Name: Score:
46 Multiple choice questions
Definition 1 of 46
A 51 ear old male requests a prescription for sildenafil (Viagra). He says that the only
medication he takes is isosorbide mononitrate (Monoket) oral tablets and that he has diabetes
which is controlled with diet alone. What should the NP tell him?
Prescribing an alpha-adrenergic blocker
Elevated WBC count and an elevated Erythrocyte Sedimentation Rate (ESR)
Nocturnal Penile Tumescence and Rigidity test (NPTR)
"Viagra is contraindicated with isosorbide mononitrate; let's discuss other options."
Definition 2 of 46
A 16 year old boy presents to the office with complaints of low back pain after lifting heavy
boxes. In discussing with him proper body mechanics to prevent future injuries, the clinician
should advise which of the following?
"lift with your back to maximize strength"
"twist your torso while lifting to gain leverage"
"keep your legs straight and bend at the waist"
"Bend your knees and face the object straight on"
Definition 3 of 46
A 49 year old female presents with low back pain radiating into the right leg. An x-ray of the
lumbosacral spine is within normal limits. Which of the following diagnoses do you explore
further?
Herniated nucleus pulposus
Osteoporosis
Spinal stenosis
Functional scoliosis
,Definition 4 of 46
A 72 year old obese male has gout. When teaching him about diet, which of the following
should the clinician advise?
"increase protein intake to help manage gout symptoms effectively"
"Fluid intake should exceed three thousand mL daily to prevent formation of uric acid
kidney stones"
"limit fluid intake to reduce kidney workload and prevent gout attacks"
"avoid all fruits and vegetables as they can trigger gout flares"
Definition 5 of 46
A 62 year old male has a low international prostate symptom score for lower urinary tract
symptoms associated with his BPH. The NP should recommend:
Prescribe a high-dose diuretic for symptom relief
No treatment at this time
Immediate surgical intervention is necessary
Start a regimen of hormone replacement therapy
Definition 6 of 46
A 15 year old male comes to the clinic in acute distress with "belly pain." When obtaining his
history, the NP finds that he fell off his bike this morning and has vomited. Upon closer
examination, the NP determines the belly pain to be left-sided groin pain or pain in his left
testicle. He is afebrile and reports no dysuria. Which of the following diagnoses is most likely?
Varicocele
Scaphoid fracture
Testicular torsion
Orchitis
,Definition 7 of 46
A condition in which the testis twists on the spermatic cord, thereby compromising blood flow
to the testicle. This is a surgical emergency. Examination usually reveals a tender scrotal mass
high in the hemiscrotum, and there is frequently a reactive hydrocele around the testis,
obscuring anatomical detail. The scrotum can become erythematous and edematous. The
cremasteric reflex is frequently blunted on the side of the torsion.
Urethral stricture
Testicular torsion
Testicular torison
Cervical radiculopathy
Definition 8 of 46
The most common cause of hyperthyroidism is:
Cushing syndrome
Diabetes mellitus
Addison's disease
Graves disease
Definition 9 of 46
A low thyroid-stimulating hormone (TSH) can lead to:
Osteoarthritis
Diabetes Mellitus
Osteoporosis
Osteomalacia
, Definition 10 of 46
Alice, age 48, has a benign thyroid nodule. The most common treatment involves:
Thyroid Stimulating Hormone (TSH)
Beta human chorionic gonadotropin
Watchful waiting with annual follow up
A nonsteroidal anti-inflammatory drug (NSAID)
Definition 11 of 46
Which of the following body mass index (BMI) values defines class 1 obesity?
The rate of hypothyroidism decreases with age
Exophthalmos
30
4
Definition 12 of 46
In assessing the skeletal muscles, the clinician turns the patient's forearm so that the palm is
face up. This is called:
Pronation
Abduction
Supination
Inversion
46 Multiple choice questions
Definition 1 of 46
A 51 ear old male requests a prescription for sildenafil (Viagra). He says that the only
medication he takes is isosorbide mononitrate (Monoket) oral tablets and that he has diabetes
which is controlled with diet alone. What should the NP tell him?
Prescribing an alpha-adrenergic blocker
Elevated WBC count and an elevated Erythrocyte Sedimentation Rate (ESR)
Nocturnal Penile Tumescence and Rigidity test (NPTR)
"Viagra is contraindicated with isosorbide mononitrate; let's discuss other options."
Definition 2 of 46
A 16 year old boy presents to the office with complaints of low back pain after lifting heavy
boxes. In discussing with him proper body mechanics to prevent future injuries, the clinician
should advise which of the following?
"lift with your back to maximize strength"
"twist your torso while lifting to gain leverage"
"keep your legs straight and bend at the waist"
"Bend your knees and face the object straight on"
Definition 3 of 46
A 49 year old female presents with low back pain radiating into the right leg. An x-ray of the
lumbosacral spine is within normal limits. Which of the following diagnoses do you explore
further?
Herniated nucleus pulposus
Osteoporosis
Spinal stenosis
Functional scoliosis
,Definition 4 of 46
A 72 year old obese male has gout. When teaching him about diet, which of the following
should the clinician advise?
"increase protein intake to help manage gout symptoms effectively"
"Fluid intake should exceed three thousand mL daily to prevent formation of uric acid
kidney stones"
"limit fluid intake to reduce kidney workload and prevent gout attacks"
"avoid all fruits and vegetables as they can trigger gout flares"
Definition 5 of 46
A 62 year old male has a low international prostate symptom score for lower urinary tract
symptoms associated with his BPH. The NP should recommend:
Prescribe a high-dose diuretic for symptom relief
No treatment at this time
Immediate surgical intervention is necessary
Start a regimen of hormone replacement therapy
Definition 6 of 46
A 15 year old male comes to the clinic in acute distress with "belly pain." When obtaining his
history, the NP finds that he fell off his bike this morning and has vomited. Upon closer
examination, the NP determines the belly pain to be left-sided groin pain or pain in his left
testicle. He is afebrile and reports no dysuria. Which of the following diagnoses is most likely?
Varicocele
Scaphoid fracture
Testicular torsion
Orchitis
,Definition 7 of 46
A condition in which the testis twists on the spermatic cord, thereby compromising blood flow
to the testicle. This is a surgical emergency. Examination usually reveals a tender scrotal mass
high in the hemiscrotum, and there is frequently a reactive hydrocele around the testis,
obscuring anatomical detail. The scrotum can become erythematous and edematous. The
cremasteric reflex is frequently blunted on the side of the torsion.
Urethral stricture
Testicular torsion
Testicular torison
Cervical radiculopathy
Definition 8 of 46
The most common cause of hyperthyroidism is:
Cushing syndrome
Diabetes mellitus
Addison's disease
Graves disease
Definition 9 of 46
A low thyroid-stimulating hormone (TSH) can lead to:
Osteoarthritis
Diabetes Mellitus
Osteoporosis
Osteomalacia
, Definition 10 of 46
Alice, age 48, has a benign thyroid nodule. The most common treatment involves:
Thyroid Stimulating Hormone (TSH)
Beta human chorionic gonadotropin
Watchful waiting with annual follow up
A nonsteroidal anti-inflammatory drug (NSAID)
Definition 11 of 46
Which of the following body mass index (BMI) values defines class 1 obesity?
The rate of hypothyroidism decreases with age
Exophthalmos
30
4
Definition 12 of 46
In assessing the skeletal muscles, the clinician turns the patient's forearm so that the palm is
face up. This is called:
Pronation
Abduction
Supination
Inversion
