Quiz – Week 7 Comprehensive Practice

INSTRUCTIONS

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Question 4
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 5
Oral contraceptives can be started anytime in the menstrual cycle.

True

False

Question 6
Risk factors for Alcohol Use Disorder include which of the following?

Family history
Stressful life events
Low socioeconomic status
All of the above
A & B only

Question 7
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:

12 hours of birth
24 hours of birth
36 hours of birth
48 hours of birth
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Question 8
Sal is a 56 y/o male who the NP has seen on many occasions in the clinic. During her physical exam of the heart, the NP notices that he has a new mitral regurgitation murmur that is described as a Grade II. She notes that his murmur is associated with which part of the cardiac cycle?

Diastolic
Systolic
Friction rub
None of the above

Question 9
Antipsychotics lead to an increased risk of metabolic syndrome.

True

False

Question 10
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. Treatment for Judy’s condition would include all the following drugs except:

Cefotan
Amoxicillin
Ceftriaxone
Metronidazole

Question 11
A patient with type 2 DM should have an eye exam for diabetic retinopathy every

6–12 months
12–18 months
18–24 months
24–36 months

Question 12
The average age range of the beginning of natural menopause is:

40–45 y/o
46–50 y/o
50–51 y/o
52–53 y/o

Question 13
All of the following are characteristic of the S4 heart sound except

Normal finding in some healthy elderly
Occurs during systole
Best heard at apex of the heart
Best heard with bell of stethoscope

Question 14
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. All of the following could be risk factors for Artie except:

Family history of identical condition
Low fluid intake
Gout
Arthritis
A & B only

Question 21
Serum creatinine is a better measure of renal function than BUN.

True

False

Question 22
An S3 heart sound is considered abnormal if it occurs after the age of 35–40 years of age.

True

False

Question 23
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. The NP in Juan’s case should:

Refer to ER
Try an antiemetic
Draw labs
Send for a CAT scan

Question 24
Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatment for Randy’s diagnosis would be:

Insulin
Actos
Metformin
Glucotrol

Question 25
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. Treatment of Artie’s condition would involve avoiding which of the following foods:

Rhubarb
Spinach
Beets
Chocolate
All of the above
All of the above except D

Question 26
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:

Albuterol
Salmeterol
Levalbuterol
Metaproterenol

Question 27
In treating patients for depression, the first line pharmacological treatment would be:

Monoamine oxidase inhibitors (MAOIs)
Benzodiazepines
Selective serotonin reuptake inhibitors (SSRIs)
Tricyclic antidepressants (TCAs)

Question 28
Hyperprolactinemia can be a sign of pituitary adenoma.

True

False

Question 29
Menopause is associated with a dramatic decline in estrogen levels.

True

False

Question 30
The most common drug trigger for Stevens-Johnson Syndrome include all the following except:

ASA
NSAIDS
Anticonvulsants
Allopurinol

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