The 19 year old male patient presents with acute symptoms of abdominal pain and a
history of intermittent heartburn and spicy food intolerance, as well as anxiety due to
his college athletic performance. You have a concern the patient may have a
perforated gastric ulcer and is experiencing peritonitis. Which of the following exam
findings is NOT supportive of this diagnosis?
A -Guarding
B -Rebound tenderness
C -Absence of pain with withdrawal of palpation
D -Rigidity
Give this one a try later!
C -Absence of pain with withdrawal of palpation
Melissa, your 56 year old caucasian female patient presents with a health history of
hypertension, migraines, hyperlipidemia, seasonal depression, and BMI 32 for a visit to
establish care. She was without any medical care for a long time and being newly
,established to your clinic si prescribed the following: aspirin (Bayer) 81mg PO daily,
atorvastatin 40mg PO daily, ezetimibe (Zetia) 10mg PO daily, lisinopril (Zestril) 20mg
PO daily, amlodipine (Norvasc) 10mg PO daily, and bupropion (Wellbutrin) 300mg PO
daily as well as diet and exercise. After the visit, she calls your office nurse and states
she has been experiencing considerable lower extremity edema and constipation
since starting these meds after your visit. Which of the pharmacologic agents she is
prescribed is most likely the common cause of these side effects?
A -Ezetimibe (Zetia)
B -bupropion (Wellbutrin)
C -Amlodipine (Norvasc)
D -Lisinopril (Zestril)
Give this one a try later!
C -Amlodipine (Norvasc)
While evaluating your patient for a sick visit, you notice Scott, a 29
year old male patient appears drowsy but open eyes and looks at you when you
question him, answers appropriately, but then appears to nearly fall asleep while
sitting in the exam chair. Which of the following is the most accurate descriptor of
Scott's mental status?
A -Comatose
B -Stuporus
C -Lethargic
D -Alert but disoriented
Give this one a try later!
C -Lethargic
As a prudent nurse practitioner, you know that a 28 year old male patient with human
immunodeficiency virus (HIV) would be considered well managed when they have
which of the following in addition to having undetectable or very low viral copies?
,A -CD4 count of 100
B -CD4 count undetectable
C -CD4 count of 500
D -CD4 count of 50
Give this one a try later!
C -CD4 count of 500
Oliver, a 62 year old otherwise healthy male patient with an active lifestyle presents to
your clinic today with a chief complaint of gnawing abdominal pain with a history of
orthopedic overuse injuries. In developing a working differential diagnosis for this
patient, which of the following questions is most useful in probing this further to rule
out more serious conditions?
A -What time of the day aer you taking your acetaminophen (Tylenol)?
B -Have you been taking any non-steroidal anti-inflammatory medications lately?
C -When was the last time you took topical corticosteroids for pain?
D -Have you noticed any particular food has made this worse?
Give this one a try later!
B -Have you been taking any non-steroidal anti-inflammatory medications
lately?
Patients with persistent acne vulgaris unresponsive to standard treatment may benefit
from Isotretinoin (Accutane) treatment. One unique obligation of this medication is as
follows;
A -Avoidance of alcoholic intake due to risk of a disulfiram-like action
B -None of these era correct
C -Compliance with commitment o lifelong use of the medication
D -Adherence to the I-PLEDGE program
Give this one a try later!
, D -Adherence to the I-PLEDGE program
Adequate understanding for the newly diagnosed ESRD patient during a teaching
session of how dialysis works has been successful
when the patient verbalizes that the use of hemodialysis to remove
pollution from the body is based primarily on which of the following concepts:
A -My blood is forced across the filter under high pressure and a low voltage
electrical charge
B -None of these are correct
C -My blood is cleaned by diffusing across a semipermeable membrane
D -The water is drawn to the dirty blood to dilute the waste in my body
Give this one a try later!
C -My blood is cleaned by diffusing across a semipermeable membrane
You have the pleasure of working at the health clinic at a summer resort as a nurse
practitioner. Benny, a 19 year old male presents with first degree
burns over their anterior torso after being out in the sun too long without any
protection while taking a medication prone to photosensitivity
reactions. To accurately document his burn surface area, you use
the rule of palms. In evaluation of a patient's body surface area (BSA) using the rule of
palms, which portion of the patient's body surface area is covered by the patient's
palm?
A -3%.
B -2%.
C -1%.
D -4%.
Give this one a try later!
history of intermittent heartburn and spicy food intolerance, as well as anxiety due to
his college athletic performance. You have a concern the patient may have a
perforated gastric ulcer and is experiencing peritonitis. Which of the following exam
findings is NOT supportive of this diagnosis?
A -Guarding
B -Rebound tenderness
C -Absence of pain with withdrawal of palpation
D -Rigidity
Give this one a try later!
C -Absence of pain with withdrawal of palpation
Melissa, your 56 year old caucasian female patient presents with a health history of
hypertension, migraines, hyperlipidemia, seasonal depression, and BMI 32 for a visit to
establish care. She was without any medical care for a long time and being newly
,established to your clinic si prescribed the following: aspirin (Bayer) 81mg PO daily,
atorvastatin 40mg PO daily, ezetimibe (Zetia) 10mg PO daily, lisinopril (Zestril) 20mg
PO daily, amlodipine (Norvasc) 10mg PO daily, and bupropion (Wellbutrin) 300mg PO
daily as well as diet and exercise. After the visit, she calls your office nurse and states
she has been experiencing considerable lower extremity edema and constipation
since starting these meds after your visit. Which of the pharmacologic agents she is
prescribed is most likely the common cause of these side effects?
A -Ezetimibe (Zetia)
B -bupropion (Wellbutrin)
C -Amlodipine (Norvasc)
D -Lisinopril (Zestril)
Give this one a try later!
C -Amlodipine (Norvasc)
While evaluating your patient for a sick visit, you notice Scott, a 29
year old male patient appears drowsy but open eyes and looks at you when you
question him, answers appropriately, but then appears to nearly fall asleep while
sitting in the exam chair. Which of the following is the most accurate descriptor of
Scott's mental status?
A -Comatose
B -Stuporus
C -Lethargic
D -Alert but disoriented
Give this one a try later!
C -Lethargic
As a prudent nurse practitioner, you know that a 28 year old male patient with human
immunodeficiency virus (HIV) would be considered well managed when they have
which of the following in addition to having undetectable or very low viral copies?
,A -CD4 count of 100
B -CD4 count undetectable
C -CD4 count of 500
D -CD4 count of 50
Give this one a try later!
C -CD4 count of 500
Oliver, a 62 year old otherwise healthy male patient with an active lifestyle presents to
your clinic today with a chief complaint of gnawing abdominal pain with a history of
orthopedic overuse injuries. In developing a working differential diagnosis for this
patient, which of the following questions is most useful in probing this further to rule
out more serious conditions?
A -What time of the day aer you taking your acetaminophen (Tylenol)?
B -Have you been taking any non-steroidal anti-inflammatory medications lately?
C -When was the last time you took topical corticosteroids for pain?
D -Have you noticed any particular food has made this worse?
Give this one a try later!
B -Have you been taking any non-steroidal anti-inflammatory medications
lately?
Patients with persistent acne vulgaris unresponsive to standard treatment may benefit
from Isotretinoin (Accutane) treatment. One unique obligation of this medication is as
follows;
A -Avoidance of alcoholic intake due to risk of a disulfiram-like action
B -None of these era correct
C -Compliance with commitment o lifelong use of the medication
D -Adherence to the I-PLEDGE program
Give this one a try later!
, D -Adherence to the I-PLEDGE program
Adequate understanding for the newly diagnosed ESRD patient during a teaching
session of how dialysis works has been successful
when the patient verbalizes that the use of hemodialysis to remove
pollution from the body is based primarily on which of the following concepts:
A -My blood is forced across the filter under high pressure and a low voltage
electrical charge
B -None of these are correct
C -My blood is cleaned by diffusing across a semipermeable membrane
D -The water is drawn to the dirty blood to dilute the waste in my body
Give this one a try later!
C -My blood is cleaned by diffusing across a semipermeable membrane
You have the pleasure of working at the health clinic at a summer resort as a nurse
practitioner. Benny, a 19 year old male presents with first degree
burns over their anterior torso after being out in the sun too long without any
protection while taking a medication prone to photosensitivity
reactions. To accurately document his burn surface area, you use
the rule of palms. In evaluation of a patient's body surface area (BSA) using the rule of
palms, which portion of the patient's body surface area is covered by the patient's
palm?
A -3%.
B -2%.
C -1%.
D -4%.
Give this one a try later!
