MULTIPLE CHOICE QUESTIONS

Order Instructions

QUESTION 1

1. Metabolic syndrome is characterized by all the following traits except

 

Obesity

 

Hypertension

 

Dyslipidemia

 

Hypoglycemia

1 points

QUESTION 2

1. Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3.

Treatment for Sierra’s disease could include which of the following?

 

Propylthiouracil

 

Methimazole

 

Radioactive iodine

 

All of the above

 

A & B only

1 points

QUESTION 3

1. Maria is a 26 y/o female in her third trimester of pregnancy. She has a sudden onset of vaginal bleeding and has a hypertonic uterus. She has a history of hypertension secondary to previous cocaine use. Her most likely diagnosis would be:

 

Placental abruption

 

Placenta previa

 

Severe preeclampsia

 

Uterine rupture

1 points

QUESTION 4

1. If the TSH is decreased then the patient needs to be worked up for hypothyroidism.

True

False

1 points

QUESTION 5

1. An S3 heart sound can be a normal finding in all the following except:

 

Young athletes

 

Pregnant women

 

Children

1 points

QUESTION 6

1. To perform the psoas sign, the NP would do which of the following?

 

With patient supine, have pt. raise right leg against NPs hand. Positive if pain is elicited.

 

With patient on left side, extend patients right leg at hip. Positive if pain is elicited.

 

Pain during left-sided pressure in LLQ is positive sign.

 

Flex patient’s right thigh at hip with knee bent and rotate leg internally at the hip. Positive if pain elicited.

 

A & B only

 

None of the above

1 points

QUESTION 7

1. Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Your diagnosis is:

 

Chronic bronchitis

 

Emphysema

 

COPD

1 points

QUESTION 8

1. In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope.

True

False

1 points

QUESTION 9

1. Diagnostic studies for Type II diabetes mellitus would include which of the following:

 

HbA1C (>6.5%)

 

Fasting plasma glucose (= to or >126 mg/dL)

 

Random plasma glucose (>200 mg/dL)

 

All of the above

 

None of the above

1 points

QUESTION 10

1. All of the following are considered macular lesions except:

 

Freckles

 

Acne

 

Lentigo

 

Psoriatic lesions

 

A & C only

 

B & D only

1 points

QUESTION 11

1. Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatment for Randy’s diagnosis would be:

 

Insulin

 

Actos

 

Metformin

 

Glucotrol

1 points

QUESTION 12

1. Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Her most likely diagnosis is:

 

Lower urinary tract infection

 

Abdominal virus

 

Upper urinary tract infection

 

Sexually transmitted disease

1 points

QUESTION 13

1. Jason is 72 y/o COPD patient who has a 50-year history of smoking. He now has pneumonia. The most likely causative organism for his pneumonia is:

 

Mycoplasma pneumoniae

 

Chlamydia pneumoniae

 

H. influenzae bacteria

 

S. pneumoniae

1 points

QUESTION 14

1. Andre is a 52 y/o construction worker who stayed home today because he was having severe chest pain. His wife calls the clinic and describes his symptoms as: squeezing chest tightness, with pain that radiates to the left side of his neck, jaw, and left arm. The NP’s immediate response should be to tell the wife:

 

Begin CPR and then call 911.

 

Call 911 immediately.

 

Have the wife drive the patient to the ER.

 

Call back if the intensity of the pain increases.

1 points

QUESTION 15

1. Sal is a 56 y/o male who the NP has seen on many occasions in the clinic. During her physical exam of the heart, the NP notices that he has a new mitral regurgitation murmur that is described as a Grade II. She notes that his murmur is associated with which part of the cardiac cycle?

 

Diastolic

 

Systolic

 

Friction rub

 

None of the above

1 points

QUESTION 16

1. All of the following are characteristics of Kleinfelter syndrome in a male except:

 

Small testicles

 

Wide hips

 

Decreased body and facial hair

 

Small stature

1 points

QUESTION 17

1. In a pregnant woman, most of the weight gain occurs in which trimester?

 

First trimester

 

Second trimester

 

Third trimester

 

Fourth trimester

1 points

QUESTION 18

1. Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. The most likely diagnosis is:

 

Acute pyelonephritis

 

Nephrolithiasis

 

Simple UTI

 

None of the above

1 points

QUESTION 19

1. Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. Juan’s most likely diagnosis is:

 

PUD

 

Acute diverticulitis

 

Acute pancreatitis

 

Hepatitis

1 points

QUESTION 20

1. Breast cancer in women is characterized by all of the following except:

 

Mobile mass on palpation

 

Mass is painless

 

Mass is typically found in the upper outer quadrant

 

Skin around breast is dimpled

1 points

QUESTION 21

1. People with darker skin require less sun exposure to produce Vitamin D.

True

False

1 points

QUESTION 22

1. The CDC recommends that after a child receives a vaccine (s)he should be monitored for:

 

15 minutes

 

20 minutes

 

30 minutes

 

60 minutes

1 points

QUESTION 23

1. Since UTIs are never “normal” in a male, what should the NP rule out as the cause of the infection?

 

Ureteral stricture

 

Acute prostatitis

 

STDs

 

All of the above

 

A & C only

1 points

QUESTION 24

1. Vulvovaginitis in the vulva and vagina can be caused by which of the following organisms?

 

Bacteria

 

Fungi

 

Protozoa

 

All of the above

 

None of the above

1 points

QUESTION 25

1. Puberty begins in both males and females at which Tanner stage?

 

Stage 1

 

Stage 2

 

Stage 4

 

Stage 5

1 points

QUESTION 26

1. Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3. Sierra’s most likely diagnosis is:

 

Hypothyroidism

 

Primary hyperthyroidism (Graves’ disease)

 

Primary hyperparathyroidism

 

None of the above

1 points

QUESTION 27

1. John is a 7 y/o whose mother brings him to the clinic with the following chief complaint: “He fidgets and squirms all the time. His teachers tell me he has difficulty remaining in his seat, talks excessively, can’t wait for his turn, interrupts conversations, and acts like a robot.” After evaluation, the NP determines that he probably has which of the following:

 

Attention-deficit/hyperactive disorder (ADHD)

 

Developmental delays

 

Learning disability

 

Poor parenting

1 points

QUESTION 28

1. Risk factors for Alcohol Use Disorder include which of the following?

 

Family history

 

Stressful life events

 

Low socioeconomic status

 

All of the above

 

A & B only

1 points

QUESTION 29

1. Marty is an 18 y/o outdoorsman who loves hiking in the woods. Marty notes that he was hiking about 10 days ago, and now he has a red rash with a central clearing that looks like a target. The rash is rough and hot to the touch. He now has flu-like symptoms. The NP diagnoses this rash as:

 

Eczema

 

Brown recluse spider bite

 

Lyme disease

 

Actinic keratosis

1 points

QUESTION 30

1. The most likely source of the shingles infection comes from the reactivation of a virus from which nerve root?

 

CN I

 

CN III

 

CN V

 

CN VII

 

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