Question QUESTION 1 Joan is a 39

Question QUESTION 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. Patients with Joan’s diagnosis would be referred to a nephrologist under these conditions if they were: Pregnant womenChildrenDiabeticAll of the above 1 points QUESTION 2 Carlos is a 64 y/o male who has previously been diagnosed as a Category A COPD patient based on Gold guidelines (2017). The Category A patient group includes which of the following? Minimally symptomatic (low risk of exacerbation)More symptomatic (low risk of exacerbation)Minimally symptomatic (high risk of exacerbation)High risk 1 points QUESTION 3 Mary is going through puberty at 13 y/o and notices that her areola/nipples separate and form a secondary mound. This is what state in Tanner? Stage 2Stage 3Stage 4Stage 5 1 points QUESTION 4 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 5 Mickey is a 23 y/o male who comes to the clinic with the following complaints: abdominal pain, chest pain, and seizures. In reviewing his record, the NP notices that this is his 20th visit this year. Furthermore, he has had six exploratory surgeries that have discovered nothing of consequence. His most likely diagnosis is: Munchausen syndrome Schizophrenia Posttraumatic syndrome Anorexia nervosa 1 points QUESTION 6 All diastolic murmurs are abnormal. True False 1 points QUESTION 7 Carter, a 74 y/o male, comes for his annual physical exam and the NP notes that he has a very loud murmur with her scope off his chest, and that there is also an obvious thrill. This would describe which grade of murmur? Grade III Grade IV Grade V Grade 6 1 points QUESTION 8 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 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: CefotanAmoxicillinCeftriaxoneMetronidazole 1 points QUESTION 10 St. John’s Wart has all the following potential uses except: Depression Menopausal symptoms Wound healing HIV/AIDS 1 points QUESTION 11 All of the following are characteristics of Kleinfelter syndrome in a male except: Small testiclesWide hipsDecreased body and facial hairSmall stature 1 points QUESTION 12 RhoGAM should be given to all mothers who are Rh-negative. True False 1 points QUESTION 13 Oral contraceptives can be started anytime in the menstrual cycle. True False 1 points QUESTION 14 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. Pharmacological treatment for Joan could include which of the following drugs: FluoroquinoloneCeftriaxoneCiprofloxacinAll of the aboveA & C only 1 points QUESTION 15 Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Treatment of Sam’s condition includes which of the following: DoxycyclineAzithromycinTessalon PerlesAll of the aboveA & B only 1 points QUESTION 16 Bacterial vaginosis has all the following signs/symptoms except: Fish-like odorMilk-like dischargeNon-itchy vulvaRed vulvovaginal 1 points QUESTION 17 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. The NPs diagnosis is: Poison ivy reaction Atopic dermatitis Actinic keratosis Psoriasis 1 points QUESTION 18 John is a 26 y/o Caucasian male who works as a landscaper for his father’s business. During the past couple of months, he has noticed a small dark popular lesion on his neck. He states that it sometimes bleeds and is a “sore that never heals.” The NP notes that he has a circumscribed 2mm lesion at the base of his neck just below the hairline. The most appropriate treatment for John’s lesion would be: Apply Aldara Cream Electrocautery Mohs surgery “Watch and wait” 1 points QUESTION 19 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 20 Diabetes mellitus causes both microvascular and macrovascular damage. All of the following are indications of microvascular damage except: RetinopathyNephropathyNeuropathyAtherosclerosis 1 points QUESTION 21 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. Follow-up for Joan would be needed in what period? 6-12 hours12-24 hours24-36 hours48 hours 1 points QUESTION 22 John is 17 y/o and decides to marry his high school sweetheart. Under what condition(s) would he be declared an “emancipated minor?” Moving out of parents’ houseJoining the NavyLegally marriedB & C only 1 points QUESTION 23 Josh is a 29 y/o African American male who has a history of Hashimoto’s thyroiditis. He reports to the clinic today with a chief complaint of white patches of skin with irregular shapes that have begun to appear on his hands, arms, and face. His most likely diagnosis is: Lipoma Vitiligo Acanthosis nigricans Psoriasis 1 points QUESTION 24 Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Potential organisms that might have caused Sam’s condition include which of the following: Mycoplasma pneumoniaeChlamydia pneumoniaeLegionella pneumoniaAll of the aboveNone of the above 1 points QUESTION 25 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 1 points QUESTION 26 An S3 heart sound is considered abnormal if it occurs after the age of 35-40 years of age. True False 1 points QUESTION 27 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. Differential diagnoses for Judy’s diagnosis would include which of the following: Ectopic pregnancyOvarian cystAcute appendicitisAll of the aboveA & B only 1 points QUESTION 28 Bonnie is a 76 y/o female patient who resides in a nursing home. She is currently on a 10-day course of Clindamycin for a recurrent bacterial vaginal infection. She has started having 10-15 watery stools per day. The NP recognizes this as: Crohn’s diseaseUlcerative colitisClostridium difficile colitisNone of the above 1 points QUESTION 29 Mike is a 22 y/o male who comes to your clinic with a 5-day history of cough without sputum production. He states that his cough is worse in the morning and he has some hoarseness, post-nasal drip, and a low-grade fever. Mike has otherwise been healthy. Differentials for Mike might include which of the following? PneumoniaSinusitisCOPDAll of the aboveA & B only 1 points QUESTION 30 The positive signs of pregnancy include all the following except: Palpation of uterus by NPUltrasound and visualization of fetusGoodell’s sign (cervical softening at 4 weeks)Fetal heart tones

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