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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 ANSWER: 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 ANSWER: 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 ANSWER: 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 ANSWER: 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 ANSWER:
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 ANSWER: 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 ANSWER: 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 ANSWER: 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 ANSWER: 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 ANSWER: 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 ANSWER: B -Amoxicillin (Amoxil)
Classic phase 2 migraine is managed by the use of which general principle?
A -Patients in phase 2 migraine should avoid any additional serotonin for risk of serotonin
syndrome
B -Patients in phase 2 migraine need serotonin antagonism
C -Patients in phase 2 migraine need serotonin agonism
D -Patients in phase 2 migraine will benefit from oxygen therapy - CORRECT ANSWER: C -
Patients in phase 2 migraine need serotonin agonism
Dabigatran etexilate (Pradaxa) works as an anticoagulant by its affect of directly inhibiting which
of the following?
A -Prothrombin
B -Thrombin
C -Plasminogen
D -FactorX - CORRECT ANSWER: B -Thrombin