EXAM 2026/2027 WITH ACTUAL CORRECT
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A 29 year old patient reports asthma symptoms occurring twice a week with one night time
exacerbation last month. Which medication would the NP most likely prescribe?
A. Levalbuterol
B. Oldaterol
C. Theophylline
D. Pratropium bromide
A. Levalbuterol
Of the following, which is not used to diagnose thyroid conditions?
A. Calcitonin
B. TSH
C. Free T4
D. Total T3
A. Calcitonin
When should a TSH level be drawn after adjusting the dose of levothyroxine?
A. after 24 months
B. within 6-8 weeks
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,C. at least once a year
D. the following week
B. within 6-8 weeks
During a physical assessment, a patient reports difficulty falling asleep, increased weightloss
despite having an increased appetite, feeling increasingly anxious, and noticing their eyes
bulging. Which diagnosis should the NP consider?
A. Hashimoto's Disease
B. Hypothyroidism
C. Hyperthyroidism
D. Addision's Disease
C. Hyperthyroidism
Which medication is best used to treat thyroid storm?
A. NSAIDs
B. Ace inhibitors
C. Levothyroxine
D. Potassium iodine
D. Potassium iodine
Why should hypothyroidism be treated early within pregnancy?
A. Hypothyroidism in pregnancy should be treated with beta blockers.
B. Maternal hypothyroidism can cause significant weight loss.
C. Hypothyroidism in pregnancy can cause congenital hyperthyroidism.
D. Maternal hypothyroidism can cause permeant neurological deficits in the child.
D. Maternal hypothyroidism can cause permeant neurological deficits in the child.
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,Which of the following medications accelerates the absorption of levothyroxine?
A. Iron supplements
B. Pantoprazole
C. Sertraline
D. Digoxin
C. Sertraline
The NP ordered a repeat fasting plasma glucose test for their patient, as the first test came back
elevated. Which of the following repeat fasting plasma glucose value would confirm a diagnosis
of diabetes?
A. 98
B. 148
C. 122
D. 55
B. 148
A patient presents with an A1C of 11.2%. Which medication should be considered at this time?
A. Insulin
B. Metformin
C. Glipizide
D. sitagliptin
A. Insulin
In diabetes, older adults should maintain an A1C
A. less than 8%
B. less than 7%
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, C. less than or equal to 6.5%
D. less than 10%
A. less than 8%
How often should an A1C be drawn?
A. 18 months
B. q 3-6 months
C. annually
D. monthly
B. q 3-6 months
Pioglitazone is contraindicated in
A. women of child bearing age.
B. diabetic patients.
C. patients diagnosed with heart failure.
D. patients diagnosed with peptic ulcer disease.
C. patients diagnosed with heart failure.
Which patient should insulin be considered?
A. The patient on step 3 of the ADA guidelines
B. The patient with a random plasma glucose of 269
C. The patient with an A1C of 9.4%
D. The patient with a fasting blood glucose of 387 and symptomatic
D. The patient with a fasting blood glucose of 387 and symptomatic
What is the total daily dose of insulin for a diabetic patient weighing 286 pounds?
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