Question
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QUESTION 1

  1. Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. Complications for Joan would include all the following except:
  2. ShockRenal failureGram-positive septicemiaNone of the above

1 points  

QUESTION 2

  1. Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3. Sierra's most likely diagnosis is:
  2. HypothyroidismPrimary hyperthyroidism (Graves' disease)Primary hyperparathyroidismNone of the above

1 points  

QUESTION 3

  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. Within 2 weeks, Susan returns to the clinic and a culture of her urine shows she has the same bacteria as when the NP first saw her. This would be referred to as:
  2. Relapsing UTIRecurring UTIPersistent UTINone of the above

1 points  

QUESTION 4

  1. Juan, an 82 y/o male, is brought to the clinic by his daughter with sudden LLQ pain, nausea, vomiting, diarrhea, or constipation.  The patient has a temperature of 100.4 and reports blood in stool. Juan's most likely diagnosis is:
  2. PUD
  3. Acute diverticulitis
  4. Acute pancreatitis
  5. Hepatitis

1 points  

QUESTION 5

  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. Given Martin's condition, the first line treatment would be all the following except:
  2. AlbuterolSalmeterolLevalbuterolMetaproterenol

1 points  

QUESTION 6

  1. Wen is a 48 y/o female who comes to the clinic with fatigue, weight gain, cold intolerance, constipation, and menstrual abnormalities. The NP orders a TSH and free serum T4 and thyroid peroxidase antibody (TPO). The TSH is 6.0 mU/L, the T4 is low, and the TPO is high. Her most likely diagnosis is:
  2. HyperthyroidismHyperparathyroidismHashimoto's thyroiditisNone of the above

1 points  

QUESTION 7

  1. Mark is a 2-month-old infant, and he should be able do the following tasks except:
  2. Follow objects past midlineMake gurgling soundsBring hands to mouthLift head up 45 degrees

1 points  

QUESTION 8

  1. Risk factors for Alcohol Use Disorder include which of the following?
  2. Family historyStressful life eventsLow socioeconomic statusAll of the aboveA & B only

1 points  

QUESTION 9

  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:
  2. Testicular torsionTesticular cancerHodgkin lymphomaA & B only

1 points  

QUESTION 10

  1. Diagnostic studies for Type II diabetes mellitus would include which of the following?
  2. HbA1C (>6.5%)Fasting plasma glucose (= to or >126 mg/dL)Random plasma glucose (>200 mg/dL)All of the aboveNone of the above

1 points  

QUESTION 11

  1. Marty is an 18y/o outdoorsman who loves hiking in the woods. Marty notes that he was hiking about 10 days ago and now he has a red rash with a central clearing that looks like a target. The rash is rough and hot to the touch. He now has flu-like symptoms. Treatment for Marty's condition would include all the following drugs, except:
  2. Doxycycline
  3. Amoxicillin
  4. Cefuroxime
  5. Azithromycin

1 points  

QUESTION 12

  1. Mary is a new mother who was tested HBsAG+ during her prenatal screening process. Upon the birth of her infant, the newborn should be given HBIG and Hep B within:
  2. 12 hours of birth24 hours of birth36 hours of birth48 hours of birth

1 points  

QUESTION 13

  1. The preferred test for oral glucose tolerance test (OGTT) in a pregnant woman is:
  2. 100 g75 g50 g25 g

1 points  

QUESTION 14

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

1 points  

QUESTION 15

  1. All of the following are presumptive signs of pregnancy except:
  2. AmenorrheaChadwick's sign (blue coloration of the uterus and vagina)Breast changesFatigue

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:
  2. Newborn Behavioral Assessment ScaleDenver Developmental Scale IIAges and Stages QuestionnaireBayley Scales of Infant Development

1 points  

QUESTION 17

  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 your most likely treatment plan?
  2. Use cold compresses on the groin area
  3. Start on antibiotics
  4. Give him acetaminophen and have him back in 24 hours
  5. Send him to the ER. This is a surgical emergency.

1 points  

QUESTION 18

  1. Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3.
  2. Treatment for Sierra's disease could include which of the following?
  3. Propylthiouracil
  4. Methimazole
  5. Radioactive iodine
  6. All of the above
  7. A & B only

1 points  

QUESTION 19

  1. Jay is a 72 y/o male who comes to the clinic with the following chief complaint: "I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticed that my ankles and feet are swollen and I have been putting on weight." The most likely diagnosis for this patient is:
  2. Acute myocardial infarction (AMI)
  3. Infective endocarditis
  4. Congestive heart failure (CHF)
  5. Dissecting abdominal aortic aneurysm (AAA)

1 points  

QUESTION 20

  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. If Sara started having uterine cramping, then the most appropriate immediate treatment would be:
  2. Vaginal examUltrasound of the uterusC-sectionIntravenous magnesium

1 points  

QUESTION 21

  1. Martin is a 17y/o male who comes to the clinic with the following chief complaint: "I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also." During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. The most likely diagnosis for this patient is:
  2. Acute appendicitisCholecystitisAcute diverticulosisAcute pancreatitis

1 points  

QUESTION 22

  1. Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. Patients with Joan's diagnosis would be referred to a nephrologist under these conditions if they were:
  2. Pregnant womenChildrenDiabeticAll of the above

1 points  

QUESTION 23

  1. Patients with bipolar disorder may have all the following except:
  2.  Delusions Hallucinations Lower rates of substance abuse A & B only

1 points  

QUESTION 24

  1. Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation of the abdomen she feels a palpable mass that is greater than 3 cm in width. This could potentially be:
  2. An acute MI
  3. Abdominal aortic aneurysm
  4. Infective endocarditis
  5. Congestive heart failure

1 points  

QUESTION 25

  1. Mary is a 22 y/o female who is at 6 weeks gestation. She stated that her last menstrual period was June 10, 2020. Using Naegele's rule, which of the following is her expected date of confinement (EDD)?
  2. March 17, 2021
  3. March 10, 2021
  4. April 10, 2021
  5. April 17, 2021

1 points  

QUESTION 26

  1. The most common drug trigger for Stevens-Johnson Syndrome include all the following except:
  2. ASA
  3. NSAIDS
  4. Anticonvulsants
  5. Allopurinol

1 points  

QUESTION 27

  1. St. John's Wart has all the following potential uses except:
  2.  Depression Menopausal symptoms Wound healing HIV/AIDS

1 points  

QUESTION 28

  1. Mike is a 22 y/o male who comes to your clinic with a 5-day history of cough without sputum production. He states that his cough is worse in the morning and he has some hoarseness, post-nasal drip, and a low-grade fever. Mike has otherwise been healthy. Differentials for Mike might include which of the following?
  2. PneumoniaSinusitisCOPDAll of the aboveA & B only

1 points  

QUESTION 29

  1. Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides.
  2.  True
  3.  False

1 points  

QUESTION 30

  1. Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. The most likely cause is:
  2. Irritable bowel syndromePeptic ulcer diseaseGERDPancreatitis

Answer & Explanation
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