Diagnostic radiological studies are indicated for low back pain:
· Question 50
Who is at a higher risk for developing nephrolithiasis?
· Question 51
An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects?
· Question 52
A 28-year-old female presents to the office requesting testing for diagnosis of hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her risk factors. The nurse practitioner explains that:
· Question 53
The diagnosis of human papilloma virus (HPV) infection in males is usually made by:
· Question 54
Which history is commonly found in a patient with glomerulonephritis?
· Question 55
A patient complains of generalized joint pain and stiffness associated with activity and relieved with rest. This patient history is consistent with which of the following disorders?
· Question 56
The most common presentation of thyroid cancer is:
· Question 57
The obligatory criteria for diagnosis of muscular dystrophy (MD) are:
· Question 58
The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is:
· Question 59
A 60 year old male patient with multiple health problems presents with a complaint of erectile dysfunction (ED). Of the following, which medication is most likely to be causing the problem?
· Question 60
A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most likely cause of this behavior?
C. Parkinson’s disease
· Question 61
Which of the following set of symptoms should raise suspicion of a brain tumor?
· Question 62
The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:
· Question 63
Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to:
· Question 64
Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia?
A. Musculosckeletal pain
B. Difficulty sleeping
· Question 65
The cardinal sign of infectious arthritis is:
· Question 66
Diagnostic evaluation for urinary calculi includes:
· Question 67
Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up. On examining his feet with monofilament, you discover that he has developed decreased sensation in both feet. There are no open areas or signs of infection on his feet. What health teaching should Martin receive today regarding the care if his feet?
See a podiatrist yearly; wash your feet daily with
warm, soapy water and towel dry between the
toes; inspect your feet daily for any lesions; and
apply lotion to any dry areas.
· Question 68
Potential causes of septic arthritis include which of the following?
· Question 69
Which of the following is the best response to a woman who has just admitted she is a victim of spousal abuse?
· Question 70
A 15 year-old female patient is 5 feet tall and weighs 85 pounds. You suspect anorexia and know that the best initial approach is to:
Having the client in view of staff for 90 minutes after each meal
· Question 71
A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time?
A. Prescribe an alpha adrenergic blocker.
B. Recommend saw palmetto.
C. Prescribe an antibiotic
D. Refer the client to urology.
· Question 72
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety disorder?
· Question 73
A positive drawer sign supports a diagnosis of:
· Question 74
Sam, age 67, is a diabetic with worsening renal function. He has frequent hypoglycemic episodes, which he believes means that his diabetes is getting “better.” How do you respond?
· Question 75
A 14 year old female cheerleader reports gradual and progressive dull anterior knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis?
· Question 76
A 35 year old male presents with a complaint of low pelvic pain, dysuria, hesitancy, urgency, and reduced force of stream. The nurse practitioner suspects acute bacterial prostatitis. Which of the following specimens would be least helpful for diagnosis?
· Question 77
Jack, age 55, comes to the office with a blood pressure of 144/98 mm Hg. He states that he did not know if it was ever elevated before. When you retake his blood pressure at the end of the exam, it remains at 144/98. What should your next action be?
· Question 78
A patient has just been diagnosed with Bell’s palsy. He is understandably upset and has questions about the prognosis. You response should be:
· Question 79
Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is:
· Question 80
Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be achieved with:
· Question 81
What diabetic complications result from hyperglycemia?
2. Hypertension resistant to treatment
3. Peripheral neuropathy
4. Accelerated atherogenesis
· Question 82
· Question 83
The most common symptoms of transient ischemic attack (TIA) include:
· Question 84
What is the first step in the treatment of uric acid kidney stones?
· Question 85
Establishment of a definitive diagnosis of osteomyelitis requires:
· Question 86
Which of the following is the most common causative organism of nongonococcal urethritis?
· Question 87
Urine cultures should be obtained for which of the following patients?
· Question 88
A 30 year old female patient presents to the clinic with heat intolerance, tremors, nervousness, and weight loss inconsistent with increased appetite. Which test would be most likely to confirm the suspected diagnosis?
· Question 89
A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH?
· Question 90
Potential causes of hypocalcemia include which of the following?
· Question 91
Which of the following patients most warrants screening for hypothyroidism?
· Question 92
Which of the following is a contraindication for metformin therapy?
· Question 93
The organism most often associated with prostatitis is:
· Question 94
The most effective intervention(s) to prevent stroke is (are):
· Question 95
What is the most commonly abused substance?
· Question 96
The hallmark of neurofibromatosis (von Recklinghausen’s disease) present in almost 100% of patients is:
· Question 97
Diagnostic evaluation of hypothyroidism reveals:
· Question 98
An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment to consider?
A. A low-calorie diet and exercise
B. Sliding-scale NPH insulin every 12 hours
C. A sulfonylurea and/or metformin (Glucophage® -XR)
D. Sliding-scale regular insulin every 6 hours
· Question 99
The correct treatment for ankle sprain during the first 48 hours after injury includes:
· Question 100
Prolonged PT suggests:
Abnormality in intrinsic coagulation pathway
Abnormality in extrinsic coagulation pathway
None of the above
A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as:
· Question 102
The most reliable indicator(s) of neurological deficit when assessing a patient with acute low back pain is(are):
· Question 103
Risk factors for Addison’s disease include which of the following?
· Question 104
Major depression occurs most often in which of the following conditions?
· Question 105
Which of the following medications increase the risk for metabolic syndrome?
· Question 106
A 27 year old female patient with epilepsy is well controlled with phenytoin (Dilantin). She requests information about contraception. The nurse practitioner should instruct her that while taking phenytoin:
· Question 107
Risk factors for prostate cancer include all of the following except:
· Question 108
Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, flashbacks, and depression. What is your initial diagnosis?Post-traumatic stress disorder