Answers Questions
Question 1
A 65 year old woman presents complaining of a left-sided,
throbbing headache along with mild fatigue. On examination, the
client has a very tender, tortuous temporal artery. A diagnosis of
b) Serum ESR
temporal arteritis is suspected. What test will help the nurse
practitioner confirm the diagnosis?
(Exam 1)
a) MRI of the head
b) Serum ESR
c) EEG
d) Otoscopy
,Question 2: b) Microcytic anemia
Maria is a 24 year old female
who presents with a chief (Exam 1)
complaint of fatigue that she
has had for a few months. Serum
laboratory tests are ordered and
her CBC results are as follow:
Normal
WBC 9.6 (4.5-11)
RBC 3.6 (4.5-11)
Hgb 10.9 (12-16)
Hct 33.1 (35-45)
MCV 79 (82-100)
MCH 27.2 (26-34)
PLT 285 (150-450)
Iron 42.0 (200-400)
Ferritin 7.8 (10-150)
What type of anemia does Maria
have?
a) Microcyticanemia
b) Macrocytic anemia
c) Normocytic anemia
d) Leukocytopenia
Question 3 c) Unintended
Christopher, age 48, presents to weight loss (Exam
the practice complaining of
reflux and abdominal symptoms. 1)
What symptom warrants
immediate referral to
gastroenterology?
a) Intermittent
abdominal pain
b) Chronic cough
c) Unintended weight loss
d) Bronchospasm
Question 4 c)
Which cause of a headache is Meningiti
most likely to be associated
with variable severity, nuchal s (Exam
rigidity, and fever?
1)
a) Temporal arteritis
b) Migraine headache
c) Meningitis
d) Brain neoplasm
,Question 5 d) Irritable bowel
Rita, a 22 year old college
student, presents to the office syndrome (Exam 1)
complaining of frequent
abdominal pain with bloating
that is relieved by defecation.
She states that often flare-ups
of this problem seem to begin
with an increased number of
loose stools.Beth also reports
that she struggles with anxiety
disorder. What gastrointestinal
disorder is most likely?
a) Diverticulitis
b) Crohn's disease
c) Pancreatitis
d) Irritable
bowel syndrome
Question 6 a) Non- bismuth-based quadruple therapy for 10 days (PPI,
A 44 year old male presents amoxicillin, clarithromycin, metronidazole, plus probiotics)
complaining of epigastric pain
which occurs two hours after (Exam 1)
eating and is relieved somewhat
with antacids. A urea breath
test detects the presence of
H. pylori. Which of the
following is the preferred
treatment regimen?
a) Non- bismuth-based quadruple
therapy for 10 days (PPI,
amoxicillin, clarithromycin,
metronidazole, plus probiotics)
b) Bismith-based quadruple
therapy for 10 days (Bismuth, PPI,
plus metronidazole and
tetracycline)
c) Sequential therapy (PPI plus
amoxicillin for 5 days followed
by clarithromycin
andmetronidazole for 5 days)
d) Tripletherapy (PPI plus 2
antibiotics)
, Question 7 c) Chronic lymphocytic
Which type of leukemia is
characterized by the presence of leukemia (Exam 1)
"smudge" cells, usual onset after
the age of 50 years, and is
often asymptomatic?
a) Acute lymphocytic leukemia
b)Acute myelogenous leukemia
c) Chronic lymphocytic leukemia
d) Chronic myelogenous leukemia