Questions and Verified Correct Answers
The common bacteria responsible for pneumonia in older adults
residing in the community is:
A. Staphylococcus aureus
B. Streptococcus pneumoniae
C. Pseudomonas Aeruginosa
D. Moraxelle catarrhalis CORRECT ANSWER B. Strep Pneumo
Which of the following best describes psoriatic lesions in an elderly
patient?
A. Shiny, purple, smooth lesions
B. Localized erythematous vesicles
C. Erythematous plagues with central clearing
D. Red, sharply defined plaques with silvery scales CORRECT ANSWER D.
Red, sharply defined plaques with silvery scales
Which of the following GI changes in associated with normal aging?
A. Decreased production of gastric acid
B. Decreased incidence of gallstones
,C. Increased salivation
D. Increased esophageal emptying CORRECT ANSWER A. Decreased
production of gastric acid.
A 32 year old patient reports a 6-month history of intermittant
symmetrical swelling of the wrists and daily morning stiffness lasting 1
hour or more in and around other joints. What is the most likely
diagnosis?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Gouty arthritis
D. Reiter's syndrome CORRECT ANSWER A. Rheumatoid Arthritis
An 85 year old patient related that on the way to an annual physical
exam, the patient suffered a sudden loss of vision in the right eye
characterized by a "bunch of lights" and a feeling that " a curtain came
down" The most likely diagnosis is:
A. Vitreal hemorrhage
B. Optic nerve lesion
C. Central retinal nerve occlusion
D. Retinal Detachment CORRECT ANSWER D. Retinal detachment
,Assessment findings that would support a diagnosis of mitral
regurgitation include:
A. atrial fibrillation with summation gallop
B. Loud, high-pitched pansystolic murmur
C. Diastolic murmur with split S1
D. Early diastolic murmur with an S3 wave. CORRECT ANSWER B. Loud,
high-pitched pansystolic murmur
During an employment physical exam of a 21-year old female, bruising
around the areola on the breasts is noted. An appropriate health
history for these findings should include all of the following EXCEPT:
A. Current social relationships
B. History of present or past traumas
C. Mental health status
D. Socioeconomic status. CORRECT ANSWER D. Socioeconomic status.
According to the American Diabetes Association, the newest standard
for determining the presence of diabetes mellitus based on fasting
plasma sugar level is a vlaue equal to or greater than:
A. 100 mg/dl
B. 126 mg/dl
, C. 140 mg/dl
D. 180 mg/dl CORRECT ANSWER B. 126 mg/dl
A nurse practitioner orders pulmonary rehabilitation for a 75 yo patient
with COPD. Expected outcomes of this program include all the following
EXCEPT:
A. enhanced quality of life
B. Increased lung capacity
C. Decreased in-patient hospitalizations
D. Improved exercise capacity CORRECT ANSWER B. Increased lung
capacity
A 2month old infant is presented for examination and immunizations.
History includes an uncomplicated full-term delivery and hepatitis B
virus immunization shortly after birth. Examination is unremarkable
except for a diffusely erythematous (not beet red) macular rash in the
diaper area., sparing the inguinal folds. No satellite lesions are noted .
The infant's rash is most likely caused by.
A. Candida albicans infections.
B. Eczema
C. Seborrheic dermatitis
D. Contact dermatitis CORRECT ANSWER D. Contact dermatitis