Description

1. Question: A 63-year-old female returns to the office for a follow up after treatment for acute bilateral otitis media. Her exam and vitals are within normal limits. The patient is now experiencing vertigo while looking over her shoulder and rising from bed in the Based on theses symptoms the most likely diagnosis is:
2. Question: A 71-year-old patient arrives for his annual Medicare wellness exam accompanied by his 70- year-old wife. During the visit, the mini-mental status exam is 20. The nurse practitioner notes in the diagnosis section
3. Question: Smith is a 68-year-old male who recently suffered a transient ischemia attack. The nurse practitioner his medication list and notes that he was appropriately discharged with duel antiplatelet therapy three days ago. The NP counsels the patient that according to AHA/ASA guidelines the patient should continue this regime for
4. Question: The nurse practitioner is caring for a 70 year old non binary patient who manifests nonmotor symptoms of Parkinson’s disease. During an office visit the patient admits to depression and the PHQ-9 score is The NP discusses mediation for depression and offers as a first trial of medication.
5. Question: Upon reviewing the patient chart, the nurse practitioner notes that the patient has diagnosis of hypertension, diabetes, obesity, hyperlipidemia, obstructive sleep apnea, and hearing loss. The NP understand that the patient is at risk for:
6. Question: As the nurse practitioner proceeds through the day, different methods are used to promote healthy changes. When using motivation interview the NP will:
7. Question: A patient has been prescribed a levodopa/carbidopa combination medication which has greatly improved the patients’ The nurse practitioner should not be surprised to see the diagnosis of on the patient’s chart.
8. Question: A nurse practitioner working in an internal medicine outpatient office, notes that her patient has a PHQ-9 score of 20 which indicates severe depression. The patient denies suicidal or homicidal ideation. A through laboratory work up for this patient would include:
9. Question: A nurse practitioner is reviewing a 3-day diet diary submitted by a frail 75 year old female Recent renal values indicated normal renal function. When calculating the amount of daily protein, the NP will base the calculations on the recommendations of:
10. Question: A NP is reviewing the results of a polysomnogram and notes that the sum of the apneas and hypopneas is 10 incidences per hour. The NPs next step is to order:
11. Question: Families of choice are defined as:
12. Question: A 57-year-old female reports to the gynecology office that she is leaking urine intermittently at night upon awaking which is disrupting her seep and energy levels. The NP notes the diagnosis is:
13. Question: In older patients with stroke, spasticity is a common side effect appearing often within the first six weeks after the The NPs first line medication in treating post stroke spasticity is:
14. Question: In the outpatient clinic, a quality improvement project is underway for the detection of depression among the family medicine population. The NP comments to the group that depression screening is important in the older population since the highest rates of suicide are among:
15. Question: A 69-year-old patient with uncontrolled atrial fibrillation presents to the emergency department and is diagnosed with an acute ischemic stroke that occurred 2 hours ago. The nurse practitioner understands that the first goal for treatment is reduce the blood pressure so that IV thrombolysis can proceed. The goal blood pressure for this patient prior /to IV thrombolysis is:
16. Question: A 59-year-old patient presents to the office for evaluation of rapid onset of memory loss. The nurse practitioner understands that an immediate referral must be issued to:
17. Question: A 64-year-old man presents at the clinic for a new patient visit. The patient self-identified as part of the LGBQT+ The NP understands that a through patient history needs to be completed. Upon review of the intake forms, it is noted that a full sexual history has not been obtained as only the sexual activity area has been completed. What other areas will the NP need to query?
18. Question: A NP assesses the patient’s alcohol intake using the CAGE questionnaire. The NP understands that this questionnaire is less accurate among:
19. Question: A 58-year-old female presents to the office complaining of poor sleep and daytime The patient denies caffeine consumption and nicotine use. She has a high stress job and often finds herself napping for an hour or more a day mid-afternoon. What sleep hygiene recommendations can the NP provide:
20. Question: A 78-year-old patient presents to the outpatient office accompanied by her daughter who reports an acute change in the mother’s behavior indicating difficulty with focus and marked The most likely primary differential diagnosis is: