Description

1. Question: What is the most commonly abused substance?
2. Question: Diagnostic confirmation of acute leukemia is based on:
3. Question: Risk factors for Addison’s disease include which of the following?
4. Question: Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be achieved with:
5. Question: correct treatment for ankle sprain during the first 48 hours after injury includes:
6. Question: A 15 year-old female patient is 5 feet tall and weighs 85 pounds. You suspect anorexia and know that the best initial approach is to:
7. Question: A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be:
8. Question: Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?
9. Question: A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as:
10. Question: Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
11. Question: Which of the following accounts for half of the bladder tumors among men and one third in women?
12. Question: Which of the following set of symptoms should raise suspicion of a brain tumor?
13. Question: Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome.
14. Question: Which drug category contains the drugs that are the first line Gold standard therapy for COPD?
15. Question: Other than smoking cessation, which of the following slows the progression of COPD in smokers?
16. Question: Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
17. Question: Central obesity, “moon” face, and dorsocervical fat pad are associated with:
18. Question: What is the most common cause of Cushing’s syndrome?
19. Question: Diabetes screening recommendations for asymptomatic adults age 45 and over include which of the following:
20. Question: A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient’s blood pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How should the nurse practitioner respond?
21. Question: Which of the following is not a characteristic of type 1 diabetes mellitus?
22. Question: The most accurate measure of diabetes control is:
23. Question: Which factors are associated with high risk for foot complications in a patient with diabetes mellitus?
24. Question: An81-year-oldfemaleisdiagnosedwithtype2diabetes.Whenconsideringdrugtherapyforthis patient, the nurse practitioner is most concerned with which of the following side effects?
25. Question: Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up. On examining his feet with monofilament, you discover that he has developed decreased sensation in both feet. There are no open areas or signs of infection on his feet. What health teaching should Martin receive today regarding the care if his feet?
26. Question: The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy:
27. Question: What diabetic complications result from hyperglycemia?
28. Question: An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment to consider?
29. Question: The intervention known to be most effective in the treatment of severe depression, with or without psychosis, is:
30. Question: A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis?
31. Question: You are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test indicates an injury to the:
32. Question: A positive drawer sign supports a diagnosis of:
33. Question: The initial clinical sign of Dupuytren’s contracture is:
34. Question: A 26 year old female presents with elbow pain that is described as aching and burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is:
35. Question: Which is the most common cause of end-stage renal disease in the United States?
36. Question: The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:
37. Question: A 27 year old female patient with epilepsy is well controlled with phenytoin (Dilantin). She requests information about contraception. The nurse practitioner should instruct her that while taking phenytoin:
38. Question: Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is:
39. Question: A60yearoldmalepatientwithmultiplehealthproblemspresentswithacomplaintoferectile dysfunction (ED). Of the following, which medication is most likely to be causing the problem?
40. Question: A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis?
41. Question: Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia?
42. Question: A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety disorder?
43. Question: Steve, age 69, has gastroes ophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?
44. Question: A 65 year old patient complains of recurrent bilateral temporal headaches, malaise, muscle aches, and low grade fever. The headache is described as superficial tenderness rather than deep pain. Giant cell arteritis is suspected. Appropriate treatment is:
45. Question: Which history is commonly found in a patient with glomerulonephritis?
46. Question: The most reliable diagnostic indicator of gout is:
47. Question: After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured?
48. Question: 28-year-old female presents to the office requesting testing for diagnosis of hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her risk factors. The nurse practitioner explains that:
49. Question: A patient has HIV infection and is having a problem with massive diarrhea. You suspect the cause is:
50. Question: A patient with HIV infection has a fever of unknown origin (FUO). Which of the following is a possible cause of FUO in a patient with HIV?
51. Question: The diagnosis of human papilloma virus (HPV) infection in males is usually made by:
52. Question: A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains:
53. Question: A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take?
54. Question: What diabetic complications result from hyperglycemia?
55. Question: Potential causes of hypocalcemia include which of the following?
56. Question: Which of the following patients most warrants screening for hypothyroidism?
57. Question: The cardinal sign of infectious arthritis is:
58. Question: A patient complains of generalized joint pain and stiffness associated with activity and relieved with rest. This patient history is consistent with which of the following disorders?
59. Question: The nurse practitioner is following a child with juvenile rheumatoid arthritis (JRA) who has been previously diagnosed and is being managed for the disease by a pediatric rheumatologist. The mother asks for information about the child’s long term prognosis. What is the most appropriate reply?
60. Question: Potential side effects of levofloxacin include which of the following?
61. Question: A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
62. Question: An elderly man is started on lisinopril and hydrochlorhiazide for Three days later, hereturnstotheofficecomplainingofleftgreattoepain.Onexam,thenursepractitionernotes anedematous,erythematoustenderleftgreattoe.Thelikelyprecipitantofthispatient’spainis:
63. Question: The most common cause of elevated liver function tests is:
64. Question: A 25 year old overweight patient presents with a complaint of dull achiness in his groin and history of a palpable lump in his scrotum that “comes and goes”. On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis?
65. Question: The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is:
66. Question: Which of the following symptoms suggests a more serious cause of back pain?
67. Question: Which of the following is the most common cause of low back pain?
68. Question: Which of the following diagnoses do you explore further?
69. Question: The most reliable indicator(s) of neurological deficit when assessing a patient with acute low back pain is(are):
70. Question: Diagnostic radiological studies are indicated for low back pain:
71. Question: Diagnostic radiological studies are indicated for low back pain:
72. Question: Josh, age 22, is a stock boy and has an acute episode of low back pain. You order and NSAID and tell him which of the following?
73. Question: Major depression occurs most often in which of the following conditions?
74. Question: Which of the following is characteristic of a manic episode?
75. Question: Your patient has an elevated mean cell volume (MCV). What should you be considering in terms of diagnosis?
76. Question: A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is:
77. Question: Which of the following medications increase the risk for metabolic syndrome?
78. Question: Which of the following is a contraindication for metformin therapy?
79. Question: The best test to determine micro albuminuria to assist in the diagnosis of diabetic neuropathy:
80. Question: Microalbuminuria is a measure of:
81. Question: The obligatory criteria for diagnosis of muscular dystrophy (MD) are:
82. Question: Which of the following is the most common complication of the myelodysplastic syndromes?
83. Question: Who is at a higher risk for developing nephrolithiasis?
84. Question: The most effective treatment of non-infectious bursitis includes:
85. Question: Which of the following is the most common causative organism of non gono coccal urethritis?
86. Question: A 77-year-old female presents to the office complaining a sudden swelling on her right elbow.

She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects:

87. Question: What intervention does the American College of Rheumatology recommend as first line therapy for osteoarthritis?
88. Question: Establishment of a definitive diagnosis of osteomyelitis requires:
89. Question: JennifersaysthatshehasheardthatcaffeinecancauseosteoporosisandasksyouHowdo you respond?
90. Question: Martin,age24,presentswithanerythematousearcanal,pain,andarecenthistoryof swimming. What do you suspect?
91. Question: What is the first symptom seen in the majority of patients with Parkinson’s disease?
92. Question: Which of the following antibiotics should not be prescribed for a pregnant woman in the 3rd trimester?
93. Question: Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of: carpal tunnel syndrome
94. Question: Which of the following characteristics are associated with prepatellar bursitis?
95. Question: A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression, first episode, 2 months ago. She reports considerable improvement in her symptoms and her intention to discontinue the medication. What should be the nurse practitioner’s recommendation?
96. Question: Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, flashbacks, and depression. What is your initial diagnosis?
97. Question: The most commonly recommended method for prostate cancer screening in a 55 year old male is:
98. Question: Risk factors for prostate cancer include all of the following except:
99. Question: A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time?
100. Question: The organism most often associated with prostatitis is:
101. Question: ProlongedPTsuggests:
102. Question: A 32 year old female patient presents with fever, chills, right flank pain, right cost overtebral angle tenderness, and hematuria. Her urinalysis is positive for leukocytes and redbloodcells.Thenursepractitionerdiagnosespyelonephritis.Themostappropriatemanagement is:
103. Question: Reed-SternbergBlymphocytesareassociatedwithwhichofthefollowingdisorders:
104. Question: Sam, age 67, is a diabetic with worsening renal function. He has frequent hypoglycemic episodes , which he believes means that his diabetes is getting “better.” How do you respond?
105. Question: Whichofthefollowingphysicalmodalitiesrecommendedfortreatmentofrheumatoid arthritis provides the most effective long term pain relief?
106. Question: At what age is screening most likely to detects colios is?
107. Question: A20yearoldmalepatientcomplainsof“scrotal”Hestateshisscrotumfeels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis?
108. Question: Potential causes of septic arthritis include which of the following?
109. Question: Thediagnosiswhichmustbeconsideredinapatientwhopresentswithasevere headache of sudden onset, with neck stiffness and fever, is:
110. Question: Whichofthefollowingisthebestresponsetoawomanwhohasjustadmittedsheisa victim of spousal abuse?
111. Question: The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:
112. Question: The most effective intervention (s) to prevent stroke is (are):
113. Question: A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal. Which of the following is the most likely diagnosis?
114. Question: The physiological explanation of syncope is:
115. Question: Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?
116. Question: A typical description of a tension headache is:
117. Question: Which of the following is a potential acquired cause of thrombophilia?
118. Question: A28-year-oldfemalepresentstotheofficerequestingtestingfordiagnosisofhereditary thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her risk The nurse practitioner explains that:
119. Question: The most common symptoms of transient ischemic attack (TIA) include:
120. Question: The most common presentation of thyroid cancer is:
121. Question: A 14 year old female cheerleader reports gradual and progressive dull anterior knee ain, exacerbated by kneeling. Then urse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis?
122. Question: Diagnostic e valuation for urinary calculi includes:
123. Question: A 21-year-old female presents to the office complaining of urinary frequency and urinary burning.
124. Question: Thediagnosiswhichmustbeconsideredinapatientwhopresentswithasevere headache of sudden onset, with neck stiffness and fever, is:
125. Question: Amiddle-agedfemalepresentscomplainingofrecentweightloss.Thephysicalexam reveals an enlarged painless cervical lymph node. The differential diagnosis forthis patient’s problem includes:
126. Question: Thehallmarkofneurofibromatosis(vonRecklinghausen’sdisease)presentinalmost 100% of patients is:
127. Question: What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
128. Question: A 30 year old female patient presents to the clinic with heat intolerance, tremors, nervousness, and weight loss inconsistent with increased appetite. Which test would be most likely to confirm the suspected diagnosis?