FNP 1 COMPREHENSIVE EXAM QUESTIONS AND ANSWERS
MARKED A+
✔✔An elderly adult with an appendicitis is unlikely to exhibit - ✔✔initial WBC elevation
Very young children and elderly are not likely to have initial WBC elevation.
Consequenlty appendicitis can be easily missed in these populations.
✔✔which medication listed below could potentially exacerbate CHF in a susceptible
individual?
Naproxen
HCTZ
Lovastatin
Loratadine - ✔✔Naproxen
Naproxen is an NSAIDs. NSAIDs cause sodium retention and thus, water retention.
✔✔The pneumococcal immunization in infants has - ✔✔shifted the pathogenesis to
fewer cases of S. Pneumoniae
✔✔The heptavalent pneumococcal conjugatee vaccine (PCV7), prevnar, potects
children from the seven most common strains of Sreptococcus pneumoniae (S.pneumo)
- ✔✔it has reduce the incidence of ear infections caused by S.pneumo and has reduce
the incidence of ear infection and tube placement by 10-20%.
✔✔Hepatitis A: ( -) IgM ( -) IgG what does this mean - ✔✔He has no immunity to
hepatitis A. as evidence by the negative IgG. It is not currently infected as evidence by
the negative IgM.
✔✔A male patient has epididymitis. his most likely compalint will be - ✔✔Scrotal pain
It develops acutely and will be accompaied by fever, chills and very ill appearing patient.
✔✔A patient with diarrhea has a stool specimen positive for WBCs. What does this
indicate? - ✔✔A viral infection
WBCs found in stool specimens, it is indicative of infection or inflamation.
✔✔A microscopic examination of the sample taken from a skin lesion indicates hypae.
what type of infection might this indicate? - ✔✔Fungal
Hyphae are typical in tinea pedis, tinea cruris, and tinea corporis.
✔✔An NP examines a screaming 2 year-old. a common findings is: - ✔✔Pink tympanic
membrane
this is probably due to flushing and hyperemia of the face that occurs with crying.
✔✔The most common factor for developing hepatitis B is: - ✔✔Heterosexual activity
, ✔✔A 50 year old male patient reports that he has a sensation of scrotal heaviness. He
reports that the sensation is worse at the end of the day. He denies pain. What is the
likely etiology of these symptoms? - ✔✔Inguinal hernia
(Scrotal heaviness --worse at the end of day-- no pain)
✔✔Severe scrotal pain - ✔✔the hernia may have become strangulated. this require
immediate referral.
✔✔A patient who abuse alcohol will probably exhibit: - ✔✔elevated ALT, AST, GGT
✔✔ALT and AST are frequently elevated when alcohol abuse occur. - ✔✔Especially the
AST is usually the higher of the two enzymes and can signify alcohol abuse when it is
more than 2 times higher than the ALT
✔✔In patient who abuse alcohol daily - ✔✔the ALT and AST may be normal. GGT,
gamma-glutamyl transferase, is often elevated even when ALT and AST are normal. It
can help identify damage to the liver as a result of alcool abuse.
✔✔Which statement about bulimia nervosa is accurate? - ✔✔High dose SSRI are used
to treat this.
✔✔An uncommon symptoms associated with acute bronchitis is: - ✔✔Fever
✔✔Cervical screening for women aged 21-29 years - ✔✔should take place every 3
years with cytology only.
✔✔women aged > 30 years - ✔✔should be screened every 5 years with cytology and
HPV
✔✔Beyond 65 years - ✔✔do not need PAP smear test screened.
✔✔A women who is 65 year-old presents to your clinic with a breast lump. She has had
only normal annual mammograms and her last one was 6 months ago. what is true
about this lump? - ✔✔it is probably a benign lesion
vast majority of breast lumps, even in older women are benign.
✔✔Classic symptoms of a deep vein thrombosis (DVT) include: - ✔✔Swelling, pain, and
discoloration in lower extremity (SPDLE).
from impaired blood flow are classic symptoms.
✔✔A patient was exposed to HIV through sexual intercourse. He should be followed
with screening tests to identify seroconversion for: - ✔✔one year
MARKED A+
✔✔An elderly adult with an appendicitis is unlikely to exhibit - ✔✔initial WBC elevation
Very young children and elderly are not likely to have initial WBC elevation.
Consequenlty appendicitis can be easily missed in these populations.
✔✔which medication listed below could potentially exacerbate CHF in a susceptible
individual?
Naproxen
HCTZ
Lovastatin
Loratadine - ✔✔Naproxen
Naproxen is an NSAIDs. NSAIDs cause sodium retention and thus, water retention.
✔✔The pneumococcal immunization in infants has - ✔✔shifted the pathogenesis to
fewer cases of S. Pneumoniae
✔✔The heptavalent pneumococcal conjugatee vaccine (PCV7), prevnar, potects
children from the seven most common strains of Sreptococcus pneumoniae (S.pneumo)
- ✔✔it has reduce the incidence of ear infections caused by S.pneumo and has reduce
the incidence of ear infection and tube placement by 10-20%.
✔✔Hepatitis A: ( -) IgM ( -) IgG what does this mean - ✔✔He has no immunity to
hepatitis A. as evidence by the negative IgG. It is not currently infected as evidence by
the negative IgM.
✔✔A male patient has epididymitis. his most likely compalint will be - ✔✔Scrotal pain
It develops acutely and will be accompaied by fever, chills and very ill appearing patient.
✔✔A patient with diarrhea has a stool specimen positive for WBCs. What does this
indicate? - ✔✔A viral infection
WBCs found in stool specimens, it is indicative of infection or inflamation.
✔✔A microscopic examination of the sample taken from a skin lesion indicates hypae.
what type of infection might this indicate? - ✔✔Fungal
Hyphae are typical in tinea pedis, tinea cruris, and tinea corporis.
✔✔An NP examines a screaming 2 year-old. a common findings is: - ✔✔Pink tympanic
membrane
this is probably due to flushing and hyperemia of the face that occurs with crying.
✔✔The most common factor for developing hepatitis B is: - ✔✔Heterosexual activity
, ✔✔A 50 year old male patient reports that he has a sensation of scrotal heaviness. He
reports that the sensation is worse at the end of the day. He denies pain. What is the
likely etiology of these symptoms? - ✔✔Inguinal hernia
(Scrotal heaviness --worse at the end of day-- no pain)
✔✔Severe scrotal pain - ✔✔the hernia may have become strangulated. this require
immediate referral.
✔✔A patient who abuse alcohol will probably exhibit: - ✔✔elevated ALT, AST, GGT
✔✔ALT and AST are frequently elevated when alcohol abuse occur. - ✔✔Especially the
AST is usually the higher of the two enzymes and can signify alcohol abuse when it is
more than 2 times higher than the ALT
✔✔In patient who abuse alcohol daily - ✔✔the ALT and AST may be normal. GGT,
gamma-glutamyl transferase, is often elevated even when ALT and AST are normal. It
can help identify damage to the liver as a result of alcool abuse.
✔✔Which statement about bulimia nervosa is accurate? - ✔✔High dose SSRI are used
to treat this.
✔✔An uncommon symptoms associated with acute bronchitis is: - ✔✔Fever
✔✔Cervical screening for women aged 21-29 years - ✔✔should take place every 3
years with cytology only.
✔✔women aged > 30 years - ✔✔should be screened every 5 years with cytology and
HPV
✔✔Beyond 65 years - ✔✔do not need PAP smear test screened.
✔✔A women who is 65 year-old presents to your clinic with a breast lump. She has had
only normal annual mammograms and her last one was 6 months ago. what is true
about this lump? - ✔✔it is probably a benign lesion
vast majority of breast lumps, even in older women are benign.
✔✔Classic symptoms of a deep vein thrombosis (DVT) include: - ✔✔Swelling, pain, and
discoloration in lower extremity (SPDLE).
from impaired blood flow are classic symptoms.
✔✔A patient was exposed to HIV through sexual intercourse. He should be followed
with screening tests to identify seroconversion for: - ✔✔one year
