Practice 7

Question 1

least likely physical finding in 2 week of with tetralogy of fallot

Answer 1

absence pedal pulses

Question 2

how to calculate ideal body weight

Answer 2

start with 100 lb and add 5 lbs for every inch over 5 foot

Question 3

kidney stones prevention

Answer 3

increase fluid intake

Question 4

screening for scoliosis in males earliest age

Answer 4

12

Question 5

developmental screening is designed to identify problems or delays; which one should alert the NP that further eval is warranted

Answer 5

36 month old has 50 word vocabulary

Question 6

when to start screening for obesity in children per AAP

Answer 6

2?

Question 7

a test of cure for patients with dx of gonorrhea should be performed if the pt is treated with

Answer 7

an alternative therapy and the infectious site is pharyngeal

Question 8

according to the Beers criteria, which med would be most effective and safet to treat insomnia in older adult

Answer 8

doxepin

Question 9

abx proven most effective for CAP in healthy adult

Answer 9

1st choice is amoxicillin but wasn’t on list - so macrolide (clarithromycin)

Question 10

which of the following liver enzyme values are indicative of alcohol related hepatitis

Answer 10

ast:alt ratio >2.0

Question 11

male patient presents with dysuria, urgency, perineal pain, and temp

Answer 11

prostatitis

Question 12

the appropriate initial tx for a child presenting with a severe head injury is

Answer 12

resuscitation and then maintenance of oxygenation and blood flow

Question 13

a preadolescent patient presents with hx of pharyngitis treated 2 weeks ago, now has temp, swollen knees, rash, and murmur - tx how

Answer 13

long acting IM PNC

Question 14

screening for increased intraocular pressure or early glaucoma is

Answer 14

recommended every 1-3 years starting at age 40

Question 15

as an alt to an oral antihistamine for the tx of allergic rhinitis, the FDA has approved which leukotriene receptor antagonists

Answer 15

montelukast/Singulair

Question 16

greatest known risk factor for hep B infection in the U.S.

Answer 16

unprotected sexual activity

Question 17

which of the following characteristics is NOT associated with development of type 2 DM

Answer 17

alcohol or other drug abuse

Question 18

a 23 year old patient is being evaluated by the NP for immunization status. pt has documentation of completion of IPV, DTaP, and MMR series. She got a shot at 12 years. What shots today

Answer 18

Td and HBV

Question 19

initial step in the mgmt of PUD

Answer 19

est the underlying etiology to direct tx

Question 20

alt tx for pt with gonorhea who has allergy to macrolide abx is dual therapy with ceftriazone and

Answer 20

doxycycline

Question 21

children younger than 6 months old who are dx with DHD are initially treated with

Answer 21

pavlik harness, with reduction confirmed by US

Question 22

best combo diuretics to avoid hypokalemia

Answer 22

spironolactone and hctz

Question 23

NP should further evaluate the presence of protein in the urine when it is accompanied by

Answer 23

hematuria

Question 24

a patient with epididymitis was empircally treated with ceftriaxone and doxy for 10 days. NAAT is positive for gonorrhea and chlamydia - do what now

Answer 24

completed the course of doxy and return to clinic in 2-3 months for test of cure

Question 25

which complication is not likely associated with celiac disease

Answer 25

hypothyroidism

Question 26

which of the following conditions is considered curable

Answer 26

chronic hep C

Question 27

which regimen is most appropriate for OP mgmt of acute biliary colic r/t chloecystitis in a patient awaiting surgery

Answer 27

ketorolac IM at visit, followed by oral ibuprofen as needed

Question 28

patient states that their elbow aches and burns; pain with resisted wrist extension, wrist radially deviated and pronated, and elbow extended =

Answer 28

lateral epicondylitis

Question 29

which of the following is NOT a goal of tx for patients with CF

Answer 29

replacement of water-soluble vitamins

Question 30

common initial and transient complaint of patients taking bisoprolol is

Answer 30

fatigue

Question 31

ideally, antepartum care should begin

Answer 31

with preconception counseling

Question 32

a ped patients presents with hematuria, periorbital edema, and elevated BP; they had strept pharyngitis 2 weeks ago; most likely dx today is

Answer 32

acute glomerulonephritis

Question 33

12 year old male, testes measure 3.6 cm and pubic hair is coarse and curled; what tanner stae

Answer 33

three

Question 34

mcmurray’s test - what is true about this

Answer 34

if a palpable click is present, the patient most likely has a meniscus tear

Question 35

HMOs and PPOs are

Answer 35

managed care systems

Question 36

when interpreting PSA test, the NP knows that the results can be lowered by taking

Answer 36

finasteride

Question 37

sensitivity refers to

Answer 37

true positive

Question 38

6 month old new foods, should be introduced over how long

Answer 38

every 3-5 days

Question 39

a patient is taking doxepin for insomnia; side effect LEAST likely to be r/t this med

Answer 39

confusion