When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye
and
20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) documentthisasanormalfinding - Answers-c) refer the patient to an ophthalmologist
The American psychiatric association's diagnostic and statistical manual of mental
disorder defines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under his or her
care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the victim -
Answers-b) a caregiver making up or causing an illness or injury in a person under his
or her
care
A pediatric patient has areas of scaling on the scalp with round patches of alopecia.
This clinical finding is consistent with:
a) Tinea capitis
b) Seborrheicdermatitis
c) Trichotillomania
d) Alopeciaareata - Answers-a) Tinea capitis
What is the appropriate prophylactic medication for an 18 years old woman with a past
medical history of migraine headaches?
a) Sumatriptan (Imitrex)
b) Propanolol(Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine(DHE) - Answers-b) Propanolol(Inderal)
Why would a combined hormonal contraceptive be contraindicated in a 36 year old
patient with a past medical history of type 2 diabetes, obesity, chronic smoking and
sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle - Answers-c) Her age and tobacco use
, 10. During the breast examination of a perimenopausal woman the NP detects a bloody
spontaneous discharge from the right nipple. This indicates further evaluation.a)
Fibroadenoma
treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort migraine
b) Polycystic breast disease Generalized breast pain or tenderness. Green or dark
brown nonbloody nipple discharge that tends to leak without pressure or squeezing
c) An intraductal papilloma
d) Pituitaryprolactinoma - Answers-c) An intraductal papilloma
Rh negative women should receive Rho (D) immunoglobulin at what gestational time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks - Answers-c) 28 weeks
When interpreting a complete blood count (CBC) lab report which of the following
results describes the size of the RBCs?
a) Hemoglobin
b) Meancorpuscularvolume(MCV)
c) Red cell distribution width (RDw)
d) Hematocrit - Answers-b) Meancorpuscularvolume(MCV)
13. What medication should be avoided when prescribe prophylactic therapy for
headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine - Answers-c) Venlataxin (Effexor)
14. What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
transposition of the great arteries
a) To maintain equal pressure in the ventricles
b) To maintain patency of the great arteries
c) To produce vasodilation on
d) To prevent cyanotic episodes by trapping blood in the lowe - Answers-c) To produce
vasodilation on
Symptoms of depression are a side effect of which neurotransmitter medication?
a) dopamine
b) gabapentin
c) mil
d) cortisol - Answers-a) dopamine
Which lesion is dark raised and asymmetric with irregular border?
a) Nevus
b) Actinickeratosis
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