PSai- FNP 2020 Questions& Answers
Which of the following is a common cause of acne?
1.Use of oral contraceptives
2.Ingestion of soda and chocolate
3.Increase in androgens
4.Low-glycemic diet - ✅3. Increase in androgens
Rational: Oral contraceptives help control acne and decrease androgens. Soda and
chocolate have not been proven to have a significant impact on acne.
Which trimester of pregnancy is a woman with a fundal height measurement at the
umbilicus?
1.First
2.Second
3.Third
4.Fourth - ✅2. Second
Rational: The level of the umbilicus is 20 weeks. There are 3 trimesters divided into, 1st
(0-13 weeks), 2nd (14-26 weeks), 3rd (27-40 weeks).
Which of the following conditions is a risk factor for development of deep vein
thromboembolism and pulmonary embolism?
1.Visceral malignancy
2.Sudden weight gain
3.Copper IUD insertion
4.Aerobic exercise - ✅1. Visceral malignancy
Rational: Cancers of the brain, ovary, pancreas, colon, stomach, lung and kidney have
the highest risk of DVT/PE.
An adult male presents with intermittent retrosternal burning. He has gained 30 lb in the
past year. Physical examination results are unremarkable and the EKG is normal. The
most likely diagnosis is:
1.pericarditis.
2.gastroesophageal reflux.
3.cholecystitis.
4.costochondritis. - ✅2. .gastroesophageal reflux (GERD)
, Rational: Look at the key words: retrosternal burning, weight gain, unremarkable
physical exam. Pericarditis would most likely have other symptoms persistent fatigue
and shortness of breath, swelling of the feet, legs and abdomen often with weight gain
(heart failure type symptoms). cholecystitis would have an abnormal physical exam and
not retrosternal burning. costochondritis might mimic that of a heart attack or other heart
conditions. Pain with breathing.
A geriatric patient presents with a bump on the vulva, associated with pruritis and
malodorous drainage. Examination reveals a raised, ulcerated lesion. The most likely
diagnosis is:
1.vulvar cancer.
2.lymphogranuloma inguinale.
3.vulvar atrophy.
4.Paget's disease. - ✅1. Vulvar Cancer
Rational: Key words, geriatric, bump, pruritus.
lymphogranuloma inguinale and vulvar atrophy there is no bump. Paget's disease is a
bone disease.
A geriatric female complains of problems with urination. She reports that whenever she
feels the need to urinate, she is unable to "make it to the bathroom in time," and wets
herself. Which type of incontinence is most likely?
1.Urge
2.Overflow
3.Transient
4.Stress - ✅1. Urge
Rational: Key words, geriatric, feels the need.
Transient is due to an underline medical problem. Stress is due to increase
pressure/stress
An adult patient presents with complaints of nausea, fatigue, and myalgia. The patient
reports a history of untreated hepatitis B 30 years ago. Which hepatitis B serology
testing results would indicate that the patient has chronic hepatitis?
1.HBsAg = negative, anti-HBc = positive
2.HBsAg = positive, IgM anti-HBc = negative
3.HBsAg = positive, IgM anti-HBc = positive
4.HBsAg = negative, anti-HBs = positive - ✅2. HBsAg = positive, IgM anti-HBc =
negative
Rational: HBsAg means infected
IgM anti-HBc means immune
Which of the following is a common cause of acne?
1.Use of oral contraceptives
2.Ingestion of soda and chocolate
3.Increase in androgens
4.Low-glycemic diet - ✅3. Increase in androgens
Rational: Oral contraceptives help control acne and decrease androgens. Soda and
chocolate have not been proven to have a significant impact on acne.
Which trimester of pregnancy is a woman with a fundal height measurement at the
umbilicus?
1.First
2.Second
3.Third
4.Fourth - ✅2. Second
Rational: The level of the umbilicus is 20 weeks. There are 3 trimesters divided into, 1st
(0-13 weeks), 2nd (14-26 weeks), 3rd (27-40 weeks).
Which of the following conditions is a risk factor for development of deep vein
thromboembolism and pulmonary embolism?
1.Visceral malignancy
2.Sudden weight gain
3.Copper IUD insertion
4.Aerobic exercise - ✅1. Visceral malignancy
Rational: Cancers of the brain, ovary, pancreas, colon, stomach, lung and kidney have
the highest risk of DVT/PE.
An adult male presents with intermittent retrosternal burning. He has gained 30 lb in the
past year. Physical examination results are unremarkable and the EKG is normal. The
most likely diagnosis is:
1.pericarditis.
2.gastroesophageal reflux.
3.cholecystitis.
4.costochondritis. - ✅2. .gastroesophageal reflux (GERD)
, Rational: Look at the key words: retrosternal burning, weight gain, unremarkable
physical exam. Pericarditis would most likely have other symptoms persistent fatigue
and shortness of breath, swelling of the feet, legs and abdomen often with weight gain
(heart failure type symptoms). cholecystitis would have an abnormal physical exam and
not retrosternal burning. costochondritis might mimic that of a heart attack or other heart
conditions. Pain with breathing.
A geriatric patient presents with a bump on the vulva, associated with pruritis and
malodorous drainage. Examination reveals a raised, ulcerated lesion. The most likely
diagnosis is:
1.vulvar cancer.
2.lymphogranuloma inguinale.
3.vulvar atrophy.
4.Paget's disease. - ✅1. Vulvar Cancer
Rational: Key words, geriatric, bump, pruritus.
lymphogranuloma inguinale and vulvar atrophy there is no bump. Paget's disease is a
bone disease.
A geriatric female complains of problems with urination. She reports that whenever she
feels the need to urinate, she is unable to "make it to the bathroom in time," and wets
herself. Which type of incontinence is most likely?
1.Urge
2.Overflow
3.Transient
4.Stress - ✅1. Urge
Rational: Key words, geriatric, feels the need.
Transient is due to an underline medical problem. Stress is due to increase
pressure/stress
An adult patient presents with complaints of nausea, fatigue, and myalgia. The patient
reports a history of untreated hepatitis B 30 years ago. Which hepatitis B serology
testing results would indicate that the patient has chronic hepatitis?
1.HBsAg = negative, anti-HBc = positive
2.HBsAg = positive, IgM anti-HBc = negative
3.HBsAg = positive, IgM anti-HBc = positive
4.HBsAg = negative, anti-HBs = positive - ✅2. HBsAg = positive, IgM anti-HBc =
negative
Rational: HBsAg means infected
IgM anti-HBc means immune
