Which patient would benefit most from screening for type 2 diabetes? - ANSWER - an obese female with
recurrent vaginitis
A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal
interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte
sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally
elevated. What is the most likely diagnosis? - ANSWER – ostheoaethritis
Diagnostic radiological studies are indicated for low back pain: - ANSWER - When there is a suspicion of a
space-occupying lesion, fracture, cauda equina, or infection.
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been
cured? - ANSWER - A urea breath test
Which appropriate test for the initial assessment of Alzheimer's disease provides the performance
ratings on 10 complex, higher order activities? - ANSWER - FAQ - Functional Activities Questionnaire
Major depression occurs most often in which of the following conditions? - ANSWER - stroke
pg. 1
,Which of the following statements about multiple sclerosis (MS) is correct? - ANSWER - MS is a chronic,
treatable illness with unknown cause and a variable course.
Diagnostic evaluation of hypothyroidism reveals: - ANSWER - Elevated TSH and decreased T4
Risk factors for prostate cancer include all of the following except: - ANSWER - Benign prostatic
hypertrophy
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis
reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: -
ANSWER - trimethoprim sulfamethoxazole for 3 dyas
A thymectomy is usually recommended in the early treatment of which disease? - ANSWER - Myasthenia
Gravis
The diagnosis of human papilloma virus (HPV) infection in males is usually made by - ANSWER - clinical
appearance (examination of the lesison)
The most effective intervention(s) to prevent stroke is (are): - ANSWER - smoking cessation and
treatment of hypertension
What is the most common cause of Cushing's syndrome? - ANSWER - Administration of a glucocorticoid
or ACTH
Which of the following medications may predispose the patient to hypoglycemia? - ANSWER - Beta-
adrenergic blockers
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her
exacerbations affect her activities and they occur at least twice weekly and may last for days. She is
affected more than once weekly during the night with an exacerbation. Which category of asthma
severity is Lisa in? - ANSWER - Moderate Persistent
pg. 2
, Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension.
Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At
today's visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to
control Harriet's blood pressure? - ANSWER - Add thiazide diuretic to Lisinopril 5mg daily
What condition is associated with mucus production greater than 3 months per year for at least 2
consecutive years? - ANSWER - Chronic Bronchitis
Risk factors for acute arterial insufficiency include which of the following? - ANSWER - Recent MI, Arterial
Fibrillation, and Atherosclerosis
Other than smoking cessation, which of the following slows the progression of COPD in smokers? -
ANSWER - Engaging in moderate to high levels of physical activity
Management of a patient with hypertension and an abdominal aortic aneurysm would include: -
ANSWER - Referral to a cardiologist
A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The
echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings
are consistent with: - ANSWER - Systolic heart failure
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective
in keeping him symptom-free? - ANSWER - A bronchodilator PRN and an inhaled corticosteroid
A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour.
The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes
are consistent with which myocardial infarction territory? - ANSWER - Inferior wall
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the
following disease processes? - ANSWER - Acute bronchitis
The most common correlate(s) with chronic bronchitis and emphysema is(are): - ANSWER - Cigarette
smoke inhalation
pg. 3
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