ANSWERS 2025
AA72-year-
oldAwomanAhasAbeenAonAhydrochlorothiazideA12.5AmgAforAmanyAyearsAtoAcontrolAherAStag
eAIIAhypertension.AHerAbloodApressureA(BP)AatAthisAvisitAisA168/96.ASheAisAcurrentlyAcompla
iningAofApainAonAherArightAhipAandAonAbothAknees.ASheAhasAincreasedAherAdoseAofAibuprofe
nA(Motrin)AfromA400AmgA3AtimesAdayA(TID)AtoA800AmgATID.ASheAisAstillAinApainAandAwouldAli
keAsomethingAstronger.AWhichAofAtheAfollowingAstatementsAisAtheAbestAexplanationAofAtheA
effectsAofAibuprofenA(Motrin)AonAherAdisease?
A)AItAincreasesAtheAchancesAofAadverseAeffectsAtoAherAhealth
B)AItAinhibitsAtheAeffectAofArenalAprostaglandinsAandAbluntsAtheAeffectivenessAofAtheAdiuretic
C)AItAprolongsAtheAtherapeuticAeffectsAofAhydrochlorothiazideAandAotherAdiuretics
D)ANoneAofAtheAstatementsAareAtrueA-AcorrectAanswers-
B)AItAinhibitsAtheAeffectAofArenalAprostaglandinsAandAbluntsAtheAeffectivenessAofAtheAdiuretic
.
NSAIDsAandAASAAinhibitAtheAvasodilatoryAeffectsAofAprostaglandins,AwhichApredisposesAth
eAkidneyAtoAischemia.ANSAIDsAandAdiureticsAcanAcauseAacuteAprerenalAfailureAbyAdecreas
ingArenalAbloodAflow.
2.AAllAofAtheAfollowingAareAinfectionsAthatAaffectAmostlyAtheAlabiaAandAvaginaAexcept:
A)ABacterialvaginosis
B)ACandidiasis
C)ATrichomoniasis
D)AChlamydiaAtrachomatisA-AcorrectAanswers-D)AChlamydiaAtrachomatis
InfectionsAthatAcommonlyAaffectAtheAlabiaAandAvaginaAincludeAbacterialAvaginosis,Acandidi
asis,AandAtrichomoniasis.AChlamydiaAtrachomatisAcommonlyAaffectsAtheAcervix,Aendometr
ialAliningA,AfallopianAtubes,AandApelvicAcavity.
TheAnurseApractitionerAwouldAtestAtheAobturatorAandAiliopsoasAmuscleAtoAevaluateAfor:
A)ACholecystitis
B)AAcuteAappendicitis
C)AInguinalAhernia
D)AGastriculcerA-AcorrectAanswers-B)AAcuteAappendicitis.
SignsAandAsymptomsAofAanAacuteAabdomenAincludeAinvol-
AuntaryAguarding,AreboundAtenderness,AboardlikeAabdomen,AandAaApositiveAobtu-
AratorAandApsoasAsign.AAApositiveAobturatorAsignAoccursAwhenApainAisAelictedAbyAinternalAro
tationAofAtheArightAhipAfromA90AdegreesAhip/kneeAflexion.ATheApsoasAsignAisApositiveAwhenA
painAoccursAwithApassiveAextensionAofAtheAthighAwhileAtheApatientAisAlyingAonAhis/herAsideA
withAkneesAextended,AorAwhenApainAoccursAwithAactiveAflexionAofAhis/herAthighAatAtheAhip.
TreatmentAforAmildApreeclampsiaAincludesAallAofAtheAfollowingAexcept:
,A)ABedArestAexceptAforAbathroomAprivileges
B)ACloseAmonitoringAofAweightAandAbloodApressure
C)ACloseAfollow-upAofAurinaryAprotein,AserumAcreatinine,AandAplateletAcount
D)AAAprescriptionAofAmethyldopaA(Aldomet)AtoAcontrolAbloodApressureA-AcorrectAanswers-
D)AAAprescriptionAofAmethyldopaA(Aldomet)AtoAcontrolAbloodApressureA
RecommendedAcareAforAwomenAdiagnosedAwithApreeclampsiaAincludesAbedArestAwithAbat
h-
AroomAprivileges,AweightAandABPAmonitoring,AandAcloselyAfollowingAurineAproteinAandAseru
mAprotein,Acreatinine,AandAplateletAcounts.AOralAmedicationsAareAnotAusedAasAfirst-
lineAtreatment.
AllAofAtheAfollowingAservicesAareAcoveredAunderAMedicareAPartAAAexcept:
A)AInpatienthospitalizations
B)AMedicinesAadministeredAtoAaApatientAwhileAhospitalized
C)ANursingAhomeAcare
D)ASurgeonsA-AcorrectAanswers-C)ANursingAhomeAcare
MedicareAAAcoverageAincludesAinpatientAhospitalizationAandAskilledAcareAgivenAinAaAcertifi
edAskilledAnursingAfacility.AMostAnursingAhomeAcareAisAcustodialAcareA(helpAwithAbathing,Ad
ressing,AusingAaAbathroom,AandAeating).AThisAcareAisAnotAcoveredAbyAMedicareAA.
AA28-year-
oldAstudentAisAseenAinAtheAschoolAhealthAclinicAwithAcomplaintsAofAaAhackingAcoughAthatAisA
productiveAofAsmallAamountsAofAsputumAandAaArunnyAnose.AHeAdoesAnotAtakeAanyAmedicat
ions,AdeniesAanyAallergies,AandAhasAnoAsignificantAmedicalAhistory.APhysicalAexaminationAr
evealsAaAlow-
gradeAtemperatureAofA99.9AdegreesAFahrenheit,ArespirationsAofA16/min,AaApulseAofA90Abea
tsAperAminute,AandAdiffuseAfineAcracklesAinAtheAbaseAofAtheAlungs.AAAchestAradiographA(x-
ray)AshowsAdiffuseAinfiltratesAonAtheAlowerAlobeAofAtheArightAlung.ATheAtotalAwhiteAbloodAcell
AcountAisA10,500/uL.AWhatAisAtheAmostAlikelyAdiagnosis?
A)AStreptococcalApneumonia
B)AMycoplasmaApneumonia
C)AAcuteAbronchitis
D)ALegionnairesAdiseaseA-AcorrectAanswers-B)AMycoplasmaApneumoniaA
MycoplasmaApneumoniaAisAtheAorganismAmostAcom-
AmonlyAseenAinAchildrenAandAyoungAadults.AItAisAeasilyAspreadAfromAdroplets,AfromAsneezin
gAandAcoughing,AinAcloseAproximity.ADiagnosisAisAbasedAonAsymptomsAandAx-
rayAresultsAofAinfiltratesAinAlowerAlobes.
AA39-year-
oldAmigrantAworkerApresentsAtoAtheAclinicA2.5AdaysAafterAaApurifiedAproteinAderivativeA(PPD
)Atest.AWhatAminimumAsizeAofAindurationAwouldAbeAconsideredAposi-AtiveAforAthisApatient?
A)A3AmmAB)A5AmmAC)A10AmmAD)A15AmmA-AcorrectAanswers-C)A10AmmA
,TheAPPDAisAadministeredAonAtheAvolarAaspectAofAtheAlowerAarmAandAreadA48AhoursAafterAt
heAtestAisAgiven.ATheAPPDAresultAmustAhaveAindurationAandAmeasureA10AmmAorAgreaterAto
AbeApositiveAinAaAlow-
riskApatient.AIndurationA(firmnessAwithApalpation)AmustAbeApresent.AIfAtheAsiteAhasAerythem
aAbutAnoAinduration,AresultAwouldAbeAnegative.AColorAisAnotAimportant.
AllAofAtheAfollowingAareAcorrectAstatementsAregardingAtheAroleAofAtheApersonAnamedAinAaAd
urableApowerAofAattorneyAexcept:
A)ATheAagent'sAdecisionsAareAlegallyAbinding
B)ATheAagentAcanAmakeAdecisionsAinAotherAareasAofAtheApatient'sAlifeAsuchAasAfinancial
issues
C)ATheAagentAcanAdecideAforAtheApatientAwhoAisAonAlifeAsupportAwhenAthatAlifeAsupport
canAbeAterminated
D)ATheApatient'sAspouseAhasAaArightAtoAoverrideAtheAagent'sAdecisionsA-AcorrectAanswers-
D)ATheApatient'sAspouseAhasAaArightAtoAoverrideAtheAagent'sAdecisionsA
TheApersonAnamedAinAaAdurableApowerAofAattorneyA(theAagent)AisAdesignatedAbyAtheApatie
ntAtoAmakeAallAmedicalAdecisions,AasAwellAasAanyAdecisionsAregardingAtheApatient'sAprivate
AaffairsAinAtheAeventAthatAtheApatientAbecomesAincompetentAandAunableAtoAmakeAhis/herAo
wnAdecisions.ANoAoneAhasAtheAabilityAtoAoverrideAtheAagent'sAdecision.
AllAofAtheAfollowingAareAtrueAstatementsAregardingAMunchausenAsyndromeAexcept:
A)AItAisAconsideredAaAmentalAillness
B)ATheApatientAhasAaAmedicalAillnessAthatAcausesAanAanxietyAreactionAandAdenial
C)ATheApatientAfakesAanAillnessAinAorderAtoAgainAattentionAfromAhealthAcareAproviders
D)ATheApatientAhasAanAinconsistentAmedicalAhistoryAalongAwithAaApastAhistoryAof
frequentAhospitalizationsA-AcorrectAanswers-
B)ATheApatientAhasAaAmedicalAillnessAthatAcausesAanAanxietyAreactionAandAdenialA
MunchausenAsyndromeAisAaApsychiatricAdisorderAinAwhichAtheApatientAfakesAaAmedicalAilln
essAorAdisorderAtoAgainAattentionAfromAhealthAcareAprovid-
Aers.ATheseApatientsAcommonlyAuseAtheAemergencyAdepartmentAfrequentlyAtoAgainAattenti
on.
WhichAofAtheAfollowingAantihypertensiveAmedicationsAshouldAtheAnurseApractitionerAavoidA
whenAtreatingApatientsAwithAemphysema?
A)ACalciumAchannelAblockers
B)AAngiotensin-convertingAenzymeA(ACE)Ainhibitors
C)ABeta-blockers
D)ADiureticsA-AcorrectAanswers-C)ABeta-blockersA
Beta-
blockersAshouldAbeAavoidedAinApatientsAwithAaAhistoryAofAemphysema.AStudiesAhaveAshow
nAevidenceAofAaAreductionAinAforcedAexpiratoryAvolumeAinA1AsecondA(FEV1),AincreasedAair
wayAhyperresponsiveness,AandAinhibitionAofAbronchodilatorAresponseAtoAbetaAagonistsAinA
, patientsAreceivingAnon-selectiveAbeta-AblockersAandAhighAdosesAofAcardioselectiveAbeta-
blockers.
AA30-year-
oldAchefAcomplainsAofApruriticAhivesAoverAherAchestAandAarmsAbutAdeniesAdifficultyAswallow
ingAorAbreathing.ASheAreportsAaAfamilyAhistoryAofAallergicArhinitisAandAasthma.AWhichAofAthe
AfollowingAinterventionsAisAmostAappropriate?
A)APerformAaAcompleteAandAthoroughAhistory
B)APrescribeAanAoralAantihistamineAsuchAasAdiphenhydramineA25AmgAPOAQID
C)AGiveAanAinjectionAofAepinephrineA1:1000AintramuscularlyAstatA
D)ACallA911A-AcorrectAanswers-A)APerformAaAcompleteAandAthoroughAhistoryA
PriorAtoAprescribingAmedications,AaAcompleteAandAthoroughAhistoryAmustAbeAperformedAtoA
determineApossibleAcausesAofAhives.ATheApatientAdeniedAdifficultyAwithAswallowingAandAbr
eathing,AsoAthereAwasAnoAmedicalAemergencyAtoArequireAcallingA911.
WhichAofAtheAfollowingAfindingsAisAmostAlikelyAinAyoungAprimigravidasAwithApregnancy-
inducedAhypertension?
A)AAbdominalAcrampingAandAconstipation
B)AEdemaAofAtheAfaceAandAtheAupperAextremities
C)AShortnessAofAbreath
D)ADysuriaAandAfrequencyA-AcorrectAanswers-
B)AEdemaAofAtheAfaceAandAtheAupperAextremitiesA
CommonAsignsAandAsymptomsAofApregnancy-
inducedAhypertensionAincludeAedemaAofAtheAfaceAandAtheAupperAextremities,AweightAgain,A
blurredAvision,AelevatedABP,Aproteinuria,AandAheadaches.
WhichAofAtheAfollowingAsymptomsAisAassociatedAwithAB12AdeficiencyAanemia?
A)ASpoon-shapedAnailsAandApica
B)AAnAabnormalAneurologicalAexam
C)AAAveganAdiet
D)ATinglingAandAnumbnessAofAbothAfeetA-AcorrectAanswers-
D)ATinglingAandAnumbnessAofAbothAfeetA
VitaminAB12AdeficiencyAanemiaAcanAcauseAnerveAcellAdamageAifAnotAtreated.ASymptomsAo
fAB12AdeficiencyAanemiaAmayAincludeAtinglingAorAnumbnessAinAfingersAandAtoes,AdifficultyA
walking,AmoodAchangesAorAdepression,AmemoryAloss,Adisorientation,AandAdementia.
AAsecondAtripleAscreenAonAaA35-year-oldAprimigravidaArevealsAabnormallyAlowAlev-
AelsAofAtheAalphaAfetoproteinAandAestriolAandAhighAlevelsAofAhumanAchorionicAgonad-
Aotropin.AWhichAofAtheAfollowingAinterventionsAisAtheAbestAchoiceAforAthisApatient?
A)AOrderAanAultrasound
B)AOrderAaAcomputedAtomographyA(CT)AscanAofAtheAabdomen
C)AOrderAaA24-hourAurineAforAproteinAclearance