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3P Practice Questions
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3P Practice Questions
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3P PRACTICE QUESTIONS ANDANSWERS GRADED A+
o The groove of the metacarpophalangeal joint can be palpated by having the
patient: - flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: -
vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on
percussion (looses ability to pump out blood)
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood
swings, is easily distracted, and constantly corrects his teachers. You have the high suspicion for bipolar if
which symptom was present? - he sleeps less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a hx of
uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective
abortion? - G4 T1 P1 A1 L3 (mult births count as 1 pregnancy and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? - barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is contraindicated? -
Heart disease
Severe aortic regurgitation symptoms with dyspnea - dry cough, angina, hypotension, systolic murmur
Unipolar depression. What medications are not considered? - TCA (tricyclic antidepressants); Buspar,
SSR, wellbutin are all okay
Which of the following statements is most accurate about cough associated with ACEI? - Asthma
Conductive Hearing loss - External ear, middle ear, or both problem
Which of the following is a risk factor for the development of prostate enlargement? - Diabetes; Obesity,
heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom in the lower
extremity? - Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to have
ascites and JVD should be evaluated for: - heart failure
, 23 year old woman is having frequent migraines and needs a prophylactic medication. She also has
asthma. The medication should be avoided in this patient: - Propranolol (inderal); can cause increase
bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is safe to use with
warfarin? - Clarithromycin (PCN and cephalosporins are okay)
On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck and boutoniere
deformities which she knows are related to the diagnosis of - rheumatoid arthritis
28 year old woman has symptoms of asthma daily and several nights a week. She uses a SABA and will
be starting fluticasone/salmeterol (Advair). Advair: - is not effective during an acute asthma attack
The main lymphatic channel that drains lymph back to the systemic circulation from the entire body,
with the exception of the RT arm, thorax, head and neck is the - thoracic duct
Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35 weeks gestation if
the fundal height measurement is - 32
A 22 year old patient presents with complaints of headaches with associated nausea and vomitting. The
LEAST likely differential diagnosis for this patient is - tension headaches
The symptoms that will help differentiate acute pyelonephritis from acute nephrolithiasis is the presence
of - costovertebral pain
While assessing an 80 year old man, the NP considers the need to evaluate for depression based on the
patient's - poor motivation to participate in care
Acute gout attack. What should not be initiated? - Probenecid
Serotonin syndrome is suspected. What symptoms? - rapid heart rate and high blood pressure
Which medication class is not recommended in the outpatient treatment of a pediatric patient with
acute bacterial rhinosinusitis (ABRS) - Antihistamines
A 44 year old man presents with complaints of sudden pain in the right upper abdominal quadrant. The
NP suspects pancreatitis due to historical findings. What assessment supports this? - A positive Cullen's
sign
Old man with BPH, Benadryl and anticholinergic may cause: - Urinary retention
45 year old carpenter complains of a foreign body sensation in his LT eye with tearing and itching. During
the ophthalmoscopic exam, a triangular thickening of the bulbar conductive is found at the outer surface
of the cornea. This finding is consistent with: - pterygium
The medication with the best safety profile to treat HTN in a woman who is 20 weeks pregnant is -
methyldopa
Meningitis is suspected in a patient who has complaints of fever, headache, and nuchal ridifity. The NP
knows the initial presenting symptom are the result of - meningeal inflammation
Dabigatran Etexilate works by - inhibiting factor II (thrombin)
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