A grandmother is accompanying her 9-year- IV
old granddaughter during a routine physical
examination. She asks you privately if her
granddaughter has started puberty yet. During
the examination, the NP notes asymmetric
projection of the areola and nipple of the right
chest to form a secondary mound above the
level of the breast. The left breast is
underdeveloped. These assessment findings
are consistent with which Tanner Stage of
development?
Primary prevention is defined as which of the Interventions designed to prevent disease
following?
Based on the U.S. Preventive Services Task Mammography is recommended every 2 years for women aged
Force (USPSTF) recommendations, which of 50-74 with insufficient evidence for screening women over the
the following statements is true about age of 75.
screening for breast cancer in average-risk
women?
Which of the following statements is true Target blood pressure should be </= 150/90 mmHg but notes that
regarding recommendations by the eighth if treatment results in SBP <140 and is "well tolerated and without
Joint National Committee (JNC8) for adults adverse effects to health or quality of live, treatment does not
aged 60 and older? Select all that apply. need to be adjusted."
In those aged 80 or older, blood pressure targets of 140 to
<150/70 to 80 appear optimal for notable reductions in stroke,
cardiovascular events, and all-cause mortality.
Which of the following is a useful strategy Have the parent facilitate the exam (e.g., removing clothes,
when examining young children between the holding the child on lap).
ages of 1 and 4?
The NP is completing the review of systems "It often takes the baby more than 30 minutes to finish a bottle."
on a 4-month-old female during a routine
encounter. Which statement from the parent
may indicate a cardiac problem in the infant
and require a more thorough subjective
history?
,A 16-year-old male presents to the clinic with a CNIII
history of a congenital right upper eyelid
drooping as represented in this image. He has
no complaints and denies injury or trauma.
Which cranial nerve (CN) is involved in this
condition?
Patient with eyelid drooping
Which cranial nerve (CN) innervates the CN IX
muscles of the pharynx and provides sensory
fibers to portions of the tympanic membrane,
auditory canal, pharynx, and the posterior third
of the tongue?
The NP should suspect injury to which cranial CNIII
nerve (CN) if a patient presents with
complaints of photosensitivity and uneven
pupils after being struck in the eye with a
baseball?
Which of the following statements is true Obesity doubles the risk of stroke even without associated
regarding risks and rapid recognition of glucose intolerance
suspected stroke? Select all that apply
Hypertension is the leading risk factor for both ischemic and
hemorrhagic stroke
The combination of both receptive and global aphasia
expressive aphasia is a characteristic of which
type of speech disorder?
The NP is assessing a 42-year-old female who Do you have any aura prior to the headaches?
presents to the clinic with recurring
headaches. What is an effective question to
ask the patient?
A 55-year-old female presents to the clinic with The patient reports fever, night sweats, and thinks she lost
a headache. During the interview, which of the weight.
following symptoms should prompt the NP to
be concerned and investigate further?
When grading muscle strength on a scale of 1 Active movement against gravity
to 5, a grade of 3 indicates which of the
following?
, Which musculoskeletal disorder is paired Lyme disease and expanding erythematous targetoid patch in
correctly with the associated systemic early illness
manifestations?
A 62-year-old female has a diagnosis of Swelling of the synovial tissue in joints and tendon sheaths.
rheumatoid arthritis (RA). Which of the
following are expected assessment findings
consistent with the diagnosis?
A 58-year-old male complains of pain in his Osteoarthritis
knees, hips, hands, wrists, neck, and lower
back. Based on the joints involved, the NP
suspects that the patient most likely has which
condition?
A 55-year-old male has a diagnosis of lumbar Flexed forward posture with lower extremity weakness
spinal stenosis. Which sign should the NP
expect to find on examination that is most
consistent with the diagnosis?
What is the action(s) of the erector spinae Extension of the spine
muscle group?
A 17-year-old male presents to the clinic for a Compare the strength of the trapezius muscles
follow-up appointment. He fractured his left
arm 8 weeks ago and remains in a cast. Upon
inspection, the NP finds that his shoulder
heights are unequal and there is winging of
the scapula. The NP suspects contralateral
weakness and muscle wasting as the etiology
for the winged scapula. Which of the following
physical assessment maneuvers should the
NP perform to confirm the suspension?
A 31-year-old female presents to the clinic with Torticollis
a worsening stiff, painful neck. On inspection,
the patient's head is laterally deviated toward
the shoulder and rotated. Given this specific
physical assessment finding, what condition
should the NP suspect as a differential
diagnosis?
old granddaughter during a routine physical
examination. She asks you privately if her
granddaughter has started puberty yet. During
the examination, the NP notes asymmetric
projection of the areola and nipple of the right
chest to form a secondary mound above the
level of the breast. The left breast is
underdeveloped. These assessment findings
are consistent with which Tanner Stage of
development?
Primary prevention is defined as which of the Interventions designed to prevent disease
following?
Based on the U.S. Preventive Services Task Mammography is recommended every 2 years for women aged
Force (USPSTF) recommendations, which of 50-74 with insufficient evidence for screening women over the
the following statements is true about age of 75.
screening for breast cancer in average-risk
women?
Which of the following statements is true Target blood pressure should be </= 150/90 mmHg but notes that
regarding recommendations by the eighth if treatment results in SBP <140 and is "well tolerated and without
Joint National Committee (JNC8) for adults adverse effects to health or quality of live, treatment does not
aged 60 and older? Select all that apply. need to be adjusted."
In those aged 80 or older, blood pressure targets of 140 to
<150/70 to 80 appear optimal for notable reductions in stroke,
cardiovascular events, and all-cause mortality.
Which of the following is a useful strategy Have the parent facilitate the exam (e.g., removing clothes,
when examining young children between the holding the child on lap).
ages of 1 and 4?
The NP is completing the review of systems "It often takes the baby more than 30 minutes to finish a bottle."
on a 4-month-old female during a routine
encounter. Which statement from the parent
may indicate a cardiac problem in the infant
and require a more thorough subjective
history?
,A 16-year-old male presents to the clinic with a CNIII
history of a congenital right upper eyelid
drooping as represented in this image. He has
no complaints and denies injury or trauma.
Which cranial nerve (CN) is involved in this
condition?
Patient with eyelid drooping
Which cranial nerve (CN) innervates the CN IX
muscles of the pharynx and provides sensory
fibers to portions of the tympanic membrane,
auditory canal, pharynx, and the posterior third
of the tongue?
The NP should suspect injury to which cranial CNIII
nerve (CN) if a patient presents with
complaints of photosensitivity and uneven
pupils after being struck in the eye with a
baseball?
Which of the following statements is true Obesity doubles the risk of stroke even without associated
regarding risks and rapid recognition of glucose intolerance
suspected stroke? Select all that apply
Hypertension is the leading risk factor for both ischemic and
hemorrhagic stroke
The combination of both receptive and global aphasia
expressive aphasia is a characteristic of which
type of speech disorder?
The NP is assessing a 42-year-old female who Do you have any aura prior to the headaches?
presents to the clinic with recurring
headaches. What is an effective question to
ask the patient?
A 55-year-old female presents to the clinic with The patient reports fever, night sweats, and thinks she lost
a headache. During the interview, which of the weight.
following symptoms should prompt the NP to
be concerned and investigate further?
When grading muscle strength on a scale of 1 Active movement against gravity
to 5, a grade of 3 indicates which of the
following?
, Which musculoskeletal disorder is paired Lyme disease and expanding erythematous targetoid patch in
correctly with the associated systemic early illness
manifestations?
A 62-year-old female has a diagnosis of Swelling of the synovial tissue in joints and tendon sheaths.
rheumatoid arthritis (RA). Which of the
following are expected assessment findings
consistent with the diagnosis?
A 58-year-old male complains of pain in his Osteoarthritis
knees, hips, hands, wrists, neck, and lower
back. Based on the joints involved, the NP
suspects that the patient most likely has which
condition?
A 55-year-old male has a diagnosis of lumbar Flexed forward posture with lower extremity weakness
spinal stenosis. Which sign should the NP
expect to find on examination that is most
consistent with the diagnosis?
What is the action(s) of the erector spinae Extension of the spine
muscle group?
A 17-year-old male presents to the clinic for a Compare the strength of the trapezius muscles
follow-up appointment. He fractured his left
arm 8 weeks ago and remains in a cast. Upon
inspection, the NP finds that his shoulder
heights are unequal and there is winging of
the scapula. The NP suspects contralateral
weakness and muscle wasting as the etiology
for the winged scapula. Which of the following
physical assessment maneuvers should the
NP perform to confirm the suspension?
A 31-year-old female presents to the clinic with Torticollis
a worsening stiff, painful neck. On inspection,
the patient's head is laterally deviated toward
the shoulder and rotated. Given this specific
physical assessment finding, what condition
should the NP suspect as a differential
diagnosis?
