Question 1 (2 points)
In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous
discharge. This is most likely indicative of:
Question 1 options:
a)
Bacterial sinusitis
b)
Allergic rhinitis
c)
Drug abuse
d)
Skull fracture
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Question 2 (2 points)
Your patient complains of a feeling of heaviness in the lower legs daily. You note varicosities, edema,
and dusky color of both ankles and feet. Which of the following is the most likely cause for these
symptoms?
Question 2 options:
a)
Femoral vein thrombosis
b)
Femoral artery thrombus
c)
Venous insufficiency
d)
Musculoskeletal injury
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Question 3 (2 points)
Which of the following is the most important question to ask during cardiovascular health history?
Question 3 options:
a)
Number of offspring
b)
Last physical exam
c)
Sudden death of a family member
d)
Use of caffeine
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Question 4 (2 points)
Rheumatic heart disease is a complication that can arise from which type of infection?
Question 4 options:
a)
Epstein-Barr virus
b)
Diphtheria
c)
Group A beta hemolytic streptococcus
d)
Streptococcus pneumoniae
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Question 5 (2 points)
A cough is described as chronic if it has been present for:
Question 5 options:
a)
2 weeks or more
b)
8 weeks or more
c)
3 months or more
d)
6 months or more
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Question 6 (2 points)
A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include
exertional dyspnea. Angina equivalents are important because:
Question 6 options:
a)
Women with ischemic heart disease many times do not present with chest pain
b)
Some patients may have no symptoms or atypical symptoms; diagnosis may only be made at the time of
an actual myocardial infarction
c)
Elderly patients have the most severe symptoms
d)
A & B only
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Question 7 (2 points)
A woman with an X-linked dominant disorder will:
Question 7 options:
a)
Not be affected by the disorder herself
b)
Transmit the disorder to 50% of her offspring (male or female)
c)
Not transmit the disorder to her daughters
d)
Transmit the disorder to only her daughters
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Question 8 (2 points)
A 55-year-old post-menopausal woman with a history of hypertension complains of jaw pain on heavy
exertion. There were no complaints of chest pain. Her ECG indicates normal sinus rhythm without ST
segment abnormalities. Your plan may include:
Question 8 options:
a)
Echocardiogram
b)
Exercise stress test
c)
Cardiac catheterization
d)
Myocardial perfusion imaging
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Question 9 (2 points)
The aging process causes what normal physiological changes in the heart?
Question 9 options:
a)
The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
b)
Cardiology occurs along with prolapse of the mitral valve and regurgitation
c)
Dilation of the right ventricle occurs with sclerosis of pulmonic and tricuspid valves
d)
Hypertrophy of the right ventricle
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Question 10 (2 points)
It is important to not dilate the eye if __ is suspected
Question 10 options:
a)
Cataract
b)
Macular degeneration
c)
Acute closed-angle glaucoma
d)
Chronic open-angle glaucoma
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Question 11 (2 points)
Your patient is a 78-year-old female with a smoking history of 120-pack years. She complains of
hoarseness that has developed over the last few months. It is important to exclude the possibility of:
Question 11 options:
a)
Thrush
b)
Laryngeal cancer
c)
Carotidynia
d)
Thyroiditis
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Question 12 (2 points)
In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a
suspicious oral lesion. The patient has been referred for a biopsy to be sent for pathology. Which is the
most common oral precancerous lesion?
Question 12 options:
a)
Fictional keratosis
b)
Keratoacanthoma
c)
Lichen planus
d)
Leukoplakia
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Question 13 (2 points)
A 20-year-old engineering student complains of episodes of abdominal discomfort, bloating, and
episodes of diarrhea. The symptoms usually occur after eating, and pain is frequently relieved with
bowel movement. She is on a “celiac diet” and the episodic symptoms persist. Physical examination and
diagnostic tests are negative. Colonoscopy is negative for any abnormalities. This is a history and
physical consistent with:
Question 13 options:
a)
Inflammatory bowel disease
b)
Irritable bowel syndrome
c)
Giardiasis
d)
Norovirus gastroenteritis
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Question 14 (2 points)
The most common cause of eye redness is:
Question 14 options:
a)
Conjunctivitis
b)
Acute glaucoma
c)
Head trauma
d)
Corneal abrasion
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Question 15 (2 points)
In AR disorders, carriers have:
Question 15 options:
a)
Two mutated genes; one from each parent that cause disease
b)
A mutation on a sex chromosome that causes a disease
c)
A single gene mutation that causes the disease
d)
One copy of a gene mutation but not the disease
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Question 16 (2 points)
According to the Genetic Information Nondiscrimination Act (GINA):
Question 16 options:
a)
Nurse Practitioners (NPs) should keep all genetic information of patients confidential
b)
NPs must obtain informed consent prior to genetic testing of all patients
c)
Employers cannot inquire about an employee’s genetic information
d)
All of the above
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Question 17 (2 points)
Aortic regurgitation requires medical treatment for early signs of CHF with:
Question 17 options:
a)
Beta blockers
b)
ACE inhibitors
c)
Surgery
d)
Hospitalization
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Question 18 (2 points)
Which of the following is the most common cause of heartburn-type epigastric pain?
Question 18 options:
a)
Decreased lower esophageal sphincter tone
b)
Helicobacter pylori infection of stomach
c)
Esophageal spasm
d)
Peptic ulcer disease
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Question 19 (2 points)
The best way to diagnose structural heart disease/dysfunction non-invasively is:
Question 19 options:
a)
Chest X-ray
b)
EKG
c)
Echocardiogram
d)
Heart catheterization
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Question 20 (2 points)
Essential parts of a health history include all of the following except:
Question 20 options:
a)
Chief complaint
b)
History of the present illness
c)
Current vital signs
d)
All of the above are essential history components
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