LEIK FNP EXAM & EXAM PRACTICE QUESTIONS
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All of the following services are covered under Medicare
part A except:
a. Inpatient hospitalizations
b. Medicines administered to a patient while hospitalized
c. Nursing home care
d. Surgeons - Answer-c. Nursing home care
Medicare A coverage includes inpatient hospitalization and
skilled care given in a certified skilled nursing facility. Most
nursing home care is custodial care (help with bathing,
dressing using a bathroom, and eating.) This care is not
covered by Medicare A.
A 28 year old student is seen in the school health clinic
with complaints of a hacking cough that is productive of
small amounts of sputum and a runny nose. He does not
take any medications, denies any allergies, and has no
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significant medical history. Physical exam reveals a low
grade temperature of 99.9 degrees Fahrenheit,
respirations 16/min, a pulse 90 beats per minute, and
diffuse fine crackles in the base of the lungs. A chest
radiograph (xray) shows diffuse infiltrates on the lower
lobe of the right lung. The total white blood cell count is
10,500/uL. What is the most likely diagnosis?
a. Streptococcal pneumonia
b. Mycoplasma pneumonia
c. Acute bronchitis
d. Legionnaires disease - Answer-b. Mycoplasma
pneumonia
Mycoplasma pneumonia is the organism most commonly
seen in children and young adults. It is easily spread from
droplets, from sneezing and coughing, in close proximity.
Diagnosis is based on symptoms and x-ray results of
infiltrates in lower lobes.
A 39 year old migrant worker presents to the clinic 2.5
days after a pruified protein derivative (PPD) test. What
minimum size of induration would be considered positive
for this patient?
a. 3 mm
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b. 5 mm
c. 10 mm
d. 15 mm - Answer-c. 10 mm
The PPD is administered on the volar aspect of the lower
arm and read 48 hours after the test is given. The PPD
result must have induration and measure 10 mm or
greater to be positive in a low risk patient. Induration
(firmness with palpation) must be present. If the site has
erythema but no induration, result would be negative.
Color is not important.
All of the following are correct statements regarding the
role of the person named in a durable power of attorney
except:
a. The agent's decision are legally binding
b. The agent can make decisions in other areas of the
patient's life such as financial issues
c. The agent can decide for the patient who is on life
support when that support can be terminated
d. The patient's spouse has a right to override the agent's
decisions - Answer-d. The patient's spouse has a right to
override the agent's decisions
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The person named in a durable power of attorney (the
agent) is designated by the patient to make all medical
decisions, as well as any decisions regarding the patient's
private affairs in the event that the patient becomes
incompetent and unable to make his/her own decisions.
No one has the ability to override the agent's decision.
All of the following are true statements regarding
Munchausen syndrome except:
a. It is considered a mental illness
b. The patient has a medical illness that causes an anxiety
reaction and denial
c. The patient fakes an illness in order to gain attention
from health care providers
d. The patient has inconsistent medical history along with
a past history of frequent hospitalizations - Answer-b. The
patient has a medical illness that causes an anxiety
reaction and denial
Munchausen syndrome is a psychiatric disorder in which
the patient fakes a medical illness or disorder to gain
attention from health care providers. These patients