AANP
Practice
Questions
A
65-year-old
woman
presents
for
a
follow-up
examination
after
a
new
patient
visit.
She
has
not
seen
a
healthcare
provider
for
several
years.
She
is
a
smoker
and
her
hypertension
is
now
adequately
controlled
with
medication.
Her
mother
died
at
age
40
from
a
heart
attack.
The
fasting
lipid
profile
shows
cholesterol
=
240
mg/dL,
HDL
=
30,
and
LDL
=
200.
In
addition
to
starting
Therapeutic
Lifestyle
Changes,
the
nurse
practitioner
should
start
the
patient
on:
1.bile
acid
sequestrant.
2.
a
statin
drug.
3.
a
cholesterol
absorption
inhibitor.
4.
low-dose
aspirin.
-
ANSA
statin
drug
The
most
commonly
prescribed
medication
for
mild
systemic
lupus
erythematosus
(SLE)
is:
1.
azathioprine
(AZA).
2.
belimumab
(Benlysta).
3.
ibuprofen
(Advil).
4.
cyclophosphamide
(Cytoxan).
-
ANSibuprofen
(advil)
The
most
common
sign
of
cervical
cancer
is:
1.
postcoital
bleeding.
2.
strong
odor
from
vaginal
discharge.
3.
itching
in
the
vaginal
area.
4.
molluscum
contagiosum.
-
ANSpostcoital
bleeding
The
nurse
practitioner
prescribes
amitriptyline
(Elavil)
for
a
patient
with
neuropathic
pain
secondary
to
diabetes
mellitus.
On
follow-up,
the
patient
complains
of
urine
retention
and
dry
mouth.
The
practitioner
would:
1.
discontinue
amitriptyline
and
begin
ibuprofen
(Motrin).
2.
refer
to
physical
therapy.
3.
start
methocarbamol
(Robaxin).
4.
discontinue
amitriptyline
and
begin
gabapentin
(Neurontin).
-
ANSdiscontinue
amitriptyline
and
begin
gabapentin
(neurontin)
A
17-year-old
male
with
rheumatoid
arthritis
is
being
treated
with
an
NSAID
and
omeprazole
(Prilosec).
The
patient
complains
of
headache,
abdominal
pain,
and
gas.
These
symptoms
are
most
likely:
1.
associated
with
the
omeprazole. 2.
related
to
the
underlying
condition.
3.
the
result
of
the
NSAID.
4.
caused
by
viral
gastroenteritis.
-
ANSassociated
with
the
omeprazole
The
medication
of
choice
for
the
initial
treatment
of
juvenile
rheumatoid
arthritis
is:
1.
acetaminophen.
2.
prednisone.
3.
aspirin.
4.
ibuprofen.
-
ANSibuprofen
A
12-year-old
with
sickle
cell
anemia
has
recently
experienced
a
sickle
cell
crisis
and
presents
for
a
follow-up
examination
after
a
recent
hospitalization.
It
is
most
important
to
continue
monitoring
growth,
development,
and:
1.
white
blood
cell
levels.
2.
fecal
occult
blood
test.
3.
hemoglobin
levels.
4.
urine
dipsticks.
-
ANShemoglobin
levels
A
90-year-old
female
is
brought
to
the
clinic
by
her
neighbor.
She
states
that
everything
is
fine,
but
the
nurse
practitioner
notes
that
she
has
poor
hygiene
and
bruises
on
her
trunk.
The
neighbor
is
concerned
that
the
patient
often
has
no
money
to
buy
food,
despite
income
from
social
security
and
a
coal
miner's
pension.
The
nurse
practitioner
suspects
abuse.
Which
of
the
following
is
the
nurse
practitioner
obligated
to
do
next?
1.
Report
the
case
to
the
proper
authorities.
2.
Tell
the
neighbor
to
check
on
the
woman
daily
and
report
back.
3.
Document
the
data
and
report
the
information
to
risk
management.
4.
Call
the
patient's
family
and
inquire
about
the
concerns.
-
ANSreport
the
case
to
proper
authorities
In
most
cases,
the
first
manifestation
of
Alzheimer's
disease
is:
1.
impaired
judgment.
2.
decrease
in
short-term
memory.
3.
disorientation
in
time
and
place.
4.
decrease
in
long-term
memory.
-
ANSdecrease
in
short-term
memory
The
optimal
treatment
for
latent
tuberculosis
is:
1.
rifampin
(Rifadin)
for
5
months.
2.
isoniazid
(Nydrazid)
for
9
months.
3.
pyrazinamide
for
6
months.
4.
ethambutol
for
6
months.
-
ANSosioniazid
(nydrazid)
for
9
months Unilateral
spontaneous
serous
or
serosanguineous
discharge
from
a
single
duct
of
a
breast
is
most
often
caused
by:
1.
intraductal
papilloma.
2.
mucinous
breast
lesions.
3.
Paget's
disease.
4.
ductal
carcinoma
in
situ.
-
ANSintraductal
papilloma
A
young
child
with
asthma
presents
for
follow-up
evaluation.
After
numerous
changes
in
medications
and
doses,
the
parents
report
that
the
child
continues
to
have
difficulty
with
coughing,
especially
during
the
night.
Which
of
the
following
conditions
would
be
the
most
likely
cause
of
the
continued
asthma
symptoms?
1.
Vocal
cord
dysfunction
2.
Cystic
fibrosis
3.
Gastroesophageal
reflux
4.
Allergic
rhinitis
-
ANSgastroesophageal
reflux
A
pregnant
woman
with
known
HIV
infection
can
reduce
the
risk
of
perinatal
transmission
through
zidovudine
(Retrovir)
therapy.
Based
on
current
research,
optimal
therapy
is
to
start
daily
dosing:
1.
post
amniocentesis.
2.
after
14
weeks
of
gestation.
3.
if
premature
rupture
of
membranes
occurs.
4.
if
maternal
viral
loads
are
greater
than
10,000.
-
ANSafter
14
weeks
gestation
T-wave
inversion
with
a
normal
ST
segment
on
a
12-lead
EKG
may
represent:
1.
acute
coronary
ischemia.
2.
right
ventricular
hypertrophy.
3.
atrial
hypertrophy.
4.
hyperkalemia.
-
ANSacute
coronary
ischemia
The
16-year-old
mother
of
a
2-month-old
presents
the
infant,
reporting
that
the
child
is
very
irritable
and
does
not
feed
well.
During
physical
examination,
the
child's
head
drops
back
and
the
child
exhibits
sudden
flexing
of
the
extremities.
As
the
flexing
stops,
the
child
cries
uncontrollably.
Funduscopic
examination
reveals
retinal
hemorrhages.
Which
of
the
following
diagnostic
tests
should
be
ordered?
1.
Skull
X-rays
2.
MRI
3.
CT
scan
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