NR667- CEA FNP EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
1) What is the first-line treatment for mild systemic lupus erythematosus (SLE)?
A) Hydroxychloroquine (Plaquenil)
B) Corticosteroids
C) acetaminophen (Tylenol)
D) Ibuprofen -- Answer ✔✔ D
2) Patients with a butterfly rash on their face and symptoms of fatigue and joint pain
should be worked up for which of the following disease states?
A) Pityriasis rosea
B) Rosacea
C) Herpes zoster
D) Systemic lupus erythematosus (SLE -- Answer ✔✔ D
3) Your patient presents with 2-month progressive weakness in legs, loss of
coordination, and loss of bladder tone. Which of the following diseases should be
investigated?
A) Multiple sclerosis
B) Multiple myeloma
C) Embolic stroke
D) Descending Guillain-Barre -- Answer ✔✔ A
,4) Patients with a new diagnosis of primary progressive multiple sclerosis are most
likely to benefit from treatment with which of the following agents?
A) Rituximab
B) Chronic opioids
C) Chronic high dose corticosteroids
D) Sulfamethoxazole -- Answer ✔✔ A
5) A patient is newly diagnosed with multiple sclerosis. Treatment includes
prednisone with physical therapy. The nurse practitioner advises the patient to
begin disease-modifying therapy:
A) if MRI of the brain shows a new lesion.
B) as soon as possible.
C) if symptoms remain the same for 3 months.
D) if symptoms worsen -- Answer ✔✔ B
6) Your patient has been noticing bilateral joint pain in the knees and feet for about
6 months and has been started on methotrexate. Which of the following
diagnoses correlate to this treatment plan?
A) Polymyalgia rheumatica
B) Degenerative joint disease
C) Osteoarthritis
D) Rheumatoid arthritis -- Answer ✔✔ D
7) Your patient has been started on sulfamethoxazole for a urinary tract infection
and two days later states she feels painful blistering on her skin. Which of the
following life-threatening disease states are you most concerned about?
A) Erythema multiforme
B) Scleroderma
C) Stevens-Johnson Syndrome
D) Vasculitis -- Answer ✔✔ C
8) A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash
on her face. What is the most appropriate initial management in primary care?
A) NSAIDs
, B) Referral to rheumatology
C) Corticosteroids
D) Antivirals -- Answer ✔✔ B
9) What is the most likely diagnosis for an elderly patient with GI cancer who
presents with skin pallor, conjunctival pallor, palpitations, and weakness?
A) Autoimmune hemolytic anemia
B) Gastroesophageal reflux disease
C) Iron deficiency anemia
D) Peptic ulcer disease -- Answer ✔✔ C
10) What is the definitive treatment for uncomplicated skin abscess on the arm?
A) Doxycycline IV q 3 days
B) Prescription of gram-negative antibiotic coverage
C) Incision and drainage
D) NSAID pain relief and warm compresses -- Answer ✔✔ C
11) A 45-year-old man presents with a 2-day history of a red, swollen, and painful
lower leg. Examination reveals erythema and warmth suggestive of cellulitis. He
has no known allergies. What is the most appropriate initial antibiotic treatment?
A) Trimethoprim-sulfamethoxazole
B) Doxycycline
C) Clindamycin
D) Cephalexin -- Answer ✔✔ D
12) Treatment of acute poison ivy includes:
A) SoluMedrol
B) Synalar
C) Prednisone 40mg for 10 days
D) Sporonax -- Answer ✔✔ C
13) During the preadmission history and physical, you examine your patient and find a
new multicolored mole measuring 9mm with irregular borders. What is the most
likely diagnosis?
, A) Simple Nevus
B) Cutaneous Horn
C) Melanoma
D) Squamous Cell Carcinoma -- Answer ✔✔ C
14) Which of the following does not represent populations at risk for skin cancer?
A) Caucasian
B) Light skin that freckles easily
C) Dark skin with minimal freckles
D) Male sex -- Answer ✔✔ C
15) Erysipelas typically presents on the face with:
A) Painful progressive arrythmia and edema
B) A papular erythematous malar rash
C) Vesicles on an erythematous base following a dermatome
D) Scattered ruborous macules across the cheeks -- Answer ✔✔ A
16) All the following are thought to cause acne except
A) increase in androgens
B) ingestion of soda and chocolate
C) bacterial contamination of the skin
D) genetics -- Answer ✔✔ B
17) The patient with a sebaceous cyst on the arm that is now draining is noted to
have unilateral cellulitic streaking ascending proximally from the abscess site.
Which of the following represents the most appropriate treatment in this
scenario?
A) Incision and drainage without antibiotic coverage
B) Oral antibiotics without incision and drainage
C) Incision and drainage plus IV vancomycin or other anti MRSA coverage
D) Incision and drainage plus metronidazole PO -- Answer ✔✔ C
18) Which of the following is a true statement about squamous cell carcinoma?
SOLUTIONS
1) What is the first-line treatment for mild systemic lupus erythematosus (SLE)?
A) Hydroxychloroquine (Plaquenil)
B) Corticosteroids
C) acetaminophen (Tylenol)
D) Ibuprofen -- Answer ✔✔ D
2) Patients with a butterfly rash on their face and symptoms of fatigue and joint pain
should be worked up for which of the following disease states?
A) Pityriasis rosea
B) Rosacea
C) Herpes zoster
D) Systemic lupus erythematosus (SLE -- Answer ✔✔ D
3) Your patient presents with 2-month progressive weakness in legs, loss of
coordination, and loss of bladder tone. Which of the following diseases should be
investigated?
A) Multiple sclerosis
B) Multiple myeloma
C) Embolic stroke
D) Descending Guillain-Barre -- Answer ✔✔ A
,4) Patients with a new diagnosis of primary progressive multiple sclerosis are most
likely to benefit from treatment with which of the following agents?
A) Rituximab
B) Chronic opioids
C) Chronic high dose corticosteroids
D) Sulfamethoxazole -- Answer ✔✔ A
5) A patient is newly diagnosed with multiple sclerosis. Treatment includes
prednisone with physical therapy. The nurse practitioner advises the patient to
begin disease-modifying therapy:
A) if MRI of the brain shows a new lesion.
B) as soon as possible.
C) if symptoms remain the same for 3 months.
D) if symptoms worsen -- Answer ✔✔ B
6) Your patient has been noticing bilateral joint pain in the knees and feet for about
6 months and has been started on methotrexate. Which of the following
diagnoses correlate to this treatment plan?
A) Polymyalgia rheumatica
B) Degenerative joint disease
C) Osteoarthritis
D) Rheumatoid arthritis -- Answer ✔✔ D
7) Your patient has been started on sulfamethoxazole for a urinary tract infection
and two days later states she feels painful blistering on her skin. Which of the
following life-threatening disease states are you most concerned about?
A) Erythema multiforme
B) Scleroderma
C) Stevens-Johnson Syndrome
D) Vasculitis -- Answer ✔✔ C
8) A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash
on her face. What is the most appropriate initial management in primary care?
A) NSAIDs
, B) Referral to rheumatology
C) Corticosteroids
D) Antivirals -- Answer ✔✔ B
9) What is the most likely diagnosis for an elderly patient with GI cancer who
presents with skin pallor, conjunctival pallor, palpitations, and weakness?
A) Autoimmune hemolytic anemia
B) Gastroesophageal reflux disease
C) Iron deficiency anemia
D) Peptic ulcer disease -- Answer ✔✔ C
10) What is the definitive treatment for uncomplicated skin abscess on the arm?
A) Doxycycline IV q 3 days
B) Prescription of gram-negative antibiotic coverage
C) Incision and drainage
D) NSAID pain relief and warm compresses -- Answer ✔✔ C
11) A 45-year-old man presents with a 2-day history of a red, swollen, and painful
lower leg. Examination reveals erythema and warmth suggestive of cellulitis. He
has no known allergies. What is the most appropriate initial antibiotic treatment?
A) Trimethoprim-sulfamethoxazole
B) Doxycycline
C) Clindamycin
D) Cephalexin -- Answer ✔✔ D
12) Treatment of acute poison ivy includes:
A) SoluMedrol
B) Synalar
C) Prednisone 40mg for 10 days
D) Sporonax -- Answer ✔✔ C
13) During the preadmission history and physical, you examine your patient and find a
new multicolored mole measuring 9mm with irregular borders. What is the most
likely diagnosis?
, A) Simple Nevus
B) Cutaneous Horn
C) Melanoma
D) Squamous Cell Carcinoma -- Answer ✔✔ C
14) Which of the following does not represent populations at risk for skin cancer?
A) Caucasian
B) Light skin that freckles easily
C) Dark skin with minimal freckles
D) Male sex -- Answer ✔✔ C
15) Erysipelas typically presents on the face with:
A) Painful progressive arrythmia and edema
B) A papular erythematous malar rash
C) Vesicles on an erythematous base following a dermatome
D) Scattered ruborous macules across the cheeks -- Answer ✔✔ A
16) All the following are thought to cause acne except
A) increase in androgens
B) ingestion of soda and chocolate
C) bacterial contamination of the skin
D) genetics -- Answer ✔✔ B
17) The patient with a sebaceous cyst on the arm that is now draining is noted to
have unilateral cellulitic streaking ascending proximally from the abscess site.
Which of the following represents the most appropriate treatment in this
scenario?
A) Incision and drainage without antibiotic coverage
B) Oral antibiotics without incision and drainage
C) Incision and drainage plus IV vancomycin or other anti MRSA coverage
D) Incision and drainage plus metronidazole PO -- Answer ✔✔ C
18) Which of the following is a true statement about squamous cell carcinoma?
