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Question 1
What is the most common reason for precocious puberty in girls?
A) Genetic abnormalities
B) Environmental toxins
C) Ovarian tumors
D) Adrenal gland dysfunction
E) Early onset of normal puberty
Correct Answer: E) Early onset of normal puberty
Rationale: The provided text states, "The most common reason for precocious
puberty in girls is: Early onset of normal puberty."
Question 2
From what source do Nurse Practitioners (NPs) derive the authority to bill their services when
billing Medicaid?
A) Hospital policy
B) Professional organization guidelines
C) Physician supervision agreements
D) Insurance company regulations
E) State and federal law
Correct Answer: E) State and federal law
Rationale: The provided text states, "When billing Medicaid, NPs get the authority
to bill their services from: State and federal law."
,Question 3
An 18-year-old male is on doxycycline for acne vulgaris and reports no improvement after 3
weeks. What is the appropriate next action for the nurse practitioner?
A) Change the antibiotic to isotretinoin.
B) Increase the dosage of doxycycline.
C) Add a topical retinoid to the regimen.
D) Counsel him that 6-8 weeks of treatment is often needed before significant
improvement is achieved.
E) Refer him to a dermatologist immediately.
Correct Answer: D) Counsel him that 6-8 weeks of treatment is often needed before
significant improvement is achieved.
Rationale: The provided text states, "Your next action is to: Counsel him that 6-8
weeks of treatment is often needed before significant improvement is achieved".
Question 4
For a Grade I ankle sprain, what is the minimum duration for which weight-bearing should be
avoided?
A) 6 hours
B) 12 hours
C) 24 hours
D) 48 hours
E) 72 hours
Correct Answer: C) 24 hours
, Rationale: The provided text states, "For a Grade I ankle sprain, weight-bearing
should be avoided for at least: 24 hours".
Question 5
Hemoglobin A1c is most effective in providing information on glucose control over what
approximate time period?
A) The past 7-14 days
B) The past 3-6 months
C) The past 21-47 days
D) The past year
E) The past 24 hours
Correct Answer: C) The past 21-47 days
Rationale: The provided text states, "Hemoglobin A1c best provides information on
glucose control over the past: 21-47 days".
Question 6
An 18-year-old male presents with periumbilical pain, vomiting, abdominal cramping for 48
hours, rebound tenderness, bandemia, and a WBC of 28,000. To support a diagnosis of acute
appendicitis with suspected appendiceal rupture, what imaging study should be considered?
A) Abdominal X-ray
B) Ultrasound
C) MRI
D) Endoscopy
E) CT scan
Correct Answer: E) CT scan