Which of the following is not a characteristic of delirium?
A) Sudden onset
B) Patient is coherent
C) Worse in the evenings
D) It has a brief duration ANS✔✔ B) Patient is coherent
The signs and symptoms of dementia may include all of the following
except?
A) Personality changes
B) Difficulty in verbalizing
C) Difficulty in recognizing familiar objects
D) Abstract thinking ability is increased ANS✔✔ D) Abstract thinking ability
is increased
A 4 year old boy is in for a wellness visit. His mother tells the NP he had a
bad case of chickenpox 1 year ago. Which if the following is indicated?
A) IPV, Hib, hepatitis B
B) IPV, Hib, MMR
C) DTaP, IPV, MMR, hepatitis B
D) DTap, IPV ANS✔✔ D) DTap, IPV
, Solution 2024/2025
Pepper
During a pelvic exam on a 25 year old sexually active woman you palpate a
tender and warm cystic mass on the lower edge of the left labia majora
which is red. This most likely is:
A 16 year old presents to the clinic and tells the triage nurse she would like
contraception as well as a physical exam. How should the NP proceed?
A) Refuse to see patient until consent can be obtained from her parent or
legal guardian
B) Perform a physical exam and discuss contraceptive options
C) Speak with patient about contraception and have her obtain parental
consent for physical exam
D) Have the nurse discuss contraception with the patient ANS✔✔ C) Speak
with patient about contraception and have her obtain parental consent for
physical exam
A patient diagnosed with bacterial vaginosis should be advised that her
sexual partner be treated with:
A) Ceftriaxone 250mg IM with doxycycline 100 mg BID for 14 days
B) Metronidazole 500 mg PO BID for 7 days and 1 dose of azithromycin
C) Her partner does not need treatment
D) Clotrimazole cream on his penis BID for 1 to 2 weeks ANS✔✔ C) Her
partner does not need treatment
, Solution 2024/2025
Pepper
All of the following are correct statements regarding physiologic changes
found in the elderly with the exception of:
A) There is an increase in the fat to lean body ration
B) There is a decrease in the ability of the liver to metabolize drugs
C) There is an increase in renal function
D) Loss of hearing for sounds in the high frequency range (presbycusis)
ANS✔✔ C) There is an increase in renal function
The following clinical signs are seen in Parkinson's disease except:
A) Pill rolling tremor
B) Difficulty initiating involuntary movement
C) Shuffling gait with cogwheel rigidity
D) Increased facial movements due to tics ANS✔✔ D) Increased facial
movements due to tics
Which of the following conditions is a possible complication of severe
eclampsia?
A) Placenta previa
B) Placenta abruption
C) Erythroblastosis fetalis
D) Uterine rupture ANS✔✔ B) Placenta abruption
A possible complication from Bell's palsy is?
A) Corneal ulceration
B) Acute glaucoma
, Solution 2024/2025
Pepper
C) Inability to swallow
D) Loss of sensation in the affected side ANS✔✔ D) Loss of sensation in the
affected side
Which of the following is most likely to cause delirium?
A) Dehydration
B) Multiple brain infarcts
C) Malnutrition
D) Acute infection ANS✔✔ D) Acute infection
A 25 year old female presents with an onset of severe right sided pelvic pain
for the past 48 hours. She reports small amounts of vaginal bleeding. The
pain is aggravated by jumping or any movement that jars her pelvis. The
best initial intervention is which?
A) Follicle stimulating hormone
B) Serum quantitative pregnancy test
C) Pelvic ultrasound
D) CBC with white cells differentials ANS✔✔ C) Pelvic ultrasound
Which of the following lab values may be found elevated alone on the liver
function panel of patients who are alcohol abusers?
A) Serum GGT
B) Serum ALT
C) Serum bilirubin
D) Blood urea nitrogen ANS✔✔ A) Serum GGT
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