A 14yo male with bronchitis is being treated with fluids and expectorants. He returns to
the clinic with a fever of 103F, right pleuritic chest pain, and green sputum. Which of the
following examination results would b
...
A 14yo male with bronchitis is being treated with fluids and expectorants. He returns to
the clinic with a fever of 103F, right pleuritic chest pain, and green sputum. Which of the
following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After
closed manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm
Which of the following would be an appropriate alternative to erythromycin therapy in an
18 year old patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin)
A 10-month old presents with a rash, runny nose, and cough. Examination reveals a
cluster of tiny white papuls with an erythematous base on the buccal mucosa. What
does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction
An 18yr old patient presents with complaints of maxillary facial pain and yellow nasal
discharge for 14 days. What is the appropriate initial pharmacologic intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin
Which of the following is the leading cause of cancer-related deaths in the majority of
women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer
A 29-year old male with noncomplicated Chlamidia infection may exhibit:
A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer
To assess a patient's ability to think abstractly, a nurse practitioner could ask the
patient:
A. The meaning of a common proverb
B. What action the patient would take if their was a fire in the house
C. To count backwards from 100 by 7s
D. To spell a word backward.
A common rule to follow when prescribing many medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have time to
adjust to the drug.
B. Start at a lower dose than what is commonly prescribed for adults, and increase the
dose slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70
before starting on new medications.
D. Give medication with a full glass of water to promote absorption and limit harm to the
kidneys..
A 72 year old female presents with a medical history unremarkable except for the
occasional headache. She enjoyed emotional health throughout marriage and
childrearing, although her family history is significant for strokes and nervous
breakdowns. Since her husband died a year ago, however, she has been waking every
morning at 3am, is reluctant to go out although she has family member living nearby,
and feels a continual urge to sleep. She cannot discuss her late husband without crying.
Differential diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna
The parent of a 13-year old diagnosed with seizure disorder calls to report that the child
is exhibiting symptoms of a cold, but has no fever. The nurse practitioner should advise
the parent that development of fever may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold
After a 3-week camping trip, an 11-year old is seen for a target lesion with central
clearing, located in the inguinal area. The patient has had a severe headache, malaise,
fatigue, and generalized musculoskeletal pain for several days. Pharmacologic
management of this condition includes:
A. trimethoprim-sulamethoxazole (Bactrim)
B. Azithromycin (Zithromax)
C. Metronidazole (Flagyl)
D. Doxycycline (Doryx)
An 88 year old male presents with concerns about memory loss. He feels good, takes
an aspirin daily, and has no chronic diseases. He lives alone, drives his own car, and
manages his financial affairs. To evaluate his memory, which of the following tests
should the nurse practitioner choose?
A. Folstein Mini-Mental State examination
B. Geriatric Depression Scale
C. Minnesota Multiphasic Personality Inventory
Myers-Briggs Test
During development of a treatment plan for an 84 year old patient with hypothyroidism,
the nurse practitioner has to keep in mind the worsening of:
A. renal insufficiency
B. Osteoporosis
C. Dementia
D. Anemia
A 16 year old female in the first month of taking Ortho-Novum 7/7/7 complains of
midcycle spotting. She hasn't missed any doses and uses no other medication. Which
of the following is appropriate?
A. Modifying use
B. Double dosing for 2 days
C. Changing to Ortho-Novum 1/35
D. Providing reassurance
The management of choice for polymyalgia rheumatica includes:
A. whirlpool
B. Prednisone
C. Anelgesics
D. Celebrex
A 50 year old male presents with a chief complaint of malaise. Further questioning
reveals that his primary concern is delayed ejaculation. He is currently taking the
following medications: atenolol (Tenormin), 50 mg daily; paroxetine (Paxil), 20 mg daily;
loratadine (Claritin-D), 1 tablet daily; and hydrochlorthoriazide (HCTZ), 25 mg daily. The
most likely cause of the patient's concern would be:
A. loratadine
B. hydrochlorthoriazide (HCTZ)
C. lisinopril (Zestril)
D. paroxetine (Paxil)
A 3 year old patient presents at an inner-city clinic with fever, cough, malaise, and loss
of appetite. The patient lives with several relatives, including a grandmother who also
has a cough. Which of the following diagnostic tests would be most appropriate for the
patient?
A. throat culture
B. sputum culture
C. Mantoux (PPD) skin test
D. Cold agglutinin test
A 25-year old presents with the chief complaint of decreased mobility and pain of the
right shoulder exacerbated with movement. The patient reports that he participated in
extensive house painting 24 hours prior to the onset of pain. He denies any trauma.
Passive ROM is intact. No redness or ecchymosis is present. What is the next step that
should be taken in order to make a diagnosis?
A. Palpate structures around the shoulder
B. Obtain an MRI to evaluate the shoulder
C. Order an Xray of the shoulder
D. Request an EMG
A 17 year old femlae has never had her menses. She is at Tanner stage III of sexual
development. Her physical exam in completely normal, and her weight is appropriate for
her age and height. What is the most likely diagnosis?
A. Ovarian dysgenesis
B. Dysmenorrhea
C. Primary amenorrhea
D. Secondary amenorrhea
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