Diagnostic studies for Type II diabetes mellitus would include which of the following?
Diagnostic studies for Type II diabetes mellitus would include which of the following?
Answers:
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
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
Deep palpation of the left lower quadrant of the abdomen causes referred pain to the RLQ. This is a positive for:
Rovsing’s sign
Psoas sign
McBurney’s point
Murphy’s maneuver
Rescue drugs for patients with respiratory problems such as asthma or COPD would include both SABAs and LABAs.
Tru e
Fals e
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.” Differential diagnoses for John would include all the following except:
Autism spectrum disorder
Language delay
Dysfunctional family situation
Laziness
Jon, a 63 y/o male, comes to the clinic with the following presentation. He reports a sudden eruption of multiple vesicular lesions on his scalp, forehead, and sides and tips of his nose. After performing a physical exam, the NP diagnoses his condition as:
Mollusca contagiosum
Shingles
Impetigo
Meningococcemia
Mark is a 2-month-old infant, and he should be able to do all the following tasks except:
Follow objects past
midline
Make gurgling sounds
Bring hands to mouth
Lift head up 45 degrees
Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July with the following symptoms: fever, chills, severe headache photophobia, and myalgia. He states that since his fever occurred 2 days ago, he now has this rash of petechiae on wrists, forearms, and ankles. The NP, based on these data, diagnoses Andrew with:
Rocky Mountain Spotted Fever (RMSF)
Atopic dermatitis
Erythema migrans
Brown recluse spider bite
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
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
Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. All of the following could be risk factors for Artie except:
Family history of identical condition
Low fluid intake
Gout
Arthritis
A & B only
Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is:
Measles
Hand, foot, and mouth disease
Scarlet fever
Varicella
Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. His most likely diagnosis is:
Acute pyelonephritis
Nephrolithiasis (kidney stone)
Bladder cancer
None of the above
What is the earliest age at which one would not give DTap to a child but rather would give Td or Tdap?
1 year old
2years old
3years old
7 years old
According to the U.S. Preventive Task Force, screening for cervical cancer should not begin in women before the age of:
30 y/o or younger
35 y/o or younger
20 y/o or younger
40 y/o or younger
Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. The most likely diagnosis is:
Halitosis
Peptic ulcer disease
Gastroesophageal reflux disease (GERD) A or B only
All the following are antihypertensive drugs that can be used in pregnant women except:
Methyldopa
Calcium channel blockers Labetalol
ACE inhibitors
Patients with bipolar disorder may have all the following except:
Delusions Hallucinations
Lower rates of substance abuse
A & B only
Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. This presentation is most typical of:
Pelvic inflammatory disease (PID) Vulvovaginitis
Dysmenorrhea Amenorrhea
Lactation mastitis typically occurs in which time frame:
At 3 months after birth
At 6 months after birth
Within the first 2 months after birth
None of the above
Emergency contraception works best if taken within how many hours after unprotected sex or 2 days of missed birth control pills?
24hours
48hours
72hours
96hours
A pregnant women who has gestational diabetes mellitus (GDM) in the second trimester has which type of diabetes?
Type I
Type 2
Neith er
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
A 32 y/o female comes to the clinic for what she describes as “a dark-colored urine.” During the exam, the NP uses a urine dipstick to test for blood in the urine. Since the result had so many false negative and false positive indicators, the next step would be:
Urinalysis with microscopy
Urine culture
Referral to urologist
Cystoscopic examination of bladder
Amanda was out hiking with her boyfriend in the woods. When she gets home, she notices that she has an inflammatory skin reaction caused by something she picked up in the woods. The next day she sees bright red pruritic lesions on her lower extremities that are moist and painful. Treatment for Amanda’s condition would include which of the following?
Topical steroids
Triamcinolone
Calamine lotion
Oatmeal baths (Aveeno)
All of the above
All of the above except D
RhoGAM should be given to all mothers who are Rh-negative.
True
False
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. In treating Susan, the NP could use which of the following antibiotics?
TMP-SMX Nitrofurantoin Ampicillin
All of the above A & C only
All the following are risk factors for gestational diabetes except:
Obesity
Native American ethnicity Hispanic ethnicity
Age (<30 y/o)
Danger signs of oral contraceptives include all the following except:
Chest pain Severe headache
Weakness on both sides of the body Visual changes in one eye
Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. Treatment for Judy’s condition would include all the following drugs except:
Cefotan
Amoxicillin
Ceftriaxone
Metronidazole
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