AANP AGPCNP PSI Test 1 & 2 Questions &
Answers
1.An 88-year-old presents with right-side weakness after being unable to
rise unassisted following a fall to the bathroom floor. History includes
aphasia and noncompliance with hypertension medication regimen. What is
the most likely diagnosis?
Left-sided or right-sided CVA?
Answer LEFT-SIDED CVA
2.Which of the following signs/symtpoms are often associated
with headahces due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset; hours to days
4) pupillary constriction; stupor
Answer 1) pain worse laying down, focal neurological signs
3.Which of the following pharmacotherapeutics would be most important
to administer to a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
1/
68
,3) Cromolyn optha
4) Olopatadine
Answer 2) Gentamicin ophthalmic (Genoptic)
4.A 25-year-old presents with the chief complaint of decreased mobility and
pain of the right shoulder exacerbated by movement. The patient reports
that he participated in extensive house painting 24 hours prior to the onset
of pain. He denies any trauma. Passive ROM is intact. No redness or
ecchymosis is present. What is the next step to be taken in order to make a
diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG
Answer 2) palpate structures
5.A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 com-
plains of midcycle spotting. She has not missed any doses and uses no
other medication. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days
Answer 3) provide reassurance
2/
68
,6.According to the Report of the U.S. Preventive Services Task Force, which
of the following is NOT a current recommendation guideline for preventive
care in elderly female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines
Answer 3) Rubella serology or vaccination history
7.87 y/o NH patient is drowsy and barely responsive. Temp 95, BP;
110/70, Pulse 60, R 10. The best action is to
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming
Answer 1) initiate passive rewarming
8.A patient is referred with DM, HTN and CAD. He is on insulin and a beta
blocker. How would you educate this patient on recognizing the signs
and symptoms of hypoglycemia?
1) Edema
2) Tachycardia
3/
68
, 3) palpitations
4) sweating
Answer 4) sweating
9.A 65-year-old overweight patient is diagnosed with plantar fasciitis.
Initial therapy of NSAIDs, stretching, ice, and rest has proven ineffective
after 3 weeks. The best follow-up plan of care would be to
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercis
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar
Answer 2) continue NSAID, apply an arch support and encourage wt loss
and exercise
10.Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping
Answer 1) nicking of arteriols and viens, and small retinol hemorrages
11.Which of the following is a common presenting feature of
hyperthyroidism in the elderly?
4/
68
Answers
1.An 88-year-old presents with right-side weakness after being unable to
rise unassisted following a fall to the bathroom floor. History includes
aphasia and noncompliance with hypertension medication regimen. What is
the most likely diagnosis?
Left-sided or right-sided CVA?
Answer LEFT-SIDED CVA
2.Which of the following signs/symtpoms are often associated
with headahces due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset; hours to days
4) pupillary constriction; stupor
Answer 1) pain worse laying down, focal neurological signs
3.Which of the following pharmacotherapeutics would be most important
to administer to a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
1/
68
,3) Cromolyn optha
4) Olopatadine
Answer 2) Gentamicin ophthalmic (Genoptic)
4.A 25-year-old presents with the chief complaint of decreased mobility and
pain of the right shoulder exacerbated by movement. The patient reports
that he participated in extensive house painting 24 hours prior to the onset
of pain. He denies any trauma. Passive ROM is intact. No redness or
ecchymosis is present. What is the next step to be taken in order to make a
diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG
Answer 2) palpate structures
5.A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 com-
plains of midcycle spotting. She has not missed any doses and uses no
other medication. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days
Answer 3) provide reassurance
2/
68
,6.According to the Report of the U.S. Preventive Services Task Force, which
of the following is NOT a current recommendation guideline for preventive
care in elderly female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines
Answer 3) Rubella serology or vaccination history
7.87 y/o NH patient is drowsy and barely responsive. Temp 95, BP;
110/70, Pulse 60, R 10. The best action is to
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming
Answer 1) initiate passive rewarming
8.A patient is referred with DM, HTN and CAD. He is on insulin and a beta
blocker. How would you educate this patient on recognizing the signs
and symptoms of hypoglycemia?
1) Edema
2) Tachycardia
3/
68
, 3) palpitations
4) sweating
Answer 4) sweating
9.A 65-year-old overweight patient is diagnosed with plantar fasciitis.
Initial therapy of NSAIDs, stretching, ice, and rest has proven ineffective
after 3 weeks. The best follow-up plan of care would be to
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and exercis
3) continue NSAID, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar
Answer 2) continue NSAID, apply an arch support and encourage wt loss
and exercise
10.Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping
Answer 1) nicking of arteriols and viens, and small retinol hemorrages
11.Which of the following is a common presenting feature of
hyperthyroidism in the elderly?
4/
68
