LEIK FNP REVIEW EXAM TIPS QUESTIONS AND
ANSWERS SURE A+
✔✔What is a common sign of placenta prevue? - ✔✔Painless, bright red bleeding
✔✔Middle aged to older women - ✔✔Epidemiological studies show the Hashimoto's
disease occurs most commonly in:
✔✔Severe vaginal atrophic changes - ✔✔A 48 y/o woman is told by a physician that
she is starting menopause. All of the following are possible findings except:
A) Hot flashes
B) Irregular menstrual periods
C) Severe vaginal atrophic changes
D) Cyclic mood swings
✔✔What types of changes occur in a menopausal woman? - ✔✔Hot flashes
irregular menstrual cycles
cyclic mood swings
Thinning of vaginal tissue
Dryness of vagina
✔✔Hepatomegaly, AV nicking, bibasilar crackles - ✔✔A 63 y/o patient with a 10 yr
history of poorly controlled hypertension presents with a cluster of physical exam
,findings . What indicates target organ damage commonly seen in hypertensive
patients?
✔✔Vaginal bleeding and cramping are present, but the cervix remains closed - ✔✔A 30
y/o primigravida is diagnosed with a possible threatened abortion. The result of the
urine pregnancy test is positive. Which of the following statements is true regarding a
threatened abortion?
✔✔Bacterial Vaginosis - ✔✔A 30 y/o female who is sexually active complains of a large
amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a
large amount of squamous epithelial cells that have blurred margins. Very few white
blood cells are seen. The vaginal pH is at 6.0. What is the most likelydiagnosis?
✔✔Bacterial Vaginosis - ✔✔A bacterial infection of the vagina. S/Sx include copious off-
white to gray discharge w/foul odor without erythema or irritation. Wet-prep will be
positive for clue cells. "Whiff" test will be positive for strong "fishy" odor when vaginal
discharge is mixed with a drop of KOH.
✔✔Lichens Sclerosis - ✔✔A disease of the skin, in which white spots appear on the
skin and change over time. It is most commonly seen in the genital and rectal areas, but
can appear in other areas. The spots are usually shiny and smooth and can eventually
spread into patches. The skin appears thin and crinkled. Then the skin tears easily, and
bright red or purple bruises are common. Sometimes, the skin becomes scarred. If the
disease is a mild case, there may be no symptoms.
✔✔Closure of the semilunar valves - ✔✔The heart sound S2 is caused by
✔✔Just rising above the suprapubic bone - ✔✔A pelvic exam on a woman who is 12
wks pregnant would reveal that her uterus is located where?
✔✔12wks gestation uterus size - ✔✔The approximate size of a grapefruit: just above
the suprapubic bone
✔✔Anesthesiologists services - ✔✔All of the following are covered under Medicare Part
B except:
A) Persons age 65 or older
B) Durable medial equipment
C) Mammograms annually starting at age 50
D) Anesthesiologists services
✔✔What does Medicare part B cover? - ✔✔Outpatient physician visits, labs, x-rays
durable medical equipment
mammograms/colonoscopy after age 50
rehabilitation
, ✔✔A 17 y/o teen who has only one close friend in school - ✔✔All of the following
patients are at higher risk for suicide except:
A) A 66 y/o with male whose wife of 40 yrs recently died
B) A high school student with a history of bipolar disorder
C) A depressed 45-y/o female with family history of suicide
D) A 17 y/o teen who has only 1 close friend at school
✔✔Risk factors for suicide - ✔✔1. Elderly white males( especially after the death of a
spouse)
2. past history of suicide
3. Family history of suicide
4. Plans for use of a lethal weapon such as a gun or knife.
5. Female gender has a higher attempt rate, but males have a higher success rate
6. Personal history of bipolar disorder or depression
✔✔Subconjunctival hemorrhage - ✔✔A 70 yo male patient complains of a bright red
spot in his left eye for 2 days. He denies eyes pain, visual changes, or headaches. He
has a new onset of cough from a recent viral upper respiratory infection. The only
medicine he is on is Bayer ASA 1 tab/day. What is most likely diagnosis?
✔✔Subconjunctival Hemorrhage - ✔✔A benign disorder that occurs from an increase in
intraocular pressure that may be caused by coughing, vomiting, forceful exertion in
labor during child birth, straining while having a bowel movement, weight lifting
✔✔Advise the patient that it is a benign condition and will resolve spontaneously -
✔✔Which of the following is appropriate follow-up for this 70 y/o patient with a
subconjuctival hemorrhage?
✔✔Urine culture and sensitivity - ✔✔Jason, an 8y/o with type 1 diabetes, is being seen
for a 3-day history of frequency and nocturia. He denies flank pain and is afebrile. The
urinalysis result is negative for blood and nitrites but is positive for large amount of
leukocytes and ketones. He has a trace amount of protein. What is the best test to order
initially?
✔✔Bedrest on the left side with bathroom privileges - ✔✔The following is recommended
for the outpatient treatment of mild preeclampsia except:
✔✔Tonometry - ✔✔The best test for diagnosing congenital glaucoma is?
✔✔What is Tonometry? - ✔✔used to measure the intraocular pressure (IOP) of the eye
to screen for glaucoma. Normal range IOP is 10-22mm/Hg
✔✔Tick - ✔✔Rocky Mountain Spotted Fever is caused by the bite of a:
ANSWERS SURE A+
✔✔What is a common sign of placenta prevue? - ✔✔Painless, bright red bleeding
✔✔Middle aged to older women - ✔✔Epidemiological studies show the Hashimoto's
disease occurs most commonly in:
✔✔Severe vaginal atrophic changes - ✔✔A 48 y/o woman is told by a physician that
she is starting menopause. All of the following are possible findings except:
A) Hot flashes
B) Irregular menstrual periods
C) Severe vaginal atrophic changes
D) Cyclic mood swings
✔✔What types of changes occur in a menopausal woman? - ✔✔Hot flashes
irregular menstrual cycles
cyclic mood swings
Thinning of vaginal tissue
Dryness of vagina
✔✔Hepatomegaly, AV nicking, bibasilar crackles - ✔✔A 63 y/o patient with a 10 yr
history of poorly controlled hypertension presents with a cluster of physical exam
,findings . What indicates target organ damage commonly seen in hypertensive
patients?
✔✔Vaginal bleeding and cramping are present, but the cervix remains closed - ✔✔A 30
y/o primigravida is diagnosed with a possible threatened abortion. The result of the
urine pregnancy test is positive. Which of the following statements is true regarding a
threatened abortion?
✔✔Bacterial Vaginosis - ✔✔A 30 y/o female who is sexually active complains of a large
amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a
large amount of squamous epithelial cells that have blurred margins. Very few white
blood cells are seen. The vaginal pH is at 6.0. What is the most likelydiagnosis?
✔✔Bacterial Vaginosis - ✔✔A bacterial infection of the vagina. S/Sx include copious off-
white to gray discharge w/foul odor without erythema or irritation. Wet-prep will be
positive for clue cells. "Whiff" test will be positive for strong "fishy" odor when vaginal
discharge is mixed with a drop of KOH.
✔✔Lichens Sclerosis - ✔✔A disease of the skin, in which white spots appear on the
skin and change over time. It is most commonly seen in the genital and rectal areas, but
can appear in other areas. The spots are usually shiny and smooth and can eventually
spread into patches. The skin appears thin and crinkled. Then the skin tears easily, and
bright red or purple bruises are common. Sometimes, the skin becomes scarred. If the
disease is a mild case, there may be no symptoms.
✔✔Closure of the semilunar valves - ✔✔The heart sound S2 is caused by
✔✔Just rising above the suprapubic bone - ✔✔A pelvic exam on a woman who is 12
wks pregnant would reveal that her uterus is located where?
✔✔12wks gestation uterus size - ✔✔The approximate size of a grapefruit: just above
the suprapubic bone
✔✔Anesthesiologists services - ✔✔All of the following are covered under Medicare Part
B except:
A) Persons age 65 or older
B) Durable medial equipment
C) Mammograms annually starting at age 50
D) Anesthesiologists services
✔✔What does Medicare part B cover? - ✔✔Outpatient physician visits, labs, x-rays
durable medical equipment
mammograms/colonoscopy after age 50
rehabilitation
, ✔✔A 17 y/o teen who has only one close friend in school - ✔✔All of the following
patients are at higher risk for suicide except:
A) A 66 y/o with male whose wife of 40 yrs recently died
B) A high school student with a history of bipolar disorder
C) A depressed 45-y/o female with family history of suicide
D) A 17 y/o teen who has only 1 close friend at school
✔✔Risk factors for suicide - ✔✔1. Elderly white males( especially after the death of a
spouse)
2. past history of suicide
3. Family history of suicide
4. Plans for use of a lethal weapon such as a gun or knife.
5. Female gender has a higher attempt rate, but males have a higher success rate
6. Personal history of bipolar disorder or depression
✔✔Subconjunctival hemorrhage - ✔✔A 70 yo male patient complains of a bright red
spot in his left eye for 2 days. He denies eyes pain, visual changes, or headaches. He
has a new onset of cough from a recent viral upper respiratory infection. The only
medicine he is on is Bayer ASA 1 tab/day. What is most likely diagnosis?
✔✔Subconjunctival Hemorrhage - ✔✔A benign disorder that occurs from an increase in
intraocular pressure that may be caused by coughing, vomiting, forceful exertion in
labor during child birth, straining while having a bowel movement, weight lifting
✔✔Advise the patient that it is a benign condition and will resolve spontaneously -
✔✔Which of the following is appropriate follow-up for this 70 y/o patient with a
subconjuctival hemorrhage?
✔✔Urine culture and sensitivity - ✔✔Jason, an 8y/o with type 1 diabetes, is being seen
for a 3-day history of frequency and nocturia. He denies flank pain and is afebrile. The
urinalysis result is negative for blood and nitrites but is positive for large amount of
leukocytes and ketones. He has a trace amount of protein. What is the best test to order
initially?
✔✔Bedrest on the left side with bathroom privileges - ✔✔The following is recommended
for the outpatient treatment of mild preeclampsia except:
✔✔Tonometry - ✔✔The best test for diagnosing congenital glaucoma is?
✔✔What is Tonometry? - ✔✔used to measure the intraocular pressure (IOP) of the eye
to screen for glaucoma. Normal range IOP is 10-22mm/Hg
✔✔Tick - ✔✔Rocky Mountain Spotted Fever is caused by the bite of a:
