Cataract
Macular degeneration
Acute closed-angle glaucoma
Chronic open-angle glaucoma - ANSWER Acute closed-angle glaucoma
Question 2. 2. An 18-year-old female patient presents with repeated urinary tract infections.
She has no risk factors in her history, and her physical examination is unremarkable. She also
has a normal pelvic exam. Which of the following should be obtained if anatomic abnormali-
ties are suspected?
Ultrasound of the kidneys
Intravenous pyelogram
Cystoscopy
Transvaginal ultrasound of the bladder - ANSWER Intravenous pyelogram
Question 3. 3. The pathophysiological hallmark of ACD is:
Depleted iron stores
Impaired ability to use iron stores
Chronic uncorrectable bleeding
Reduced intestinal absorption of iron - ANSWER Impaired ability to use iron stores
1
,Question 4. 4. Which of the following is the most important question to ask during cardio-
vascular health history?
Number of offspring
Last physical exam
Sudden death of a family member
Use of caffeine - ANSWER Sudden death of a family member
Question 5. 5. A 26-year-old, non-smoker, male presented to your clinic with SOB with exer-
tion. This could be due to:
Exercise-induced cough
Bronchiectasis
Alpha-1 deficiency
Pericarditis - ANSWER Alpha-1 deficiency
Question 6. 6. Which of the following dermatological conditionsresults from reactivation of
the dormant varicella virus?
Tineaversicolor
Seborrheic keratosis
Verruca
Herpes zoster - ANSWER Herpes zoster
Question 7. 7. Mr. Jones is a 68-year-old retired Air Force pilot that has been diagnosed with
prostate cancer in the past week. He has never had a surgical procedure in his life and seeks
clarification on the availability of treatments for prostate cancer. He asks the nurse practi-
tioner to tell him the side effects of a radical prostatectomy. Which of the following is not a
potential side effect of this procedure?
2
,Urinary incontinence
Impotence
Dribbling urine
Selected low back pain - ANSWER Selected low back pain
Question 8. 8. Presbycusis is the hearing impairment that is associated with:
Physiologic aging
Ménière's disease
Cerumen impaction
Herpes zoster - ANSWER Physiologic aging
Question 9. 9. Asymptomatic 1+ bacteriuria is found in a nursing home resident with an in-
dwelling catheter. The nurse practitioner's initial intervention includes:
Assessing resident's cognitive status and last change of the catheter/bag
Prescribing prophylactic Bactrim 1 tablet at bedtime
Ordering a urine culture and sensitivity and prescribing empiric treatment until results ob-
tained
Ordering an X-ray of the kidney, urine, and bladder - ANSWER Assessing resident's cogni-
tive status and last change of the catheter/bag
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, Question 10. 10. A 64-year-old male presents with erythema of the sclera, tearing, and bilat-
eral pruritus of the eyes. The symptoms occur intermittently throughout the year and he has
associated clear nasal discharge. Which of the following is most likely because of the inflam-
mation?
Bacterium
Allergen
Virus
Fungi - ANSWER Allergen
Question 11. 11. The nurse practitioner is examining a 62-year-old female who has been
complaining of lower abdominal pain. Upon auscultation, bowel sounds are high pitched and
tinkling. Which of the following terms describes this finding?
Succession splash
Borborygmi
Tenesmus
Puddle sign - ANSWER Borborygmi
Question 12. 12. Which ethnic group has the highest incidence of prostate cancer?
Asians
Hispanics
African Americans
American Indians - ANSWER african americans
Question 13. 13. A key symptom of ischemic heart disease is chest pain. However, angina
equivalents may include exertional dyspnea. Angina equivalents are important because:
4