalexin
Cephalexin
A 55-year-old woman presents with fatigue, hair
loss, and cold intolerance. Her thyroid function
tests reveal high TSH and low free T4. What is the
most appropriate treatment?
*Methimazole
*Beta-blockers
*Radioactive iodine
*Levothyroxine
Levothyroxine
An adult patient who was already taking Tramadol
for back pain recently initiated Sertraline for new-
onset depression. The patient returns, complaining
of feeling unwell. Which of the following signs
,would make the nurse practitioner suspect that the
patient has developed serotonin syndrome?
*Bradycardia
*Muscle flaccidity
*Fever
*Hypotension
Fever
A patient with diabetes mellitus who is taking
insulin presents for a follow up. The patient's blood
glucose log reveals wide variations in readings, as
well as numerous episodes of hyperglycemia and
hypoglycemia. Which is the nurse practitioner's
best therapeutic intervention?
*Decrease the overall insulin dose
*Refer the patient for diet teaching
*Increase the overall insulin dose
*Instruct the patient to start daily exercise
Refer the patient for diet teaching
A patient presents for recheck of their thyroid-
stimulating hormone (TSH). The patient was
started on levothyroxine (Synthroid) 50 mcg 8
weeks ago. Today the TSH is 10.5 μU/mL [normal =
0.4-2.5 μU/mL]. Based on this lab work, which is
the most appropriate action?
*Decrease levothyroxine (Synthroid) to 25 mcg
,daily.
*Keep levothyroxine (Synthroid) at 50 mcg daily.
*Increase levothyroxine (Synthroid) to 75 mcg
daily.
*Change to Armour Thyroid 50 mcg daily.
Increase levothyroxine (Synthroid) to 75 mcg daily.
A starting dose for a elderly adult patient with a
BMI of 20 needing levothryoxine
*100 mcg
*25 mcg
*75 mcg
*125 mcg
25 mcg
A patient has a 3 cm pituitary mass noted on CT.
What is your next step in evaluating the patient?
*Repeat MRI in 3 months
*Refer to surgery
*Screen for hormone deficiencies
*Start Cabergoline
Screen for hormone deficiencies
An adult patient presents with tachycardia and
nervousness. The patient is currently taking
levothyroxine (Synthroid), 75 mcg daily. The nurse
practitioner orders a thyroid-stimulating hormone
(TSH) and anticipates having to:
*continue the same daily dose.
, *raise the dose to 100 mcg daily.
*add atenolol, 50 mg daily.
*lower the dose to 50 mcg daily.
lower the dose to 50 mcg daily.
A 33-year-old woman presents with irregular
menstrual cycles, hirsutism, and obesity.
Laboratory tests reveal elevated serum
testosterone and LH ratio > 2:1. What is the most
appropriate initial treatment?
*Metformin
*Spironolactone
*Clomiphene
*Oral contraceptives
Oral contraceptives
A 35-year-old woman with a history of
hypothyroidism presents with fatigue, weight gain,
constipation, and cold intolerance. Her TSH level is
elevated, and her free T4 is low. What is the most
appropriate next step in management?
*Refer to an endocrinologist
*Start methimazole
*Increase levothyroxine dosage
*Order an antithyroperoxidase antibody test
Increase levothyroxine dosage
