WELL DETAILED ANSWERS|LATEST
Which of the following steps comes first in the quality assurance process?
a. Establishing thresholds for evaluation related to the indicators
b. Collecting and organizing data
c. Delineating the scope of practice
d. Assessing the effectiveness of an action - ANSWER c. Delineating the scope of
practice
Joy, a 30-year-old female, is worried about the "mood" she has experienced for the past few
weeks. She says she feels "really sad" nearly every day and wants to know if she is clinically
depressed. Which of the following findings is required to confirm the diagnosis?
a. Excessive guilt or feelings of worthlessness
b. Fatigue
c. Anhedonia --> diminished pleasure in almost all activities
d. insomnia - ANSWER c. Anhedonia --> diminished pleasure in almost all activities
During an annual exam, you notice a 12-year-old girl with breast enlargement without
separate nipple contour. You tell her she can expect which of the following next stage of her
development?
a. Breast buds with areolar enlargement
b. Receding areolas and retracting nipples
c. Sparse, pale, fine pubic hair
d. Onset of menses - ANSWER d. Onset of menses
1
,What Tanner stage is sparse, pale, fine pubic hair? - ANSWER Tanner stage II
What Tanner stage is breast buds with areolar enlargement? - ANSWER Tanner stage II
What Tanner stage is breast enlargement without separate nipple contour? -
ANSWER Tanner stage III
What Tanner stage is onset of menses and projection of areola and nipple as secondary
mound? - ANSWER Tanner stage IV
What Tanner stage is projection of areola and nipple as secondary - ANSWER Tanner
stage IV
What Tanner stage is receding areolas and retracting nipples? - ANSWER Tanner stage
V --> menstruation has already begun
Which of the following is NOT a characteristic of severe asthma in adults?
a. Symptoms throughout the day
b. Extreme limitations on normal activity
c. Predicted forced expiratory value in 1 s < 60%
d. Nighttime awakenings 3-4 times per month - ANSWER d. Nighttime awakenings 3-4
times per month
An African American complains of being constantly out of breath even in the absence of
strenuous activity. He also noticed a sudden onset of severe pain in his back and chest. He
has a hemoglobin of 13g/dL. What disease is this patient experiencing and which of the
following would be the LEAST appropriate treatment?
a. 5 units of pack RBC
b. Oxygen
c. Intravenous fluids
2
,d. Analgesics - ANSWER a. 5 units of pack RBC
A 54-year-old is being screened for HTN, a condition that runs in his family. Which of the
following findings is NOT consistent with a diagnosis of significant HTN?
a. Epistaxis
b. A subparietal headache
c. Blurred vision
d. A S4 heart sound - ANSWER b. A subparietal headache
What type of headache is associated with HTN?
a. Suboccipital
b. Subparietal - ANSWER a. Suboccipital
What type of headache is associated with intracranial bleeding?
a. Suboccipital
b. Subparietal - ANSWER b. Subparietal
What is an S4 heart sounds associated with? - ANSWER Left ventricular hypertrophy
An 8-month-old baby presents with bluish skin and a cleft palate. The NP notes that the baby
is twitching around her mouth, as well as spasms in her hand and arms. Her parents also
report seizures. Upon further observation, the NP learns that the baby is also
developmentally delayed in many areas. Which of the following should be part of your
differential diagnosis?
a. Marfan syndrome
b. Tay-Sachs disease
c. Turner syndrome
d. DiGeorge syndrome - ANSWER d. DiGeorge syndrome
3
, What are characteristics of Tay-Sachs disease? - ANSWER Low muscle tone, seizures,
blindness, and deafness
What are characteristics of Marfan syndrome? - ANSWER Thin extremities and fingers,
and a long, narrow face
What syndrome is characterized by lymphedema, short stature, and a webbed neck? -
ANSWER Turner syndrome
A patient presents with pain and pressure over his face, reaching as far back as his teeth. He
also has a fever of 102F, which he has been treating with rest and fluids. When asked when
these occurred, he states 3 days ago. Which of the following is the most effect treatment?
a. OTC antihistamines
b. Diazepam for the pain
c. OTC oral decongestants
d. Antibiotics - ANSWER d. Antibiotics
S/S of sinusitis, but fever indicates bacterial infection
What best describes an I/VI murmur? - ANSWER Barely audible
What best describes an II/VI murmur? - ANSWER Audible but faint
What best describes an III/VI murmur? - ANSWER Moderately loud and easily heard
What best describes an IV/VI murmur? - ANSWER Sound is loud and is associated with
a thrill
A man who recently attempted suicide is brought into your clinic by his wife. What is the
LEAST effective treatment for this patient?
4
Which of the following steps comes first in the quality assurance process?
a. Establishing thresholds for evaluation related to the indicators
b. Collecting and organizing data
c. Delineating the scope of practice
d. Assessing the effectiveness of an action - ANSWER c. Delineating the scope of
practice
Joy, a 30-year-old female, is worried about the "mood" she has experienced for the past few
weeks. She says she feels "really sad" nearly every day and wants to know if she is clinically
depressed. Which of the following findings is required to confirm the diagnosis?
a. Excessive guilt or feelings of worthlessness
b. Fatigue
c. Anhedonia --> diminished pleasure in almost all activities
d. insomnia - ANSWER c. Anhedonia --> diminished pleasure in almost all activities
During an annual exam, you notice a 12-year-old girl with breast enlargement without
separate nipple contour. You tell her she can expect which of the following next stage of her
development?
a. Breast buds with areolar enlargement
b. Receding areolas and retracting nipples
c. Sparse, pale, fine pubic hair
d. Onset of menses - ANSWER d. Onset of menses
1
,What Tanner stage is sparse, pale, fine pubic hair? - ANSWER Tanner stage II
What Tanner stage is breast buds with areolar enlargement? - ANSWER Tanner stage II
What Tanner stage is breast enlargement without separate nipple contour? -
ANSWER Tanner stage III
What Tanner stage is onset of menses and projection of areola and nipple as secondary
mound? - ANSWER Tanner stage IV
What Tanner stage is projection of areola and nipple as secondary - ANSWER Tanner
stage IV
What Tanner stage is receding areolas and retracting nipples? - ANSWER Tanner stage
V --> menstruation has already begun
Which of the following is NOT a characteristic of severe asthma in adults?
a. Symptoms throughout the day
b. Extreme limitations on normal activity
c. Predicted forced expiratory value in 1 s < 60%
d. Nighttime awakenings 3-4 times per month - ANSWER d. Nighttime awakenings 3-4
times per month
An African American complains of being constantly out of breath even in the absence of
strenuous activity. He also noticed a sudden onset of severe pain in his back and chest. He
has a hemoglobin of 13g/dL. What disease is this patient experiencing and which of the
following would be the LEAST appropriate treatment?
a. 5 units of pack RBC
b. Oxygen
c. Intravenous fluids
2
,d. Analgesics - ANSWER a. 5 units of pack RBC
A 54-year-old is being screened for HTN, a condition that runs in his family. Which of the
following findings is NOT consistent with a diagnosis of significant HTN?
a. Epistaxis
b. A subparietal headache
c. Blurred vision
d. A S4 heart sound - ANSWER b. A subparietal headache
What type of headache is associated with HTN?
a. Suboccipital
b. Subparietal - ANSWER a. Suboccipital
What type of headache is associated with intracranial bleeding?
a. Suboccipital
b. Subparietal - ANSWER b. Subparietal
What is an S4 heart sounds associated with? - ANSWER Left ventricular hypertrophy
An 8-month-old baby presents with bluish skin and a cleft palate. The NP notes that the baby
is twitching around her mouth, as well as spasms in her hand and arms. Her parents also
report seizures. Upon further observation, the NP learns that the baby is also
developmentally delayed in many areas. Which of the following should be part of your
differential diagnosis?
a. Marfan syndrome
b. Tay-Sachs disease
c. Turner syndrome
d. DiGeorge syndrome - ANSWER d. DiGeorge syndrome
3
, What are characteristics of Tay-Sachs disease? - ANSWER Low muscle tone, seizures,
blindness, and deafness
What are characteristics of Marfan syndrome? - ANSWER Thin extremities and fingers,
and a long, narrow face
What syndrome is characterized by lymphedema, short stature, and a webbed neck? -
ANSWER Turner syndrome
A patient presents with pain and pressure over his face, reaching as far back as his teeth. He
also has a fever of 102F, which he has been treating with rest and fluids. When asked when
these occurred, he states 3 days ago. Which of the following is the most effect treatment?
a. OTC antihistamines
b. Diazepam for the pain
c. OTC oral decongestants
d. Antibiotics - ANSWER d. Antibiotics
S/S of sinusitis, but fever indicates bacterial infection
What best describes an I/VI murmur? - ANSWER Barely audible
What best describes an II/VI murmur? - ANSWER Audible but faint
What best describes an III/VI murmur? - ANSWER Moderately loud and easily heard
What best describes an IV/VI murmur? - ANSWER Sound is loud and is associated with
a thrill
A man who recently attempted suicide is brought into your clinic by his wife. What is the
LEAST effective treatment for this patient?
4
