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  • Management
  • Prescribing
  • Assessment
  • Pathophysiology

Cardiovascular

Sample Question >

When auscultating the heart for aortic insufficiency, ask the patient to:

  1. lie supine and inhale.
  2. exhale while standing.
  3. turn to the left side and breath deeply.
  4. sit up, lean forward, and exhale.

Cardiovascular

Sample Question >

What is the maximum half-life elimination of warfarin (Coumadin)?

  1. 8 hours
  2. 12 hours
  3. 16 hours
  4. 60 hours

Cardiovascular

Sample Question >

A birth defect characterized by a hole in the septum that separates the two upper chambers of the heart is:

  1. ventricular septal defect.
  2. patent ductus arteriosus.
  3. atrial septal defect.
  4. tetralogy of Fallot.

Dermatology

Sample Question >

When examining a patient with atopic dermatitis, there is a thickening and roughening of the skin with increased visibility of the normal skin furrows. This condition is termed:

  1. atrophy.
  2. excoriation.
  3. burrow of scabies.
  4. lichenification.

Endocrine

Sample Question >

A female patient has the following characteristics. Which one represents the greatest risk factor for development of type 2 diabetes?

  1. BMI 25
  2. LDL < 100 mg/dL
  3. Mediterranean descent
  4. Lack of regular healthcare

Endocrine

Sample Question >

When auscultating the enlarged thyroid with a stethoscope, a bruit is suggestive of:

  1. a carotid aneurysm.
  2. a normal finding.
  3. hyperthyroidism.
  4. a thyroid malignancy.

Endocrine

Sample Question >

A patient is started on a sulfonylurea (i.e., glyburide). The nurse practitioner informs the patient that sulfonylureas are likely to:

  1. cause weight loss.
  2. reduce microvascular events.
  3. delay gastric emptying.
  4. reduce the risk of hypoglycemic events.

Eye, Ear, Nose and Throat

Sample Question >

Ophthalmoscopic examination of the fundus reveals small, rounded, slightly irregular red spots embedded in the retina. These findings are consistent with:

  1. superficial retinal hemorrhages.
  2. preretinal hemorrhages.
  3. microaneurysms.
  4. deep retinal hemorrhages.

Eye, Ear, Nose and Throat

Sample Question >

The first step in the pathogenesis of otitis externa is:

  1. edema and pruritus, resulting in obstruction.
  2. otalgia, resulting in hearing loss.
  3. breakdown of the cerumen barrier.
  4. increased pH in the ear.

Gastroenterology

Sample Question >

An older adult has suspected vitamin B12 deficiency. Which of the following lab indices is more indicative of a vitamin B12 deficiency?

  1. Microcytosis
  2. Macrocytosis
  3. Leukocytosis
  4. Thrombocytosis

Gastroenterology

Sample Question >

The type of hernia in which the hernial sac protrudes directly through the abdominal wall in the region of Hesselbach triangle is called a(n):

  1. inguinal hernia.
  2. umbilical hernia.
  3. femoral hernia.
  4. spigelian hernia.

Hematology

Sample Question >

Folic acid deficiency is an example of which type of anemia?

  1. Normocytic
  2. Macrocytic
  3. Microcytic
  4. Hemolytic

Hematology

Sample Question >

Cyanocobalamin (vitamin B12) is primarily stored in the:

  1. fat tissue.
  2. gastrointestinal tissue.
  3. liver.
  4. subcutaneous tissue.

Men's Health

Sample Question >

A patient with testicular torsion will have a:

  1. positive cremasteric reflex on the affected side.
  2. negative cremasteric reflex on the affected side.
  3. a positive cremasteric reflex bilaterally.
  4. negative cremasteric reflex bilaterally.

Men's Health

Sample Question >

Prostate gland enlargement that narrows the urethral lumen and leads to increased prostatic smooth muscle tone is:

  1. prostate cancer.
  2. urethral stricture.
  3. neurogenic bladder.
  4. benign prostatic hyperplasia.

Pregnancy

Sample Question >

A 25-year-old pregnant woman has asymptomatic bacteriuria. The best treatment plan for this patient is to:

  1. have her return if she becomes symptomatic.
  2. administer gentamicin intramuscularly for one dose.
  3. initiate cephalexin (Keflex) for 7 days.
  4. prescribe trimethoprim/sulfamethoxazole (Bactrim) for 3 days.

Professional Issues

Sample Question >

A patient you are caring for in your clinic has Medicare Part B. What does this mean?

  1. The federal government will pay for his visit to your clinic today.
  2. His medicare benefit covers outpatient services.
  3. He will have a copay for his visit today.
  4. His prescriptions will be partly paid for today.

Respiratory

Sample Question >

Albuterol (ProAir HFA), used in the treatment of asthma, causes bronchodilation by:

  1. blocking the action of acetylcholine.
  2. decreasing the activity of inflammatory mediators.
  3. relaxing the smooth muscles of the bronchi.
  4. stimulating beta 2 receptors.

Respiratory

Sample Question >

An Infection of the tracheobronchial tree that causes reversible bronchial inflammation is:

  1. upper respiratory disease.
  2. bronchitis.
  3. tuberculosis.
  4. pneumonia.

Sexually Transmitted Diseases

Sample Question >

A 26-year-old female patient has been diagnosed with gonorrhea. How should she be managed?

  1. Ceftriaxone only
  2. Ceftriaxone and azithromycin
  3. Cefixime and azithromycin
  4. Penicillin G