The groove of the metacarpophalangeal joint can be palpated by having the
patient: - ANSWER flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: - ANSWER vesicular with late inspiratory crackles in the dependent portions of the lung...
3P Practice Questions & SOLUTIONS
(RATED A)
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - ANSWER flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: -
ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is contraindicated? -
ANSWER Heart disease
Severe aortic regurgitation symptoms with dyspnea - ANSWER dry cough, angina, hypotension, systolic
murmur
Unipolar depression. What medications are not considered? - ANSWER TCA (tricyclic antidepressants);
Buspar, SSR, wellbutin are all okay
Which of the following statements is most accurate about cough associated with ACEI? - ANSWER
Asthma
, Conductive Hearing loss - ANSWER External ear, middle ear, or both problem
Which of the following is a risk factor for the development of prostate enlargement? - ANSWER Diabetes;
Obesity, heart and circulatory disease, DM2
While assessing an 80 year old man, the NP considers the need to evaluate for depression based on the
patient's - ANSWER poor motivation to participate in care
Acute gout attack. What should not be initiated? - ANSWER Probenecid
Serotonin syndrome is suspected. What symptoms? - ANSWER 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) - ANSWER 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? - ANSWER A positive
Cullen's sign
Old man with BPH, Benadryl and anticholinergic may cause: - ANSWER 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: - ANSWER pterygium
The medication with the best safety profile to treat HTN in a woman who is 20 weeks pregnant is -
ANSWER 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 - ANSWER meningeal inflammation
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