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A pregnant women who has gestational diabetes mellitus (GDM) in the...

  1. A pregnant women who has gestational diabetes mellitus (GDM) in the second trimester has which type of diabetes?

Type I

Type 2

Neither

QUESTION 2

  1. Sara is a 38 y/o multipara who is in her 6th-7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. The most likely diagnosis for this condition is:

Placental abruption

Severe preeclampsia

Placenta previa

None of the above

QUESTION 3

  1. Diagnostic studies for Type II diabetes mellitus would include which of the following:

HbA1C (>6.5%)

Fasting plasma glucose (= to or >126 mg/dL)

Random plasma glucose (>200 mg/dL)

All of the above

None of the above

 

QUESTION 4

  1. Acanthosis nigricans is associated with all the following except:

Diabetes

Metabolic syndrome

Obesity

Cancer of bladder

QUESTION 5

  1. Archie is a 19 y/o male who comes to the clinic with his significant other because of recent outbursts and then long periods of mood changes that cycle between mania and depression. His most likely diagnosis is:

Major depression

Bipolar depression

Minor depression

None of the above

QUESTION 6

  1. People with darker skin require less sun exposure to produce Vitamin D.

 True

 False


QUESTION 7

  1. Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Treatment of Sam's condition includes which of the following:

Doxycycline

Azithromycin

Tessalon Perles

All of the above

A & B only

QUESTION 8

  1. Carlos is a 64 y/o male who has previously been diagnosed as a Category A COPD patient based on Gold guidelines (2017). The Category A patient group includes which of the following?

Minimally symptomatic (low risk of exacerbation)

More symptomatic (low risk of exacerbation)

Minimally symptomatic (high risk of exacerbation)

High risk

QUESTION 9

  1. Mark is an alcoholic who is stopped for drunk driving. When the officers approach him he states that he wants to die. The officers decide that for his own protection they will Baker Act him. The Baker Act allows for involuntary detention for what period.

Until the person sobers up

48 hours

72 hours

96 hours

QUESTION 10

  1. Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July with the following symptoms: fever, chills, severe headache photophobia, and myalgia. He states that since his fever occurred 2 days ago, he now has this rash of petechiae on wrists, forearms, and ankles. The first line pharmacological treatment for Andrew would include:

Chloramphenicol

Doxycycline

Ampicillin

Penicillin

QUESTION 11

  1. Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Her most likely diagnosis is:

Lower urinary tract infection

Abdominal virus

Upper urinary tract infection

Sexually transmitted disease

QUESTION 12

  1. Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Your diagnosis is:

Chronic bronchitis

Emphysema

COPD

QUESTION 13

  1. Which of the following can reduce breast cancer risk?

Healthy diet

Limiting ETOH intake

Stop smoking

Maintain normal body weight

All of the above

A, B, & C only

QUESTION 14

  1. Oral contraceptives can be started anytime in the menstrual cycle.

 True

 False

1 points  

QUESTION 15

  1. Drew is a 13 y/o male who presents to the clinic with testicular pain, nausea, vomiting, scrotal edema, and redness. You perform a urine analysis, which is negative. What is the most likely diagnosis?

Testicular cancer

Testicular torsion

Hodgkin lymphoma

None of the above

1 points  

QUESTION 16

  1. The parents of Joshua want to be able to follow their son's growth and development patterns and ask you for a recommendation on which of the following standards would be most appropriate. You would recommend:

Newborn Behavioral Assessment Scale

Denver Developmental Scale II

Ages and Stages Questionnaire

Bayley Scales of Infant Development

1 points  

QUESTION 17

  1. In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope.

 True

 False

1 points  

QUESTION 18

  1. Hemoglobin A1C is the average glucose level of what length of time?

1 month

2 months

3 months

4 months

1 points  

QUESTION 19

  1. Carter, a 74 y/o male, comes for his annual physical exam and the NP notes that he has a very loud murmur with her scope off his chest, and that there is also an obvious thrill. This would describe which grade of murmur?

Grade III

Grade IV

Grade V

Grade 6

1 points  

QUESTION 20

  1. Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July with the following symptoms: fever, chills, severe headache photophobia, and myalgia. He states that since his fever occurred 2 days ago, he now has this rash of petechiae on wrists, forearms, and ankles. The NP, based on these data, diagnoses Andrew with:

Rocky Mountain Spotted Fever (RMSF)

Atopic dermatitis

Erythema migrans

Brown recluse spider bite

1 points  

QUESTION 21

  1. At what age should a child be able to speak in full sentences using 3-5 words?

1 y/o

2 y/o

3 y/o

None of the above

1 points  

QUESTION 22

  1. Mike is a 56 y/o male who lives in an abandoned building with about 40 other people who are homeless. He comes to the clinic with a social worker who describes his symptoms as: a cough, dyspnea, pleuritic chest pain, fever and tachypnea. In your physical exam, you learn that he has some consolidation in the lower lobes with an audible friction rub. To treat Mike's problem, the most appropriate pharmacological agent would be:

Levofloxacin

Macrolide

Cefoxitin

Moxifloxacin

1 points  

QUESTION 23

  1. Bupropion (Wellbutrin) is contraindicated in patients with anorexia/bulimia because of the potential for increasing the seizure threshold.

 True

 False

1 points  

QUESTION 24

  1. The most common method of contraception is:

IUDs

Sterilization

Condoms

Birth control pills

1 points  

QUESTION 25

  1. Dylan is a 22 y/o Type 1 diabetic. He eats 40 grams of carbohydrates for lunch. If he follows the 450 Rule, and wants to dose himself with Rapid Acting Insulin (RA) to compensate for the increased carbohydrates, then he would give himself how much RA insulin:

1 unit

2 units

3 units

4 units

1 points  

QUESTION 26

  1. Continuous antibiotic prophylaxis with which antibiotic is the most effective mode of treating UTIs:

TMP-SMX

Nitrofurantoin

Cephalexin

Ciprofloxacin

1 points  

QUESTION 27

  1. Lactation mastitis typically occurs in which time frame:

At 3 months after birth

At 6 months after birth

Within the first 2 months after birth

None of the above

1 points  

QUESTION 28

  1. A 32 y/o female comes to the clinic for what she describes as "a dark-colored urine." During the exam, the NP uses a urine dipstick to test for blood in the urine. Since the result had so many false negative and false positive indicators, the next step would be:

Urinalysis with microscopy

Urine culture

Referral to urologist

Cystoscopic examination of bladder

1 points  

QUESTION 29

  1. Scott is a 16 y/o male who presents to the clinic with a tender testicular mass, but no pain. He has previously been diagnosed with cryptorchidism. His most likely diagnosis is:

Testicular torsion

Testicular cancer

Hodgkin lymphoma

A & B only

1 points  

QUESTION 30

  1. Once cervical cancer screening is initiated in women, the screening interval should be:

Every 2 years

Every 3 years

Every 4 years

Every 5 years

Answer & Explanation
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