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AANP Practice Questions & Answers.
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AANP Practice Questions & Answers.
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AANP Practice Questions & AnswersA 65-year-old woman presents for a follow-up examination after a new patient visit.
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She has not seen a healthcare provider for several years. She is a smoker and her
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hypertension is now adequately controlled with medication. Her mother died at age
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40 from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL
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= 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the
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nurse practitioner should start the patient on:
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1.bile acid sequestrant.
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2. a statin drug.
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3. a cholesterol absorption inhibitor.
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4. low-dose aspirin. - ANS-A statin drug
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The most commonly prescribed medication for mild systemic lupus erythematosus
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(SLE) is:
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1. m azathioprine (AZA). m
2. m belimumab (Benlysta). m
3. m ibuprofen (Advil). m
4. m cyclophosphamide (Cytoxan). - ANS-ibuprofen (advil) m m m m
The most common sign of cervical cancer is:
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1. m postcoital bleeding. m
2. m strong odor from vaginal discharge.
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3. m itching in the vaginal area.m m m m
4. m molluscum contagiosum. - ANS-postcoital bleeding
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The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic
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pain secondary to diabetes mellitus. On follow-up, the patient complains of urine
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retention and dry mouth. The practitioner would:
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1. discontinue amitriptyline and begin ibuprofen (Motrin).
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2. refer to physical therapy.
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3. start methocarbamol (Robaxin).
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4. discontinue amitriptyline and begin gabapentin (Neurontin). - ANS-discontinue
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mamitriptyline and begin gabapentin (neurontin) m m m m
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
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omeprazole (Prilosec). The patient complains of headache, abdominal pain, and gas.
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These symptoms are most likely:
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,1. m associated with the omeprazole. m m m
2. m related to the underlying condition.
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3. m the result of the NSAID.
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4. m caused by viral gastroenteritis. - ANS-associated with the omeprazole
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The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
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1. m acetaminophen.
2. m prednisone.
3. m aspirin.
4. m ibuprofen. - ANS-ibuprofen m m
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and
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presents for a follow-up examination after a recent hospitalization. It is most
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important to continue monitoring growth, development, and:
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1. m white blood cell levels.
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2. m fecal occult blood test.
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3. m hemoglobin levels. m
4. m urine dipsticks. - ANS-hemoglobin levels
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A 90-year-old female is brought to the clinic by her neighbor. She states that
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meverything is fine, but the nurse practitioner notes that she has poor hygiene and
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mbruises on her trunk. The neighbor is concerned that the patient often has no money
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mto buy food, despite income from social security and a coal miner's pension. The
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mnurse practitioner suspects abuse. Which of the following is the nurse practitioner
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mobligated to do next? m m m
1. Report the case to the proper authorities.
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2. Tell the neighbor to check on the woman daily and report back.
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3. Document the data and report the information to risk management.
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4. Call the patient's family and inquire about the concerns. - ANS-report the case to
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mproper authorities m
In most cases, the first manifestation of Alzheimer's disease is:
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1. m impaired judgment. m
2. m decrease in short-term memory. m m m
3. m disorientation in time and place. m m m m
4. m decrease in long-term memory. - ANS-decrease in short-term memory
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The optimal treatment for latent tuberculosis is:
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1. rifampin (Rifadin) for 5 months.
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2. isoniazid (Nydrazid) for 9 months.
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3. pyrazinamide for 6 months.
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, 4. ethambutol for 6 months. - ANS-osioniazid (nydrazid) for 9 months
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Unilateral spontaneous serous or serosanguineous discharge from a single duct of a
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breast is most often caused by:
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1. m intraductal papilloma. m
2. m mucinous breast lesions. m m
3. m Paget's disease. m
4. m ductal carcinoma in situ. - ANS-intraductal papilloma
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A young child with asthma presents for follow-up evaluation. After numerous changes
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in medications and doses, the parents report that the child continues to have
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difficulty with coughing, especially during the night. Which of the following conditions
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would be the most likely cause of the continued asthma symptoms?
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1. m Vocal cord dysfunction
m m
2. m Cystic fibrosis m
3. m Gastroesophageal reflux m
4. m Allergic rhinitis - ANS-gastroesophageal reflux
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A pregnant woman with known HIV infection can reduce the risk of perinatal
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transmission through zidovudine (Retrovir) therapy. Based on current research,
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optimal therapy is to start daily dosing:
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1. m post amniocentesis.
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2. m after 14 weeks of gestation.
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3. m if premature rupture of membranes occurs.
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4. m if maternal viral loads are greater than 10,000. - ANS-after 14 weeks gestation
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T-wave inversion with a normal ST segment on a 12-lead EKG may represent:
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1. m acute coronary ischemia.
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2. m right ventricular hypertrophy.
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3. m atrial hypertrophy.
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4. m hyperkalemia. - ANS-acute coronary ischemia m m m m
The 16-year-old mother of a 2-month-old presents the infant, reporting that the child
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is very irritable and does not feed well. During physical examination, the child's head
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drops back and the child exhibits sudden flexing of the extremities. As the flexing
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stops, the child cries uncontrollably. Funduscopic examination reveals retinal
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hemorrhages. Which of the following diagnostic tests should be ordered?
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1. m Skull X-rays m
2. m MRI
3. m CT scanm
4. m Pet scan - ANS-CT scan
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