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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. Complications for Joan would include all the following except:

a) Shock

b) Renal failure

c) Gram-positive septicemia

d) None of the above

 

QUESTION 2

Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3. Sierra’s most likely diagnosis is:

a) Hypothyroidism

b) Primary hyperthyroidism (Graves’ disease)

c) Primary hyperparathyroidism

d) None of the above

QUESTION 3

Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Within 2 weeks, Susan returns to the clinic and a culture of her urine shows she has the same bacteria as when the NP first saw her. This would be referred to as:

a) Relapsing UTI

b) Recurring UTI

c) Persistent UTI

d) None of the above

QUESTION 4

Juan, an 82 y/o male, is brought to the clinic by his daughter with sudden LLQ pain, nausea, vomiting, diarrhea, or constipation.  The patient has a temperature of 100.4 and reports blood in stool. Juan’s most likely diagnosis is:

a) PUD

b) Acute diverticulitis

c) Acute pancreatitis

d) Hepatitis

QUESTION 5

Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Given Martin’s condition, the first line treatment would be all the following except:

a) Albuterol

b) Salmeterol

c) Levalbuterol

d) Metaproterenol

QUESTION 6

Wen is a 48 y/o female who comes to the clinic with fatigue, weight gain, cold intolerance, constipation, and menstrual abnormalities. The NP orders a TSH and free serum T4 and thyroid peroxidase antibody (TPO). The TSH is 6.0 mU/L, the T4 is low, and the TPO is high. Her most likely diagnosis is:

a) Hyperthyroidism

b) Hyperparathyroidism

c) Hashimoto’s thyroiditis

d) None of the above

QUESTION 7

Mark is a 2-month-old infant, and he should be able to do all the following tasks except:

a) Follow objects past midline

b) Make gurgling sounds

c) Bring hands to mouth

d) Lift head up 45 degrees

QUESTION 8

Risk factors for Alcohol Use Disorder include which of the following?

a) Family history

b) Stressful life events

c) Low socioeconomic status

d) All of the above

e) A & B only

QUESTION 9

Scott is a 16 y/o male who presents to the clinic with a tender testicular mass, but no pain. He has previously been diagnosed with cryptorchidism. His most likely diagnosis is:

a) Testicular torsion

b)Testicular cancer

c) Hodgkin lymphoma

d) A & B only

QUESTION 10

Diagnostic studies for Type II diabetes mellitus would include which of the following?

a) HbA1C (>6.5%)

b) Fasting plasma glucose (= to or >126 mg/dL)

c) Random plasma glucose (>200 mg/dL)

d) All of the above

e) None of the above

QUESTION 11

Marty is an 18y/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. Treatment for Marty’s condition would include all the following drugs, except:

a) Doxycycline

b) Amoxicillin

c) Cefuroxime

d) Azithromycin

QUESTION 12

Mary is a new mother who was tested HBsAG+ during her prenatal screening process. Upon the birth of her infant, the newborn should be given HBIG and Hep B within:

a) 12 hours of birth

b) 24 hours of birth

c) 36 hours of birth

d) 48 hours of birth

QUESTION 13

The preferred test for oral glucose tolerance test (OGTT) in a pregnant woman is:

a) 100 g

b) 75 g

c) 50 g

d) 25 g

QUESTION 14

Continuous antibiotic prophylaxis with which antibiotic is the most effective mode of treating UTIs:

a) TMP-SMX

b) Nitrofurantoin

c) Cephalexin

d) Ciprofloxacin

QUESTION 15

All of the following are presumptive signs of pregnancy except:

a) Amenorrhea

b) Chadwick’s sign (blue coloration of the uterus and vagina)

c) Breast changes

d) Fatigue

QUESTION 16

The parents of Joshua want to be able to follow their son’s growth and development patterns and ask you for a recommendation on which of the following standards would be most appropriate. You would recommend:

a) Newborn Behavioral Assessment Scale

b) Denver Developmental Scale II

c) Ages and Stages Questionnaire

d) Bayley Scales of Infant Development

QUESTION 17

Drew is a 13 y/o male who presents to the clinic with testicular pain, nausea, vomiting, scrotal edema, and redness. You perform a urine analysis, which is negative. What is your most likely treatment plan:

a)Use cold compresses on the groin area

b) Start on antibiotics

c) Give him acetaminophen and have him back in 24 hours

d) Send him to the ER. This is a surgical emergency.

QUESTION 18

Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3.

Treatment for Sierra’s disease could include which of the following?

a) Propylthiouracil

b) Methimazole

c) Radioactive iodine

d) All of the above

e) A & B only

QUESTION 19

Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticed that my ankles and feet are swollen and I have been putting on weight.” The most likely diagnosis for this patient is:

a) Acute myocardial infarction (AMI)

b) Infective endocarditis

c) Congestive heart failure (CHF)

d) Dissecting abdominal aortic aneurysm (AAA)

QUESTION 20

Sara is a 38 y/o multipara who is in her 6th-7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. If Sara started having uterine cramping, then the most appropriate immediate treatment would be:

a) Vaginal exam

b) Ultrasound of the uterus

c) C-section

d) Intravenous magnesium

QUESTION 21

Martin is a 17y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. The most likely diagnosis for this patient is:

a) Acute appendicitis

b) Cholecystitis

c) Acute diverticulosis

d) Acute pancreatitis

QUESTION 22

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:

a) Pregnant women

b) Children

c) Diabetic

d) All of the above

QUESTION 23

Patients with bipolar disorder may have all the following except:

a) Delusions 

b) Hallucinations 

c) Lower rates of substance abuse

d)  A & B only

QUESTION 24

Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation of the abdomen she feels a palpable mass that is greater than 3 cm in width. This could potentially be:

a) An acute MI

b) Abdominal aortic aneurysm

c) Infective endocarditis

d) Congestive heart failure

QUESTION 25

Mary is a 22 y/o female who is at 6 weeks gestation. She stated that her last menstrual period was June 10, 2020. Using Naegele’s rule, which of the following is her expected date of confinement (EDD)?

a) March 17, 2021

b) March 10, 2021

c) April 10, 2021

d) April 17, 2021

QUESTION 26

The most common drug trigger for Stevens-Johnson Syndrome include all the following except:

a) ASA

b) NSAIDS

c) Anticonvulsants

d) Allopurinol

 

QUESTION 27

St. John’s Wart has all the following potential uses except:

a) Depression 

b) Menopausal symptoms 

c) Wound healing 

d) HIV/AIDS

QUESTION 28

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?

a) Pneumonia

b) Sinusitis

c) COPD

d) All of the above

e) A & B only

QUESTION 29

Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides.

a) True

b)  False

  

QUESTION 30

Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. The most likely cause is:

a) Irritable bowel syndrome

b) Peptic ulcer disease

c) GERD

d) Pancreatitis

SCIENCE
HEALTH SCIENCE
NURSING
NURS 6565

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