JEN LEIK FNP UPDATED ACTUAL
Questions and CORRECT Answers
A 28-year-old student is seen in the school health clinic with complaints of a hacking cough that is
productive of small amounts of sputum and a runny nose. He does not take any medications, denies any
allergies, and has no significant medical history. Physical examination reveals a low-grade temperature of
99.9 degrees Fahrenheit, respirations of 16/min, a pulse of 90 beats per minute, and diffuse fine crackles
in the base of the lungs. A chest radiograph (x-ray) shows diffuse infiltrates on the lower lobe of the right
lung. The total white blood cell count is 10,500/uL. What is the most likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease - CORRECT ANSWER - B) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most commonly seen in children and young adults. It is easily
spread from droplets, from sneezing and coughing, in close proximity. Diagnosis is based on symptoms
and x-ray results of infiltrates in lower lobes.
Which of the following antihypertensive medications has beneficial effects for an elderly White female
with osteoporosis?
A) Calcium channel blocker
B) Angiotensin-converting enzyme (ACE) inhibitor
C) Beta-blocker
D) Diuretic - CORRECT ANSWER - A) Calcium channel blocker
Calcium channel blockers act by blocking the cal- cium channels in the heart muscle and the blood
vessels, thereby keeping more calcium in the bones.
All of the following are false statements regarding acute gastritis except:
, A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDs) can cause the disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening test for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy - CORRECT ANSWER - C) The
screening test for the disorder is the barium swallow test
The gold standard for diagnosing gastric disease is biopsy of gastric and/or duodenal tissue by upper
endoscopy. Chronic use of NSAIDs disrupts the production of prostaglandins, which decreases blood
supply and then breaks down the protective layer of the mucosa, which leads to gastric disease.
All of the following are false statements about atopic dermatitis except:
A) Contact with cold objects may exacerbate the condition
B) It does not have a linear distribution
C) It is associated with bullae
D) The lesions have vesicles that are full of serous exudate - CORRECT ANSWER - B) It does not
have a linear distribution
Atopic dermatitis is a skin condition in which the lesions occur in a linear fashion. They may have many
different stages, including erythematous papules and vesicles, with weeping, drainage, and/or crusting.
Lesions are commonly found on the scalp, face, forearms, wrists, elbows, and backs of the knees.
Commonly pruritic. Also known as eczema.
All of the following are possible causes for secondary hypertension except:
A) Acute pyelonephritis
B) Pheochromocytoma
C) Renovascular stenosis
D) Coarctation of the aorta - CORRECT ANSWER - A) Acute pyelonephritis
Questions and CORRECT Answers
A 28-year-old student is seen in the school health clinic with complaints of a hacking cough that is
productive of small amounts of sputum and a runny nose. He does not take any medications, denies any
allergies, and has no significant medical history. Physical examination reveals a low-grade temperature of
99.9 degrees Fahrenheit, respirations of 16/min, a pulse of 90 beats per minute, and diffuse fine crackles
in the base of the lungs. A chest radiograph (x-ray) shows diffuse infiltrates on the lower lobe of the right
lung. The total white blood cell count is 10,500/uL. What is the most likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease - CORRECT ANSWER - B) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most commonly seen in children and young adults. It is easily
spread from droplets, from sneezing and coughing, in close proximity. Diagnosis is based on symptoms
and x-ray results of infiltrates in lower lobes.
Which of the following antihypertensive medications has beneficial effects for an elderly White female
with osteoporosis?
A) Calcium channel blocker
B) Angiotensin-converting enzyme (ACE) inhibitor
C) Beta-blocker
D) Diuretic - CORRECT ANSWER - A) Calcium channel blocker
Calcium channel blockers act by blocking the cal- cium channels in the heart muscle and the blood
vessels, thereby keeping more calcium in the bones.
All of the following are false statements regarding acute gastritis except:
, A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDs) can cause the disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening test for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy - CORRECT ANSWER - C) The
screening test for the disorder is the barium swallow test
The gold standard for diagnosing gastric disease is biopsy of gastric and/or duodenal tissue by upper
endoscopy. Chronic use of NSAIDs disrupts the production of prostaglandins, which decreases blood
supply and then breaks down the protective layer of the mucosa, which leads to gastric disease.
All of the following are false statements about atopic dermatitis except:
A) Contact with cold objects may exacerbate the condition
B) It does not have a linear distribution
C) It is associated with bullae
D) The lesions have vesicles that are full of serous exudate - CORRECT ANSWER - B) It does not
have a linear distribution
Atopic dermatitis is a skin condition in which the lesions occur in a linear fashion. They may have many
different stages, including erythematous papules and vesicles, with weeping, drainage, and/or crusting.
Lesions are commonly found on the scalp, face, forearms, wrists, elbows, and backs of the knees.
Commonly pruritic. Also known as eczema.
All of the following are possible causes for secondary hypertension except:
A) Acute pyelonephritis
B) Pheochromocytoma
C) Renovascular stenosis
D) Coarctation of the aorta - CORRECT ANSWER - A) Acute pyelonephritis
