Care of the Adult 1 Midterm- Quiz Review Questions With
Complete Solutions
A 18-year-old patient has a throat culture that is positive for
strep throat. She reports that her younger brother was recently
diagnosed with strep throat and treated. The patient has a severe
allergy to penicillin and reports that erythromycin makes her
very nauseated. Which of the following antibiotics is the best
choice?
A) Azithromycin(Zithromax)
B) Cephalexin(Keflex)
C) Cefuroxime axetil (Ceftin)
D) Levofloxacin(Levaquin) Correct Answers Azithromycin
(Zithromax)
A 19 year old woman is complaining of a 2 week history of
facial pressure that worsens when she bends over. She
complains of tooth pain in her upper molars on the right side of
her face. On physical exam, her lung and heart sounds are
normal. Which of the following is the most likely diagnosis?
- chronic sinusitis
- acute sinusitis
- severe allergic rhinitis
- an acute dental abscess Correct Answers acute sinusitis
A 22-year-old male presents to the walk-in center with the chief
complaint of "painful eye swelling." Upon examination, the FNP
notes the right eye has a hordeolum. The FNP treats this
patient's problem by:
- Writing a prescription for Tobrex eye drops.
,- Encouraging the patient to use clean warm soaks to the
affected area for 15 minutes four times per day.
- Referring the patient to an eye surgeon for incision and
drainage of the hordeolum.
- Applying a patch to keep the eye covered and avoid further
irritation to the eyelid. Correct Answers Encouraging the
patient to use clean warm soaks to the affected area for 15
minutes four times a day
A 30 year old patient presents with pain on urination. The urine
microscopy of clean catch urine shows greater than 10
leukocytes/mL, and a dipstick is positive for nitrates. What is the
probable diagnosis?
- lower UTI
- chlamydia infection
- candidiasis
- pylenonephritis Correct Answers lower UTI
A 34 year old patient was treated for a UTI and has not
responded to antibiotic therapy. Which of the following actions
should be taken next?
- send a urine specimen for microscopy and evaluate for fungal
colonies
- increase the dose of antibiotic
- order a cytoscopy
- order a different antibiotic Correct Answers send a urine
specimen for microscopy and evaluate for fungal colonies
A 42 year old woman is seen in the clinic with fever, chills,
vomiting, and severe dysuria. She is diagnosed with acute
pyelonephritis. How should this patient be managed?
,- hospitalization
- 3 day course of oral antibiotics
- encourage cranberry juice intake
- 6 week course of antibiotics Correct Answers hospitalization
a 45 year old man presented to the clinic with a fever (oral temp
102.5). The FNP will want to ask questions related to:
- the recent ingestion of an anti-pyretic
- the timing of illness and associated symptoms
- recent travel and contacts
- all answers listed Correct Answers all answers listed
A 47 year old female presents to the office with 3 days of nasal
congestion with mucoid drainage, a dull frontal headache, and
post nasal drip. She is concerned that she has a sinus infection.
Treatment will include:
- watchful waiting with a backup of antibiotics if her symptoms
worsen
- oral corticosteroids to decrease inflammation
- high-dose amoxicillin for 10 days
- referral to a neurologist for headache evaluation Correct
Answers watchful waiting with a backup of antibiotics if her
symptoms worsen
A 50 year old male presents to your primary care clinic
complaining of fever and cough. the patient's symptoms have
been present for 5 days. He complains of mild shortness of
breath. Past medical history is positive for hypertension. He
takes metoprolol and has no allergies. Vitals show a temperature
of 101.5 F, pulse oximetry of 95% on room air, pulse of 101,
and blood pressure of 139/90. His chest x-ray shows pulmonary
, infiltrates in the lower lobes of both lungs. What is the most
likely pathogen causing his symptoms?
- mycoplasma pneumoniae
- streptococcus pneumoniae
- staphylococcus aureus
- pseudomonas pneumoniae Correct Answers streptococcus
pneumoniae
A chest radiograph shows an area of consolidation on the lower
lobe. Which of the following conditions is most likely?
- atypical pneumonia
- bacterial pneumonia
- acute bronchitis
- chronic obstructive pulmonary disease (COPD) Correct
Answers bacterial pneumonia
a clinical guideline may be found useful if the guideline was:
- funded by an anonymous source
- published 2 years ago
- authored by a relatively unknown source
- created using one group Correct Answers published 2 years
ago
A macrocytic, normochromic anemia is diagnosed in an older
adult male patient. What should be the next test(s) ordered?
- serum iron and TIBC levels
- colonoscopy
- vitamin B12 and RBC/folate levels
- bone marrow biopsy Correct Answers vitamin B12 and
RBC/folate levels
Complete Solutions
A 18-year-old patient has a throat culture that is positive for
strep throat. She reports that her younger brother was recently
diagnosed with strep throat and treated. The patient has a severe
allergy to penicillin and reports that erythromycin makes her
very nauseated. Which of the following antibiotics is the best
choice?
A) Azithromycin(Zithromax)
B) Cephalexin(Keflex)
C) Cefuroxime axetil (Ceftin)
D) Levofloxacin(Levaquin) Correct Answers Azithromycin
(Zithromax)
A 19 year old woman is complaining of a 2 week history of
facial pressure that worsens when she bends over. She
complains of tooth pain in her upper molars on the right side of
her face. On physical exam, her lung and heart sounds are
normal. Which of the following is the most likely diagnosis?
- chronic sinusitis
- acute sinusitis
- severe allergic rhinitis
- an acute dental abscess Correct Answers acute sinusitis
A 22-year-old male presents to the walk-in center with the chief
complaint of "painful eye swelling." Upon examination, the FNP
notes the right eye has a hordeolum. The FNP treats this
patient's problem by:
- Writing a prescription for Tobrex eye drops.
,- Encouraging the patient to use clean warm soaks to the
affected area for 15 minutes four times per day.
- Referring the patient to an eye surgeon for incision and
drainage of the hordeolum.
- Applying a patch to keep the eye covered and avoid further
irritation to the eyelid. Correct Answers Encouraging the
patient to use clean warm soaks to the affected area for 15
minutes four times a day
A 30 year old patient presents with pain on urination. The urine
microscopy of clean catch urine shows greater than 10
leukocytes/mL, and a dipstick is positive for nitrates. What is the
probable diagnosis?
- lower UTI
- chlamydia infection
- candidiasis
- pylenonephritis Correct Answers lower UTI
A 34 year old patient was treated for a UTI and has not
responded to antibiotic therapy. Which of the following actions
should be taken next?
- send a urine specimen for microscopy and evaluate for fungal
colonies
- increase the dose of antibiotic
- order a cytoscopy
- order a different antibiotic Correct Answers send a urine
specimen for microscopy and evaluate for fungal colonies
A 42 year old woman is seen in the clinic with fever, chills,
vomiting, and severe dysuria. She is diagnosed with acute
pyelonephritis. How should this patient be managed?
,- hospitalization
- 3 day course of oral antibiotics
- encourage cranberry juice intake
- 6 week course of antibiotics Correct Answers hospitalization
a 45 year old man presented to the clinic with a fever (oral temp
102.5). The FNP will want to ask questions related to:
- the recent ingestion of an anti-pyretic
- the timing of illness and associated symptoms
- recent travel and contacts
- all answers listed Correct Answers all answers listed
A 47 year old female presents to the office with 3 days of nasal
congestion with mucoid drainage, a dull frontal headache, and
post nasal drip. She is concerned that she has a sinus infection.
Treatment will include:
- watchful waiting with a backup of antibiotics if her symptoms
worsen
- oral corticosteroids to decrease inflammation
- high-dose amoxicillin for 10 days
- referral to a neurologist for headache evaluation Correct
Answers watchful waiting with a backup of antibiotics if her
symptoms worsen
A 50 year old male presents to your primary care clinic
complaining of fever and cough. the patient's symptoms have
been present for 5 days. He complains of mild shortness of
breath. Past medical history is positive for hypertension. He
takes metoprolol and has no allergies. Vitals show a temperature
of 101.5 F, pulse oximetry of 95% on room air, pulse of 101,
and blood pressure of 139/90. His chest x-ray shows pulmonary
, infiltrates in the lower lobes of both lungs. What is the most
likely pathogen causing his symptoms?
- mycoplasma pneumoniae
- streptococcus pneumoniae
- staphylococcus aureus
- pseudomonas pneumoniae Correct Answers streptococcus
pneumoniae
A chest radiograph shows an area of consolidation on the lower
lobe. Which of the following conditions is most likely?
- atypical pneumonia
- bacterial pneumonia
- acute bronchitis
- chronic obstructive pulmonary disease (COPD) Correct
Answers bacterial pneumonia
a clinical guideline may be found useful if the guideline was:
- funded by an anonymous source
- published 2 years ago
- authored by a relatively unknown source
- created using one group Correct Answers published 2 years
ago
A macrocytic, normochromic anemia is diagnosed in an older
adult male patient. What should be the next test(s) ordered?
- serum iron and TIBC levels
- colonoscopy
- vitamin B12 and RBC/folate levels
- bone marrow biopsy Correct Answers vitamin B12 and
RBC/folate levels
