Question 1 (2 points)
The first step in the genomic assessment of a patient is obtaining information regarding:
Question 1 options:
a) Family history
b) Environmental exposures
c) Lifestyle and behaviors
d) Current medications
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Question 2 (2 points)
Rheumatic heart disease is a complication that can arise from which type of infection?
Question 2 options:
a) Epstein-Barr virus
b) Diphtheria
c) Group A beta hemolytic streptococcus
d) Streptococcus pneumoniae
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Question 3 (2 points)
,A 64-year-old male presents with erythema of the sclera, tearing, and bilateral 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 inflammation?
Question 3 options:
a) Bacterium
b) Allergen
c) Virus
d) Fungi
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Question 4 (2 points)
Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain and left-
sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is characterized as dull,
aching; 8/10 during activity, otherwise 0/10. Began a few months ago, intermittent, aggravated by
exercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left shoulder,
definitely affects quality of life by limiting activity. Pain is worse today; did not go away after he stopped
walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the
following differential diagnoses would be most likely?
Question 4 options:
a) Musculoskeletal chest wall syndrome with radiation
b) Esophageal motor disorder with radiation
c) Acute cholecystitis with cholelithiasis
, d) Coronary artery disease with angina pectoris
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Question 5 (2 points)
Which disease process typically causes episodic right upper quadrant pain, epigastric pain or chest pain
that can last 4-6 hours or less, often radiates to the back (classically under the right shoulder blade) and
is often accompanied by nausea or vomiting and often follows a heavy, fatty meal.
Question 5 options:
a) Acute pancreatitis
b) Duodenal ulcer
c) Biliary colic
d) Cholecystitis
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Question 6 (2 points)
Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers.
What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter
pylori test?
Question 6 options:
a) It is highly contagious and a mask should be worn at home.
b) Treatment regimen is multiple lifetime medications.
c) Treatment regimen is multiple medications taken daily for a few weeks.
, d) Treatment regimen is complicated and is not indicated unless the patient is symptomatic.
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Question 7 (2 points)
An obese middle-aged client presents with a month of nonproductive irritating cough without fever. He
also reports occasional morning hoarseness. What should the differential include?
Question 7 options:
a) Atypical pneumonia
b) Peptic ulcer disease
c) Gastroesophageal reflux
d) Mononucleosis (Epstein-Barr)
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Question 8 (2 points)
Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever,
midsternal chest pain and generalized fatigue for the past two days. She denies any cough or sputum
production. She states that when she takes Ibuprofen and rest that the chest pain does seem to ease off.
Upon examination the patient presents looking very ill. She is leaning forward and states that this is the
most comfortable position for her. Temp is 102. BP= 100/70. Heart rate is 120/min and regular. Upon
auscultation a friction rub is audible. Her lung sounds are clear. With these presenting symptoms your
initial diagnosis would be:
Question 8 options:
a) Mitral Valve Prolapse
b) Referred Pain from Cholecystitis
The first step in the genomic assessment of a patient is obtaining information regarding:
Question 1 options:
a) Family history
b) Environmental exposures
c) Lifestyle and behaviors
d) Current medications
Save
Question 2 (2 points)
Rheumatic heart disease is a complication that can arise from which type of infection?
Question 2 options:
a) Epstein-Barr virus
b) Diphtheria
c) Group A beta hemolytic streptococcus
d) Streptococcus pneumoniae
Save
Question 3 (2 points)
,A 64-year-old male presents with erythema of the sclera, tearing, and bilateral 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 inflammation?
Question 3 options:
a) Bacterium
b) Allergen
c) Virus
d) Fungi
Save
Question 4 (2 points)
Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain and left-
sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is characterized as dull,
aching; 8/10 during activity, otherwise 0/10. Began a few months ago, intermittent, aggravated by
exercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left shoulder,
definitely affects quality of life by limiting activity. Pain is worse today; did not go away after he stopped
walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the
following differential diagnoses would be most likely?
Question 4 options:
a) Musculoskeletal chest wall syndrome with radiation
b) Esophageal motor disorder with radiation
c) Acute cholecystitis with cholelithiasis
, d) Coronary artery disease with angina pectoris
Save
Question 5 (2 points)
Which disease process typically causes episodic right upper quadrant pain, epigastric pain or chest pain
that can last 4-6 hours or less, often radiates to the back (classically under the right shoulder blade) and
is often accompanied by nausea or vomiting and often follows a heavy, fatty meal.
Question 5 options:
a) Acute pancreatitis
b) Duodenal ulcer
c) Biliary colic
d) Cholecystitis
Save
Question 6 (2 points)
Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers.
What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter
pylori test?
Question 6 options:
a) It is highly contagious and a mask should be worn at home.
b) Treatment regimen is multiple lifetime medications.
c) Treatment regimen is multiple medications taken daily for a few weeks.
, d) Treatment regimen is complicated and is not indicated unless the patient is symptomatic.
Save
Question 7 (2 points)
An obese middle-aged client presents with a month of nonproductive irritating cough without fever. He
also reports occasional morning hoarseness. What should the differential include?
Question 7 options:
a) Atypical pneumonia
b) Peptic ulcer disease
c) Gastroesophageal reflux
d) Mononucleosis (Epstein-Barr)
Save
Question 8 (2 points)
Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever,
midsternal chest pain and generalized fatigue for the past two days. She denies any cough or sputum
production. She states that when she takes Ibuprofen and rest that the chest pain does seem to ease off.
Upon examination the patient presents looking very ill. She is leaning forward and states that this is the
most comfortable position for her. Temp is 102. BP= 100/70. Heart rate is 120/min and regular. Upon
auscultation a friction rub is audible. Her lung sounds are clear. With these presenting symptoms your
initial diagnosis would be:
Question 8 options:
a) Mitral Valve Prolapse
b) Referred Pain from Cholecystitis
