1. A 45-year-old female patient has had fatigue for the past 3 months and a 10-
lbs weight gain. She previously had regular menses occurring about every 30
days, but in the last 3 months her menses have varied between 30 and 45
days. Her TSH value is 13. It was repeated 1week later and found to be 15.
What explains this finding? - ANSWER hypothyroidism
2. When evaluating a patient for weakness of the upper extremities, bilateral
distal pain is noted. This finding could be suggestive of... -
ANSWER Polyneuropathy
3. Fasciculations in atrophic muscles suggest... - ANSWER A lower motor
neuron disease
4. The nerve that provides sensation to the palm and palmar surface of the most
of the thumb, second, and third fingers, and half of the fourth digit is the... -
ANSWER Median nerve
,5. Stools that appear black, tarry, and sticky are referred to as... -
ANSWER Melena
6. A patient with cirrhosis develops portal hypertension as indicated by the
presence of... - ANSWER Splenomegaly
7. Which of the following is considered an extrinsic risk factor for falls in the
older adult? - ANSWER Psychoactive medications
8. The thoracic lymph duct drains lymphatic fluid from all of the following
areas except... - ANSWER Right upper thorax
9. Which ethnicity is associated with glucose-6-phosphate dehydrogenase
(G6PD) deficiency? - ANSWER Black/African American
10.During pregnancy, which hormone is responsible for increasing insulin
resistance and hyperglycemia associated with diabetes? -
ANSWER Human placental lactogen
11.A 30-year-old female pt. with complaints of fatigue undergoes a screening
TSH. Her TSH is 8. What should be done next? - ANSWER repeat the
TSH and add T4
12.A 65-year-old diabetic has been on oral antihyperglycemic agents and is still
having poor glycemic control. His AM fasting glucose range from 140-160.
You decide to add insulin. He weighs 127 kg. What should the NP order as
, an initial starting dose? - ANSWER 10 units of long-acting insulin at
bedtime
13.the most appropriate time to screen for renal nephropathy in a pt. with type 1
diabetes is - ANSWER 5 years after diagnosis
14.what is the most sensitive lab assay for screening and identifying the vast
majority of ambulatory pt.'s w/ primary hypothyroidism - ANSWER TSH
only
15.A 52-year-old presents w/thirst and frequent urination today. His glucose is
352. How should this be managed today? - ANSWER start insulin
16.+What is the significance of AV nicking? - ANSWER This is indicative
of longstanding hypertension
17.Mr O. has been dx w/hearing loss secondary to exposure to an ototoxic
medication. Which one may be associated with ototoxicity? -
ANSWER aspirin
18.yellowish, triangular nodule near the iris - ANSWER is a pinguecula
19.A 93-year-old demented pt. has been recently treated w/an URI, but drainage
from the right nostril persists. What should the NP suspect? -
ANSWER presence of foreign body
, 20.A 70-year-old pt. has begun to have hearing loss. She relates that her elderly
parents had difficulty hearing. Which of the complaints below is typical of
presbycusis? - ANSWER inability to hear consonants
21.Most common type of skin cancer in USA - ANSWER Skin cancer
22.Most common type of skin cancer - ANSWER basal cell carcinoma
23.Basal cell carcinoma symptoms - ANSWER Appearance varies; smooth,
shiny bump, pink to pearly white
24.Basal cell carcinoma common locations - ANSWER cheeks, nose, face,
neck, arms, back
25.Basal cell carcinoma diagnosis gold standard - ANSWER biopsy. If not
an option, refer to derm
26.Actinic keratosis - ANSWER Precursor to squamous cell carcinoma
numerous dry, round, and pink to red lesions w/ rough and scaly texture
➔ does not heal, slow growing in sun-exposed areas
27.Actinic keratosis diagnosis gold standard - ANSWER Biopsy.
If not an option, refer to derm
lbs weight gain. She previously had regular menses occurring about every 30
days, but in the last 3 months her menses have varied between 30 and 45
days. Her TSH value is 13. It was repeated 1week later and found to be 15.
What explains this finding? - ANSWER hypothyroidism
2. When evaluating a patient for weakness of the upper extremities, bilateral
distal pain is noted. This finding could be suggestive of... -
ANSWER Polyneuropathy
3. Fasciculations in atrophic muscles suggest... - ANSWER A lower motor
neuron disease
4. The nerve that provides sensation to the palm and palmar surface of the most
of the thumb, second, and third fingers, and half of the fourth digit is the... -
ANSWER Median nerve
,5. Stools that appear black, tarry, and sticky are referred to as... -
ANSWER Melena
6. A patient with cirrhosis develops portal hypertension as indicated by the
presence of... - ANSWER Splenomegaly
7. Which of the following is considered an extrinsic risk factor for falls in the
older adult? - ANSWER Psychoactive medications
8. The thoracic lymph duct drains lymphatic fluid from all of the following
areas except... - ANSWER Right upper thorax
9. Which ethnicity is associated with glucose-6-phosphate dehydrogenase
(G6PD) deficiency? - ANSWER Black/African American
10.During pregnancy, which hormone is responsible for increasing insulin
resistance and hyperglycemia associated with diabetes? -
ANSWER Human placental lactogen
11.A 30-year-old female pt. with complaints of fatigue undergoes a screening
TSH. Her TSH is 8. What should be done next? - ANSWER repeat the
TSH and add T4
12.A 65-year-old diabetic has been on oral antihyperglycemic agents and is still
having poor glycemic control. His AM fasting glucose range from 140-160.
You decide to add insulin. He weighs 127 kg. What should the NP order as
, an initial starting dose? - ANSWER 10 units of long-acting insulin at
bedtime
13.the most appropriate time to screen for renal nephropathy in a pt. with type 1
diabetes is - ANSWER 5 years after diagnosis
14.what is the most sensitive lab assay for screening and identifying the vast
majority of ambulatory pt.'s w/ primary hypothyroidism - ANSWER TSH
only
15.A 52-year-old presents w/thirst and frequent urination today. His glucose is
352. How should this be managed today? - ANSWER start insulin
16.+What is the significance of AV nicking? - ANSWER This is indicative
of longstanding hypertension
17.Mr O. has been dx w/hearing loss secondary to exposure to an ototoxic
medication. Which one may be associated with ototoxicity? -
ANSWER aspirin
18.yellowish, triangular nodule near the iris - ANSWER is a pinguecula
19.A 93-year-old demented pt. has been recently treated w/an URI, but drainage
from the right nostril persists. What should the NP suspect? -
ANSWER presence of foreign body
, 20.A 70-year-old pt. has begun to have hearing loss. She relates that her elderly
parents had difficulty hearing. Which of the complaints below is typical of
presbycusis? - ANSWER inability to hear consonants
21.Most common type of skin cancer in USA - ANSWER Skin cancer
22.Most common type of skin cancer - ANSWER basal cell carcinoma
23.Basal cell carcinoma symptoms - ANSWER Appearance varies; smooth,
shiny bump, pink to pearly white
24.Basal cell carcinoma common locations - ANSWER cheeks, nose, face,
neck, arms, back
25.Basal cell carcinoma diagnosis gold standard - ANSWER biopsy. If not
an option, refer to derm
26.Actinic keratosis - ANSWER Precursor to squamous cell carcinoma
numerous dry, round, and pink to red lesions w/ rough and scaly texture
➔ does not heal, slow growing in sun-exposed areas
27.Actinic keratosis diagnosis gold standard - ANSWER Biopsy.
If not an option, refer to derm
