3P Exam Questions and Answers Score:94.67%.

Which headache sign does not warrant an immediate investigation? Question options: aggravated or relieved by change of position precipitated by Valsalva maneuver new onset after age 50 relieved with use of common analgesics Question 2 During a migraine, what happens to the cerebral arteries? Question options: they dilate they constrict they vibrate they pulsate Question 3 You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood swings, is easily distracted, and constantly corrects his teachers. You would have a high suspicion for bipolar if which symptom was present? Question options: 3P Exam Questions and Answers Score:94.67% he is forgetful he sleeps less than 4 hours nightly he does not complete tasks he blurts out answers in class inappropriately Question 4 Which risk factor is not associated with breast cancer? Question options: use of hormone replacement therapy personal or family history of breast cancer postmenopausal obesity low socioeconomic status Question 5 A 26 year old woman with bulimia is likely to be: Question options: of average weight not concerned with weight very underweight very overweight Question 6 What medication is used to relieve acute wheezing in a patient with asthma? Question options: oral corticosteroid short acting beta agonist long acting beta agonist inhaled corticosteroid Question 7 You are evaluating an 80 year old patient for recent episodes of incontinence and confusion. His family states that this is unusual for him and he has become increasingly forgetful over the past two weeks. Which medication might be responsible for this? Question options: Coumadin (warfarin) Vitamin B-12 Tagamet (cimetidine) Altace (ramipril) Question 8 What suggests hyperandrogenism in an adolescent female? Question options: polycystic ovaries high pitched voice obesity hirsutism Question 9 Which is a synovial joint? Question options: skull vertebral bodies of the spine shoulder pubic symphysis of the pelvis Question 10 A 67 year old woman with atrial fibrillation and an ejection fraction of 48% is on digoxin and has had normal digoxin levels of 0.8- 2 ng/dL for the past 9 months. Today, the level is 0.4 ng/dL. What could account for this change? Question options: regular use of an antacid increased exercise weight loss decreased creatinine clearance Question 11 Which medication is contraindicated in a child with acute sinusitis? Question options: nasal steroids decongestants expectorants antihistamines Question 12 Which best describes the lower extremity calf pain associated with peripheral artery disease? Question options: electric shock pulsating pain sharp, stabbing pain dull aching or cramping Question 13 Jugular venous distention accompanied by chest pain is associated with: Question options: hypertension asthma pneumonia heart failure Question 14 Which immunization protects against a virus that is transmitted through blood and body fluids and can lead to chronic liver disease? Question options: Hepatitis C Typhoid fever vaccine Hepatitis A Hepatitis B Question 15 A pediatric patient has areas of scaling on the scalp with round patches of hair loss. What is the likely diagnosis? Question options: alopecia areata trichotillomania tinea capitis seborrheic dermatitis Question 16 Your 70 year old patient complains of a sore mouth that prevents her from eating. On exam you note a beefy red, glossy smooth tongue. What do you suspect? Question options: cheilosis, a serious disease of the mouth and oropharynx secondary hypothyroidism pernicious anemia due to insufficient intrinsic factor a neurological disorder such as Parkinson's disease Question 17 A 62 year old male presents with leg pain and occasional numbness that is worse with ambulation and improved with lumbar flexion. What is the likely diagnosis? Question options: ankylosing spondylitis cauda equina syndrome bursitis spinal stenosis Question 18 Which is not a typical symptom of late stage HIV? Question options: lymphadenopathy of more than 3 months persistent vomiting night sweats persistent, unexplained fatigue Question 19 A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had reduced from 118/79 to 109/68. What hemodynamic change is responsible for this? Question options: decrease in cardiac output decrease in systemic vascular resistance decrease in stroke volume decrease in preload Question 20 Your 62 year old patient has been taking Griseofulvin 500 mg po BID for 3 weeks to treat tinea capitis and has only had marginal improvement. What is your next step? Question options: have the patient shave his head and warn him that hair regrowth will be slow continue the current therapy for 6-8 weeks Add 2.5% selenium sulfide shampoo twice weekly to the regimen prescribe a short course or oral steroids Question 21 Rapid HIV testing would be most appropriate for a patient with complaints of: Question options: painful urination, dyspareunia, and penile or vaginal discharge painful bowel movements, anal itching, and abnormal menstrual bleeding or painful and swollen tespainful urination, lower abdominal pain, and dyspareunia fever, headache, and lymphadenopathy Question 22 What is a frequent side effect of SSRIs? Question options: sexual dysfunction delayed response time of 2-3 weeks anorexia depression Question 23 You might suspect small bowel obstruction in a patient who complains of: Question options: hematemesis and bloody stool nausea and diarrhea vomiting and pain indigestion and anorexia Question 24 What finding would be suggestive of osteosarcoma in a pediatric patient? Question options: pathologic fracture pain in the affected bone repeat fracture apophyseal avulsion Question 25 What clinical manifestation suggests primary syphilis? Question options: no symptoms a single painless genital lesion rash marked by red or reddish-brown penny sized lesions on the palms and soles poor muscle coordination Question 26 What medication is used first line for a patient with benign positional vertigo? Question options: pseudoephedrine hydrochlorothiazide promethazine meclizine Question 27 Which symptom is most associated with testicular torsion? Question options: testicular swelling penile warts erectile dysfunction testicular pain Question 28 A clinical breast exam should include palpation at the tail of Spence. Where is this located? Question options: laterally across the anterior axillary fold lower inner quadrant lower outer quadrant upper inner quadrant Question 29 Which area does not drain to the right lymph duct? Question options: the right leg the right arm the right side of the head the right upper thorax Question 30 Which presentation is most suspicious for penile cancer? Question options: a group of small, scattered vesicles a chancre a nontender, indurated penile nodule papules with a variety of shapes Question 31 What is important to consider before prescribing metronidazole for giardiasis? Question options: whether the patient drinks alcohol whether the patient is at least 18 years of age presence of a sulfa allergy past medical history of peptic ulcer disease Question 32 In which condition would the use of triptans for migraine headaches be contraindicated? Question options: kidney stones hypertension osteoarthritis vertigo Question 33 Which is a true statement about varicose veins? Question options: They are usually diagnosed on clinical presentation. They are not affected by pregnancy. They are due to congenital valve deformities. They are more symptomatic during ovulation. Question 34 When measuring the fundal height of a pregnant woman at 32 weeks, which measurement would prompt the nurse practitioner to suspect fetal growth restriction?