& Management of Adult Health Problems}
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1. The nurse practitioner is prescribing Metronidazole (Flagyl) 500 mg PO BID x 7
days for vaginitis. Which statement does the NP provide the patient during
education on potential side effects?
A. Do not consume alcohol during the treatment period
B. If symptoms improve you may stop the medication
C. The medication may cause vulvo vaginal itching and burning
D. This medication is not safe for pregnancy - ANSWER A. Do not consume
alcohol during the treatment period
2. The nurse practitioner is seeing a 22-year-old female patient with multiple
painful vesicular lesions on the vulva and flu like symptoms for the last 10
days. Which STI is at the top of the NP's list of differential diagnoses?
A. Trichomonas
B. Genital herpes
C. Human papilloma virus
D. Syphilis - ANSWER B. Genital herpes
,3. A patient presents with vaginal itching, vaginal Ph of 4.0 and dyspareunia. The
most likely diagnosis is:
A. Candidiasis
B. Atrophic Vaginitis
C. Bacterial vaginosis
D. Trichomonas - ANSWER B. Atrophic Vaginitis
4. Glaucoma is a group of diseases characterized by progressive damage to the
optic nerve resulting in atrophy and vision loss. Which of the following
statements regarding glaucoma is NOT correct?
A. Glaucoma can be differentiated as primary or secondary
B. Older African Americans have a higher prevalence of glaucoma
C. Open-angle glaucoma is the most common type of glaucoma
D. Angle-closure glaucoma is the most common type of glaucoma - ANSWER
D. Angle-closure glaucoma is the most common type of glaucoma
5. Which of the following infections is NOT considered a sexually transmitted
infection?
A. Vulvovaginal candidiasis
B. Trichomoniasis
C. Chlamydia
D. Herpes Simplex Virus-2 - ANSWER A. Vulvovaginal candidiasis
6. Studies have shown that which genotypes of human papilloma virus have
been most frequently associated with cervical intraepithelial neoplasia (CIN)?
,A. HPV-31 and HPV-2
B. HPV-14 and HPV-2
C. All of the above
D. HPV-16 and HPV-18 - ANSWER D. HPV-16 and HPV-18
7. Which of the following statements regarding male vasectomy is true?
A. After the procedure the male is not sterile for 6-8 months
B. There are no side effects to male vasectomy
C. After the procedure the male is 100% sterile
D. Semen analysis should be performed 8 to 16 weeks after the procedure -
ANSWER D. Semen analysis should be performed 8 to 16 weeks after the
procedure
8. First line treatment for a 65-year-old man with acute bacterial prostatitis
includes:
A. TMX-SMX
B. Cefepime
C. Amoxicillin
D. Doxycycline - ANSWER A. TMX-SMX
9. When contrasting a hordeolum and chalazion the APRN knows that which of
the following is correct?
A. A hordeolum is an erythematous lump within the eyelid and a chalazion is
inflammation of a blocked Meibomian gland
, B. A chalazion is a stye and a hordeolum is an infected stye
C. A chalazion is a tender lump within the eyelid and a hordeolum is a blocked
Meibomian gland
D. They are both the same thing - ANSWER A. A hordeolum is an
erythematous lump within the eyelid and a chalazion is inflammation of a blocked
Meibomian gland
10. The NP knows that the salvage rate for testicular torsion is 85% to 90% if the
torsion has persisted for less than:
A. 10 hours
B. 60 minutes
C. 6 hours
D. 24 hours - ANSWER C. 6 hours
11. A collection of peritoneal fluid within the scrotum and around the testis
A. Hydrocele
B. Varicocele
C. Epididymitis - ANSWER A. Hydrocele
12. An abnormal degree of venous dilation of the pampiniform plexus in the
spermatic cord above the testis:
A. Hydrocele
B. Varicocele
C. Epididymitis - ANSWER B. Varicocele