Diagnostic confirmation of acute leukemia is based on:
• Question 1 Diagnostic confirmation of acute leukemia is based on:
a. Bone marrow aspiration and biopsy
b. Pancytopenia
c. Hyperuricemia
d. All of the above
• Question 2 Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? a. Difficulty initiating a urine stream
b. Nocturia
c. Urinary retention
d. Increased force of urine flow
• Question 3 Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
a. Doxycycline 100 mg qd
b. Nitrofurantoin 100 mg qd
c. Bactrim DS qd
d. Erythromycin qd
• Question 4 Reed-Sternberg B lymphocytes are associated with which of the following disorders: a. Aplastic anemia
b. Hodgkin’s lymphoma
c. Non Hodgkin’s lymphoma
d. Myelodysplastic syndromes
• Question 5 Microalbuminuria is a measure of:
a. Total urinary protein.
b. Late renal compromise in a diabetic patient.
c. Early glycemic abnormality.
d. Protein lost into the urine.
• Question 6 Which of the following are classic features of ulcerative colitis?
a. Right lower quadrant pain, frequently accompanied by a palpable mass, fever, and leukocytosis.
b. Painful hematemesis, occasionally accompanied by melena.
c. Rapidly progressive dysphagia with ingestion of solid foods, anorexia, and weight loss out of proportion to the dysphagia.
d. Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain and weight loss.
• Question 7 The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:
a. Oral ciprofloxacin (Cipro)
b. Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone
c. Oral trimethoprim-sulfamethoxazole (Bactrim DS)
d. Intramuscular penicillin
• Question 8 Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?
a. Apples
b. Peppermint
c. Cucumbers
d. Popsicles
• Question 9 Of the following choices, the least likely cause of cough is:
a. Asthma
b. Gastroesophageal reflux
c. Acute pharyngitis
d. Allergic rhinitis
Question 10 Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?
a. Hypertriglyceridemia and low high-density lipoprotein (HDL)
b. Gestational diabetes and polycystic ovarian syndrome
c. Hispanic, African-American, Native-American, and Pacific Islander ethnicity
d. Postprandial hypoglycemia
• Question 11 After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most effective?
a. A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to psychosocial factors.
b. Referral to a gastroenterologist for colonoscopy.
c. Treatment with a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac) or sertraline (Zoloft).
d. Antibiotics, nutritional support, and high fiber diet.
• Question 12 What is the most common cause of Cushing’s syndrome?
a. Excessive ACTH production
b. Administration of a glucocorticoid or ACTH
c. Pituitary adenoma or a non-pituitary ACTH-producing tumor
d. Autonomous cortisol production from adrenal tissue
• Question 13 Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered?
a. Serologic markers for hepatitis
b. Serum bilirubin
c. Serum cholesterol with HDL and LDL
d. A liver biopsy
• Question 14 The most commonly recommended method for prostate cancer screening in a 55 year old male is:
a. Digital rectal examination (DRE) plus prostate specific antigen (PSA)
b. Prostate specific antigen (PSA) alone
c. Transrectal ultrasound (TRUS) alone
d. Prostate specific antigen (PSA) and transrectal ultrasound (TRUS)
• Question 15 John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia?
a. Every 5 years
b. Every 2 years
c. Every year
d. Whenever blood work is done
• Question 16 A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was “fine” as long as he took the medication. The most appropriate next step is:
a. Referral for surgical intervention such as a partial or complete fundoplication
b. Dependent upon how sever the practitioner believes the condition
c. To repeat the 8 week course of drug therapy while continuing lifestyle modifications
d. Investigation with endoscopy, manometry, and/or pH testing
• Question 17 A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH? a. 1 week
b. 2 weeks
c. 4 weeks
d. 8 weeks
• Question 18 The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than:
a. 160 mg/dL
b. 130 mg/dL
c. 100 mg/dL
d. 70 mg/dL
• Question 19 Which of the following patients most warrants screening for hypothyroidism? a. A young adult female with postpartum depression lasting 2 weeks.
b. A patient taking thyroid replacement preparation.
c. A 40 year old male with unexplained tremors.
d. An elderly female with recent onset of mental dysfunction.
• Question 20 A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis?
a. Indirect inguinal hernia
b. Hydrocele
c. Orchitis
d. Testicular torsion
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