3P Practice Questions with Correct Answers

3P Practice Questions with Correct Answers The groove of the metacarpophalangeal joint can be palpated by having the patient: - Ans:-flex his hand When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: - Ans:-vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion (looses ability to pump out blood) 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 have the high suspicion for bipolar if which symptom was present? - Ans:-he sleeps less than 4 hours nightly Using GTPAL nomenclature, how would document a patient currently pregnant with a hx of uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective abortion? - Ans:-G4 T1 P1 A1 L3 (mult births count as 1 pregnancy and 1 birth) What is the most likely presenting symptom in a pediatric patient with croup? - Ans:-barking cough ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/14 47 year old woman post total hysterectomy and estrogen hormone therapy. Which is contraindicated? - Ans:-Heart disease Severe aortic regurgitation symptoms with dyspnea - Ans:-dry cough, angina, hypotension, systolic murmur Unipolar depression. What medications are not considered? - Ans:-TCA (tricyclic antidepressants); Buspar, SSR, wellbutin are all okay Which of the following statements is most accurate about cough associated with ACEI? - Ans:- Asthma Conductive Hearing loss - Ans:-External ear, middle ear, or both problem Which of the following is a risk factor for the development of prostate enlargement? - Ans:-Diabetes; Obesity, heart and circulatory disease, DM2 Patients with suspected PAD may be asymptomatic or may complain of which symptom in the lower extremity? - Ans:-Pain during activity A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to have ascites and JVD should be evaluated for: - Ans:-heart failure ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/14 23 year old woman is having frequent migraines and needs a prophylactic medication. She also has asthma. The medication should be avoided in this patient: - Ans:-Propranolol (inderal); can cause increase bronchospasm 45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is safe to use with warfarin? - Ans:-Clarithromycin (PCN and cephalosporins are okay) On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck and boutoniere deformities which she knows are related to the diagnosis of - Ans:-rheumatoid arthritis 28 year old woman has symptoms of asthma daily and several nights a week. She uses a SABA and will be starting fluticasone/salmeterol (Advair). Advair: - Ans:-is not effective during an acute asthma attack The main lymphatic channel that drains lymph back to the systemic circulation from the entire body, with the exception of the RT arm, thorax, head and neck is the - Ans:-thoracic duct Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35 weeks gestation if the fundal height measurement is - Ans:-32 A 22 year old patient presents with complaints of headaches with associated nausea and vomitting. The LEAST likely differential diagnosis for this patient is - Ans:-tension headaches ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/14 The symptoms that will help differentiate acute pyelonephritis from acute nephrolithiasis is the presence of - Ans:-costovertebral pain While assessing an 80 year old man, the NP considers the need to evaluate for depression based on the patient's - Ans:-poor motivation to participate in care Acute gout attack. What should not be initiated? - Ans:-Probenecid Serotonin syndrome is suspected. What symptoms? - Ans:-rapid hea