6/23/25, 5:34 AM N631 Final Exam Study Guide (2025) ACTUAL EXAM (TESTING REAL EXAM QUESTIONS) AND VERIFIED ANSWERS (MULTIP…
N631 Final Exam Study Guide (2025) ACTUAL EXAM
(TESTING REAL EXAM QUESTIONS) AND VERIFIED
ANSWERS (MULTIPLE CHOICES) |COMPLETE SOLUTIONS
|A+ GRADED |100% CORRECT!
The USPSTF recommends against the service. There is
The U.S. Preventative Task
moderate or high certainty that the service has no net
Force (USPSTF) rating D
benefit or that the harms outweigh the benefits. They
discourage the use of this service.
True or False: Developing True: According to the Centers for Disease Control and
encephalitis within 15 days of Prevention (CDC), if a patient develops encephalitis
a measles, mumps and within 15 days of the MMR vaccine, it should be
rubella (MMR) vaccine is a reported to the VAERS immediately (2017).
reportable adverse event.
True or False: Anaphylaxis 21 False; The CDC in its VAERS Table of Reportable Events
days after a Tdap vaccine is notes that anaphylaxis 7 days after the Tdap vaccine is a
a reportable event. reportable event, not 21 days (2017).
False. In the CDC VAERS Table of Reportable Events,
True or False: Chronic
chronic arthritis is a reportable event if it occurs within
arthritis within 7 days of a
42 days of administration of the MMR vaccine, not 7
Tdap vaccine is a
days within the Tdap vaccine (2017).
reportable event.
True or False: False. The CDC in its VAERS Table of Reportable
Thrombocytopenic purpura 7 Events states that thrombocytopenic purpura 7 days
days after a Tdap vaccine is after the MMR vaccine is a reportable event, not the
a reportable event. Tdap vaccine (2017).
The USPSTF concludes that the current evidence is
The U.S. Preventative Task
insufficient to assess the balance of benefits and harms
Force (USPSTF) rating I
of the service. Evidence is lacking, of poor quality, or
conflicting, and the balance of benefits and harms
cannot be determined.
1/49
,6/23/25, 5:34 AM N631 Final Exam Study Guide (2025) ACTUAL EXAM (TESTING REAL EXAM QUESTIONS) AND VERIFIED ANSWERS (MULTIP…
A 7-year-old patient presents to your primary care
clinic for immunizations. They would be eligible to
receive VFC vaccine if:
They were uninsured
They were uninsured
They were under the
age 18 Were born
in Mexico
They did not qualify for Medicaid
According to Erik Erikson, adolescents are at what
psychosocial developmental stage?
a. Autonomy vs. shame
Identity vs. role confusion b. Industry vs inferiority
c. Identity vs. role confusion
d. Intimacy vs isolation
Industry vs. inferiority school age
Autonomy vs shame 1-3 years
Intimacy vs. isolation young adulthood
Trust vs. Mistrust infancy
Integrity vs. Despair late adulthood
Generativity vs. Stagnation middle adulthood
Initiative vs. Guilt 3-6 years
The USPSTF recommends selectively offering or providing this
service to individual patients based on professional judgment
The U.S. Preventative Task Force and patient preferences. There is at least moderate certainty
(USPSTF) rating C that the net benefit is small. They recommend to offer or provide
this service based on the individuals circumstances.
Offer/provide this service only if other considerations support
the offering or providing of this service to this individual patient.
Gower's sign Difficulty rising to standing position; has to walk up legs using
hands; occurs in Muscular dystrophy
A chronic disease of the central nervous system marked by
Multiple sclerosis damage to the myelin sheath. Plaques occur in the brain and
spinal cord causing tremor, weakness, incoordination,
paresthesia, and disturbances in vision and speech
degeneration of femoral head due to avascular necrosis. disease
is self limiting and has 4 phases: condensation, fragmentation,
Legg-Calve-Perthes disease re-ossification and remodeling. presents with pain, decreased
ROM, antalgic gait, positive Trendelenburg sign. primary
treatment focus is to relieve pain and maintain femoral head in
proper position.
2/49
,6/23/25, 5:34 AM N631 Final Exam Study Guide (2025) ACTUAL EXAM (TESTING REAL EXAM QUESTIONS) AND VERIFIED ANSWERS (MULTIP…
A 13-year-old adolescent female is brought to the clinic
for a sports physical. Her immunization record is
complete and her last vaccines were upon entry to
kindergarten. According to the most recent ACIP
Tdap, Meningococcal and
the HPV series immunization schedule what vaccines should be
offered today?
a. Tdap, Meningococcal and the HPV series
b. Td and HPV series
c. Dtap and Influenza vaccine
d. Meningococcal and Tdap vaccines
A 4-month old child is brought into your primary care
clinic for a well child examination and health promotion
visit. You determine the child has received all the
Rotavirus #2, DTaP #2, Hib #2, required vaccinations at 2 months. What vaccinations
PCV13 #2 would the child receive at this visit?
and IPV #2 a. Rotavirus #2, DTaP #2, Hib #2, PCV13 #2 and IPV #2
b. Rotavirus #2, DTaP #2, Hib #2, PCV13 #2 and MMR #1
c. Rotavirus #2, DTaP #2, Hib #2, PCV13 #2 and varicella #1
d. Rotavirus #2, DTaP #2, Hib #2, PCV13 #2 and Hep B #3
Screening for abdominal aortic aneurysm should take place:
a. only if the patient has smoked and has hypertension.
b. once in all males aged 65-
b. once in all males aged 65-75 who have ever smoked.
75 who have ever smoked. c. annually after age 75 years for males and females.
once in all men and women who have hypertension.
d.
patients who previously receive this pneumonia
PCV13
vaccine do not need additional doses
It is recommended to administer the PCV13 if the
PPSV23
patient only received the this vaccine, and to be
administered 1 year after the administration of this
vaccine.
Varicella Children with AIDS should not receive this vaccine
Jordan a 15 month old girl is playing quietly in your
waiting room. The skin around her mouth is faintly blue,
but she appears comfortable. She arises from her
squatting position to run after her brother, and she
suddenly becomes dyspneic and cyanotic. She returns
A "boot shaped" heart
to a squatting position and soon is breathing
comfortably with only slight perioral cyanosis. Which
3/49
, 6/23/25, 5:34 AM N631 Final Exam Study Guide (2025) ACTUAL EXAM (TESTING REAL EXAM QUESTIONS) AND VERIFIED ANSWERS (MULTIP…
of the following would you expect to see on her chest
radiograph?
A "boot shaped"
heart An "egg
on a string"
Lung
hyperinflation
Pulmonary
congestion
Tetrology of Fallot congenital heart defect with 4 components. A "boot shaped"
heart on xray
a congenital abnormallity where the aorta is attached
Transposition of the great to the righ ventricle and the pulmonary artery to the
vessels
left ventricle. This is backwards and leads to two
separate blood routes. Shows up as "egg on a
string" on xray
Dyspnea and cyanosis, which may not be evident at
birth. However, between the ages of 4-6months
Clinical manifestations of TOF cyanosis and dyspnea can occur with feeding, crying,
and defecating. The knee-chest maneuver increases
systemic resistance, decreases right- to-left shunting,
and increases pulmonary blood flow, hopefully
alleviating symptoms.
4/49
N631 Final Exam Study Guide (2025) ACTUAL EXAM
(TESTING REAL EXAM QUESTIONS) AND VERIFIED
ANSWERS (MULTIPLE CHOICES) |COMPLETE SOLUTIONS
|A+ GRADED |100% CORRECT!
The USPSTF recommends against the service. There is
The U.S. Preventative Task
moderate or high certainty that the service has no net
Force (USPSTF) rating D
benefit or that the harms outweigh the benefits. They
discourage the use of this service.
True or False: Developing True: According to the Centers for Disease Control and
encephalitis within 15 days of Prevention (CDC), if a patient develops encephalitis
a measles, mumps and within 15 days of the MMR vaccine, it should be
rubella (MMR) vaccine is a reported to the VAERS immediately (2017).
reportable adverse event.
True or False: Anaphylaxis 21 False; The CDC in its VAERS Table of Reportable Events
days after a Tdap vaccine is notes that anaphylaxis 7 days after the Tdap vaccine is a
a reportable event. reportable event, not 21 days (2017).
False. In the CDC VAERS Table of Reportable Events,
True or False: Chronic
chronic arthritis is a reportable event if it occurs within
arthritis within 7 days of a
42 days of administration of the MMR vaccine, not 7
Tdap vaccine is a
days within the Tdap vaccine (2017).
reportable event.
True or False: False. The CDC in its VAERS Table of Reportable
Thrombocytopenic purpura 7 Events states that thrombocytopenic purpura 7 days
days after a Tdap vaccine is after the MMR vaccine is a reportable event, not the
a reportable event. Tdap vaccine (2017).
The USPSTF concludes that the current evidence is
The U.S. Preventative Task
insufficient to assess the balance of benefits and harms
Force (USPSTF) rating I
of the service. Evidence is lacking, of poor quality, or
conflicting, and the balance of benefits and harms
cannot be determined.
1/49
,6/23/25, 5:34 AM N631 Final Exam Study Guide (2025) ACTUAL EXAM (TESTING REAL EXAM QUESTIONS) AND VERIFIED ANSWERS (MULTIP…
A 7-year-old patient presents to your primary care
clinic for immunizations. They would be eligible to
receive VFC vaccine if:
They were uninsured
They were uninsured
They were under the
age 18 Were born
in Mexico
They did not qualify for Medicaid
According to Erik Erikson, adolescents are at what
psychosocial developmental stage?
a. Autonomy vs. shame
Identity vs. role confusion b. Industry vs inferiority
c. Identity vs. role confusion
d. Intimacy vs isolation
Industry vs. inferiority school age
Autonomy vs shame 1-3 years
Intimacy vs. isolation young adulthood
Trust vs. Mistrust infancy
Integrity vs. Despair late adulthood
Generativity vs. Stagnation middle adulthood
Initiative vs. Guilt 3-6 years
The USPSTF recommends selectively offering or providing this
service to individual patients based on professional judgment
The U.S. Preventative Task Force and patient preferences. There is at least moderate certainty
(USPSTF) rating C that the net benefit is small. They recommend to offer or provide
this service based on the individuals circumstances.
Offer/provide this service only if other considerations support
the offering or providing of this service to this individual patient.
Gower's sign Difficulty rising to standing position; has to walk up legs using
hands; occurs in Muscular dystrophy
A chronic disease of the central nervous system marked by
Multiple sclerosis damage to the myelin sheath. Plaques occur in the brain and
spinal cord causing tremor, weakness, incoordination,
paresthesia, and disturbances in vision and speech
degeneration of femoral head due to avascular necrosis. disease
is self limiting and has 4 phases: condensation, fragmentation,
Legg-Calve-Perthes disease re-ossification and remodeling. presents with pain, decreased
ROM, antalgic gait, positive Trendelenburg sign. primary
treatment focus is to relieve pain and maintain femoral head in
proper position.
2/49
,6/23/25, 5:34 AM N631 Final Exam Study Guide (2025) ACTUAL EXAM (TESTING REAL EXAM QUESTIONS) AND VERIFIED ANSWERS (MULTIP…
A 13-year-old adolescent female is brought to the clinic
for a sports physical. Her immunization record is
complete and her last vaccines were upon entry to
kindergarten. According to the most recent ACIP
Tdap, Meningococcal and
the HPV series immunization schedule what vaccines should be
offered today?
a. Tdap, Meningococcal and the HPV series
b. Td and HPV series
c. Dtap and Influenza vaccine
d. Meningococcal and Tdap vaccines
A 4-month old child is brought into your primary care
clinic for a well child examination and health promotion
visit. You determine the child has received all the
Rotavirus #2, DTaP #2, Hib #2, required vaccinations at 2 months. What vaccinations
PCV13 #2 would the child receive at this visit?
and IPV #2 a. Rotavirus #2, DTaP #2, Hib #2, PCV13 #2 and IPV #2
b. Rotavirus #2, DTaP #2, Hib #2, PCV13 #2 and MMR #1
c. Rotavirus #2, DTaP #2, Hib #2, PCV13 #2 and varicella #1
d. Rotavirus #2, DTaP #2, Hib #2, PCV13 #2 and Hep B #3
Screening for abdominal aortic aneurysm should take place:
a. only if the patient has smoked and has hypertension.
b. once in all males aged 65-
b. once in all males aged 65-75 who have ever smoked.
75 who have ever smoked. c. annually after age 75 years for males and females.
once in all men and women who have hypertension.
d.
patients who previously receive this pneumonia
PCV13
vaccine do not need additional doses
It is recommended to administer the PCV13 if the
PPSV23
patient only received the this vaccine, and to be
administered 1 year after the administration of this
vaccine.
Varicella Children with AIDS should not receive this vaccine
Jordan a 15 month old girl is playing quietly in your
waiting room. The skin around her mouth is faintly blue,
but she appears comfortable. She arises from her
squatting position to run after her brother, and she
suddenly becomes dyspneic and cyanotic. She returns
A "boot shaped" heart
to a squatting position and soon is breathing
comfortably with only slight perioral cyanosis. Which
3/49
, 6/23/25, 5:34 AM N631 Final Exam Study Guide (2025) ACTUAL EXAM (TESTING REAL EXAM QUESTIONS) AND VERIFIED ANSWERS (MULTIP…
of the following would you expect to see on her chest
radiograph?
A "boot shaped"
heart An "egg
on a string"
Lung
hyperinflation
Pulmonary
congestion
Tetrology of Fallot congenital heart defect with 4 components. A "boot shaped"
heart on xray
a congenital abnormallity where the aorta is attached
Transposition of the great to the righ ventricle and the pulmonary artery to the
vessels
left ventricle. This is backwards and leads to two
separate blood routes. Shows up as "egg on a
string" on xray
Dyspnea and cyanosis, which may not be evident at
birth. However, between the ages of 4-6months
Clinical manifestations of TOF cyanosis and dyspnea can occur with feeding, crying,
and defecating. The knee-chest maneuver increases
systemic resistance, decreases right- to-left shunting,
and increases pulmonary blood flow, hopefully
alleviating symptoms.
4/49
