AANP/ANCC Exam 117 Questions with Answers,100% CORRECT

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AANP/ANCC Exam 117 Questions with Answers A). Right lower lobe crackles - CORRECT ANSWER 13 yo male diagnosed as bronchitis was treated with fluids and expectant. He returns with fever 102.8, R. ... pleuretic pain, and green sputum. which of the following would be an expected finding? a) Right lower lobe crackles B) decreased fremitus c)bilateral wheezing d)normal percussion c) The child quickly begins using arm to pick up toy - CORRECT ANSWER 3yo diagnosed with radial head subluxation (nursemaid elbow). After closed manipulation the best indicator of successful procedure is: a) swelling decreases immediately b) pulses return c) the child quickly begins using arm to pick up toy d) a click is felt while the child is attempting to pick up toy D)Measles - CORRECT ANSWER a 11mo old presents with a rash, runny clear nose, and cough. During assessment you note tiny white papules with erythema on the buccal mucousa. What is this suggestive of? a)Scarletina b)Rubella c)hand, foot, mouth d) Measles A)Augmentin - CORRECT ANSWER A 17yo complains of 14 day onset of facial pain in maxillary region with yellow nasal drainage. what is an appropriate initial pharmacological intervention? a)Augmentin b)Ceftriaxone(rocephin) c)Levaquin d)Erythromycin d)Lung - CORRECT ANSWER Leading cause of cancer-related death in women? a)cervical b)ovarian c)breast d)lung b) No obvious signs/symptoms - CORRECT ANSWER a 27yo male uncomplicated chlamydia infection may exhibit: a)urticaria b)no obvious signs or symptoms c) green mucoid penile drainage d)penile shaft ulcer b)start lower dose then taper up - CORRECT ANSWER common practice rule to follow with initiating medications in the elderly is: a)prescribe meds to take in am b)start lower dose then taper up c)obtain creatinine clearance for baseline data for those over 70 d)give meds with a full glass of water b) lower the seizure threshold - CORRECT ANSWER 12 yo with PMI of seizure is reported by mother that cold symptoms are present. Denies fever. The NP should advise that a fever may: a)make seizure medication less effective b)lower the seizure threshold c)increase the seizure threshold d) have no effect on the seizure threshold c. doxycyline - CORRECT ANSWER According to the American Thoracic Society/Infectious Disease Society of American (ATS/IDSA) Consensus guidelines on the Management of Community-Acquired Pneumonia in Adults, which of the following is the most appropriate antimicrobial for tx of CAP in a: 46 y/o well female with a hx of a bilateral tubal ligation who is macrolide intolerant? a. clarithromycin b. amoxicillin c. doxycyline d. fosfomycin c) Doxycycline - CORRECT ANSWER after a 3 wk camping trip, a 11yo presents with a target lesion with central clearing on the inner left thigh. Chief complaints of headache, fatigue,and generalized muscle pain for several days. What should NP prescribe? a)bactrim b)azithromycin c) doxycycline d) metronidazole b. osteoporosis - CORRECT ANSWER During development of a treatment plan for a 78 yo with dx hypothyroidism, the NP needs to be concerned with? a)renal insufficiency b)osteoporosis c)dementia d)anemia d)provide reassurance - CORRECT ANSWER 16 yo currently taking ortho-novum 7/7/7 comes to clinic to report midcycle spotting. Denies missing doses and is currently not on any other medications. Which is appropriate? a)modify usage b)double her dose x 2 days c) change to a different medication d) provide reassurance d)prednisone - CORRECT ANSWER Polymyalgia Rheumatica (PMR) should be managed by: a)whirlpool tub b)celebrex c) analgesic d)prednisone c) Paxil (paroxetine) - CORRECT ANSWER 54yo male c/o malaise as well as delayed ejaculation. Current medications: atenolol, paxil, hctz, claritin. Which med is most likely to cause ED? a)HCTZ b)atenolol c)paxil d) claritin a) palpate structures around shoulder - CORRECT ANSWER 25yo presents with chief complaint of decreased mobility and pain of the right shoulder exacerbated with movement. The patient occupation is painting houses. He reports he recently painted for 24 hours prior to onset of pain. Denies trauma. Passive ROM intact. No visible signs of injury. What should NP do next? a) Palpate structures around shoulder b)obtain MRI c) Order Xray d) Order EMG C. Primary amenorrhea - CORRECT ANSWER 17 yo has never had menses. She is at tanner stage III Physical exam normal with weight appropriate. What is likely diagnosis? a) ovarian dysfunction b) dysmenorrhea c) primary amenorrhea d)secondary amenorrhea a)hemoglobin electrophoresis - CORRECT ANSWER 12 yo patient has a family history of thalessemia and anemia is stage II presentation and a HCT of 330. What should NP order in addition to CBC? a) hemoglobin electrophoresis b) vitamin b12 level c) 25 hr creatinine clearance d) serum folic acid c)strep pneumo - CORRECT ANSWER Common bacteria responsible for pneumonia in older patients residing in the community is: a) staph aureus b)pseudomonas c)strep pneumo d)tuberculi d) prescribe bulk forming agents & hydrocortisone suppositories - CORRECT ANSWER 43yo c/o 14 day rectal itch &pain. PMI of constipation. Also reports bright red blood on toilet paper several times a week. Rectal exam positive for a single tender, blue, swollen ovoid mass. Guaiac stools negative. What should NP prescribe? a) lomotil b)colonoscopy to r/o cancer c) repeat guaiac test three times and a CBC d) Prescribe bulk forming agents& hydrocortisone suppositories. d) FSH , LH, prolactin &TSH - CORRECT ANSWER 16yo is suspected of having PCOS. In addition to testosterone, the most appropriate diagnostic tests to order: a) BUN,Creatinine,electrolytes &Dhea b) CBC,BUN,creatinine & estrogen c)FBS,CBC,BUN & sex hormone d) FSH,LH,prolactin & TSH b) Metronidazole - CORRECT ANSWER Which is an example of the typical management of trichomoniasis a)miconazole b)metronidazole c) clindamycin d)azithromycin b)Tamiflu - CORRECT ANSWER High risk population such as elderly, COPD, or immunocompromised. What should NP prescribe? a) Rest & fluids b) Tamiflu c) amoxicillin d) watch & wait c) 7(VII) - CORRECT ANSWER Which CN is affected in Bell's palsy? a) 5 b)3 c)7 d)4 b)3,4,6 - CORRECT ANSWER Which CN function together for oculomotor function? a)3,4,5 b)3,4,6 c)3&5 d)4&5 c) cold compress - CORRECT ANSWER Treatment of "viral" conjunctivitis includes the use of: a) antihistamine/decongestant drops b) antihistamine/mast cell stabilizer drops c) cold compresses d) steroid eyedrop B. Cocaine - CORRECT ANSWER A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and mild euphoria shows symptoms associated with the use of: a) benzodiazepine (Alprazolam) b) cocaine c) morphine (MS Contin) d) oxycodone (OxyContin) a)blindness in the affected eye - CORRECT ANSWER Temporal arteritis requires immediate treatment in order to prevent: a) blindness in the affected eye b) facial nerve palsy c) transient ischemic attack d) trigeminal neuralgia d) tertiary prevention - CORRECT ANSWER A patient who sustained a myocardial infarction comes to the clinic for a refill of atorvastatin (Lipitor). The family nurse practitioner explains that the medication is prescribed for: a) cancer prevention b) primary prevention c) secondary prevention d) tertiary prevention B. Mitral regurgitation - CORRECT ANSWER During cardiac auscultation, a soft first heart sound with a holosystolic apical murmur that radiates to the left axilla suggests: a) aortic stenosis b) mitral regurgitation c) mitral stenosis d) mitral valve prolapse a) advise the patient to stop smoking - CORRECT ANSWER The adult-gerontology primary care nurse practitioner evaluates a patient with cold symptoms who reports smoking half a pack of cigarettes a day and shows no interest in quitting. The nurse practitioner's most appropriate approach is to treat the cold symptoms and: (a) advise the patient to stop smoking. (b) prescribe bupropion (Zyban). (c) raise the issue of smoking cessation at the next visit. (d) recommend the patient select a low nicotine cigarette c. moderate persistent - CORRECT ANSWER A twenty -five-year-old patient requires daily use of a short-acting beta-2 agonist for wheezing. The patient's symptoms exacerbate at least twice a week during physical exercise. The parent reports that the patient has a dry cough at night, which occurs several times a week. This patient's asthma is classified as: a) mild persistent b) moderate intermittent c) moderate persistent d) severe persistent B Complete blood count - CORRECT ANSWER A patient who had a total gastrectomy one year ago complains of a sore mouth, indigestion, and tingling in the lower extremities. Which test is ordered by the family nurse practitioner? a) Blood urea nitrogen level b) Complete blood count c) Liver function study d) Thyroid function study c. psoriasis - CORRECT ANSWER A 40-year-old patient has had a generalized, nonpruritic skin eruption with intermittent exacerbations over the past 10 years. Currently, a well-circumscribed erythematous plaque appears over the patient's left gluteal fold area. The lesion is covered with scales and has some fissuring. The NP makes a diagnosis of: a) atopic dermatitis b) ichthyosis c) psoriasis d) tinea corporis a) actinic keratosis - CORRECT ANSWER The nurse practitioner notes a well-demarcated, dry, rough, tan-colored area that measures 1 cm on the forearm of a retired man who worked as a park ranger. The man says that the lesion has been present for years. The lesion is suggestive of: a) actinic keratosis b) keratoacanthoma c) seborrheic keratosis d) senile lentigo B. Serum ferritin level - CORRECT ANSWER The test of choice for diagnosing iron deficiency anemia is a: a) reticulocyte count b) serum ferritin level c) total iron binding capacity d) transferrin saturation level B (Microcytic Anemia) - CORRECT ANSWER In the early stages of iron deficient anemias, blood studies show: (a) macrocytic normochromic (b) microcytic hypochromic (c) normochromic normocytic (d) pancytopenia hypocytic a) interprets the findings as normally occurring during a rapid adolescent growth spurt - CORRECT ANSWER A 14-year-old patient has nonspecific complaints about pain in his or her legs. The physical examination is unremarkable. Laboratory results are within normal limits except for a markedly elevated alkaline phosphatase level. The nurse practitioner: a) interprets the findings as normally occurring during a rapid adolescent growth spurt b) obtains a rheumatoid profile because elevated alkaline phosphatase is a sign of early rheumatic fever. c) orders a repeat blood test d) suspects that the patient has acute pancreatitis c)stress - CORRECT ANSWER Which type of urinary incontinence is lessened by pelvic floor exercises? a) Functional b) Overflow c) Stress d) Transient a) continue to nurse with both breasts - CORRECT ANSWER A family nurse practitioner advises a nursing mother who has postpartum mastitis to take antibiotics as prescribed and: a) continue to nurse with both breasts b) pump the unaffected breast with a lactation pump c) take cool showers d) temporarily switch to formula b) provide the written record, as requested - CORRECT ANSWER An adult nurse practitioner evaluates a patient who has been a victim of domestic violence. After the office visit, law enforcement authorities contact the nurse practitioner, requesting information regarding any visible injuries observed during the visit. The nurse practitioner's response is to: (a) call the patient to obtain consent. (b) provide the written record, as requested. (c) refer the request to the office manager. (d) require a court order for release. a) one month and six months - CORRECT ANSWER Routine immunization guidelines recommend administering the hepatitis B vaccine at birth and repeating doses at: a) one month and six months. b) one month and two months. c) four months and two years. d) six months and 12 months b) are related to specific trigger experiences. - CORRECT ANSWER An adult nurse practitioner is educating a female patient about her newly diagnosed phobia. The nurse practitioner explains that phobias differ from other anxiety disorders in that phobias: (a) are innate and can be prevented. (b) are related to specific trigger experiences. (c) occur at a later age. (d) often involve depressive symptoms (c) a thiazide diuretic - CORRECT ANSWER An adult nurse practitioner evaluates a new patient, an African American with hypertension who has been taking lisinopril (Prinivil). To optimize the patient's response, a more effective pharmacological treatment is: (a) a beta-blocker. (b) a direct-acting vasodilator. (c) a thiazide diuretic. (d) an angiotensin-converting enzyme inhibitor Koebner phenomenon - CORRECT ANSWER new psoriatic plaques form over areas of skin trauma ausbitz sign - CORRECT ANSWER pin point bleeding on psoriatic lesions us called? a) Community Acquired Pneumonia (CAP) - CORRECT ANSWER 76 year old complains of rust color sputum and cough. Chest xray positive for right lower lobe infiltrates. The NP diagnoses which? a) Community Acquired Pneumonia b) Tuberculosis c) Atypical pneumonia d) lung cancer c) Calcium Channel Blockers - CORRECT ANSWER 72 y/o with subsequent visit of B/P 180/90 is diagnosed with HTN. PMI of Raynauds phenomenon. which does NP prescribe? a) thiazide b) ACE c) Calcium channel blockers d) ARB b) creatinine clearance - CORRECT ANSWER Before an older adult patient initiates pharmacotherapy with a medication that is cleared by the kidneys, a nurse practitioner assesses the patient's: a) blood urea nitrogen level b) creatinine clearance c) specific gravity d) urinary sediment b. 9 months - CORRECT ANSWER During a well-patient office visit, parents express concern about a behavior change in their child. The child was previously social but now cries and hides if someone approaches, has become more clingy around people, and recently became quite upset when the parents hired a familiar babysitter for the evening. The child is healthy and developing normally. What is the most likely age of this child? a). 3 mo b) 9mo c) 12 mo d)2 yrs d)24 mo - CORRECT ANSWER A first-time parent asks how long it will be before a 12-month-old will be able to play kickball and run around outdoors. At which age would you tell the parent the patient should be able to do this? a)12mo b) 15 mo c)2 years d)24 mo d) use 2-3 word sentences - CORRECT ANSWER A nurse practitioner is teaching the mother of a 15-month-old during a well-patient visit. Which statement demonstrates parent understanding of milestones? a)ride a tricycle b)button clothes c)copy a circle d) use 2-3 word sentences d) 16-18 mo - CORRECT ANSWER By which age range would the nurse practitioner expect that a pediatric patient is able to walk without assistance? a) 8-10 mo b)12-15 mo c)20-24 mo d)16-18mo c) hep b 3rd dose - CORRECT ANSWER A nurse practitioner sees an 18-month-old patient for a well-child visit. Which is an appropriate primary preventive service for this patient? a)tdap b)check serum iron levels c)hep b 3rd dose d)rotavirus vaccine b) psoriasis - CORRECT ANSWER A nurse practitioner notes a positive Auspitz sign during an examination of a skin lesion on an adolescent patient. Which dermatologic condition is most likely? a)allergic contact dermatitis b) psoriasis c)pityriasis rosea d)atopic dermatitis a) combined oral contraceptives - CORRECT ANSWER A full-term, breastfed infant patient presents for a 2-week follow-up exam. The mother reports recently starting a new medication. Which should be avoided at this time while breastfeeding? a)combined oral contraceptives b)PPI c) Citalopram d)amoxicillin a) babinski - CORRECT ANSWER Which reflex is present at birth and dissipates at around 12 months of age? a)babinski b)moro c)sucking d)palmer grasp c)tension - CORRECT ANSWER 18-year-old patient describes a bilateral pressing sensation around her head. She states this is tight and band like. You recognize this as which type of a headache? a)migraine b)stroke c)tension d)cluster b)complex partial - CORRECT ANSWER A father brought in his son for what he thinks was a seizure at lunch. He first noticed the child staring blankly at him and the child was nonverbal for a short period of time. Then, the child began smacking his lips, which was followed by a loss of consciousness. Which type of seizure would the lip smacking most likely be caused by? a) tonic clonic b)complex partial c)absent d)simple partial d)atherosclerosis - CORRECT ANSWER All of the following can be causes of delirium versus dementia (gradual memory loss) except: a)infections b)alcohol c)anorexia d)atherosclerosis a)acetaminophen - CORRECT ANSWER Which is the best choice for abortive treatment of a migraine in a pregnant woman? a)acetaminophen b)triptan c)inderal d)ergotamine b)VII - CORRECT ANSWER A patient presents with unilateral facial paralysis, drooping of the eyelid, and minor drooling, which you recognize as Bell's palsy. Which cranial nerve is affected? a)X b)VII c)IV d)V c)migraine - CORRECT ANSWER 40-year-old female patient visits the clinic at the end of the day with a unilateral throbbing headache. She states she does not know what could have triggered this headache. During her dietary recall, she shares she ate half a jar of pickles that her husband brought home yesterday. She had both photophobia and phonophobia as well as nausea. Her neurologic exam is WNL. You recognize this as which type of headache? a)tension b)trigeminal neuralgia c)migraine d)cluster a)propanolol - CORRECT ANSWER Which of the following medications is an example of prophylactic daily therapy for migraine headaches, which are occurring 3-4 times a month? a) propranolol b) triptan c)acetaminophen d)aspirin b) St. Johns Wart - CORRECT ANSWER Which of the following herbal treatment options for depression has many drug interactions? a)5-HTP b)st. johns wart c)magnesium d)valerian root d)VIII - CORRECT ANSWER Which cranial nerve is the acoustic nerve? a)III b)VI c)X d)VIII b)TCA - CORRECT ANSWER After diagnosing your 46-year-old female patient with depression, you see in her chart that she enjoys wine and cheese. Therefore, you know which of the following medications should be avoided in treating her depression? a)SSRI b)TCA c)MAOI d) St. Johns Wart c)XII - CORRECT ANSWER When performing a neurologic examination on a patient, you know by having the patient stick out his/her tongue and move it up and down (towards nose and chin) and side to side, you are assessing which cranial nerve function? a)VIII b)V c)XII d)IV a)urinalysis, c)CBC,& d) TSH - CORRECT ANSWER When working up a 70-year-old patient who suffers from confusion, which initial laboratory tests are appropriate? a)urinalysis b)albumin c)CBC d)TSH a)cluster - CORRECT ANSWER Which type of headache may benefit from 100% oxygen therapy? a)cluster b)tension c)migraine with aura d) migraine without aura d)carafate - CORRECT ANSWER You test your 35-year-old female patient for H. pylori and her laboratory result comes back positive. Which of the following drugs is not part of a commonly used combination option in the initial treatment of H. pylori? a)omeprazole b)flagyl c)amoxicillin d) carafate d)colon cancer - CORRECT ANSWER A patient presents with an unintentional weight loss of 12 lb. over 2 months and pencil-like stools. The patient has not had a colonoscopy for 10 years. Due to these symptoms, which of the following conditions should be ruled out or confirmed first with additional tests? a)ulcerative colitis b)Crohns disease c)diverticulosis d)colon cancer b)cholecystitis - CORRECT ANSWER A patient presents with right upper quadrant pain that started after a fatty meal. Upon examination, Murphy's Sign is positive. Liver function tests are also elevated. Which of the following is the most likely diagnosis? a)pancreatitis b)cholecystitis c)appendicitis d)Hepatitis b)diverticulitis - CORRECT ANSWER A patient presents with left lower quadrant pain, nausea, and an elevated sedimentation rate. Which diagnosis is the most likely based on these symptoms? a)pancreatitis b)diverticulitis c)appendicitis d)Hepatitis a) ulcerative colitis - CORRECT ANSWER A large amount of bloody diarrhea is the hallmark symptom of which gastrointestinal disease? This disease is also characterized by episodes of symptoms followed by times of remission. a)ulcerative colitis b)diverticulitis c) colon cancer d) IBS b) Cullen - CORRECT ANSWER With this sign, you will see superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus caused by retroperitoneal or intraperitoneal blood. a) markle b)cullen c)murphys d) finkelstein d)continue taking as precribed - CORRECT ANSWER An adolescent female patient calls the clinic because she forgot to take her birth control pill yesterday. She is on the last 4 pills of the pack. Which is the best next step for her to take? a) discard pack and start new one b)take double dose today and back to 1 tomorrow c)skip a week and start on monday d)continue taking as prescribed c) smokes 2 ppd - CORRECT ANSWER Which risk factor should be considered a contraindication when prescribing an oral contraceptive? a) under the age of 18 b) hypertension dx c)smokes 2 ppd d)one month postpartum b)trichomoniasis - CORRECT ANSWER What would you suspect in a young adult patient who has strawberry patches on her cervix, with yellowish-green vaginal discharge and dyspareunia? a) bacterial vaginosis b) trichomoniasis c)chlamydia d)candiasis c) must be refitted if weight gain - CORRECT ANSWER Which is incorrect regarding the use of a vaginal diaphragm? a)increased risk of UTI b)condoms must be worn to prevent STDs c) must be refitted if weight gain d)must be left in place for 6 hours after intercourse c) 21 years of age - CORRECT ANSWER A healthy adolescent female patient asks the nurse practitioner about when she needs her first pap smear a)within 3 years after onset sexual activity, but no later than 21 years of age b) when menses begins c)21 years of age d)whenever becomes sexually active d)obesity - CORRECT ANSWER What of the following is not considered a risk factor for placental abruption? a)HTN b)age c)smoking d)obesity d)12 months - CORRECT ANSWER The nurse practitioner sees a 32-year-old woman in the clinic with a history of an abnormal Papanicolaou (Pap) test. She is human papillomavirus (HPV) positive. The patient had a follow-up colposcopy which was negative for cervical intraepithelial neoplasia (CIN). When is the next recommended Pap test due? a)3 mo b)6mo c)3 years d)12 months b) secondary amenorrhea - CORRECT ANSWER A 16-year-old gymnast has stopped menstruating this year after having normal cycles from age 12 to 15. Which is the likely diagnosis? a)primary amenorrhea b) secondary amenorrhea c)anorexia d)hypothyroidism a)ceftriaxone - CORRECT ANSWER Which of the following medications and dosing is included in a treatment option for gonorrhea? a)ceftriaxone b)azithromycin c)rocephin d)doxycycline d)chlamydia - CORRECT ANSWER The nurse practitioner recognizes that the most common cause of epididymitis in a young man is: a) ecoli b)proteus c)mycoplasma d)chlamydia c)hyphae and PH <4.5 - CORRECT ANSWER What are the expected microscopic and pH findings in an adult female patient with white, clumpy, cottage cheese-like vaginal discharge? a)hyphae and PH >4.5 b)clue cells and PH <4.5 c)hyphae and PH <4.5 d)clue cells and PH >4.5 d)costovertebral angel tenderness - CORRECT ANSWER The nurse practitioner is evaluating a patient with complaints of polyuria for the last three days. Of the following physical exam findings, which would help to confirm a diagnosis of pyelonephritis? a)fever b)suprapubic pain c)dysuria d)costovertebral angel tenderness a)diflucan - CORRECT ANSWER A 40-year-old female patient with a history of type 2 diabetes presents complaining of vaginal discharge, vaginal pruritus, and irritation. Pelvic examination reveals an odorless, thick, white, and lumpy discharge. Wet mount reveals pseudohyphae. What is the most appropriate treatment for this patient? a)diflucan b)flagyl c)topical corticosteroid d)clindamycin c)epidymitis - CORRECT ANSWER Your 25-year-old male patient has had a fever, dysuria, low back pain, and scrotal edema. Which of the following is likely the diagnosis? a)pyelonephritis b)UTI c)epidymitis d)acute bacterial prostatitis b)doxycycline - CORRECT ANSWER Which of the following medications is contraindicated for the treatment of an upper urinary tract infection (pyelonephritis)? a)Cipro b)doxycycline c)amoxicillin-clavuate d)Bactrim c)Epidymitis - CORRECT ANSWER Your 25-year-old male patient has had a fever, dysuria, low back pain, and scrotal edema. Which of the following is likely the diagnosis? a)UTI b)acute pyelonephritis c)Epidymitis d)acute bacterial prostatitis a)stress - CORRECT ANSWER 55-year-old female patient states she has been leaking urine with sneezing, laughing, and coughing. Which type of incontinence is she experiencing? a)stress b)urge c)mixed d)functional a)b) & d - CORRECT ANSWER When treating a patient for iron deficiency anemia, she complains that the iron supplements have been causing constipation. What solutions might you suggest to help the patient increase her iron absorption as well as her tolerance for the supplement? a)avoid antacids b)take with vitamin C c) consume more nuts and berries d)consume adequate dietary fiber a)von willebrands - CORRECT ANSWER The primary care NP should be familiar with common bleeding disorders that may be encountered in daily practice so that prompt recognition and referral to a specialty provider can be initiated. What is the most common bleeding disorder in the United States? a)von willebrands b)anemia due to chronic disease c)hemophilia d)sickle cell disease b)paresthesia - CORRECT ANSWER Your 75-year-old patient visits the clinic with fatigue, glossitis, anorexia, and paresthesias. Laboratory results show a macrocytic normochromic anemia is present. Which findings distinguish whether this patient has folic acid deficiency versus pernicious anemia (B12 deficiency)? a)glossitis b)paresthesia c)macrocytic anemia d)anorexia a)folic acid - CORRECT ANSWER Which of the following nutrients is essential for a pregnant woman to take to prevent neural tube defects in the fetus? a)folic acid b)iron c)vitamin D d)vitamin b12 a)lung - CORRECT ANSWER Which type of cancer causes the highest mortality in women? a)lung b)breast c)melanoma d)heart disease a)sickle cell anemia - CORRECT ANSWER An African American infant patient recently transferred to your practice with sudden onset severe pain in his back and extremities, leg ulcers, and dyspnea. Of the following differential, what would be the most likely diagnosis? a)sickle cell anemia b) metastatic cancer c)osgood slatter disease d)rheumatoid arhthritis a)L5-S1 - CORRECT ANSWER An examination finding of a diminished or absent Achilles (heel) reflex suggests disc pathology or herniation at what level? a)L5-S1 b)L4-5 c)sciatica d)L3-4 c)symmetrical involvement of joints - CORRECT ANSWER Your 35-year-old patient has arthritis involving her proximal interphalangeal joints. Which of the following findings or risk factors would indicate that her arthritis is likely to be rheumatoid? a)asymmetrical involvement b)age c)symmetrical involvement of joints d)interphalangeal joints d)tinel; carpal tunnel - CORRECT ANSWER Your patient presents to the clinic stating she has had intermittent pain in her wrist. You tap along her median nerve and this reproduces her symptoms. What test have you performed, and what is her diagnosis? a)tinel test; neuralgia b)phalen test; carpal tunnel c)phalen test; neuralgia d)tinel; carpal tunnel a&b - CORRECT ANSWER What is the primary treatments for an acute gout attack? a)cholchicine b)NSAID c)uloric acid d)allopurinol a)have pt walk on toes - CORRECT ANSWER Which screening test would you use to assess for L5-S1 pathology? a)have pt walk on toes b)have pt walk on heels c) straight leg test d)have pt squat &stand a)McMurrys; meniscal tear - CORRECT ANSWER Your 21-year-old patient developed knee pain while playing tennis and describes a feeling that her knee "catches" when walking. When examining her, you place one hand on the lateral side of the knee to stabilize the joint and use your other hand to rotate the tibia externally while extending the knee. You notice an audible click suggestive of what sign, and which injury? a)McMurrys; meniscal tear b)Lachmans; meniscal tear c)McMurrys;ligament tear d)Lachmans; ligament tear a)medial epicondylitis - CORRECT ANSWER Your 59-year-old patient, a frequent golfer, reports pain in the inner elbow. You notice a decreased grip strength with your examination. You suspect the following diagnosis: a)medial epicondylitis b)tendinopathy c)lateral epicondylitis d)brachioradialis c)drop arm - CORRECT ANSWER Which test would be most beneficial when suspecting a rotator cuff injury? a)apleys grind test b)Lachmans c)Drop-arm d)Talar-tilt c)joint space narrowing on xray - CORRECT ANSWER What are the suspected findings of a patient with osteoarthritis? a)erythema over joints b)ESR c)joint space narrowing on xray d)synovial aspirate for WBCs b) Straight Leg Raise Test - CORRECT ANSWER Which clinical test might you choose to use to assess for the presence of sciatic pain? a)have patient walk on toes b)straight leg raise test c)have patient walk on heels d)have patient squat and stand C. Cauda equina syndrome - CORRECT ANSWER If a patient with a suspected lumbosacral strain reported the new onset of bowel and/or bladder incontinence, what new diagnosis would you suspect? a)L3-L4 pathology b)lumbar nerve root c)cauda equina syndrome d)malignancy a)atopic dermatitis - CORRECT ANSWER Your 25-year-old female patient states she has had itchy skin for the past few years. At certain times of the year, her itching is worse than others. Upon examination, you notice dry scaling thick plaques on her skin in her antecubital folds and on her hands. You recognize this condition is likely which of the following? a)atopic dermatitis b)eczema c)psoriasis d)actinic keratosis c) slow growing waxy or pearly appearance with atelangiectasis - CORRECT ANSWER Which of the following describes basal cell carcinoma? a)non painful, beige or brown, black plaques with "stuck on appearance" b)irregular shaped papule c)slow growing waxy or pearly appearance with atelangiectasis d)flesh or pink colored with hyperpigmentation,tender and on sun exposed areas b)augmentin - CORRECT ANSWER Which is the best choice of antibiotic for bites from cats, dogs, bats, raccoons, skunks, and pigs? a)clindamycin b)augmentin c)levaquin d)acyclovir a)non painful, beige or brown, black plaques with "stuck on appearance" - CORRECT ANSWER Which of the following best describes seborrheic keratoses? a)non painful, beige or brown, black plaques with "stuck on appearance" b)irregular shaped papule c)slow growing waxy or pearly appearance with atelangiectasis d)flesh or pink colored with hyperpigmentation,tender and on sun exposed areas b&d - CORRECT ANSWER Which 2 antibiotics might be prescribed for a patient with mild cellulitis resulting from Streptococcus? a) augmentin b)clindamycin c)keflex d)amoxicillin b) mupiricin cream - CORRECT ANSWER Which of the following is the BEST CHOICE first-line treatment for S. aureus impetigo? a)oral PCN b)mupiricin cream c)oral azithromycin d)oral erythromycin b)doxycycline - CORRECT ANSWER Which is a common first-line antibiotic treatment for Lyme disease? a)keflex b)doxycycline c)amoxicillin d)azithromycin - CORRECT ANSWER [Show More]

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