1. A 16 year old female patient with heavy meaning have been diagnosed with iron deficiency
anemia. She is also having longer and more irregular periods than is typical as well as
extremely painful cramping. You would likely need to consider which of the following
diagnosis in your work up:
A. endometriosis
3 multiple choice options
1. A 19-year-old male patient presents with acute symptoms of abdominal pain and a history
of intermittent heartburn and spicy food intolerance as well as anxiety due to his college
athletic performance. You have a concern the patient may have a perforated gastric ulcer
and is experiencing peritonitis. Which of the following exam findings is not supportive of this
diagnosis?
A. absence of pain with withdrawal of palpation
3 multiple choice options
,1. A 19 year old otherwise healthy male patient vivec has been monitoring their peak flow at
home after a recent visit to which time his symptoms suggest a new diagnosis of asthma.
Which of the following is the most likely drug to be the first prescription?
A. albuterol metered dose inhaler as needed for wheezing
3 multiple choice options
1. A 62-year-old female patient with erythema on the face surrounding the nasal labia folds
as well as very fine dandruff in the hair and skin is most likely describing with which of the
following diseases?
A. Seborrheic dermatitis
3 multiple choice options
,1. Adequate understanding for the newly diagnosed end stage renal disease patient during a
teaching session of how the analysis works has been successful when the patient verbalizes
that the use of hemodialysis to remove pollution from the body is based primarily on which
of the following concepts (worded differently, but similar)
my blood is cleaned by diffusion diffusing across a semi permeable membrane
3 multiple choice options
1. After a recent hospitalization for weakness a diagnosis of myasthenia gravis has been
made in a patient under your long term management. In the process of the examination, a
CT of the chest was performed and an object was identified and enlarged and was
remarked that it needs to be removed as it is thought to be related to this diagnosis. The
patient now is in clinic the patient now in your clinic states they don't remember what the
object was and hoped you might know. The prudent nurse practitioner understands that the
item likely represents which of the following? (same idea but different question entirely)
A. thymic remnant.
3 multiple choice options
, 1. A patient of Mediterranean descent who presents with microcytic anemia with normal red
cell distribution width should be evaluated using gel electrophoresis to confirm which of the
following types of anemia?
A. thalassemia
3 multiple choice options
1. As a prudent nurse practitioner, the diabetic, hypertensive patients you are seeing should
be evaluated for early evidence of renal damage from both diabetes and hypertension.
Which of the following assessment tool should be should the nurse practitioner order first
for evaluation of early renal dysfunction secondary to diabetes or hypertension?
A. urinalysis with micro and micro albumin
3 multiple choice options