Questions | Graded A+
1. A women, who is 20 weeks pregnant, presents to the office due to "pain on
her hand". She states the pain is along the radial aspect of her hand. Physical
exam reveals positive Finklesteins test. What is the likely diagnosis?
Dupuytren Contracture
DeQuervains Tenosynovitis
Trigger Finger
Ganglian cyst
2. Describe the significance of a midsystolic click in relation to mitral valve
conditions.
A midsystolic click is unrelated to any mitral valve condition.
A midsystolic click is often associated with mitral valve prolapse due
to the abnormal movement of the valve leaflets.
A midsystolic click indicates aortic stenosis and is due to the
narrowing of the aortic valve.
A midsystolic click is a sign of mitral stenosis caused by thickening of
the valve leaflets.
3. A 37 y/o has routine blood work performed during an annual exam. he is
found to have elevated liver enzymes. on exam he has a tender, enlarged
liver. how should the NP proceed?
order a CBC
have the pt return in one week for recheck
order a hepatitis panel
, repeat the liver enzymes today
4. If a patient has a history of polyps and their last colonoscopy was 3 years
ago, when should they schedule their next colonoscopy?
annually
1-3 years
5 years
10 years
5. If a patient presents with thumb pain and a positive Finkelstein test, what
would be the most appropriate initial management strategy?
Prescribing antibiotics
Rest and immobilization of the thumb and wrist
Instructing the patient to continue normal activities
Immediate surgical intervention
6. Which fluoroquinolone is specifically indicated for treating respiratory
infections?
Moxifloxacin (Avelox)
Gemifloxacin (Factive)
Ciprofloxacin (Cipro)
Levofloxacin (Levaquin)
7. Why is it important to inquire about a patient's antibiotic use in the past three
months when assessing a urinary tract infection?
To determine potential antibiotic resistance and appropriate
treatment options
, To assess the patient's overall health status
To identify any allergies the patient may have
To evaluate the patient's hydration levels
8. A 60 year old female has come in for her annual DEXA scan. Her T score is
-3.2. What would this indicate?
osteomylitis
a normal reading
osteopenia
osteoporosis
9. Why would a Complete Blood Count (CBC) be relevant for a patient
presenting with pinpoint non-blanching spots?
A CBC can help identify underlying conditions such as
thrombocytopenia or other hematological issues.
A CBC is only useful for diagnosing infections.
A CBC is used to measure blood glucose levels.
A CBC is primarily used to assess liver function.
10. A 72-year-old presents with a productive cough and fever. The initial onset
of symptoms was 4 days ago. Based on this limited information, what is the
most likely diagnosis from the list below?
adult respiratory distress syndrome
chronic bronchitis
asthma
pneumonia
, pulmonary tuberculosis
11. What does a positive anti-HBc indicate in a patient's lab results?
Current infection with Hepatitis B virus
No infection or immunity
Past infection with Hepatitis B virus
Immunity from vaccination
12. All of the following are Gram-positive bacteria except _____ _.
Streptococcus
Clostridium
Salmonella
Staphylococcus
13. Describe the relationship between rheumatic fever and mitral stenosis in
terms of heart valve pathology.
Rheumatic fever can lead to inflammation and scarring of the mitral
valve, resulting in mitral stenosis.
Mitral stenosis is unrelated to rheumatic fever.
Rheumatic fever only affects the aortic valve.
Rheumatic fever causes aortic regurgitation, not mitral stenosis.
14. How do you treat a lung infection in a 70-year-old patient with COPD?
Amoxicillin
Cefazolin