FINAL EXAM COMPILATION 6531 QUESTIONS & DETAILED
ANSWERS ASSURED SUCCESS
A 21-year-old female presents to the office complaining of
urinary frequency and urinary burning. The nurse practitioner
suspects a urinary tract infection when the urinalysis reveals
10- white blood cells per high-powered field
A 26 year old female presents with elbow pain that is
described as aching and burning. There is point tenderness
along the lateral aspect of the elbow and painful passive
flexion and extension. She reports she has been playing tennis
almost daily for the past month. The most likely diagnosis is:
Lateral epicondylitis
Maria, age 17, was raped when she was 13 year old. She is now
experiencing sleeping problems, flashbacks, and depression.
What is your initial diagnosis?
PTSD
An elderly man is started on lisinopril and hydrochlorothiazide
for hypertension. Three days later, he returns to the office
complaining of left great toe pain. On exam, the nurse
practitioner notes an edematous, erythematous tender left
great toe. The likely precipitant of this patient's pain is:
1
,Hydrochlorhiazide
Which of the following is a contraindication for metformin
therapy?
Creatinine > 1.5
A positive drawer sign supports a diagnosis of:
Cruciate ligament injury
Steve, age 69, has gastroesophageal reflux disease (GERD).
When teaching him how to reduce his lower esophageal
sphincter pressure, which substances do you recommend that
he avoid?
Peppermint
The nurse practitioner diagnoses epididymitis in a 24-year-old
sexually active male patient. The drug of choice fort the
treatment of this patient is
Oral doxycycline (Vibramycin)plus IM ceftriaxone
Diagnostic confirmation of acute leukemia is based on
Bone marrow aspiration and biopsy.
2
, A patient taking levothyroxine is being over-replaced. What
condition is he at risk for?
Osteoporosis
Diabetes screening recommendations for asymptomatic adults
age 45 and over include which of the following:
Hba1c2-hour 75 gram oral glucose tolerance test
Dave, age 38, states that he thinks he has an ear infection
because he just flew back from a business trip and feels
unusual pressure in his ear. You diagnose barotrauma. What is
your next action?
Prescribe nasal steroids and oral decongestants
Josh, age 22, is a stock boy and has an acute episode of low
back pain. You order and NSAID and tell him which of the
following?
Begin lower back strengthening exercises depending on pain
tolerance
Risk factors for Addison's disease include which of the
following?
3
ANSWERS ASSURED SUCCESS
A 21-year-old female presents to the office complaining of
urinary frequency and urinary burning. The nurse practitioner
suspects a urinary tract infection when the urinalysis reveals
10- white blood cells per high-powered field
A 26 year old female presents with elbow pain that is
described as aching and burning. There is point tenderness
along the lateral aspect of the elbow and painful passive
flexion and extension. She reports she has been playing tennis
almost daily for the past month. The most likely diagnosis is:
Lateral epicondylitis
Maria, age 17, was raped when she was 13 year old. She is now
experiencing sleeping problems, flashbacks, and depression.
What is your initial diagnosis?
PTSD
An elderly man is started on lisinopril and hydrochlorothiazide
for hypertension. Three days later, he returns to the office
complaining of left great toe pain. On exam, the nurse
practitioner notes an edematous, erythematous tender left
great toe. The likely precipitant of this patient's pain is:
1
,Hydrochlorhiazide
Which of the following is a contraindication for metformin
therapy?
Creatinine > 1.5
A positive drawer sign supports a diagnosis of:
Cruciate ligament injury
Steve, age 69, has gastroesophageal reflux disease (GERD).
When teaching him how to reduce his lower esophageal
sphincter pressure, which substances do you recommend that
he avoid?
Peppermint
The nurse practitioner diagnoses epididymitis in a 24-year-old
sexually active male patient. The drug of choice fort the
treatment of this patient is
Oral doxycycline (Vibramycin)plus IM ceftriaxone
Diagnostic confirmation of acute leukemia is based on
Bone marrow aspiration and biopsy.
2
, A patient taking levothyroxine is being over-replaced. What
condition is he at risk for?
Osteoporosis
Diabetes screening recommendations for asymptomatic adults
age 45 and over include which of the following:
Hba1c2-hour 75 gram oral glucose tolerance test
Dave, age 38, states that he thinks he has an ear infection
because he just flew back from a business trip and feels
unusual pressure in his ear. You diagnose barotrauma. What is
your next action?
Prescribe nasal steroids and oral decongestants
Josh, age 22, is a stock boy and has an acute episode of low
back pain. You order and NSAID and tell him which of the
following?
Begin lower back strengthening exercises depending on pain
tolerance
Risk factors for Addison's disease include which of the
following?
3
