A 30-year-old woman presents with a history of recurrent herpes simplex virus (HSV)
infections on her lips. She wants to know how to manage future outbreaks. What is the
most appropriate initial management for recurrent HSV?
Oral antivirals at the onset of symptoms
Daily oral antiviral prophylaxis
Immunotherapy
Topical antibiotics during outbreaks
Give this one a go later!
Oral antivirals at the onset of symptoms
A 75-year-old presents with depression. The patient also has osteoarthritis of both knees
that interferes with mobility. Which antidepressant may also benefit osteoarthritis?
Sertraline (Zoloft)
,Duloxetine (Cymbalta)
Mirtazapine (Remeron)
Paroxetine (Paxil)
Give this one a go later!
Duloxetine (Cymbalta)
You are following up with a 24-year-old male patient who was recently in a motor
vehicle collision at a high rate of speed. A CT head is performed revealing a pyramidal
fracture involving the lateral walls of the maxillary sinuses and inferior orbital rim. Which
classification of fracture is this?
Le Fort III
Le Fort I
Le Fort II
Le Fort IV
Give this one a go later!
Le Fort II
A patient with rheumatoid arthritis is admitted to the rehab unit you oversee for
management of pain due to pelvic fracture after motor vehicle collision. Admission labs
show ANC of 1.4. The patient is asymptomatic and denies history of repeated infection.
What is the most appropriate level of intervention for this patient?
Prophylactic Ciprofloxacin 500 mg PO three times weekly
Observation until patient becomes symptomatic
Additional work-up/prep for allogenic stem cell transplant consideration
Neupogen 5mg/kg/day SQ
,Give this one a go later!
Observation until patient becomes symptomatic
The patient with urine output of 450 ml/hr for 6 hours straight despite only 100ml/hr of IV
fluid after being intubated for a head trauma with increased intracranial pressure should
be treated for which condition?
Diabetic ketoacidosis
Diabetes insipidus
Diabetes mellitus
Hyperosmolar hyperglycemic non-ketotic coma
Give this one a go later!
Diabetes insipidus
Your patient arrives the urgent care complaining of a swollen throat and vocal changes.
Which of the following statements made by the patient brings an index of suspicion of
angioedema?
This seems to be getting better already getting out of the cold
I do not take any ibuprofen since it gives me an upset stomach
I have been taking my lisinopril for the past week as prescribed
I have never had this happen before
Give this one a go later!
I have been taking my lisinopril for the past week as prescribed
, A 35-year-old woman presents with a new, darkly pigmented lesion on her back that she
noticed a few months ago. The lesion is asymmetrical, has irregular borders, and varies in
color. What is the most appropriate next step in management?
Perform an excisional biopsy
Perform a shave biopsy
Reassure the patient and advise regular monitoring
Perform a punch biopsy
Give this one a go later!
Perform an excisional biopsy
An older adult with diabetes mellitus presents with leg cramps. She states that the
cramps were worst when walking to the supermarket. If she stops to rest, the pain
subsides. The nurse practitioner knows that this patient needs a workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
Intermittent claudication
Give this one a go later!
Intermittent claudication
A 42-year-old female presents with large watery frequent stools. She also reports
abdominal pain and cramping, bloating and gas. What is the primary management for
this patient?
Fluid and electrolyte management, self-limiting
infections on her lips. She wants to know how to manage future outbreaks. What is the
most appropriate initial management for recurrent HSV?
Oral antivirals at the onset of symptoms
Daily oral antiviral prophylaxis
Immunotherapy
Topical antibiotics during outbreaks
Give this one a go later!
Oral antivirals at the onset of symptoms
A 75-year-old presents with depression. The patient also has osteoarthritis of both knees
that interferes with mobility. Which antidepressant may also benefit osteoarthritis?
Sertraline (Zoloft)
,Duloxetine (Cymbalta)
Mirtazapine (Remeron)
Paroxetine (Paxil)
Give this one a go later!
Duloxetine (Cymbalta)
You are following up with a 24-year-old male patient who was recently in a motor
vehicle collision at a high rate of speed. A CT head is performed revealing a pyramidal
fracture involving the lateral walls of the maxillary sinuses and inferior orbital rim. Which
classification of fracture is this?
Le Fort III
Le Fort I
Le Fort II
Le Fort IV
Give this one a go later!
Le Fort II
A patient with rheumatoid arthritis is admitted to the rehab unit you oversee for
management of pain due to pelvic fracture after motor vehicle collision. Admission labs
show ANC of 1.4. The patient is asymptomatic and denies history of repeated infection.
What is the most appropriate level of intervention for this patient?
Prophylactic Ciprofloxacin 500 mg PO three times weekly
Observation until patient becomes symptomatic
Additional work-up/prep for allogenic stem cell transplant consideration
Neupogen 5mg/kg/day SQ
,Give this one a go later!
Observation until patient becomes symptomatic
The patient with urine output of 450 ml/hr for 6 hours straight despite only 100ml/hr of IV
fluid after being intubated for a head trauma with increased intracranial pressure should
be treated for which condition?
Diabetic ketoacidosis
Diabetes insipidus
Diabetes mellitus
Hyperosmolar hyperglycemic non-ketotic coma
Give this one a go later!
Diabetes insipidus
Your patient arrives the urgent care complaining of a swollen throat and vocal changes.
Which of the following statements made by the patient brings an index of suspicion of
angioedema?
This seems to be getting better already getting out of the cold
I do not take any ibuprofen since it gives me an upset stomach
I have been taking my lisinopril for the past week as prescribed
I have never had this happen before
Give this one a go later!
I have been taking my lisinopril for the past week as prescribed
, A 35-year-old woman presents with a new, darkly pigmented lesion on her back that she
noticed a few months ago. The lesion is asymmetrical, has irregular borders, and varies in
color. What is the most appropriate next step in management?
Perform an excisional biopsy
Perform a shave biopsy
Reassure the patient and advise regular monitoring
Perform a punch biopsy
Give this one a go later!
Perform an excisional biopsy
An older adult with diabetes mellitus presents with leg cramps. She states that the
cramps were worst when walking to the supermarket. If she stops to rest, the pain
subsides. The nurse practitioner knows that this patient needs a workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
Intermittent claudication
Give this one a go later!
Intermittent claudication
A 42-year-old female presents with large watery frequent stools. She also reports
abdominal pain and cramping, bloating and gas. What is the primary management for
this patient?
Fluid and electrolyte management, self-limiting
