Kaplan University MN576 Final Exam. Questions and Answers. (Graded A)
Question 1 (3points)
In Edwards syndrome, which of the following statements is
... [Show More] true?
A. Edwards syndrome is more common than Down syndrome.
B. Most affected infants with Edwards syndrome die during the first year of life.
C. Edwards syndrome is unlikely to cause developmental disability.
D. Edwards syndrome is associated with elevated AFP.
Question 2 (3 points)
Identify the corresponding characteristic of Goodell sign
A. blue–violet vaginal color
B. softening of uterus isthmus
C. softening of vaginal portion of the cervix
Question 3 (3 points)
Hypokalemia is noted in:
A. Anorexia nervosa
B. Bulimia nervosa
C. Both anorexia nervosa and bulimia nervosa
Question 4 (3 points)
HDL levels are a better predictor of CAD in women than LDL.
A. True
B. False
Question 5 (3 points)
Which patient is most at risk for a fibroadenoma of the breast?
A. A 17 year old girl
B. A 30 year old women
C. A 45 year old women
D. A 70 year old women
Question 6 (3 points)
Which patient should be referred out for further testing?
A. one breast smaller than the other
B. eversion of both nipples
C. small dimple in the outer quadrant of one breast
D. visible veins in both breasts
Question 7 (3 points)
The NP is in an ideal position to provide counseling to both members of a couple involved in domestic violence, particularly if both members of the couple are members of the NP's practice panel.
A. True
B. False
Question 8 (3 points)
Absolute contraindications to postmenopausal HT include:
A. Unexplained vaginal bleeding.
B. Seizure disorder.
C. Dyslipidemia.
D. Migraine headache.
Question 9 (3 points)
Patient presentation possibly common to anxiety and depression includes:
A. Feeling of worthlessness.
B. Psychomotor agitation.
C. Dry mouth.
D. Appetite disturbance.
Question 10 (3 points)
Concerning the use of alcohol during pregnancy, which of the following statements is most accurate?
A. Although potentially problematic, maternal alcohol intake does not increase the risk of miscarriage.
B. Risk to the fetus from alcohol exposure is greatest in the third trimester.
C. No level or time of exposure is considered to be safe.
D. Risk of fetal alcohol syndrome is present only if alcohol exposure has occurred throughout the pregnancy.
Question 11 (3 points)
A 24-year-old woman has a new onset of panic disorder. As part of her clinical presentation, you expect to find all of following except:
A. Peak symptoms at 10 minutes into the panic attack.
B. History of agoraphobia.
C. Report of chest pain during panic attack.
D. History of thought disorder.
Question 12 (3 points)
When considering characteristics of the domestic violence perpetrator. One of the best predictors of a subsequent homicide of victims of domestic violence is which of the following?
A. history of perpetrator striking victim on the face with an open hand
B. history of perpetrator attempting to strangle the victim
C. perpetrator's access to kitchen knives.
D. alcohol abuse history in the victim
Question 13 (3 points)
Parotid Gland Enlargement is noted in:
A. Anorexia nervosa
B. Bulimia nervosa
C. Both anorexia nervosa and bulimia nervosa
Question 14 (3 points)
Pharmacological intervention in an anxiety disorder should be:
A. Generally given for about 4 to 6 months.
B. Continued for at least 6 months after remission is achieved.
C. Continued indefinitely with a first diagnosis of the condition.
D. Titrated to a highest dose recommended after symptom relief is achieved.
Question 15 (3 points)
Conditions that commonly mimic or can worsen anxiety include all of the following except:
A. Opioid use.
B. Thyrotoxicosis.
C. Alcohol withdrawal.
D. Overuse of caffeine.
Question 16 (3 points)
Use of St. John's wort is known to impact the effectiveness of all of the following medications except:
A. Oral contraceptives.
B. Fluoroquinolones.
C. Cyclosporine.
D. Select antiretrovirals.
Question 17 (3 points)
A 45-year-old woman just had a normal Pap test result and has an absence of high-risk HPV. You recommend her next Pap test in:
A. 1 year.
B. 3 years.
C. 5 years.
D. 7 years.
Question 18 (3 points)
Which test is used to confirm the diagnosis of breast cancer?
A. Ultrasound
B. Mammogram
C. needle- localization biopsy
D. MRI
Question 19 (3 points)
During pregnancy, the most intense organogenesis occurs how many days following the last menstrual period (LMP)?
A. 12–30 days
B. 31–81 days
C. 92–120 days
D. 121–150 days
Question 20 (3 points)
A patient is concerned because she is experiencing some milky and sticky breast discharge. What nonmalignant condition is she most likely experiencing?
A. An inflammatory lesion
B. Breast infection
C. Breast feeding
D. Galactorrhea
Question 21 (3 points)
Increased folic acid intake before conception is likely to reduce the risk of which of the following birth defects?
A. congenital cataract
B. pyloric stenosis
C. clubfoot
D. open neural tube defects
Question 22 (3 points)
The typical female onset of hypothyroidism is between which ages?
A. 20 and 30 years
B. 30 and 60 years
C. over 60 years
Question 23 (3 points)
In treating a person with panic disorder using an SSRI, the NP should consider that there is:
A. Considerable abuse potential with these medications.
B. No significant therapeutic advantage over TCAs.
C. A reduction in number and severity of panic attacks.
D. Significant toxicity in overdose.
Question 24 (3 points)
The presence of an adnexal mass in the woman with PID most likely indicates the presence of:
A. Uterine fibroids.
B. An ectopic pregnancy.
C. Ovarian malignancy.
D. A tubo-ovarian abscess.
Question 25 (3 points)
Pica (ingestion of nonfood substances) during pregnancy should be considered:
A. A harmless practice common in certain ethnic groups.
B. Problematic only if more nutritious food sources are left out of the diet and are replaced by the nonfood substance.
C. A way of providing select micronutrients not usually found in food products.
D. Potentially dangerous because of contaminants in the nonfood substance.
Question 26 (3 points)
Medications most commonly pass through the placenta via:
A. Facilitated transport.
B. Passive diffusion.
C. Capillary pump action.
D. Mechanical carrier state.
Question 27 (3 points)
Anxiety in response to a challenging life event is a natural response by the body to:
A. Help a person focus on the issue at hand.
B. Diminish the fight-or-flight response.
C. Impair decision-making under duress.
D. Provide transient improvement in physical capabilities.
Question 28 (3 points)
A patient has been prescribed adjuvant tamoxifen therapy following breast cancer. What common side effect might she experience?
A. nausea and vomiting
B. vomiting, weight loss and hair loss
C. hot flashes, weight gain and blood clots
D. diarrhea
Question 29 (3 points)
A transvaginal ultrasound in the woman with PID will likely show:
A. Tubal thickening with or without free pelvic fluid.
B. Cervical thickening.
C. Endometrial thinning.
D. Inflammation of the ovaries.
Question 30 (3 points)
The most likely causative pathogen in a 23-year-old woman with PID is:
A. Escherichia coli.
B. Enterobacteriaceae.
C. Trachomatis.
D. Pseudomonas.
Question 31 (3 points)
Examples of neural tube defects include all of the following except:
A. anencephaly.
B. spina bifida.
C. encephalocele.
D. omphalocele.
Question 32 (3 points)
Women with PID typically present with all of the following except:
A. Dysuria.
B. Leukopenia.
C. Cervical motion tenderness.
D. Abdominal pain.
Question 33 (3 points)
During well-women visits for 21- to 29-year-old sexually-active women who report more than 1 sex partner within the past 6 months, all of the following are appropriate screening tests except:
A. Pap smear.
B. HPV testing.
C. Pelvic examination.
D. STI screening.
Question 34 (3 points)
Esophageal Tears is noted in:
A. Anorexia nervosa
B. Bulimia nervosa
C. Both anorexia nervosa and bulimia nervosa
Question 35 (3 points)
Women with bacterial vaginosis typically present with:
A. Vulvitis.
B. Pruritus.
C. Dysuria.
D. Malodorous discharge.
Question 36 (3 points)
When initiating SSRI therapy for a patient with panic disorder, the NP should consider all of the following except:
A. Start with a low dose and slowly escalate doses as necessary.
B. Preferable to use agents that are more energizing than less energizing.
C. Select agents with a low rate of insomnia and akathisia.
D. SSRI therapy can precipitate panic attacks with early use.
Question 37 (3 points)
In advising a perimenopausal woman about HT, you consider that it may:
A. Reduce the risk of venous thrombotic events.
B. Significantly reduce serum triglyceride levels.
C. Worsen hypertension in most women.
D. Help preserve bone density.
Question 38 (3 points)
As you develop the initial treatment plan for a woman with panic disorder, you consider prescribing:
A. Carbamazepine (Tegretol®).
B. Risperidone (Risperdal).
C. Citalopram (Celexa®).
D. Bupropion (Wellbutrin).
Question 39 (3 points)
Diagnostic criteria for generalized anxiety disorder include all of the following except:
A. Difficulty concentrating.
B. Consistent early morning wakening.
C. Apprehension.
D. Irritability.
Question 40 (3 points)
Identify the correct uterine size during the 20th week of pregnancy
A. Size of a large lemon
B. Size of a tennis ball or orange
C. Uterine fundus at umbilicus
D. Uterine fundus halfway between symphysis pubis and umbilicus
Question 41 (3 points)
Maternal iron requirements are greatest during what part of pregnancy?
A. first trimester
B. second and third trimesters
C. equal throughout pregnancy
D. preconception
Question 42 (3 points)
Which of the following options rank depression and thoughts about death from most common (1) to least common (3):
A. Thinking it would be fine to just die, having suicidal thoughts, making a plan to commit suicide
B. Having suicidal thoughts, making a plan to commit suicide, thinking it would be fine to just die
C. Having suicidal thoughts, thinking it would be fine to just die, making a plan to commit suicide
Question 43 (3 points)
The recommended frequency of prenatal visits in weeks 28 to 32 of pregnancy is every:
A. 1 week.
B. 2 weeks.
C. 3 weeks.
D. 4 weeks.
Question 44 (3 points)
Lanugo is noted in:
A. Anorexia nervosa
B. Bulimia nervosa
C. Both anorexia nervosa and bulimia nervosa
Question 45 (3 points)
Malignant thyroid nodules are more common in women than men.
A. True
B. False
Question 46 (3 points)
In Down syndrome, which of the following is true?
A. Most infants affected with Down syndrome are born to women older than age 35 years.
B. Down syndrome is noted in about 1 in 10,000 live births.
C. Down syndrome is associated with decreased maternal serum AFP level.
D. Antenatal serum analysis is sufficient to make the diagnosis.
Question 47 (3 points)
The most common form of acquired anemia during pregnancy is:
A. Iron deficiency.
B. Folate deficiency.
C. Vitamin B12 deficiency.
D. Primary hypo-proliferative.
Question 48 (3 points)
Identify the correct uterine size during the 10th week of pregnancy
A. Size of a baseball
B. Size of a softball or grapefruit
C. Size of a large lemon
D. Size of a tennis ball or orange
Question 49 (3 points)
Identify the corresponding characteristic of Chadwick sign
A. blue–violet vaginal color
B. softening of uterus isthmus
C. softening of vaginal portion of the cervix
Question 50 (3 points)
You see a 16-year-old woman with a history of C. trachomatis infection and a total of ten lifetime partners. You recommend:
A. Pap smear only.
B. Pap smear and HPV testing.
C. Pap smear and STI testing.
D. STI testing only.
Question 51 (1 point)
Dysrhythmias is noted in:
A. Anorexia nervosa
B. Bulimia nervosa
C. Both anorexia nervosa and bulimia nervosa
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