Question 1 1 out of 1 points Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order? • Question 2 1 out of 1 points Medicare is a federal program administered by the Centers for Medicare and Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and Management coding, which all providers are expected to follow when coding patient visits for reimbursement. Which of the following is an important consideration regarding billing practices? • Question 3 0 out of 1 points What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare? • Question 4 1 out of 1 points A 45 year old with diabetes has had itching and burning lesions between her toes for 2 months. Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best initial treatment option for this patient? • Question 5 1 out of 1 points The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following? • Question 6 1 out of 1 points A 16 year old basketball player complains of itching in the crural folds, buttocks, and upper thighs. The lesions are well demarcated and are half-moon shaped. The area is red, irritated, and there are small breaks in the skin from scratching. What is this patient’s diagnosis and how should it be treated? • Question 7 1 out of 1 points Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by: • Question 8 1 out of 1 points Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a subconjunctival hemorrhage. Your next step is to • Question 9 1 out of 1 points Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is: • Question 10 1 out of 1 points Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you when she can go back to work. What do you tell her? • Question 11 1 out of 1 points A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed? • Question 12 1 out of 1 points Which of the following is a predisposing condition for furunculosis? • Question 13 1 out of 1 points Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect? • Question 14 1 out of 1 points Sarah has allergic rhinitis and is currently being bothered by nasal congestion. Which of the following meds ordered for allergic rhinitis would be most appropriate? • Question 15 1 out of 1 points Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months post-MI. To prevent reinfarction, the most important behavior change that he can make is to: • Question 16 1 out of 1 points Harvey has had Meniere’s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo? • Question 17 1 out of 1 points A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: • Question 18 1 out of 1 points If a patient presents with a deep aching, red eye and there is no discharge, you should suspect: • Question 19 1 out of 1 points Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect? • Question 20 1 out of 1 points Which of the following statements about malignant melanomas is true? • Question 1 0 out of 1 points Which drug category contains the drugs that are the first line Gold standard therapy for COPD? • Question 2 1 out of 1 points What condition is associated with mucus production greater than 3 months per year for at least 2 consecutive years? • Question 3 1 out of 1 points A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory? • Question 4 1 out of 1 points Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes? • Question 5 1 out of 1 points A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are consistent with: • Question 6 1 out of 1 points Which of the following best describes hypertrophic cardiomyopathy? • Question 7 1 out of 1 points Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At today’s visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to control Harriet’s blood pressure? • Question 8 1 out of 1 points Which type of lung cancer has the poorest prognosis? • Question 9 1 out of 1 points Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? • Question 10 1 out of 1 points The most common correlate(s) with chronic bronchitis and emphysema is(are): • Question 11 0 out of 1 points A patient presents to the office with a blood pressure 142/80. This patient is classified as having: • Question 12 1 out of 1 points Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication? • Question 13 1 out of 1 points Other than smoking cessation, which of the following slows the progression of COPD in smokers? • Question 14 1 out of 1 points In order to decrease deaths from lung cancer: • Question 15 0 out of 1 points An 8 year old presents to the health clinic with history of acute onset severe sore throat and respiratory distress with stridor in the last 2 hours. The child’s history is positive for fever and pharyngitis for 2 days. What is the most likely diagnosis? • Question 16 1 out of 1 points A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free? • Question 17 1 out of 1 points Which of the following is not a risk factor for coronary arterial insufficiency? • Question 18 1 out of 1 points Which of the following patient characteristics are associated with chronic bronchitis? • Question 19 0 out of 1 points Management of a patient with hypertension and an abdominal aortic aneurysm would include: • Question 20 1 out of 1 points Which of the following is not a goal of treatment for the patient with cystic fibrosis? • Question 1 1 out of 1 points Which of the following patients most warrants screening for hypothyroidism? • Question 2 1 out of 1 points The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is: • Question 3 1 out of 1 points The most commonly recommended method for prostate cancer screening in a 55 year old male is: • Question 4 1 out of 1 points John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia? • Question 5 1 out of 1 points The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than: • Question 6 1 out of 1 points A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was “fine” as long as he took the medication. The most appropriate next step is: • Question 7 0 out of 1 points Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? • Question 8 1 out of 1 points Of the following choices, the least likely cause of cough is: • Question 9 0 out of 1 points Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? • Question 10 0 out of 1 points A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH? • Question 11 1 out of 1 points A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis? • Question 12 1 out of 1 points Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered? • Question 13 0 out of 1 points What is the most common cause of Cushing’s syndrome? • Question 14 1 out of 1 points Reed-Sternberg B lymphocytes are associated with which of the following disorders: • Question 15 1 out of 1 points Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? • Question 16 1 out of 1 points Which of the following are classic features of ulcerative colitis? • Question 17 1 out of 1 points Diagnostic confirmation of acute leukemia is based on: • Question 18 0 out of 1 points After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most effective? • Question 19 1 out of 1 points Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? • Question 20 1 out of 1 points Microalbuminuria is a measure of: • Question 1 1 out of 1 points A patient taking levothyroxine is being over-replaced. What condition is he at risk for? • Question 2 1 out of 1 points The most effective treatment of non-infectious bursitis includes: • Question 3 1 out of 1 points A typical description of a tension headache is: • Question 4 1 out of 1 points Diagnostic radiological studies are indicated for low back pain: • Question 5 1 out of 1 points A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal. Which of the following is the most likely diagnosis? • Question 6 1 out of 1 points A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most likely cause of this behavior? • Question 7 1 out of 1 points Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of: • Question 8 1 out of 1 points The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is: • Question 9 1 out of 1 points A 26 year old female presents with elbow pain that is described as aching and burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is: • Question 10 1 out of 1 points A positive drawer sign supports a diagnosis of: • Question 11 1 out of 1 points The most effective intervention(s) to prevent stroke is (are): • Question 12 1 out of 1 points The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is: • Question 13 1 out of 1 points The correct treatment for ankle sprain during the first 48 hours after injury includes: • Question 14 1 out of 1 points Which of the following symptoms suggests a more serious cause of back pain? • Question 15 0 out of 1 points The most reliable indicator(s) of neurological deficit when assessing a patient with acute low back pain is(are): • Question 16 0 out of 1 points Which of the following set of symptoms should raise suspicion of a brain tumor? • Question 17 1 out of 1 points Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be achieved with: • Question 18 1 out of 1 points Which of the following statements about multiple sclerosis (MS) is correct? • Question 19 1 out of 1 points The most common symptoms of transient ischemic attack (TIA) include: • Question 20 0 out of 1 points The 4 classic features of Parkinson’s disease are: