CMN 577 FINAL FALL 2021 University of
South Alabama FNP
An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on his
skin. One of those lesion measures 1.6 cm. What is the child at risk for? -
CORRECT ANSWER-Neurofibromatosis
Isotretinoin (Accutane) is commonly used for the treatment of severe cystic acne
that has not responded to standard treatment. Which of the following
considerations is not true for prescribing Isotretinoin? - CORRECT
ANSWER-Isotretinoin can be prescribed by any healthcare provider
A 1-month-old female presents to your clinic with her mother for a well child
check. The mother reports a bright red, rubbery appearing bump that is located
on her daughter's neck. She says that it started out as a flat red area, but now it
has grown and is sticking out. This most likely represents which type of birthmark
- CORRECT ANSWER-Hemangioma
You are seeing a 6-year-old male who was brought in by his mother. The mother
reports they recently took a family vacation last week and stayed in a few
different hotels. He developed significant itching and a rash the day of returning
home. He is noted to continuously scratch during the visit. The father and older
sister also have a similar rash that developed at the same time. On exam, you
note linear burrows around his wrists, ankles, in the webbing of his fingers, and
axillary folds with excoriations present. There is no facial involvement. He has
never had anything like this before. The most likely diagnosis would be -
CORRECT ANSWER-scabies
A 16-year-old female presents to clinic accompanied by her mother. She has a
rash that appears as erythematous plaques with thick, white, silvery overlying
scales on her elbows, knees, and umbilicus. She reports this has been going on
for about 2 years and tends to come and go. The mother reports her father has
psoriasis. The patient is not on any medications and she is not currently treating
her rash with anything. She has tried various moisturizers in the past but has
never had a prescription to treat this. She weighs 130 pounds and has no
,allergies. You diagnose her with psoriasis with body surface area involvement
less than 10%. Which is the best option as first line therapy - CORRECT
ANSWER-Clobetasol (Temovate) 0.05% ointment.
A 3-year-old-boy presents to clinic with his mother with honey-colored crusted
sores around his mouth and nose. The mother states her son started attending
daycare a couple of weeks ago and noticed the sores starting to develop earlier
this week. Which highly contagious childhood illness do you suspect - CORRECT
ANSWER-impegtigo
Blepharitis that occurs in children has a strong correlation with which disease -
CORRECT ANSWER-rosacea
A child with Sturge-Weber Syndrome (SWS) will most likely have what finding on
the physical exam - CORRECT ANSWER-port wine nevous on the face
What skin disorder is seen with short hyphae and yeast on microscopic
examination of scales - CORRECT ANSWER-tinea versicolor
A mother brings her two-month-old to your clinic to establish care after a recent
move. She asks you about a raised red "mole-like" spot on the infant's forehead
that has grown in size over the last few weeks. You determine it is most likely a
hemangioma. The mother then asks what the treatment is. What would be an
appropriate response - CORRECT ANSWER-Watchful approach is appropriate
as these lesions typically fade as the child ages
At the 6-month checkup a mother is inquiring about a bulge in her son's right
groin. She states it comes and goes and seems to disappear when he is fussing.
The bulge is non tender when palpated and has a 'silk glove' feel. The findings
are most consistent with which type of hernia - CORRECT ANSWER-inguinal
A 62-year-old female with osteoarthritis of her left knee is prescribed meloxicam
(Mobic) 7.5mg PO daily for pain; when reviewing the patient's history and
developing the patient's treatment plan, the nurse practitioner knows to assess
for: - CORRECT ANSWER-History of peptic ulcer disease and prescribe a PPI
along with an NSAID
, You are evaluating a 4-year-old child for possible Duchenne muscular dystrophy
(DMD). All of the following are characteristic of DMD except - CORRECT
ANSWER-Increased gastrointestinal motility
Your next patient is a 60-year-old female. At the patient's yearly wellness exam,
she mentions that her hands and fingers have started having pain. This pain is
usually in the mornings and improves with increased movement as the day goes
on. She can hardly open her bottle of water when the pain is more severe, and
the joints in her fingers appear swollen. She also says as the months go by, she
feels her pain is steadily getting worse. What type of arthritis does the advanced
practice nurse suspect? - CORRECT ANSWER-Rheumatoid arthritis
A bone mineral density T score of -1.5 indicates? - CORRECT
ANSWER-osteopenia
Which of the following statements about slipped capital femoral epiphysis (SCFE)
is TRUE? - CORRECT ANSWER-The initial treatment includes the non-weight
bearing status with the use of crutches and referral to an orthopedic surgeon.
The management of scoliosis depends on all of the following EXCEPT: -
CORRECT ANSWER-Serial spinal x-rays, bracing, and frequent observation
rather than surgery.
A patient presents to the clinic with weakness and pain with an active range of
motion to the right shoulder. The nurse practitioner knows that the recommended
diagnostic test for visualizing a rotator cuff tear is: - CORRECT ANSWER-MRI
A patient presents to the clinic with constant, dull pain in the knee. The x-ray
reveals advanced osteoarthritis. All of the following are conservative treatments
of osteoarthritis of the knee except: - CORRECT ANSWER-Running on a
treadmill
What syndrome is caused by ligamentous laxity, joint pain, and swelling
occasionally that occurs a few days post increased physical activity? -
CORRECT ANSWER-hypermobility syndrome
South Alabama FNP
An 8-year boy presents to the clinic with 8 light-brown, oval macule lesions on his
skin. One of those lesion measures 1.6 cm. What is the child at risk for? -
CORRECT ANSWER-Neurofibromatosis
Isotretinoin (Accutane) is commonly used for the treatment of severe cystic acne
that has not responded to standard treatment. Which of the following
considerations is not true for prescribing Isotretinoin? - CORRECT
ANSWER-Isotretinoin can be prescribed by any healthcare provider
A 1-month-old female presents to your clinic with her mother for a well child
check. The mother reports a bright red, rubbery appearing bump that is located
on her daughter's neck. She says that it started out as a flat red area, but now it
has grown and is sticking out. This most likely represents which type of birthmark
- CORRECT ANSWER-Hemangioma
You are seeing a 6-year-old male who was brought in by his mother. The mother
reports they recently took a family vacation last week and stayed in a few
different hotels. He developed significant itching and a rash the day of returning
home. He is noted to continuously scratch during the visit. The father and older
sister also have a similar rash that developed at the same time. On exam, you
note linear burrows around his wrists, ankles, in the webbing of his fingers, and
axillary folds with excoriations present. There is no facial involvement. He has
never had anything like this before. The most likely diagnosis would be -
CORRECT ANSWER-scabies
A 16-year-old female presents to clinic accompanied by her mother. She has a
rash that appears as erythematous plaques with thick, white, silvery overlying
scales on her elbows, knees, and umbilicus. She reports this has been going on
for about 2 years and tends to come and go. The mother reports her father has
psoriasis. The patient is not on any medications and she is not currently treating
her rash with anything. She has tried various moisturizers in the past but has
never had a prescription to treat this. She weighs 130 pounds and has no
,allergies. You diagnose her with psoriasis with body surface area involvement
less than 10%. Which is the best option as first line therapy - CORRECT
ANSWER-Clobetasol (Temovate) 0.05% ointment.
A 3-year-old-boy presents to clinic with his mother with honey-colored crusted
sores around his mouth and nose. The mother states her son started attending
daycare a couple of weeks ago and noticed the sores starting to develop earlier
this week. Which highly contagious childhood illness do you suspect - CORRECT
ANSWER-impegtigo
Blepharitis that occurs in children has a strong correlation with which disease -
CORRECT ANSWER-rosacea
A child with Sturge-Weber Syndrome (SWS) will most likely have what finding on
the physical exam - CORRECT ANSWER-port wine nevous on the face
What skin disorder is seen with short hyphae and yeast on microscopic
examination of scales - CORRECT ANSWER-tinea versicolor
A mother brings her two-month-old to your clinic to establish care after a recent
move. She asks you about a raised red "mole-like" spot on the infant's forehead
that has grown in size over the last few weeks. You determine it is most likely a
hemangioma. The mother then asks what the treatment is. What would be an
appropriate response - CORRECT ANSWER-Watchful approach is appropriate
as these lesions typically fade as the child ages
At the 6-month checkup a mother is inquiring about a bulge in her son's right
groin. She states it comes and goes and seems to disappear when he is fussing.
The bulge is non tender when palpated and has a 'silk glove' feel. The findings
are most consistent with which type of hernia - CORRECT ANSWER-inguinal
A 62-year-old female with osteoarthritis of her left knee is prescribed meloxicam
(Mobic) 7.5mg PO daily for pain; when reviewing the patient's history and
developing the patient's treatment plan, the nurse practitioner knows to assess
for: - CORRECT ANSWER-History of peptic ulcer disease and prescribe a PPI
along with an NSAID
, You are evaluating a 4-year-old child for possible Duchenne muscular dystrophy
(DMD). All of the following are characteristic of DMD except - CORRECT
ANSWER-Increased gastrointestinal motility
Your next patient is a 60-year-old female. At the patient's yearly wellness exam,
she mentions that her hands and fingers have started having pain. This pain is
usually in the mornings and improves with increased movement as the day goes
on. She can hardly open her bottle of water when the pain is more severe, and
the joints in her fingers appear swollen. She also says as the months go by, she
feels her pain is steadily getting worse. What type of arthritis does the advanced
practice nurse suspect? - CORRECT ANSWER-Rheumatoid arthritis
A bone mineral density T score of -1.5 indicates? - CORRECT
ANSWER-osteopenia
Which of the following statements about slipped capital femoral epiphysis (SCFE)
is TRUE? - CORRECT ANSWER-The initial treatment includes the non-weight
bearing status with the use of crutches and referral to an orthopedic surgeon.
The management of scoliosis depends on all of the following EXCEPT: -
CORRECT ANSWER-Serial spinal x-rays, bracing, and frequent observation
rather than surgery.
A patient presents to the clinic with weakness and pain with an active range of
motion to the right shoulder. The nurse practitioner knows that the recommended
diagnostic test for visualizing a rotator cuff tear is: - CORRECT ANSWER-MRI
A patient presents to the clinic with constant, dull pain in the knee. The x-ray
reveals advanced osteoarthritis. All of the following are conservative treatments
of osteoarthritis of the knee except: - CORRECT ANSWER-Running on a
treadmill
What syndrome is caused by ligamentous laxity, joint pain, and swelling
occasionally that occurs a few days post increased physical activity? -
CORRECT ANSWER-hypermobility syndrome
