Practice 8

Question 1

patient is taking levothyroxine, dose is too high - what condition is the pt at greatest risk of developing

Answer 1

osteoporosis

Question 2

patients who have been dx with malignant melanoma should be taught that

Answer 2

pts with a history of malignant melanoma should perform monthly skin self exams

Question 3

fever, HA, chills, malaise, myalgias, just returning from summer camp 2 weeks ago; lesion with erthematous base, annual edges and centra clearing

Answer 3

erythema migrains

Question 4

TCAs and SSRIs have not been demonstrated in efficacy for

Answer 4

ADHD

Question 5

1 month old, NP suspects DDH; given the pt’s age, what should be in differntial list

Answer 5

nonpathologic hip clicks

Question 6

preferred dx of pancreatitis

Answer 6

US of abd

Question 7

when interviewing an older adult, it is important to realize that

Answer 7

there is considerable variation in general health, mental status, and functional ability among older adults

Question 8

7 year old with painless, intermittent limp, limited ROM in right leg, thigh atrophy most likely dx

Answer 8

legg calve perthes

Question 9

a 6 month old infant with a soft, short systolic murmur; NP considers this to be innocent because the murmur

Answer 9

is of low intensity

Question 10

fluid in scrotum, size of scrotum does not fluctuate; a likely historical finding is

Answer 10

recent traumatic injury

Question 11

65 year old pt presents with PMH of CAD, they have pna - what is best tx

Answer 11

monotherapy levofloxacin is the best option

Question 12

which commonly used herbal remedy is not associated with relief of anxiety and/or depression

Answer 12

milk thistle

Question 13

which dx would be included in the differential for a patient with heavy albuminuria and minimal or absent hematuria

Answer 13

diabetic nephropathy

Question 14

the NP knows that frail older adults are high risk for malnutrition; which factor does NOT contribute to malnutrition

Answer 14

slower rate of food absorption

Question 15

which drug class is most effective in alleviating rhinorrhea associated with the common cold

Answer 15

antihistamine

Question 16

the condition that is not likely r/t long term use of glucocorticoid tx is

Answer 16

hyperthyroidism

Question 17

an adult presents with subacute cough, which is least likely differential dx

Answer 17

URI

Question 18

hypothyroidism - which symptoms may be reported

Answer 18

hair loss

Question 19

which pt needs imaging for UTI

Answer 19

6 month old male who remains febrile after 72 hours of abx tx

Question 20

when considering a dx of acne vulgaris in adolescent female, the differential would NOT include

Answer 20

seborrheic dermatitis

Question 21

which of the following is NOT a component of the fetal biophysical profile

Answer 21

gestational age estimate

Question 22

a female presents with pain and burning in vulvar area; upon exam, NP notes four vesicles with an erthematous base arranged in group on labia major; most likely dx

Answer 22

HSV

Question 23

least likely explanation for tinea corporis

Answer 23

i live in northern US

Question 24

hematuria, periorbital edema, elevated BP, strept 2 weeks ago =

Answer 24

acute glom

Question 25

the risk factor that is not associated with development of testicular torsion

Answer 25

high risk sexual behavior

Question 26

which assessment finding is NOT typical in pt with psoriasis

Answer 26

satellite lesions

Question 27

2 week old infant, clavicle fx - tell parents what

Answer 27

this type of fracture requires no tx

Question 28

swan neck and boutonniere deformities are typical in

Answer 28

RA

Question 29

tinea versicolor tx

Answer 29

apply selenium sulfide lotion

Question 30

wound sustainted while building a fence, Td booster 3 years ago

Answer 30

no booster today, booster if over 5 years old

Question 31

which one of the following dx is NOT commonly associated with e. coli

Answer 31

prostatitis

Question 32

which is not associated with pyloric stenosis

Answer 32

bloated, tense tympanic abd

Question 33

reucrrent sx on PPI, next step

Answer 33

continue PPI and add H2 receptor antagonist

Question 34

palpable breast mass in 38 year old, order what

Answer 34

dx mammo

Question 35

most specific and sensitive test for HSV

Answer 35

NAAT, PCR assay for HSV DNA

Question 36

side effect of medroxyprogesterone that leads to d/c by pt

Answer 36

weight gain

Question 37

radio img talipes equinovarus

Answer 37

while weight bearing

Question 38

periorbital cellulitis

Answer 38

go to er

Question 39

additional eval is needed for PID who exhibits no improvement in abx tx after

Answer 39

3 days

Question 40

a complication that is NOT associated with acute bacterial prostatitis

Answer 40

infertility

Question 41

anogenital warts are usually dx via

Answer 41

visual inspection

Question 42

hip pain, limp, URI 10 days ago

Answer 42

transient synovitis

Question 43

urinary incontinence, which does not warrant referral

Answer 43

increased sensation of bladder fullness

Question 44

combined oral contraception use shoud not be initiated within 21 days pp d/t

Answer 44

increased risk of VTE

Question 45

type 1 DM, tinea pedis tx

Answer 45

oral antifungal 4-12 weeks

Question 46

acute biliary colic r/t cholecysitis, awaiitng surgery, pain med

Answer 46

ketorolac IM and ibuprofen

Question 47

tetralogy of fallot - murmur will increase if the child is

Answer 47

squatting

Question 48

67 year old notes hearing loss, decreased hearing of high pitched voices =

Answer 48

presbycusis

Question 49

the NP should advise the patient about consuming what while on warfarin

Answer 49

green tea

Question 50

healthy addult, no PMH, CAP (amoxicillin not a choice)

Answer 50

macrolide - clarithromycin

Question 51

intermittent astham

Answer 51

the ability to participate in normal activities between exacerbations