Accurate Questions and
Answers 2025/2026
The bacterium responsible for the highest mortality in pts with CAP is:
A. Strep Pneumo
B. Mycoplasma pneumo
C. Moraxella catarrhalis
D. Haemophilus influenzae - Correct Answers-Streptococcus pneumoniae
When initially treating adults for bronchitis, which would the NP be least
likely to order?
A. Expectorants
B. Antibiotics
C. Bronchodilators
D. Antitussives - Correct Answers-B. Antibiotics
What is the least common pathogen found in community-acquired atypical
pneumonia?
A. Moxarella catarrhalis
B. Strep Pneumo
C. Pseudomonas aeruginosa
D. Mycoplasma Pneumonia - Correct Answers-C. Pseudomonas: is an
uncommon cause of CAP but is very difficult bacteria to treat
Which of the following is recommended for erythema migrans treatment in
early stages of lyme disease?
A. Doxycyline (Vibramycin) 100mg PO BID X21 days
B. Ciprofloxacin (Cipro) 250 mg PO BID X14 days
C. Erythromycin (E-mycin) 333mg PO TID X10 days
D. Dixoxacillin 500mg PO BID X 10 days - Correct Answers-A. Doxycyline
100mg PO BID X21 days- Recommended by the CDC as gold standard
treatment
28 y.o. student presents with "hacking cough." Productive with small
amounts sputum, runny nose. Doesn't take any meds, no allergies, no
significant PMH. Temp: 99.9F, Resp: 16/min, HR: 90 BPM, diffuse fine
, crackles. CXR shows diffuse infiltrates in lower lobe of right lung. CBC shows
WBC count 10,500. What is most likely diagnosis?
A. Strep pneumo
B. Mycoplasma pneumo
C. Acute Bronchitis
D. Legionnaires disease - Correct Answers-B. Mycoplasma: most commonly
seen in children and young adults. spread through droplets, sneezing and
coughing at close distance. DX made through sx and CXR showing infiltrate
to lower lobes
30 y.o. c/o pruritic hives over chest/ arms but denies SOB, difficulty
swallowing. Reports family hx allergic rhinitis, & asthma. Which of the
following interventions is most appropriate?
A. Perform thorough History
B. Prescribe PO antihistamine such as benadryl 25mg PO QD
C. IM Epinephrine 1:1000 STAT
D. Call 911 - Correct Answers-A. Take a thorough history prior to prescribing
medications: find cause of rash. No airway difficulty/ swallowing so no need
for 911
Which of the following is associated with Vitamin B-12 anemia?
A. Spoon shaped nails and Pica
B. An abnormal neuro exam
C. Vegan diet
D. Tingling/ numbness in both feet - Correct Answers-D. Tingling and
numbness in both feet: B12 can cause nerve damage if left untreated, also
dementia, memory loss, difficulty walking, mood changes, depression also
A 70 y.o male c/o bright red spot in his left eye for 2 days. He denies pain,
visual changes, or headaches. New onset cough from recent viral illness. The
only med he was on was Bayer Aspirin 1 tablet daily. Which of the following
is most likely?
A. Corneal Abraison
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - Correct Answers-D: Subconjunctival
hemorrhage: caused by increased intraocular pressure due to straining,
coughing, heavy lifting etc. Self limiting- disappears in 1-3 weeks
RMSF is caused by bite of:
A. Mosquito