• Question 2 I
1 Iout Iof I1 Ipoints
Central Iobesity, I“moon” Iface, Iand Idorsocervical Ifat Ipad Iare Iassociated Iwith:
A. Metabolic Isyndrome
B. Unilateral Ipheochromocytoma
C. Cushing’s Isyndrome
D. None Iof Ithe Iabove
• Question 3 I
1 Iout Iof I1 Ipoints
An Ielderly Iman Iis Istarted Ion Ilisinopril Iand Ihydrochlorhiazide Ifor Ihypertension. IThree Idays Ilater, Ihe Ireturns Ito
Ithe Ioffice Icomplaining Iof Ileft Igreat Itoe Ipain. IOn Iexam, Ithe Inurse Ipractitioner Inotes Ian Iedematous,
Ierythematous Itender Ileft Igreat Itoe. IThe Ilikely Iprecipitant Iof Ithis Ipatient’s Ipain Iis:
A. Trauma
B. Tight Ishoes
C. Arthritis Iflare
D. Hydrochlorothiazide
• Question 4 I
1 Iout Iof I1 Ipoints
The Imost Ieffective Itreatment Iof Inon-infectious Ibursitis Iincludes: IConservative Itreatment Iincludes Irest, Icold
Iand Iheat Itreatments, Ielevation, Iadministration Iof Inonsteroidal Ianti-inflammatory Idrugs I(NSAIDs),
Ibursal Iaspiration, Iand Iintrabursal Isteroid Iinjections
• Question 5 I
1 Iout Iof I1 Ipoints
What Iconditions Imust Ibe Imet Ifor Iyou Ito Ibill I“incident Ito” Ithe Iphysician, Ireceiving I100% Ireimbursement Ifrom
IMedicare?
, Selected IAnswer: I
The Iphysician Imust Ibe Ion-site Iand Iengaged Iin Ipatient Icare
Answers: You Imust Iinitiate Ithe Iplan Iof Icare Ifor Ithe Ipatient
I
The Iphysician Imust Ibe Ion-site Iand Iengaged Iin Ipatient Icare
You Imust Ibe Iemployed Ias Ian Iindependent Icontractor
You Imust Ibe Ithe Imain Ihealth Icare Iprovider Iwho Isees Ithe Ipatient
• Question 6 I
1 Iout Iof I1 Ipoints
Which Iof Ithe Ifollowing Iis Inot Ia Irisk Ifactor Iassociated Iwith Ithe Idevelopment Iof Isyndrome IX Iand Itype I2 Idiabetes
Imellitus?
IThe Imetabolic Isyndrome Irefers Ito Ithe Ico-occurrence Iof Iseveral Iknown Icardiovascular Irisk Ifactors,
Iincluding Iinsulin Iresistance, Iobesity, Iatherogenic Idyslipidemia Iand Ihypertension.
• Question 7 I
1 Iout Iof I1 Ipoints
Which Iof Ithe Ifollowing Iis Inot Ia Icommon Iearly Isign Iof Ibenign Iprostatic Ihyperplasia I(BPH)?
IA. INocturia
B. IUrgency Iincontinence
C. IStrong Iurinary Istream Iflow
D. IStraining Ito Ivoid
• Question 8 I
1 Iout Iof I1 Ipoints
Steve, Iage I69, Ihas Igastroesophageal Ireflux Idisease I(GERD). IWhen Iteaching Ihim Ihow Ito Ireduce Ihis Ilower
Iesophageal Isphincter Ipressure, Iwhich Isubstances Ido Iyou Irecommend Ithat Ihe Iavoid?
▪ Food Ithat Iis Ivery Ihot Ior Ivery Icold I
▪ Fatty Ior Ifried Ifoods I
▪ Peppermint Ior Ispearmint, Iincluding Iflavoring I
▪ Coffee, Itea, Iand Isoft Idrinks Ithat Icontain Icaffeine I
▪ Spicy, Ihighly Iseasoned Ifoods I
▪ Fried Ifood IDT Icaffeine, Ichocolate Iand Ianticholinergics
• Question 9 I
1 Iout Iof I1 Ipoints
Which Idrug Icategory Icontains Ithe Idrugs Ithat Iare Ithe Ifirst Iline IGold Istandard Itherapy Ifor ICOPD?
I Beta Iantagonist
,• Question 10 I
1 Iout Iof I1 Ipoints
The Imost Icommonly Irecommended Ipharmacological Itreatment Iregimen Ifor Ilow Iback Ipain I(LBP) Iis:
I Nsaid
• Question 11 I
1 Iout Iof I1 Ipoints
Which Iof Ithe Ifollowing Iis Inot Iappropriate Isuppression Itherapy Ifor Ichronic Ibacterial Iprostatitis?
Erythromycin
• Question 12 I
1 Iout Iof I1 Ipoints
A Ipatient Ipresents Iwith Idehydration, Ihypotension, Iand Ifever. ILaboratory Itesting Ireveals Ihyponatremia,
Ihyperkalemia, Iand Ihypoglycemia. IThese Iimbalances Iare Icorrected, Ibut Ithe Ipatient Ireturns I6 Iweeks Ilater Iwith
Ithe Isame Isymptoms Iof Ihyperpigmentation, Iweakness, Ianorexia, Ifatigue, Iand Iweight Iloss. IWhat Iaction(s) Ishould
Ithe Inurse Ipractitioner Itake? I
.A IObtain Ia Ithorough Ihistory Iand Iphysical, Iand Icheck Iserum Icortisol Iand IACTH Ilevels.
B. IPerform Ia Idiet Ihistory Iand Icheck ICBC Iand IFBS.
C. IProvide Inutritional Iguidance Iand Ihave Ithe Ipatient Ireturn Iin Ione Imonth.
D. IConsult Ihome Ihealth Ifor Iintravenous Iadministration
1.
• Question 16 I
1 Iout Iof I1 Ipoints
You Iare Iassessing Ia Ipatient Iafter Ia Isports Iinjury Ito Ihis Iright Iknee. IYou Ielicit Ia Ipositive Ianterior/posterior Idrawer
Isign. IThis Itest Iindicates Ian Iinjury Ito Ithe: Ihe
A. Ilateral Imeniscus
B. Icruciate Iligament
C. Imedial Imeniscus
D. Icollateral Iligament.
• Question 17 I
1 Iout Iof I1 Ipoints
, A I32 Iyear Iold Ifemale Ipatient Ipresents Iwith Ifever, Ichills, Iright Iflank Ipain, Iright Icostovertebral Iangle Itenderness,
Iand Ihematuria. IHer Iurinalysis Iis Ipositive Ifor Ileukocytes Iand Ired Iblood Icells. IThe Inurse Ipractitioner Idiagnoses
Ipyelonephritis. IThe Imost Iappropriate Imanagement Iis:
Include I500 Img Iof Ioral Iciprofloxacin I(Cipro) Itwice Iper Iday Ifor Iseven Idays; I1,000 Img Iof
I extended-release Iciprofloxacin Ionce Iper Iday Ifor Iseven Idays; Ior I750 Img Iof Ilevofloxacin
I (Levaquin) Ionce Iper Iday Ifor Ifive Idays.
• Question 19 I
1 Iout Iof I1 Ipoints
A Imiddle-aged Iman Ipresents Ito Iurgent Icare Icomplaining Iof Ipain Iof Ithe Imedial Icondyle Iof Ithe Ilower Ihumerus.
IThe Iman Iworks Ias Ia Icarpenter Iand Idescribes Ia Igradual Ionset Iof Ipain. IOn Iexam, Ithe Imedial Iepicondyle Iis Itender
Iand Ipain Iis Iincreased Iwith Iflexion Iand Ipronation. IRange Iof Imotion Iis Ifull IThe Imost Ilikely Icause Iof Ithis
Ipatient’s Ipain Iis: Iepicondylitis
• Question 21 I
1 Iout Iof I1 Ipoints
The Ibest Itest Ito Idetermine Imicroalbuminuria Ito Iassist Iin Ithe Idiagnosis Iof Idiabetic Ineuropathy
s Ito Imeasure Ialbumin Iin Ia Ispot Iurine Isample, Icollected Ieither Ias Ithe Ifirst Iurine Iin Ithe Imorning
Ior Iat Irandom, Ifor Iexample, Iat Ithe Imedical Ivisit. IThis Imethod Iis Iaccurate,:Early Imorning
• Question 22 I
1 Iout Iof I1 Ipoints
What Iis Ithe Ifirst Isymptom Iseen Iin Ithe Imajority Iof Ipatients Iwith IParkinson’s Idisease?
Tremor Iat Irest
• Question 23 I
1 Iout Iof I1 Ipoints
The Imost Icommonly Irecommended Imethod Ifor Iprostate Icancer Iscreening Iin Ia I55 Iyear Iold Imale Iis:
I digital Irectal Iexams,
• Question 24 I
1 Iout Iof I1 Ipoints
Martin, Iage I24, Ipresents Iwith Ian Ierythematous Iear Icanal, Ipain, Iand Ia Irecent Ihistory Iof Iswimming. IWhat Ido Iyou
Isuspect?
I Otitis Iexterna/ Iswimmer’s Iear
1 Iout Iof I1 Ipoints
Central Iobesity, I“moon” Iface, Iand Idorsocervical Ifat Ipad Iare Iassociated Iwith:
A. Metabolic Isyndrome
B. Unilateral Ipheochromocytoma
C. Cushing’s Isyndrome
D. None Iof Ithe Iabove
• Question 3 I
1 Iout Iof I1 Ipoints
An Ielderly Iman Iis Istarted Ion Ilisinopril Iand Ihydrochlorhiazide Ifor Ihypertension. IThree Idays Ilater, Ihe Ireturns Ito
Ithe Ioffice Icomplaining Iof Ileft Igreat Itoe Ipain. IOn Iexam, Ithe Inurse Ipractitioner Inotes Ian Iedematous,
Ierythematous Itender Ileft Igreat Itoe. IThe Ilikely Iprecipitant Iof Ithis Ipatient’s Ipain Iis:
A. Trauma
B. Tight Ishoes
C. Arthritis Iflare
D. Hydrochlorothiazide
• Question 4 I
1 Iout Iof I1 Ipoints
The Imost Ieffective Itreatment Iof Inon-infectious Ibursitis Iincludes: IConservative Itreatment Iincludes Irest, Icold
Iand Iheat Itreatments, Ielevation, Iadministration Iof Inonsteroidal Ianti-inflammatory Idrugs I(NSAIDs),
Ibursal Iaspiration, Iand Iintrabursal Isteroid Iinjections
• Question 5 I
1 Iout Iof I1 Ipoints
What Iconditions Imust Ibe Imet Ifor Iyou Ito Ibill I“incident Ito” Ithe Iphysician, Ireceiving I100% Ireimbursement Ifrom
IMedicare?
, Selected IAnswer: I
The Iphysician Imust Ibe Ion-site Iand Iengaged Iin Ipatient Icare
Answers: You Imust Iinitiate Ithe Iplan Iof Icare Ifor Ithe Ipatient
I
The Iphysician Imust Ibe Ion-site Iand Iengaged Iin Ipatient Icare
You Imust Ibe Iemployed Ias Ian Iindependent Icontractor
You Imust Ibe Ithe Imain Ihealth Icare Iprovider Iwho Isees Ithe Ipatient
• Question 6 I
1 Iout Iof I1 Ipoints
Which Iof Ithe Ifollowing Iis Inot Ia Irisk Ifactor Iassociated Iwith Ithe Idevelopment Iof Isyndrome IX Iand Itype I2 Idiabetes
Imellitus?
IThe Imetabolic Isyndrome Irefers Ito Ithe Ico-occurrence Iof Iseveral Iknown Icardiovascular Irisk Ifactors,
Iincluding Iinsulin Iresistance, Iobesity, Iatherogenic Idyslipidemia Iand Ihypertension.
• Question 7 I
1 Iout Iof I1 Ipoints
Which Iof Ithe Ifollowing Iis Inot Ia Icommon Iearly Isign Iof Ibenign Iprostatic Ihyperplasia I(BPH)?
IA. INocturia
B. IUrgency Iincontinence
C. IStrong Iurinary Istream Iflow
D. IStraining Ito Ivoid
• Question 8 I
1 Iout Iof I1 Ipoints
Steve, Iage I69, Ihas Igastroesophageal Ireflux Idisease I(GERD). IWhen Iteaching Ihim Ihow Ito Ireduce Ihis Ilower
Iesophageal Isphincter Ipressure, Iwhich Isubstances Ido Iyou Irecommend Ithat Ihe Iavoid?
▪ Food Ithat Iis Ivery Ihot Ior Ivery Icold I
▪ Fatty Ior Ifried Ifoods I
▪ Peppermint Ior Ispearmint, Iincluding Iflavoring I
▪ Coffee, Itea, Iand Isoft Idrinks Ithat Icontain Icaffeine I
▪ Spicy, Ihighly Iseasoned Ifoods I
▪ Fried Ifood IDT Icaffeine, Ichocolate Iand Ianticholinergics
• Question 9 I
1 Iout Iof I1 Ipoints
Which Idrug Icategory Icontains Ithe Idrugs Ithat Iare Ithe Ifirst Iline IGold Istandard Itherapy Ifor ICOPD?
I Beta Iantagonist
,• Question 10 I
1 Iout Iof I1 Ipoints
The Imost Icommonly Irecommended Ipharmacological Itreatment Iregimen Ifor Ilow Iback Ipain I(LBP) Iis:
I Nsaid
• Question 11 I
1 Iout Iof I1 Ipoints
Which Iof Ithe Ifollowing Iis Inot Iappropriate Isuppression Itherapy Ifor Ichronic Ibacterial Iprostatitis?
Erythromycin
• Question 12 I
1 Iout Iof I1 Ipoints
A Ipatient Ipresents Iwith Idehydration, Ihypotension, Iand Ifever. ILaboratory Itesting Ireveals Ihyponatremia,
Ihyperkalemia, Iand Ihypoglycemia. IThese Iimbalances Iare Icorrected, Ibut Ithe Ipatient Ireturns I6 Iweeks Ilater Iwith
Ithe Isame Isymptoms Iof Ihyperpigmentation, Iweakness, Ianorexia, Ifatigue, Iand Iweight Iloss. IWhat Iaction(s) Ishould
Ithe Inurse Ipractitioner Itake? I
.A IObtain Ia Ithorough Ihistory Iand Iphysical, Iand Icheck Iserum Icortisol Iand IACTH Ilevels.
B. IPerform Ia Idiet Ihistory Iand Icheck ICBC Iand IFBS.
C. IProvide Inutritional Iguidance Iand Ihave Ithe Ipatient Ireturn Iin Ione Imonth.
D. IConsult Ihome Ihealth Ifor Iintravenous Iadministration
1.
• Question 16 I
1 Iout Iof I1 Ipoints
You Iare Iassessing Ia Ipatient Iafter Ia Isports Iinjury Ito Ihis Iright Iknee. IYou Ielicit Ia Ipositive Ianterior/posterior Idrawer
Isign. IThis Itest Iindicates Ian Iinjury Ito Ithe: Ihe
A. Ilateral Imeniscus
B. Icruciate Iligament
C. Imedial Imeniscus
D. Icollateral Iligament.
• Question 17 I
1 Iout Iof I1 Ipoints
, A I32 Iyear Iold Ifemale Ipatient Ipresents Iwith Ifever, Ichills, Iright Iflank Ipain, Iright Icostovertebral Iangle Itenderness,
Iand Ihematuria. IHer Iurinalysis Iis Ipositive Ifor Ileukocytes Iand Ired Iblood Icells. IThe Inurse Ipractitioner Idiagnoses
Ipyelonephritis. IThe Imost Iappropriate Imanagement Iis:
Include I500 Img Iof Ioral Iciprofloxacin I(Cipro) Itwice Iper Iday Ifor Iseven Idays; I1,000 Img Iof
I extended-release Iciprofloxacin Ionce Iper Iday Ifor Iseven Idays; Ior I750 Img Iof Ilevofloxacin
I (Levaquin) Ionce Iper Iday Ifor Ifive Idays.
• Question 19 I
1 Iout Iof I1 Ipoints
A Imiddle-aged Iman Ipresents Ito Iurgent Icare Icomplaining Iof Ipain Iof Ithe Imedial Icondyle Iof Ithe Ilower Ihumerus.
IThe Iman Iworks Ias Ia Icarpenter Iand Idescribes Ia Igradual Ionset Iof Ipain. IOn Iexam, Ithe Imedial Iepicondyle Iis Itender
Iand Ipain Iis Iincreased Iwith Iflexion Iand Ipronation. IRange Iof Imotion Iis Ifull IThe Imost Ilikely Icause Iof Ithis
Ipatient’s Ipain Iis: Iepicondylitis
• Question 21 I
1 Iout Iof I1 Ipoints
The Ibest Itest Ito Idetermine Imicroalbuminuria Ito Iassist Iin Ithe Idiagnosis Iof Idiabetic Ineuropathy
s Ito Imeasure Ialbumin Iin Ia Ispot Iurine Isample, Icollected Ieither Ias Ithe Ifirst Iurine Iin Ithe Imorning
Ior Iat Irandom, Ifor Iexample, Iat Ithe Imedical Ivisit. IThis Imethod Iis Iaccurate,:Early Imorning
• Question 22 I
1 Iout Iof I1 Ipoints
What Iis Ithe Ifirst Isymptom Iseen Iin Ithe Imajority Iof Ipatients Iwith IParkinson’s Idisease?
Tremor Iat Irest
• Question 23 I
1 Iout Iof I1 Ipoints
The Imost Icommonly Irecommended Imethod Ifor Iprostate Icancer Iscreening Iin Ia I55 Iyear Iold Imale Iis:
I digital Irectal Iexams,
• Question 24 I
1 Iout Iof I1 Ipoints
Martin, Iage I24, Ipresents Iwith Ian Ierythematous Iear Icanal, Ipain, Iand Ia Irecent Ihistory Iof Iswimming. IWhat Ido Iyou
Isuspect?
I Otitis Iexterna/ Iswimmer’s Iear
