Advanced Primary Care of Adults Final
Exam | Already Rated A| Questions and
Answers | Latest 2024/2025
A patient presents with classic symptoms of gastroesophageal
reflux disease (GERD). He is instructed on life style
modifications and drug therapy for 8 weeks. Three months later
he returns, reporting that he was "fine" as long as he took the
medication. The most appropriate next step is:
- Correct Answer - Investigation with endoscopy, manometry,
and/ or pH testing
Which of the following is not a risk factor associated with the
development of syndrome X and type 2 diabetes mellitus?
- Correct Answer - Postprandial hypoglycaemia
The National Cholesterol Education Program's Adult Treatment
Panel III recommends that the goal for low density lipoproteins
in high risk patients be less than:
- Correct Answer - 100mg/dL
,The most commonly recommended method for prostate cancer
screening in a 55 year old male is:
- Correct Answer - Digital rectal exam and PSA
Which of the following patients most warrants screening for
hypothyroidism?
- Correct Answer - An elderly female with recent onset of
mental dysfunction
Which of the following is not a common early sign of benign
prostatic hyperplasia (BPH)?
- Correct Answer - Increased flow of urine flow
Before initiating an HMG CoA-reductase inhibitor for
hyperlipidemia, the nurse practitioner orders liver function
studies. The patient's aminotransferase (ALT) is elevated. What
laboratory test(s) should be ordered?
- Correct Answer - Serologic markers for hepatitis
, The nurse practitioner diagnoses epididymitis in a 24 year old
sexually active male patient. The drug of choice for treatment of
this patient is:
- Correct Answer - Oral doxycycline (Virbamycin) and IM
Ceftriaxone
John, age 33, has a total cholesterol level of 188 mg/dL. How
often should he be screened for hypercholesterolemia?
- Correct Answer - Every 5 years
Marvin has sudden eye redness that occurred after a strenuous
coughing episode. You diagnose a subconjunctival
haemorrhage. Your next step is to
- Correct Answer - Do nothing but provide reassurance
A 45 year old with diabetes has had itching and burning lesions
between her toes for 2 months. Scrapings of the lesions
confirm the diagnosis tinea pedis. What is the best initial
treatment option for this patient?
- Correct Answer - Provide an anti fungal powder for application
between toes and in her shoes and a topical prescription
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