NRNP 6568 Week 7 Comprehensive
Question 1
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 2
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
Question 3
Jon, a 63 y/o male, comes to the clinic with the following presentation. He reports a sudden eruption of multiple vesicular lesions on his scalp, forehead, and sides and tips of his nose. Treatment for Jon’s condition would include which of the following drugs?
Acyclovir
Valacyclovir
Famciclovir
All of the
above
None of the
Above
Question 4
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 5
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 6
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:
Actos
Metformin
Glucotrol
Question 7
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 8
Differential diagnoses for patients with alcohol use disorder would include all the following except:
Depression
Pulmonary disease
Peptic ulcer disease
Essential hypertension
Question 9
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 10
An S3 heart sound is considered abnormal if it occurs after the age of 35–40 years of age.
True
False
Question 11
The most likely source of the shingles infection comes from the reactivation of a virus from which nerve root?
CN I
CN III
CN V
CN
VII
Question 12
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 13
Serum creatinine is a better measure of renal function than BUN.
True
False
Question 14
Antipsychotics lead to an increased risk of metabolic syndrome.
True
False
Question 15
Which of the following insulins is a “rapid acting” insulin?
Lantis
Humulin N
Humulin R
Humalog
Question 16
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:
Emphysema
Chronic bronchitis
Emphysema
COPD
Question 17
An S3 heart sound can be a normal finding in all the following except:
Young
athletes
Pregnant
women
Children
Question 18
Menopause is associated with a dramatic decline in estrogen levels.
True
False
Question 19
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 20
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
Metaprotereno
l
Question 21
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 22
When testing an infant for developmental dysplasia of the hip, which of the following tests could be used?
Ortolani test
Barlow test
Galeazzi (Allis) sign
All of the above
Question 23
Hyperprolactinemia can be a sign of pituitary adenoma.
True
False
Question 24
Oral contraceptives can be started anytime in the menstrual cycle.
True
False
Question 25
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:
Sample contamination
Pyelonephritis
Bladder cancer
None of the above
Question 26
The most common drug trigger for Stevens-Johnson Syndrome include all the following except:
ASA
NSAIDS
Anticonvulsa
nts
Allopurinol
Question 27
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 for the parents to use:
Newborn Behavioral Assessment
Scale
Denver Developmental Scale II
Ages and Stages Questionnaire
Bayley Scales of Infant
Development
Question 28
Oscar is a 41 y/o male who presents to the clinic with onset of fever, n&v, with a rapid onset of pain that radiates to the midback, epigastric region. On physical exam, you notice guarding over epigastric area and a positive Cullen’s and Grey-Turner’s sign. The most likely diagnosis is:
GERD
Acute pancreatitis
Hepatitis
Peptic ulcer disease
Question 29
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 30
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:
PUD
Acute diverticulitis
Acute pancreatitis
Hepatitis