Page 1 of 41
NURS 6111 EXAM QUIZES FROM EXAM 1, 2 & 3 ALL
300 QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
Mary is a 36 year old women who complains of vaginal burning. The NP assess grayish white
adherent vaginal discharge that had fishy odor. The discharge pH level is 5.1 and there is a
positive whiff test. The treatment of choice is
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Oral doxycycline
B. Metronidazole
(-KOH is whiff test- bacterial vaginosis. Metronidazole is the first line tx for bacterial vaginosis)
Jane is a 38 year old female who presents with non odorous thick, white, curd like vaginal
discharge and vulvar itching. She is in a monogamous relationship. She was recently treated
for a sinus infection. The most likely treatment includes which of the following
1
, Page 2 of 41
A. Fluconazole 800mg single dose
B. Metronidazole 500mg BID 7 days
C. Clotrimazole cream
D. Oral doxycycline
Fluconazole 800mg for initial (yeast infection)
A female patient is diagnosed with chlamydia. She has complaints of vaginal discharge and
dysuria. Her male partner is asymptomatic. How should they be treated
Doxycycline 100mg BID x7 days or azithromycin (exposed partner should be treated as well)
A female patient is 31 year old. She has never had an abnormal PAP smear and has had
regular screening since age 22. According to the AVS and ACOG guideline, if she has a normal
PAP smear with HPV testing today, when should she have the next cervical cancer screening
5 years (HPV in 5 years, Pap smear ONLY STI can be in 3 years)
A 53 year old woman who is taking HRT with conjugated estrogen, .45mg/ day with
medroxyprogesterone acetate 1.5mg, has bothersome atrophic vaginitis symptoms. You
would consider
the addition of topical estrogen can be helpful (helps with dryness)
Samantha is a 23 year old female presents with urinary burning, frequency and urgency.
Urine dipsticks is positive for leukocytes and nitrates. Given that she has no medical hx and
no other pertinent clinical findings, the recommended treatment of choice is
2
, Page 3 of 41
Nitrofurantoin 100mg BID x 5 days (1st line tx for uncomplicated UTI)
A 29 year old female patient with no medical history presented to the NP office with fever,
chills and WBC casts and has been diagnosed with pyelonephritis. Which clinical finding
would be consistent in this patient
CVA tenderness
A 29 year old female with no medical history presented to the NP office with fever, chills and
positive WBC casts and has been diagnosed with pyelonephritis. What is the recommended
pharmacological management for the above patient
Bactrim DS 160/800mg BID x 14 days, Levaquin 750mg po 5x days or cipro 500mg bidx7
Mrs. Lowell is a 45 year old active woman with diabetes who presents with urinary
frequency, dysuria and fatigue. She has no fever or chills. Urine dipstick shows the presence
of leukocytes and nitrates. As a NP which pharmacological treatment is appropriate for this
patient
Bactrim for 7 days
Mrs. Jones is a physically independent 65 year old who walks one mile daily on most days.
She is beginning to have some joint pain but is otherwise healthy and takes only her
hormones. She is found on a routine well visit to have WBCs in her urine. She has no s/s of
UTI. How should she be managed
Monitoring s/s of UTI
3
, Page 4 of 41
Mr. Smith has HTN, his GFR is 65. The NP should consider all of the following interventions
except
Referrals to the nephrologist (stage 2 kidney disease does not warrant nephrologist)
The gold standard diagnostic test for kidney stones is
CT scan without contrast
A 42 year old male patient presorts to the NP office with a sudden onset of lower back pain,
hematuria and diaphoresis. He has no scrotal pain, fever or penile discharge. He is currently
on thiazide diuretic for high BP. What should be on the NPs highest differential diagnosis
consideration
Renal lithiasis (thiazide diuretic increases risk of kidney stones)
A 22 year old male patient who is otherwise healthy presents to the NP office with a sudden
onset scrotal pain. He complains of nausea and is found to have asymmetric, high riding
testes on the right side. What should the NP suspect
Testicular torsion
A classic physical finding in a patient with testicular torsion include
Cremasteric reflex is absent or no relief of pain (-Prehn sign)
Ben is a 28 year old sexually active male who the APN suggests is having epididymitis. Which
PE exam finding are most consistent with the diagnosis
4
NURS 6111 EXAM QUIZES FROM EXAM 1, 2 & 3 ALL
300 QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
Mary is a 36 year old women who complains of vaginal burning. The NP assess grayish white
adherent vaginal discharge that had fishy odor. The discharge pH level is 5.1 and there is a
positive whiff test. The treatment of choice is
A. Fluconazole
B. Metronidazole
C. Clindamycin
D. Oral doxycycline
B. Metronidazole
(-KOH is whiff test- bacterial vaginosis. Metronidazole is the first line tx for bacterial vaginosis)
Jane is a 38 year old female who presents with non odorous thick, white, curd like vaginal
discharge and vulvar itching. She is in a monogamous relationship. She was recently treated
for a sinus infection. The most likely treatment includes which of the following
1
, Page 2 of 41
A. Fluconazole 800mg single dose
B. Metronidazole 500mg BID 7 days
C. Clotrimazole cream
D. Oral doxycycline
Fluconazole 800mg for initial (yeast infection)
A female patient is diagnosed with chlamydia. She has complaints of vaginal discharge and
dysuria. Her male partner is asymptomatic. How should they be treated
Doxycycline 100mg BID x7 days or azithromycin (exposed partner should be treated as well)
A female patient is 31 year old. She has never had an abnormal PAP smear and has had
regular screening since age 22. According to the AVS and ACOG guideline, if she has a normal
PAP smear with HPV testing today, when should she have the next cervical cancer screening
5 years (HPV in 5 years, Pap smear ONLY STI can be in 3 years)
A 53 year old woman who is taking HRT with conjugated estrogen, .45mg/ day with
medroxyprogesterone acetate 1.5mg, has bothersome atrophic vaginitis symptoms. You
would consider
the addition of topical estrogen can be helpful (helps with dryness)
Samantha is a 23 year old female presents with urinary burning, frequency and urgency.
Urine dipsticks is positive for leukocytes and nitrates. Given that she has no medical hx and
no other pertinent clinical findings, the recommended treatment of choice is
2
, Page 3 of 41
Nitrofurantoin 100mg BID x 5 days (1st line tx for uncomplicated UTI)
A 29 year old female patient with no medical history presented to the NP office with fever,
chills and WBC casts and has been diagnosed with pyelonephritis. Which clinical finding
would be consistent in this patient
CVA tenderness
A 29 year old female with no medical history presented to the NP office with fever, chills and
positive WBC casts and has been diagnosed with pyelonephritis. What is the recommended
pharmacological management for the above patient
Bactrim DS 160/800mg BID x 14 days, Levaquin 750mg po 5x days or cipro 500mg bidx7
Mrs. Lowell is a 45 year old active woman with diabetes who presents with urinary
frequency, dysuria and fatigue. She has no fever or chills. Urine dipstick shows the presence
of leukocytes and nitrates. As a NP which pharmacological treatment is appropriate for this
patient
Bactrim for 7 days
Mrs. Jones is a physically independent 65 year old who walks one mile daily on most days.
She is beginning to have some joint pain but is otherwise healthy and takes only her
hormones. She is found on a routine well visit to have WBCs in her urine. She has no s/s of
UTI. How should she be managed
Monitoring s/s of UTI
3
, Page 4 of 41
Mr. Smith has HTN, his GFR is 65. The NP should consider all of the following interventions
except
Referrals to the nephrologist (stage 2 kidney disease does not warrant nephrologist)
The gold standard diagnostic test for kidney stones is
CT scan without contrast
A 42 year old male patient presorts to the NP office with a sudden onset of lower back pain,
hematuria and diaphoresis. He has no scrotal pain, fever or penile discharge. He is currently
on thiazide diuretic for high BP. What should be on the NPs highest differential diagnosis
consideration
Renal lithiasis (thiazide diuretic increases risk of kidney stones)
A 22 year old male patient who is otherwise healthy presents to the NP office with a sudden
onset scrotal pain. He complains of nausea and is found to have asymmetric, high riding
testes on the right side. What should the NP suspect
Testicular torsion
A classic physical finding in a patient with testicular torsion include
Cremasteric reflex is absent or no relief of pain (-Prehn sign)
Ben is a 28 year old sexually active male who the APN suggests is having epididymitis. Which
PE exam finding are most consistent with the diagnosis
4
