FNP POST-TEST LATEST 2023-2024 TEST BANK 300+
QUESTIONS AND CORRECT ANSWERS|ALREADY
GRADED A+
A male patient has type two diabetes mellitus and a " sensitive stomach". Which medication is least likely to cause him gastrointestinal distress?
- Naproxen sodium
- Aspirin
- Erythromycin
- Sucralfate - ANSWER- D. Sucralfate
An obese Asian patient with a BMI of 33 complaints of fatigue and excessive thirst and hunger. You suspect type two diabetes mellitus. Initial testing to confirm
diagnosis can include:
- Fasting plasma glucose level
- Glycated hemoglobin level (A1C)
- Oral glucose tolerance testing
- All of the above - ANSWER- D. All of the above
Which one of the following findings is associated with diabetic retinopathy?
- AV nicking
- Copper wire arterioles
- Flame shaped hemorrhages
- Microaneurysms - ANSWER- D. Microaneurysms
A 30 year old woman with type two diabetes uses regular and intermediate acting insulin in the morning and evening. She denies changes in her diet or any illness, but she recently started attending aerobic classes in the afternoon. Our fasting blood glucose level before breakfast is now elevated. Which of the following is best described?
- Somogyi phenomenon
- Dawn phenomenon
- Raynaud's phenomenon
- Insulin resistance - ANSWER- A. Somogyi phenomenon 1 / 4
Which of the following best describes Cullen's sign?
- Cessation of inspiration upon deep palpation of the RUQ of the abdomen
- Bruising around the periumbilical area of the abdomen
- Deep palpation of the LLQ of the abdomen that causes pain to radiate to the
- Blue-black discoloration that is located on the right flank of the trunk -
RLQ
ANSWER- B. Bruising around the periumbilical area of the abdomen
Which of the following is the screening test for hepatitis C virus (HCV)?
- Anti-HCV
- HBsAg
- Anti-HAV
- HCV RNA polymerase chain reaction (PCR) - ANSWER- A. Anti-HCV
Which of the following is indicative of gallbladder Inflammation?
- Rovsing's maneuver
- Rebound tenderness
- Murphy's maneuver
- McMurrays maneuver - ANSWER- C. Murphy's maneuver
A 45 year old female with a BMI of 28 complaints of intermittent burning epigastric pain over the past few months. It is worse at night, especially after a heavy or spicy meal. She goes to sleep about two hours after eating. The pain is partially relieved by antacids or not at all. She's not a smoker and denies radiation of pain to neck, arms, or jaw; diaphoresis; and dyspnea. What is the next step?
- Order a 12 lead EKG
- Prescribe a proton pump inhibitor
- Recommend to stop eating four hours and avoid spicy or heavy meals before
- Schedule a fasting lipid profile, including cholesterol, low density lipoprotein,
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bedtime, as well as lose weight
high density lipoprotein, and triglycerides - ANSWER- C. Recommend to stop eating four hours and avoid spicy or heavy meals before bedtime, as well as lose weight
A 13 year old middle school student reports that he does not feel like eating and that his stomach has bothered him for the past 24 hours. He states that last night, the middle of his stomach around the umbilicus hurt and then the pain moved to the right lower side of his abdomen. His temperature is 100.8°F, Pulse is 90 bpm, respiratory rate is 20 breaths per minute, and blood pressure is 110/60 4 mmHg.During abdominal exam, the patient has RLQ abdominal tenderness without rebound. Rovsing's sign is negative. Which of the following is the most helpful clue in the patient's diagnosis?
- The manner in which the pain involved
- The patient's vital signs
- The patient poor appetite
- The abdominal exam - ANSWER- A. The manner in which the pain involved
The best test of cure after treating a patient with Helicobacter pylori infection is:
- CBC with white blood cell differential
- Stool for occult blood x 3 specimens
- H. pylori IgM and IgG serology
- Urea breath test - ANSWER- D. Urea breath test
An adult with a seizure disorder is experiencing gingival hypertrophy, coarse facial features, and increased hair growth. These are potential side effects of which medication?
- Carbamazepine
- Valproic acid
- Phenytoin
- Venlafaxin - ANSWER- C. Phenytoin
Among patients with nephrolithiasis, which is the most common type of kidney stone?
- Struvite
- Cystine
- Calcium oxalate
- Uric acid - ANSWER- C. Calcium oxalate
A 55-year-old female patient presents with symptoms of urinary tract infection. A clean catch midstream urine specimen is obtained and sent to the laboratory for 3 / 4
culture and sensitivity testing. Which of the following results is indicative of an uncomplicated urinary tract infection?
- 10^5 CFU/mL of one organism
- 10^5 CFU/mL of one or more organism
- 10^3 CFU/mL of Enterobacteriacae
- 10^3 CFU/mL of gram-negative Enterobacteriacae - ANSWER- A. 10^5
CFU/mL of one organism
All of the following groups are considered complicated urinary tract infection,
except:
- Males
- Infants
- Pregnant women
- Middle-aged women - ANSWER- D. Middle-aged women
All of the following increase the risk of urinary tract infection in women, except:
- Frequent sexual intercourse
- Pregnancy
- Vaginal douching
- Spermicide used with diaphragms - ANSWER- C. Vaginal douching
A new patient, who is a 54 year old athlete with a history of hyperlipidemia, is seen for new onset of generalized myalgia, muscle weakness, oliguria, and tea- colored urine for the past 24 hours. He recently completed running a marathon.He's on a statin and reports taking ibuprofen several times to treat the muscle pain.Which diagnosis is most likely?
- Hyperthyroidism
- Rhabdomyolysis
- Pyelonephritis
- Viral influenza - ANSWER- B. Rhabdomyolysis
A 23 year old woman is seen in the office by the nurse practitioner for a complaint of weakness, poor balance, and problems with walking. She states, "I am so clumsy. Sometimes I fall when I walk." She reports new onset vision loss and bladder incontinence. Each episode lasts a few days; she has had several in the past six months. When she bends her head forward to tie her shoes, she reports a sharp
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