Midterm Exam
The most common cancer found on the auricle is: - Answer Basal Cell Carcinoma
Which of the following medication classes should be avoided in patients with acute or
chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the
patient?
Xanthines
Antihistimines
Steroids
Anticholinergics - Answer Antihistamines
A 47 year old male patient presents to the clinic with a single episode of a moderate
amount of bright red rectal bleeding. On examination, external hemorrhoids are noted.
How should the nurse practitioner proceed?
Instruct the patient on measures to prevent hemorrhoids such as bowel habits and diet.
Order a topical hemorrhoid cream along with a stool softener.
Refer the patient for a barium enema and sigmoidoscopy.
Refer the patient for a surgical hemorrhoidectomy. - Answer Refer the patient for a
barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic bronchitis?
Overweight, cyanosis, and normal or slightly increased respiratory rate
Underweight, pink skin, and increased respiratory rate
Overweight, pink skin, and normal or slightly increased respiratory rate
Normal weight, cyanosis, and greatly increased respiratory rate - Answer Overweight,
cyanosis, and normal or slightly increased respiratory rate
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain.
Her current medications include omeprazole 20 milligrams po daily, lisinopril 20
milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po
daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The
most appropriate diagnostic test for this patient at this time is:
CBC/diff
Erythrocyte sedimentation rate
Abdominal ultrasound
,Midterm Exam
CT scan - Answer CT scan
A patient reports "something flew in my eye" about an hour ago while he was splitting
logs. If there were a foreign body in his eye, the nurse practitioner would expect to find
all except:
Purulent drainage
Tearing
Photophobia
A positive fluorescein stain - Answer Purulent drainage
A 21 year old college student presents to the student health center with copious,
markedly purulent discharge from her left eye. The nurse practitioner student should
suspect:
Viral conjunctivitis
Common pink eye
Gonococcal conjunctivitis
Allergic conjunctivitis - Answer Gonococcal conjunctivitis
A 35 year old man presents with radicular pain followed by the appearance of grouped
vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He
complains of pain, burning, and itching. The nurse practitioner should suspect:
A common case of shingles and prescribe an analgesic and an antiviral agent
A complicated case of shingles and prescribe acyclovir, an analgesic, and a topical
cortisone cream
Herpes zoster and consider that this patient may be immunocompromised
A recurrence of chickenpox and treat the patient's symptoms - Answer Herpes zoster
and consider that this patient may be immunocompromised
Which type of lung cancer has the poorest prognosis?
Adenocarcinoma
Epidermoid carcinoma
Small cell carcinoma
Large cell carcinoma - Answer Small cell carcinoma
, Midterm Exam
An 83-year-old female presents to the office complaining of diarrhea for several days.
She explains she has even had fecal incontinence one time. She describes loose stools
3-4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use.
The history suggests that the patient has:
Acute diarrhea
Chronic diarrhea
Irritable bowel
Functional bowel disease - Answer Chronic diarrhea
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a
butterfly distribution on her face. The rash has red papules and plaques with a fine
scale. What do you suspect?
An allergic reaction
Relapsing polychondritis
Lymphocytoma cutis
Systemic lupus erythematosus - Answer Systemic lupus erythematosus
Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes?
Chronic sinusitis
Acute bronchitis
Bacterial pneumonia
Acute exacerbation of chronic bronchitis - Answer Acute bronchitis
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2
agonist daily. Her exacerbations affect her activities and they occur at least twice
weekly and may last for days. She is affected more than once weekly during the night
with an exacerbation. Which category of asthma severity is Lisa in?
Mild intermittent
Mild persistent
Moderate persistent - Answer Moderate persistent
Which of the following is the most appropriate therapeutic regimen for an adult patient
with no known allergies diagnosed with group A B-hemolytic strep?
The most common cancer found on the auricle is: - Answer Basal Cell Carcinoma
Which of the following medication classes should be avoided in patients with acute or
chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the
patient?
Xanthines
Antihistimines
Steroids
Anticholinergics - Answer Antihistamines
A 47 year old male patient presents to the clinic with a single episode of a moderate
amount of bright red rectal bleeding. On examination, external hemorrhoids are noted.
How should the nurse practitioner proceed?
Instruct the patient on measures to prevent hemorrhoids such as bowel habits and diet.
Order a topical hemorrhoid cream along with a stool softener.
Refer the patient for a barium enema and sigmoidoscopy.
Refer the patient for a surgical hemorrhoidectomy. - Answer Refer the patient for a
barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic bronchitis?
Overweight, cyanosis, and normal or slightly increased respiratory rate
Underweight, pink skin, and increased respiratory rate
Overweight, pink skin, and normal or slightly increased respiratory rate
Normal weight, cyanosis, and greatly increased respiratory rate - Answer Overweight,
cyanosis, and normal or slightly increased respiratory rate
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain.
Her current medications include omeprazole 20 milligrams po daily, lisinopril 20
milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po
daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The
most appropriate diagnostic test for this patient at this time is:
CBC/diff
Erythrocyte sedimentation rate
Abdominal ultrasound
,Midterm Exam
CT scan - Answer CT scan
A patient reports "something flew in my eye" about an hour ago while he was splitting
logs. If there were a foreign body in his eye, the nurse practitioner would expect to find
all except:
Purulent drainage
Tearing
Photophobia
A positive fluorescein stain - Answer Purulent drainage
A 21 year old college student presents to the student health center with copious,
markedly purulent discharge from her left eye. The nurse practitioner student should
suspect:
Viral conjunctivitis
Common pink eye
Gonococcal conjunctivitis
Allergic conjunctivitis - Answer Gonococcal conjunctivitis
A 35 year old man presents with radicular pain followed by the appearance of grouped
vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He
complains of pain, burning, and itching. The nurse practitioner should suspect:
A common case of shingles and prescribe an analgesic and an antiviral agent
A complicated case of shingles and prescribe acyclovir, an analgesic, and a topical
cortisone cream
Herpes zoster and consider that this patient may be immunocompromised
A recurrence of chickenpox and treat the patient's symptoms - Answer Herpes zoster
and consider that this patient may be immunocompromised
Which type of lung cancer has the poorest prognosis?
Adenocarcinoma
Epidermoid carcinoma
Small cell carcinoma
Large cell carcinoma - Answer Small cell carcinoma
, Midterm Exam
An 83-year-old female presents to the office complaining of diarrhea for several days.
She explains she has even had fecal incontinence one time. She describes loose stools
3-4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use.
The history suggests that the patient has:
Acute diarrhea
Chronic diarrhea
Irritable bowel
Functional bowel disease - Answer Chronic diarrhea
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a
butterfly distribution on her face. The rash has red papules and plaques with a fine
scale. What do you suspect?
An allergic reaction
Relapsing polychondritis
Lymphocytoma cutis
Systemic lupus erythematosus - Answer Systemic lupus erythematosus
Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes?
Chronic sinusitis
Acute bronchitis
Bacterial pneumonia
Acute exacerbation of chronic bronchitis - Answer Acute bronchitis
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2
agonist daily. Her exacerbations affect her activities and they occur at least twice
weekly and may last for days. She is affected more than once weekly during the night
with an exacerbation. Which category of asthma severity is Lisa in?
Mild intermittent
Mild persistent
Moderate persistent - Answer Moderate persistent
Which of the following is the most appropriate therapeutic regimen for an adult patient
with no known allergies diagnosed with group A B-hemolytic strep?
