AGPCNP Board Review test exam 2024-
2025 100% graded CORRECT ANSWER
1st line TX for AOM is: - CORRECT ANSWER Amoxicillin 500mg PO BID X 7 days
A common symptoms distinguishing IBS from Diverticulitis is: - CORRECT ANSWER
Diverticulitis tends to present with localized LLQ tenderness to palpation
a diabetic patient is hypoglycemic is the morning but not during the not. the provider
recognizes this as _______ and makes what adjustment to the insulin regimen -
CORRECT ANSWER dawn phenomenon, increase the coverage in the evening
A female patient presents with symptoms of foul-smelling vaginal discharge, burning
and soreness of the vulva. On exam the cervix has a strawberry appearance. The NP
suspects: - CORRECT ANSWER Trichomonas infections
a patient asked for an herbal alternative for headache treatment, the provider may
suggest: - CORRECT ANSWER butterburr
a patient has been diagnosed with chronic migraine and is being started on sumitriptan
for abortive therapy. Counseling should include: - CORRECT ANSWER R/O hx of
cardiovascular disease, HPTN, CVA, TIA
- warn patients that flushing, tingling, chest/neck/sinus/jaw discomfort can occur
SUPERVISE 1st dose if patient has any risk factor for cardiovascular disease, diabetics,
obesity, males>40 etc. as there is increased risk of MI
a patient presents with a bilateral headaches which feels "band-like head pain". The
most likely diagnosis is: - CORRECT ANSWER muscle tension headache
a patient presents with painless, clouded or dim vision with halos around lights, no red
reflex and DIPLOPIA IN A SINGLE EYE would be suspected of - CORRECT ANSWER
cataract
a patient presents with unilateral periorbital pain with no prior history of migraine. the
most likely diagnosis is: - CORRECT ANSWER cluster headache
A patient states that he wants to try herbal medicine for treating an enlarged prostate.
The NP advises the patient that some men have used: - CORRECT ANSWER Saw
palmetto has been used by millions of men to ease benign prostatic hypertrophy (BPH)
symptoms and is often recommended as an alternative to medication
a patient who demonstrates resistance to a flex hip (or back pain) that is attempted to
be straightened while keeping the hip flexed shows: - CORRECT ANSWER positive
,kernig's sign indicative of inflammation on lumbar nerve roots which may indicate
menigeal irritation
a patient who presents with extreme eye pain, blurred vision, pupils that are dilated or
fixed and HALOS AROUND LIGHTS should be: - CORRECT ANSWER referred to
opthlamology for emergent suspicion of closed-angel glaucoma
A patient who was treated for syphilis with 2.4 penicillin G IM returns to the clinic 24
hours after therapy. Signs and symptoms are headache, myalgias, rigors, sweating,
hypotension, and worsening of rash (if present). The NP suspects: - CORRECT
ANSWER
a patient with a TSH > 5.0 mU/L with normal T3 and T4 levels would be classified as: -
CORRECT ANSWER subclinical hypothyroidism
a provider performs a Nylen-Barany maneuver and finds a positive Dix-Hallpike sign:
the provider is testing for - CORRECT ANSWER vertigo
A raised area at the junction of an artery and vein on fundoscopic exam is diagnosed
as ____________________ and suggest _____________________ - CORRECT
ANSWER AV nicking
Hypertension
A S4 heart sound is auscultated in an elderly patients, suggesting: - CORRECT
ANSWER S4 heart sounds absent other symptoms in the elderly are often a benign
finding
abortive therapy for cluster headache - CORRECT ANSWER usually includes
sumatriptan and 100% O2
abortive therapy for migraines include: - CORRECT ANSWER sumatriptan 6mg sub-q,
repeated every other to max of 3 doses OR
sumatriptan 25 mg PO an onset
absences of a red reflex on exam is indicative of: - CORRECT ANSWER cataract
acute inflammatory process affecting the eyelid usually caused by staphylococcus
aureus - CORRECT ANSWER hordeolum (stye)
acute onset of headaches behind one eye with eye pain, autonomic s/sx with hazy
cornea or partial dilation of the affected pupil: - CORRECT ANSWER acute/narrow
angle-close glaucoma requiring referral to ED
, an inital lesion between 2 to 10cm is noted on the trun and/or proximal extremities. the
rash is follows a "christmas tree" pattern and is pruritic in nature. The best DX is: -
CORRECT ANSWER pityriasis rosea
Anterior drawer maneuver and Lachman maneuvers are positive when: - CORRECT
ANSWER anterior cruciate ligament (ACL) of the knee is damaged
appropriate outpatient management of suspected peptic ulcer disease begins with: -
CORRECT ANSWER H2 blockers then PPI
atrioventricular [AV] nicking, silver and/or copper wire arterioles on fundal exam are
suggestive of - CORRECT ANSWER hypertensive retinopathy
Bactrim may not be prescribed for patients with which enzyme deficiency - CORRECT
ANSWER G6PD
beady nodule on the eye lid that is usually painless apart from the tenderness caused
by swelling - CORRECT ANSWER chalazion
clinical term for farsightedness - CORRECT ANSWER hyperopia
clinical term used to described patient who have trouble seeing items that are far away
(nearsightedness) - CORRECT ANSWER myopia
collaborative practice includes: - CORRECT ANSWER - true partnership where all
players have:
desire power
share common goals
recognize and accept SEPARATE areas of responsibility and activity
competence for informed consent includes: - CORRECT ANSWER - ability to
understand
- to reason
- to weight outcomes
- to communicate wishes
complications of metformin include: - CORRECT ANSWER lactic acidosis
renal dysfunction, patients with renal disease and alcoholics are at increased risk
contraction of the facial muscles when the facial nerve (VII) is tapped briskly in front of
the ear is termed:
what does the condition result from - CORRECT ANSWER chvostek's sign usually
resulting from low calcium
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