1. Which of the following non-pharmacologic interventions is a core component of diabetes
self-management?
a. Use of artificial tears
b. Daily foot care and regular physical activity
c. Use of non-alcoholic mouthwash
d. Daily multivitamin use
2. A nurse practitioner is assessing a patient with fatigue, cold intolerance, constipation, and
weight gain. These symptoms are most consistent with which condition?
a. Depression
b. Anemia
c. Hypothyroidism
d. hyperthyroidism
3. Which of the following physical exam findings is most consistent with hypothyroidism?
a. Alopecia and bradycardia
b. Diaphoresis and tremors
c. Tachycardia and oily skin
d. Jaundice and petechiae
4. A 49-year-old patient is newly diagnosed with T2DM. Which of the following referrals
should the outpatient nurse practitioner prioritize at diagnosis to support comprehensive
diabetes management?
a. Cardiology, nephrology, podiatry
b. Psychology, nephrology, endocrinology
c. Dietician, ophthalmology, certified diabetes care and education specialist (CDES)
d. Endocrinology, psychology, ophthalmology
5. Which of the following thyroid function test patterns is most consistent with overt
hyperthyroidism?
A. Low TSH and elevated free T4 and T3
B. Normal TSH and elevated free T4
C. Elevated TSH and low free T4
D. Low TSH and low free T4
6. Which of the following treatment options is preferred for a postmenopausal woman with
vasomotor symptoms and a history of venous thromboembolism?
a. Vaginal estrogen
b. Testosterone supplementation
c. Transdermal estradiol
d. Oral conjugated estrogens
1
, 7. A patient with a well-controlled T2DM asks how often they should have their HgbA1c
tested. Which of the following is the most appropriate response?
a. Every 12 months
b. Only when symptoms worsen
c. Every month
d. Every 3-6 months
8. Which of the following is most likely to cause an immediate onset of menopause?
a. Daily nicotine use
b. Surgical removal of the ovaries
c. Thyroid dysfunction
d. Chemotherapy
9. Which of the following symptoms is most characteristic of Genitourinary Syndrome of
Menopause (GSM)?
a. Insomnia and palpitations
b. Vaginal dryness and dyspareunia
c. Mood swings and anxiety
d. Memory loss and poor concentration
10. Which of the following is a key component of diabetes management that should be
reassessed regularly and guided by shared decision-making?
a. Diabetic eye exam interval
b. Dietitian referral frequency
c. Diabetic medication plan
d. Diabetic foot exam interval
11. What is the most appropriate treatment recommendation for a woman with premature
ovarian insufficiency (POI) to prevent long-term complications such as osteoporosis and
cardiovascular disease?
a. Short-term estrogen therapy with discontinuation by age 45
b. Hormone replacement therapy to achieve physiologic estradiol levels
c. Non-hormonal lifestyle interventions only
d. Long-term low-dose vaginal estrogen
12. Which of the following medications is used in the management of hyperthyroidism to
control adrenergic symptoms such as palpitations and tremors?
a. Radioactive iodine
b. Methimazole (Tapazole)
c. Levothyroxine (Synthroid)
d. Propranolol (Inderal)
2
self-management?
a. Use of artificial tears
b. Daily foot care and regular physical activity
c. Use of non-alcoholic mouthwash
d. Daily multivitamin use
2. A nurse practitioner is assessing a patient with fatigue, cold intolerance, constipation, and
weight gain. These symptoms are most consistent with which condition?
a. Depression
b. Anemia
c. Hypothyroidism
d. hyperthyroidism
3. Which of the following physical exam findings is most consistent with hypothyroidism?
a. Alopecia and bradycardia
b. Diaphoresis and tremors
c. Tachycardia and oily skin
d. Jaundice and petechiae
4. A 49-year-old patient is newly diagnosed with T2DM. Which of the following referrals
should the outpatient nurse practitioner prioritize at diagnosis to support comprehensive
diabetes management?
a. Cardiology, nephrology, podiatry
b. Psychology, nephrology, endocrinology
c. Dietician, ophthalmology, certified diabetes care and education specialist (CDES)
d. Endocrinology, psychology, ophthalmology
5. Which of the following thyroid function test patterns is most consistent with overt
hyperthyroidism?
A. Low TSH and elevated free T4 and T3
B. Normal TSH and elevated free T4
C. Elevated TSH and low free T4
D. Low TSH and low free T4
6. Which of the following treatment options is preferred for a postmenopausal woman with
vasomotor symptoms and a history of venous thromboembolism?
a. Vaginal estrogen
b. Testosterone supplementation
c. Transdermal estradiol
d. Oral conjugated estrogens
1
, 7. A patient with a well-controlled T2DM asks how often they should have their HgbA1c
tested. Which of the following is the most appropriate response?
a. Every 12 months
b. Only when symptoms worsen
c. Every month
d. Every 3-6 months
8. Which of the following is most likely to cause an immediate onset of menopause?
a. Daily nicotine use
b. Surgical removal of the ovaries
c. Thyroid dysfunction
d. Chemotherapy
9. Which of the following symptoms is most characteristic of Genitourinary Syndrome of
Menopause (GSM)?
a. Insomnia and palpitations
b. Vaginal dryness and dyspareunia
c. Mood swings and anxiety
d. Memory loss and poor concentration
10. Which of the following is a key component of diabetes management that should be
reassessed regularly and guided by shared decision-making?
a. Diabetic eye exam interval
b. Dietitian referral frequency
c. Diabetic medication plan
d. Diabetic foot exam interval
11. What is the most appropriate treatment recommendation for a woman with premature
ovarian insufficiency (POI) to prevent long-term complications such as osteoporosis and
cardiovascular disease?
a. Short-term estrogen therapy with discontinuation by age 45
b. Hormone replacement therapy to achieve physiologic estradiol levels
c. Non-hormonal lifestyle interventions only
d. Long-term low-dose vaginal estrogen
12. Which of the following medications is used in the management of hyperthyroidism to
control adrenergic symptoms such as palpitations and tremors?
a. Radioactive iodine
b. Methimazole (Tapazole)
c. Levothyroxine (Synthroid)
d. Propranolol (Inderal)
2
