A 16-year-old female patient with heavy menses has been
diagnosed with iron deficiency anemia. She is also having
longer and more irregular periods than is typical as well as
extremely painful cramping. You would likely need to consider
which of the following diagnoses in your workup:
A -Sarcoidosis
B -Endometriosis
C -Pelvic inflammatory disease
D -Thalassemia Correct Answers B -Endometriosis
A patient of Mediterranean descent who presents with
microcytic anemia with normal red cell distribution width
should be evaluated using gel electrophoresis to confirm which
of the following types of anemia?
A -Aplastic
B -Thalassemia
C -Iron deficiency
D -Pernicious Correct Answers B -Thalassemia
A40 year old, female, African American patient presents for
history and physical. Upon your initial assessment, you notice
she has severe exophthalmos as pictured below. Which one of
the following diagnoses below would be the highest on your
differential diagnose of this physical examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma Correct Answers B -Hyperthyroidism
,A62 year old female patient with erythema on the face
surrounding the nasolabial folds as well as very fine dandruff in
the hair and skin is most likely describing with which of the
following diseases?
A -Rosacea
B -Tinea capitis
C -Photosensitivity reaction
D -Seborrheic Dermatitis Correct Answers D -Seborrheic
Dermatitis
Adequate understanding for the newly diagnosed ESRD patient
during a teaching session of how dialysis works has been
successful
when the patient verbalizes that the use of hemodialysis to
remove
pollution from the body is based primarily on which of the
following concepts:
A -My blood is forced across the filter under high pressure and a
low voltage electrical charge
B -None of these are correct
C -My blood is cleaned by diffusing across a semipermeable
membrane
D -The water is drawn to the dirty blood to dilute the waste in
my body Correct Answers C -My blood is cleaned by diffusing
across a semipermeable membrane
After a recent hospitalization for weakness, a diagnosis of
myasthenia gravis has been made in a patient under your long
term management. In the process of the examination, a CT of
the chest was performed, and an object was identified as
enlarged and wasremarked that it needs to be removed as it is
,thought to be related to this diagnosis. The patient now in your
clinic states they don't remember what the object was and hoped
you might know. The prudent nurse practitioner understands that
the item likely represents which of the following?
A -Potts tumor
B -Coumeral's diverticulum
C -Arenal tumor
D -Thymic remnant Correct Answers D -Thymic remnant
As a prudent nurse practitioner, the diabetic, hypertensive
patient you are seeing should be evaluated for early evidence of
renal damage from both diabetes and hypertension. Which of the
following assessment tools should the nurse practitioner order
first for the evaluation of early renal dysfunction secondary to
diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium Correct Answers B -Urinalysis with
micro/macro albumin
As a prudent nurse practitioner, you know that a 28 year old
male patient with human immunodeficiency virus (HIV) would
be considered well managed when they have which of the
following in addition to having undetectable or very low viral
copies?
A -CD4 count of 100
B -CD4 count undetectable
C -CD4 count of 500
D -CD4 count of 50 Correct Answers C -CD4 count of 500
, Based on current diabetes mellitus management guidelines by
the American Academy of Family Physicians (AAFP), at which
Hgb A1C
level should a second oral anti-diabetic agent be considered
if control is not successful prior?
A -Hgb A1c of 7.0
B -Hgb A1c of 8.0
C -Hgb A1c of 7.5
D -Hgb A1c of 6.5 Correct Answers B -Hgb A1c of 8.0
Based on your evaluation of ABCDE for melanoma, which of
the following represents a suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm Correct Answers A -Irregular borders
Beth, a 32 year old administrative assistant presents to your
clinic for a sick visit for 3 days of worsening productive cough,
fever, chills, and chest pain. She states she has been around a
large group of corporate visitors to the workplace and after their
visit, many of the staff became sick at the same time. Her exam
findings are suspicious for community-acquired pneumonia
(CAP). Based on her presentation, which of the following is the
most appropriate medication to prescribe her first?
A -Cefuroxime (Ceftin)
B -Amoxicillin (Amoxil)
C -Cephalexin (Keflex)
D -Metronidazole (Falgy)l Correct Answers B -Amoxicillin
(Amoxil)