AANP AGPCNP PRACTICE EXAM
Questions and Answers
1. An 88-year-old presents with right-side weakness after being
unable to rise unassisted following a fall to the bathroom floor.
History includes aphasia and noncompliance with hypertension
medication regimen. What is the most likely diagnosis?
Left-sided or right-sided CVA?: LEFT-SIDED CVA
2. Which of the following signs/symtpoms are often associated with
headahces due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor: 1) pain worse laying down, focal neurological signs
3. Which of the following pharmacotherapeutics would be most
important to administer to a patient who has a corneal
abrasion?
1) Timolol
,2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine: 2) Gentamicin ophthalmic (Genoptic)
4. A 25-year-old presents with the chief complaint of decreased
mobility and pain of the right shoulder exacerbated by
movement. The patient reports that he participated in extensive
house painting 24 hours prior to the onset of pain. He denies any
trauma. Passive ROM is intact. No redness or ecchymosis is present.
What is the next step to be taken in order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG: 2) palpate structures
5. A 16-year-old female in the first month of taking Ortho-Novum
7/7/7 com- plains of midcycle spotting. She has not missed any
doses and uses no other
medication. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
,4) Double dose-for two days: 3) provide reassurance
6. According to the Report of the U.S. Preventive Services Task Force,
which of the following is NOT a current recommendation guideline for
preventive care in elderly female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines: 3) Rubella serology or vaccination history
7. 87 y/o NH patient is drowsy and barely responsive. Temp 95, BP:
110/70, Pulse 60, R 10. The best action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming: 1) initiate passive rewarming
8. A patient is referred with DM, HTN and CAD. He is on insulin
and a beta blocker. How would you educate this patient on
recognizing the signs and symptoms of hypoglycemia?
1) Edema
2) Tachycardia
, 3) palpitations
4) sweating: 4) sweating
9. A 65-year-old overweight patient is diagnosed with plantar
fasciitis. Initial therapy of NSAIDs, stretching, ice, and rest has proven
ineffective after 3 weeks. The best follow-up plan of care would be
to:
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and
exercise
3) continue NSAID, xray and add a short-leg night splint
4)COntinue NSAID, xray and add a metatarsal bar: 2) continue NSAID, apply an
arch support and encourage wt loss and exercise
10. Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping: 1) nicking of arteriols and viens, and
small retinol hemorrages
11. Which of the following is a common presenting feature of
hyperthyroidism in the elderly?
Questions and Answers
1. An 88-year-old presents with right-side weakness after being
unable to rise unassisted following a fall to the bathroom floor.
History includes aphasia and noncompliance with hypertension
medication regimen. What is the most likely diagnosis?
Left-sided or right-sided CVA?: LEFT-SIDED CVA
2. Which of the following signs/symtpoms are often associated with
headahces due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor: 1) pain worse laying down, focal neurological signs
3. Which of the following pharmacotherapeutics would be most
important to administer to a patient who has a corneal
abrasion?
1) Timolol
,2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine: 2) Gentamicin ophthalmic (Genoptic)
4. A 25-year-old presents with the chief complaint of decreased
mobility and pain of the right shoulder exacerbated by
movement. The patient reports that he participated in extensive
house painting 24 hours prior to the onset of pain. He denies any
trauma. Passive ROM is intact. No redness or ecchymosis is present.
What is the next step to be taken in order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG: 2) palpate structures
5. A 16-year-old female in the first month of taking Ortho-Novum
7/7/7 com- plains of midcycle spotting. She has not missed any
doses and uses no other
medication. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
,4) Double dose-for two days: 3) provide reassurance
6. According to the Report of the U.S. Preventive Services Task Force,
which of the following is NOT a current recommendation guideline for
preventive care in elderly female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines: 3) Rubella serology or vaccination history
7. 87 y/o NH patient is drowsy and barely responsive. Temp 95, BP:
110/70, Pulse 60, R 10. The best action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming: 1) initiate passive rewarming
8. A patient is referred with DM, HTN and CAD. He is on insulin
and a beta blocker. How would you educate this patient on
recognizing the signs and symptoms of hypoglycemia?
1) Edema
2) Tachycardia
, 3) palpitations
4) sweating: 4) sweating
9. A 65-year-old overweight patient is diagnosed with plantar
fasciitis. Initial therapy of NSAIDs, stretching, ice, and rest has proven
ineffective after 3 weeks. The best follow-up plan of care would be
to:
1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
2) continue NSAID, apply an arch support and encourage wt loss and
exercise
3) continue NSAID, xray and add a short-leg night splint
4)COntinue NSAID, xray and add a metatarsal bar: 2) continue NSAID, apply an
arch support and encourage wt loss and exercise
10. Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping: 1) nicking of arteriols and viens, and
small retinol hemorrages
11. Which of the following is a common presenting feature of
hyperthyroidism in the elderly?
