QUESTION 1 Artie, a 36 y/o male, comes to the clinic with chief...

QUESTION 1

1. Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1-10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20-60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. His most likely diagnosis is:
2. Acute pyelonephritisNephrolithiasis (kidney stone)Bladder cancerNone of the above
3. 
   

1 points  

QUESTION 2

1. Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. Differential diagnoses for Judy's diagnosis would include which of the following:
2. Ectopic pregnancyOvarian cystAcute appendicitisAll of the aboveA & B only
3. 
   

1 points  

QUESTION 3

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." Treatment for Jay's diagnosis could include which of the following?
2. Diuretics
3. Calcium channel blockers
4. Beta blockers
5. All of the above
6. A & C only
7. 
   

1 points  

QUESTION 4

1. H. pylori is a common cause of both duodenal and gastric ulcers.
2.  True
3.  False
4. 
   

1 points  

QUESTION 5

1. The definition of a UTI is >100,000 CFU/mL of one organism.
2.  True
3.  False
4. 
   

1 points  

QUESTION 6

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. Follow-up for Joan would be needed in what period?
2. 6-12 hours12-24 hours24-36 hours48 hours
3. 
   

1 points  

QUESTION 7

1. Bonnie is a 76 y/o female patient who resides in a nursing home. She is currently on a 10-day course of Clindamycin for a recurrent bacterial vaginal infection. She has started having 10-15 watery stools per day. The NP recognizes this as:
2. Crohn's diseaseUlcerative colitisClostridium difficile colitisNone of the above
3. 
   

1 points  

QUESTION 8

1. Martin is a 41 y/o male who comes to the clinic with the following symptoms: fever, chills, and malaise. On physical exam, the NP notes that he has a new murmur that was not present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Treatment for Martin would include which of the following:
2. IV antibiotics
3. Debridement of prosthetic valve
4. Dental evaluation and treatment
5. All of the above
6. A & B only
7. 
   

1 points  

QUESTION 9

1. Treatment for H. pylori-negative ulcers includes all the following except:
2. Stop NSAIDSStop smokingPrilosec for 4-8 weeksTriple therapy including Biaxin, Flagyl, and amoxicillin
3. 
   

1 points  

QUESTION 10

1. John is a 26 y/o Caucasian male who works as a landscaper for his father's business. During the past couple of months, he has noticed a small dark popular lesion on his neck. He states that it sometimes bleeds and is a "sore that never heals." The NP notes that he has a circumscribed 2mm lesion at the base of his neck just below the hairline. The NP's diagnostic impression is that this is probably:
2. Squamous cell carcinoma
3. Basal cell carcinoma
4. Melanoma
5. Malar lupus
6. 
   

1 points  

QUESTION 11

1. The most common drug trigger for Stevens-Johnson Syndrome include all the following except:
2. ASA
3. NSAIDS
4. Anticonvulsants
5. Allopurinol
6. 
   

1 points  

QUESTION 12

1. Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina's breath, thinning tooth enamel, and a chronic red throat. Some lifestyle changes to treat Zina's condition would include which of the following?
2. Stop smoking
3. Avoid ASA
4. Avoid alcohol
5. Avoid caffeine
6. All of the above
7. A, C, and D only
8. 
   

1 points  

QUESTION 13

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
3. 
   

1 points  

QUESTION 14

1. Deep palpation of the left lower quadrant of the abdomen causes referred pain to the RLQ. This is a positive for:
2. Rovsing's signPsoas signMcBurney's pointMurphy's maneuver
3. 
   

1 points  

QUESTION 15

1. Menopause is associated with a dramatic decline in estrogen levels.
2.  True
3.  False
4. 
   

1 points  

QUESTION 16

1. Vulvovaginitis in the vulva and vagina can be caused by which of the following organisms?
2. BacteriaFungiProtozoaAll of the aboveNone of the above
3. 
   

1 points  

QUESTION 17

1. Andreas is a 22 y/o male who comes to the clinic with a UTI. In reviewing the labs that were drawn yesterday, you know that there are many squamous epithelial in the specimen. This indicates:
2. Sample contaminationPyelonephritisBladder cancerNone of the above
3. 
   

1 points  

QUESTION 18

1. Which of the following are non-antibiotic strategies to prevent UTIs?
2. Estrogen therapyCranberry juice/extractMethenamine saltsLactobacillusAll of the above
3. 
   

1 points  

QUESTION 19

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
4. 
   

1 points  

QUESTION 20

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
6. 
   

1 points  

QUESTION 21

1. The average age range of the beginning of natural menopause is:
2. 40-45 y/o46-50 y/o50-51 y/o52-53 y/o
3. 
   

1 points  

QUESTION 22

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:
2. Urinalysis with microscopyUrine cultureReferral to urologistCystoscopic examination of bladder
3. 
   

1 points  

QUESTION 23

1. To perform the psoas sign, the NP would do which of the following?
2. With patient supine, have pt. raise right leg against NPs hand. Positive if pain is elicited.With patient on left side, extend patients right leg at hip. Positive if pain is elicited.Pain during left-sided pressure in LLQ is positive sign.Flex patient's right thigh at hip with knee bent and rotate leg internally at the hip. Positive if pain elicited.A & B onlyNone of the above
3. 
   

1 points  

QUESTION 24

1. All of the following are in the LUQ of the abdomen except
2. StomachSigmoid colonPancreasKidney (left)
3. 
   

1 points  

QUESTION 25

1. Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing's sign, and rigid abdomen. Juan's most likely diagnosis is:
2. PUDAcute diverticulitisAcute pancreatitisHepatitis
3. 
   

1 points  

QUESTION 26

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
3. 
   

1 points  

QUESTION 27

1. Emergency contraception works best if taken within how many hours after unprotected sex or 2 days of missed birth control pills?
2. 24 hours48 hours72 hours96 hours
3. 
   

1 points  

QUESTION 28

1. People with darker skin require less sun exposure to produce Vitamin D.
2.  True
3.  False
4. 
   

1 points  

QUESTION 29

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. Given Mike's diagnosis, the most likely causative agent is:
2. Strep pneumoniaPneumococcal pneumoniaMycoplasma pneumoniaMoraxella catarrhalis
3. 
   

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. Treatment of Agnes's condition would include which of the following:
2. Increased dietary fiberAvoid gas-producing foodsDecrease stress in her lifeAll of the aboveA & B only