NRNP 6568 Week 8 Comprehensive Test
Question 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.
True
False
Question 2
The most common method of contraception is:
IUDs
Sterilization
Condoms
Diaphragms
Question 3
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 4
St. John’s Wart has all the following potential uses except:
Depression
Menopausal symptoms
Wound healing
HIV/AIDS
Question 5
The CDC recommends HPV vaccine for males until what age?
18
y/o
20
y/o
23
y/o
26
y/o
Question 6
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. His most likely diagnosis is:
Pertussis
Atypical pneumonia
CAP
Common cold
Question 7
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. The most likely diagnosis is:
Halitosis
Peptic ulcer disease
Gastroesophageal reflux disease (GERD)
A or B only
Question 8
The most common side effects of giving SSRIs to depressed patients include:
Diarrhea
Nausea and vomiting
Sexual dysfunction
All of the above
Question 9
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:
Relapsing UTI
Recurring UTI
Persistent UTI
None of the above
Question 10
Breast cancer in women is characterized by all of the following except:
Mobile mass on palpation
Mass is painless
Mass is typically found in the upper outer quadrant
Skin around breast is dimpled
Question 11
After skin cancer, breast cancer is the most common cancer in women.
True
False
Question 12
Above the symphysis pubis
Halfway between symphysis pubis and
mbilicus
At level of umbilicus
Below symphysis pubis
Question 13
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. Potential organisms that might have caused Sam’s condition include which of the following:
Mycoplasma pneumoniae
Chlamydia pneumoniae
Legionella pneumonia
All of the above
None of the above
Question 14
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?
Stop smoking
Avoid ASA
Avoid alcohol
Avoid caffeine
All of the above
A, C, and D only
Question 15
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. Medications to assist Zina would include all the following except:
Zantac
Pepcid
NSAIDS
Prevacid
Question 16
Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is:
Korsakoff’s syndrome
Insomnia
Anorexia nervosa
Bipolar disorder
Question 17
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 18
All of the following are presumptive signs of pregnancy except:
Amenorrhea
Chadwick’s sign (blue coloration of the uterus and vagina)
Breast changes
Fatigue
Question 19
What is the earliest age at which one would not give DTap to a child but rather would give Td or Tdap?
1 year old
2 years old
3 years old
7 years old
Question 20
Mark is a 2-month-old infant, and he should be able to do all the following tasks except:
Follow objects past midline
Make gurgling sounds
Rolling over
Lift head up 45 degrees
Question 21
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. In treating Susan, the NP could use which of the following antibiotics?
TMP-SMX
Nitrofuranto in Cephalexin
A and C only
A & C only
Question 22
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 23
Imaging, in relationship to UTIs, should be done in all the following except:
Poor response to antibiotics
H/O of calculi
On initial visit
Recurrent pyelonephritis
Question 24
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 25
In a pregnant woman, most of the weight gain occurs in which trimester?
First trimester
Second trimester
Third trimester
Fourth trimester
Question 26
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
Question 27
All of the following are in the LUQ of the abdomen except
Stomach
Sigmoid colon
Pancreas
Kidney (left)
Question 28
Patients with bipolar disorder may have all the following except:
Delusions
Hallucinations
Lower rates of substance abuse
A & B only
Question 29
Danger signs of oral contraceptives include all the following except:
Chest pain
Severe headache
Weakness on both sides of the body
Visual changes in one eye
Question 30
The positive signs of pregnancy include all the following except:
Palpation of uterus by NP
Ultrasound and visualization of fetus
Goodell’s sign (cervical softening at 4 weeks)
Fetal heart tones