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JEN LEIK FNP Practice Questions And Answers
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JEN LEIK FNP Practice Questions And Answers
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JEN LEIK FNP Practice Questions AndAnswers
A 28-year-old student is seen in the school health clinic with complaints
of a hacking cough that is productive of small amounts of sputum and a
runny nose. He does not take any medications, denies any allergies, and
has no significant medical history. Physical examination reveals a low-
grade temperature of 99.9 degrees Fahrenheit, respirations of 16/min, a
pulse of 90 beats per minute, and diffuse fine crackles in the base of the
lungs. A chest radiograph (x-ray) shows diffuse infiltrates on the lower
lobe of the right lung. The total white blood cell count is 10,500/uL.
What is the most likely diagnosis?
A) Streptococcal pneumonia
B) Mycoplasma pneumonia
C) Acute bronchitis
D) Legionnaires disease - correct answer ✅B) Mycoplasma pneumonia
Mycoplasma pneumonia is the organism most commonly seen in
children and young adults. It is easily spread from droplets, from
sneezing and coughing, in close proximity. Diagnosis is based on
symptoms and x-ray results of infiltrates in lower lobes.
Which of the following antihypertensive medications has beneficial
effects for an elderly White female with osteoporosis?
A) Calcium channel blocker
,JEN LEIK FNP Practice Questions And
Answers
B) Angiotensin-converting enzyme (ACE) inhibitor
C) Beta-blocker
D) Diuretic - correct answer ✅A) Calcium channel blocker
Calcium channel blockers act by blocking the cal- cium channels in the
heart muscle and the blood vessels, thereby keeping more calcium in
the bones.
All of the following are false statements regarding acute gastritis except:
A) Chronic intake of nonsteroidal anti-inflammatory drugs (NSAIDs) can
cause the disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening test for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy - correct
answer ✅C) The screening test for the disorder is the barium swallow
test
The gold standard for diagnosing gastric disease is biopsy of gastric
and/or duodenal tissue by upper endoscopy. Chronic use of NSAIDs
disrupts the production of prostaglandins, which decreases blood
supply and then breaks down the protective layer of the mucosa, which
leads to gastric disease.
,JEN LEIK FNP Practice Questions And
Answers
Epidemiologic studies show that Hashimoto's disease occurs most
commonly in:
A) Middle-aged to older women
B) Smokers
C) Obese individuals
D) Older men - correct answer ✅A) Middle-aged to older women
Hashimoto's disease commonly occurs in middle-aged to older women.
A 63-year-old patient with a 10-year history of poorly controlled
hypertension presents with a cluster of physical exam findings. Which of
the following indicate target organ damage commonly seen in
hypertensive patients?
A) Pedal edema, hepatomegaly, and enlarged kidneys
B) Hepatomegaly, AV nicking, bibasilar crackles
C) Renal infection, S3, neuromuscular abnormalities
D) Glaucoma, jugular vein atrophy, heart failure - correct answer ✅B)
Hepatomegaly, AV nicking, bibasilar crackles
, JEN LEIK FNP Practice Questions And
Answers
With long-term, uncontrolled hypertension, organ damage may occur.
Organs commonly affected include: brain (stroke), eyes (retinopathy, AV
nicking, bleeding, blindness), heart (heart dis- ease, left ventricular
hypertrophy, MI, and/or CHF), and kidneys (renal failure, proteinuria).
While performing a Pap smear on a postmenopausal patient, several
areas of flat white skin lesions that are irregularly shaped are found on
the patient's labia. The patient reports that the lesions are extremely
itchy and have been present for several years without much change.
Which condition is best described?
A) Chronic scabies infection
B) Lichen sclerosus
C) Chronic candidal vaginitis
D) A physiologic variant found in some older women - correct answer
✅B) Lichen sclerosus
Lichen sclerosus is a disease of the skin, in which white spots appear on
the skin and change over time. It is most commonly seen in the genital
and rectal areas, but can appear in other areas. The spots are usually
shiny and smooth and can eventually spread into patches. The skin
appears thin and crinkled. Then the skin tears easily, and bright red or
purple bruises are common. Sometimes, the skin becomes scarred. If
the disease is a mild case, there may be no symptoms
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