Central obesity, “moon” face, and dorsocervical fat pad are associated with:
A. Metabolic syndrome
B. Unilateral pheochromocytoma
C. Cushing’s
... [Show More] syndrome
D. None of the above
• Question 3
1 out of 1 points
An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is:
A. Trauma
B. Tight shoes
C. Arthritis flare
D. Hydrochlorothiazide
• Question 4
1 out of 1 points
The most effective treatment of non-infectious bursitis includes:
• Question 5
1 out of 1 points
What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
• Question 6
1 out of 1 points
Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?
• Question 7
1 out of 1 points
Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void
• Question 8
1 out of 1 points
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?
• Question 9
1 out of 1 points
Which drug category contains the drugs that are the first line Gold standard therapy for COPD?
• Question 10
1 out of 1 points
The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is:
• Question 11
1 out of 1 points
Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
• Question 12
1 out of 1 points
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
B. Perform a diet history and check CBC and FBS.
C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration
1.
• Question 13
1 out of 1 points
You are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test indicates an injury to the: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus
D. collateral ligament.
• Question 14
1 out of 1 points
A 32 year old female patient presents with fever, chills, right flank pain, right costovertebral angle tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse practitioner diagnoses pyelonephritis. The most appropriate management is:
• Question 15
1 out of 1 points
A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is:
• Question16
1 out of 1 points
The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy
• Question 17
1 out of 1 points
What is the first symptom seen in the majority of patients with Parkinson’s disease?
• Question 18
1 out of 1 points
The most commonly recommended method for prostate cancer screening in a 55 year old male is:
• Question 19
1 out of 1 points
Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect?
• Question 20
1 out of 1 points
Which of the following symptoms suggests a more serious cause of back pain?
• Question 21
1 out of 1 points
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
• Question 22
1 out of 1 points
Which of the following is the most common cause of low back pain?
A. Lumbar disc disease
B. Spinal stenosis
C. Traumatic fracture
D. Osteoporosis
• Question 23
1 out of 1 points
Which is the most common cause of end-stage renal disease in the United States?
• Question24
1 out of 1 points
A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects:
A. Arthritis
B. Ulnar neuritis
C. Septic arthritis
D. Olecranon bursitis
• Question 25
1 out of 1 points
A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal. Which of the following is the most likely diagnosis?
• Question 26
1 out of 1 points
Beth, age 49, comes in with low back pain. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further?
• Question 27
• D
1 out of 1 points
A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis?
• Question 28
1 out of 1 points
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
• Question 29
1 out of 1 points
The most common cause of elevated liver function tests is:
• Question 30
1 out of 1 points
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 31
1 out of 1 points
Which of the following is a potential acquired cause of thrombophilia?
A. Homocysteinuria
B. Protein C deficiency
C. Factor V Leiden
D. Antiphospholipid antibodies
• Question 32
1 out of 1 points
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains:
Primary hyperparathyroidism is treated with Vitamin D restriction
• Question 33
1 out of 1 points
A 25 year old overweight patient presents with a complaint of dull achiness in his groin and history of a palpable lump in his scrotum that “comes and goes”. On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis?
A. Testicular torsion
B. Epididymitis
C. Inguinal hernia
D. Varicocele
• Question 34
1 out of 1 points
Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?
A. Prescribe nasal steroids and oral decongestants
B. Prescribe antibiotic eardrops
C. Prescribe systemic eardrops
D. Refer David to an ear, nose, and throat specialist
A. Prescribe
• Question 35
1 out of 1 points
The physiological explanation of syncope is:
• Question 36
1 out of 1 points
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?
• Question 37
1 out of 1 points
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: nclude nitrofurantoin monohydrate/macrocrystals, trimethoprim-sulfamethoxazole (TMP-SMX), or fosfomycin.
• Question 38
1 out of 1 points
Diagnostic radiological studies are indicated for low back pain:
• Question 39
1 out of 1 points
An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects?
A. Weight gain
B. Fracture risk
C. Hypoglycemia
D. Weight loss
• Question 40
1 out of 1 points
The diagnosis of human papilloma virus (HPV) infection in males is usually made by:
• Question 41
1 out of 1 points
Which history is commonly found in a patient with glomerulonephritis?
• Question 42
1 out of 1 points
A patient complains of generalized joint pain and stiffness associated with activity and relieved with rest. This patient history is consistent with which of the following disorders?
• Question 43
1 out of 1 points
The most common presentation of thyroid cancer is:
• Question 44
1 out of 1 points
The obligatory criteria for diagnosis of muscular dystrophy (MD) are:
• Question 45
1 out of 1 points
The diagnosis which must be considered in a patient who presents with a severe
• Question 46
1 out of 1 points
A 60 year old male patient with multiple health problems presents with a complaint of erectile dysfunction (ED). Of the following, which medication is most likely to be causing the problem?
• Question 47
1 out of 1 points
A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most likely cause of this behavior?
A. Dementia
B. Delirium
C. Parkinson's disease
D. Depression
• Question 48
1 out of 1 points
Which of the following set of symptoms should raise suspicion of a brain tumor?
• Question 49
1 out of 1 points
The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:.
• Question 50
1 out of 1 points
Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to:
a. refer her to a hand surgeon
b. take a more complete hx
c. try neutral position wrist splinting and order an oral NSAID
d. order a nerve conduction study such as an electromyography (EMG)
• Question 51
1 out of 1 points
Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia?
A. Musculosckeletal pain
B. Difficulty sleeping
C. Depression
D. Fatigue
• Question 52
1 out of 1 points
The cardinal sign of infectious arthritis is:
• Question 53
1 out of 1 points
Diagnostic evaluation for urinary calculi includes:
• Question 54
1 out of 1 points
A 15 year-old female patient is 5 feet tall and weighs 85 pounds. You suspect anorexia and know that the best initial approach is to:
Having the client in view of staff for 90 minutes after each meal
• Question 55
1 out of 1 points
A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time?
A. Prescribe an alpha adrenergic blocker.
B. Recommend saw palmetto.
C. Prescribe an antibiotic
D. Refer the client to urology.
• Question 56
1 out of 1 points
A positive drawer sign supports a diagnosis of:
• Question 57
1 out of 1 points
A 14 year old female cheerleader reports gradual and progressive dull anterior knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis?
• Question 58
1 out of 1 points
Jack, age 55, comes to the office with a blood pressure of 144/98 mm Hg. He states that he did not know if it was ever elevated before. When you retake his blood pressure at the end of the exam, it remains at 144/98. What should your next action be?
• Question 59
1 out of 1 points
Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is:
• Question 60
1 out of 1 points
Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be achieved with:
• Question 61
1 out of 1 points
What diabetic complications result from hyperglycemia?
1.
1.
1. Retinopathy
2. Hypertension resistant to treatment
3. Peripheral neuropathy
4. Accelerated atherogenesis
5.
• Question 62
1 out of 1 points
In which of the following presentations is further diagnostic testing not warranted?
• Question 63
1 out of 1 points
The most common symptoms of transient ischemic attack (TIA) include:
• Question64
1 out of 1 points
Establishment of a definitive diagnosis of osteomyelitis requires:
• Question 65
1 out of 1 points
Which of the following is the most common causative organism of nongonococcal urethritis?
A. Chlamydia trachomatis
B. Ureaplasma urealyticum
C. Mycoplasma hominis
D. Trichonomas vaginalis
• Question 66
1 out of 1 points
A 30 year old female patient presents to the clinic with heat intolerance, tremors, nervousness, and weight loss inconsistent with increased appetite. Which test would be most likely to confirm the suspected diagnosis?
• Question 67
1 out of 1 points
Potential causes of hypocalcemia include which of the following?
• Question 68
1 out of 1 points
Which of the following is a contraindication for metformin therapy?
• Question 69
1 out of 1 points
The organism most often associated with prostatitis is:
A. Klebsiella
B. Neiserria gonorrhoaes
C. Chlamydia trachomatis
D. Escherichia coli
• Question 70
1 out of 1 points
The most effective intervention(s) to prevent stroke is (are):
• Question 71
1 out of 1 points
What is the most commonly abused substance?
• Question 72
1 out of 1 points
An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment to consider?
A. A low-calorie diet and exercise
B. Sliding-scale NPH insulin every 12 hours
C. A sulfonylurea and/or metformin (Glucophage® -XR)
D. Sliding-scale regular insulin every 6 hours
• Question 73
1 out of 1 points
Prolonged PT suggests:
A. Platelet abnormality
B. Abnormality in intrinsic coagulation pathway
C. Abnormality in extrinsic coagulation pathway
D. None of the above
Deficiency of FII, FV, FX, or fibrinogen abnormalities
• Question 74
• A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as:
1 out of 1 points [Show Less]