3p exam answers score: 94.67%.

Which headache sign does not warrant an immediate

investigation?

Question options:

aggravated or relieved by change of position

precipitated by Valsalva maneuver

new onset after age 50

relieved with use of common analgesics

Question 2

During a migraine, what happens to the cerebral arteries?

Question options:

they dilate

they constrict

they vibrate

they pulsate

Question 3

You are evaluating a 15 year old patient for bipolar disorder. His

parents tell you that he has severe mood swings, is easily

distracted, and constantly corrects his teachers. You would have

a high suspicion for bipolar if which symptom was present?

Question options:

he is forgetful

he sleeps less than 4 hours nightly

he does not complete tasks

he blurts out answers in class inappropriately

Question 4

Which risk factor is not associated with breast cancer?

Question options:

use of hormone replacement therapy

personal or family history of breast cancer

postmenopausal obesity

low socioeconomic status

Question 5

A 26 year old woman with bulimia is likely to be:

Question options:

of average weight

not concerned with weight

very underweight

very overweight

Question 6

What medication is used to relieve acute wheezing in a patient

with asthma?

Question options:

oral corticosteroid

short acting beta agonist

long acting beta agonist

inhaled corticosteroid

Question 7

You are evaluating an 80 year old patient for recent episodes of

incontinence and confusion. His family states that this is

unusual for him and he has become increasingly forgetful over

the past two weeks. Which medication might be responsible for

this?

Question options:

Coumadin (warfarin)

Vitamin B-12

Tagamet (cimetidine)

Altace (ramipril)

Question 8

What suggests hyperandrogenism in an adolescent female?

Question options:

polycystic ovaries

high pitched voice

obesity

hirsutism

Question 9

Which is a synovial joint?

Question options:

skull

vertebral bodies of the spine

shoulder

pubic symphysis of the pelvis

Question 10

A 67 year old woman with atrial fibrillation and an ejection

fraction of 48% is on digoxin and has had normal digoxin levels

of 0.8- 2 ng/dL for the past 9 months. Today, the level is 0.4

ng/dL. What could account for this change?

Question options:

regular use of an antacid

increased exercise

weight loss

decreased creatinine clearance

Question 11

Which medication is contraindicated in a child with acute

sinusitis?

Question options:

nasal steroids

decongestants

expectorants

antihistamines

Question 12

Which best describes the lower extremity calf pain associated

with peripheral artery disease?

Question options:

electric shock

pulsating pain

sharp, stabbing pain

dull aching or cramping

Question 13

Jugular venous distention accompanied by chest pain is

associated with:

Question options:

hypertension

asthma

pneumonia

heart failure

Question 14

Which immunization protects against a virus that is transmitted

through blood and body fluids and can lead to chronic liver

disease?

Question options:

Hepatitis C

Typhoid fever vaccine

Hepatitis A

Hepatitis B

Question 15

A pediatric patient has areas of scaling on the scalp with round

patches of hair loss. What is the likely diagnosis?

Question options:

alopecia areata

trichotillomania

tinea capitis

seborrheic dermatitis

Question 16

Your 70 year old patient complains of a sore mouth that

prevents her from eating. On exam you note a beefy red, glossy

smooth tongue. What do you suspect?

Question options:

cheilosis, a serious disease of the mouth and oropharynx

secondary hypothyroidism

pernicious anemia due to insufficient intrinsic factor

a neurological disorder such as Parkinson's disease

Question 17

A 62 year old male presents with leg pain and occasional

numbness that is worse with ambulation and improved with

lumbar flexion. What is the likely diagnosis?

Question options:

ankylosing spondylitis

cauda equina syndrome

bursitis

spinal stenosis

Question 18

Which is not a typical symptom of late stage HIV?

Question options:

lymphadenopathy of more than 3 months

persistent vomiting

night sweats

persistent, unexplained fatigue

Question 19

A pregnant patient presents for her 16 week prenatal visit. Her

blood pressure had reduced from 118/79 to 109/68. What

hemodynamic change is responsible for this?

Question options:

decrease in cardiac output

decrease in systemic vascular resistance

decrease in stroke volume

decrease in preload

Question 20

Your 62 year old patient has been taking Griseofulvin 500 mg po

BID for 3 weeks to treat tinea capitis and has only had marginal

improvement. What is your next step?

Question options:

have the patient shave his head and warn him that hair regrowth will be slow

continue the current therapy for 6-8 weeks

Add 2.5% selenium sulfide shampoo twice weekly to the regimen

prescribe a short course or oral steroids

Question 21

Rapid HIV testing would be most appropriate for a patient with

complaints of:

Question options:

painful urination, dyspareunia, and penile or vaginal discharge

painful bowel movements, anal itching, and abnormal menstrual bleeding or painful and swollen tespainful urination, lower abdominal pain, and dyspareunia

fever, headache, and lymphadenopathy

Question 22

What is a frequent side effect of SSRIs?

Question options:

sexual dysfunction

delayed response time of 2-3 weeks

anorexia

depression

Question 23

You might suspect small bowel obstruction in a patient who

complains of:

Question options:

hematemesis and bloody stool

nausea and diarrhea

vomiting and pain

indigestion and anorexia

Question 24

What finding would be suggestive of osteosarcoma in a pediatric

patient?

Question options:

pathologic fracture

pain in the affected bone

repeat fracture

apophyseal avulsion

Question 25

What clinical manifestation suggests primary syphilis?

Question options:

no symptoms

a single painless genital lesion

rash marked by red or reddish-brown penny sized lesions on the palms and soles

poor muscle coordination

Question 26

What medication is used first line for a patient with benign

positional vertigo?

Question options:

pseudoephedrine

hydrochlorothiazide

promethazine

meclizine

Question 27

Which symptom is most associated with testicular torsion?

Question options:

testicular swelling

penile warts

erectile dysfunction

testicular pain

Question 28

A clinical breast exam should include palpation at the tail of

Spence. Where is this located?

Question options:

laterally across the anterior axillary fold

lower inner quadrant

lower outer quadrant

upper inner quadrant

Question 29

Which area does not drain to the right lymph duct?

Question options:

the right leg

the right arm

the right side of the head

the right upper thorax

Question 30

Which presentation is most suspicious for penile cancer?

Question options:

a group of small, scattered vesicles

a chancre

a nontender, indurated penile nodule

papules with a variety of shapes

Question 31

What is important to consider before prescribing metronidazole

for giardiasis?

Question options:

whether the patient drinks alcohol

whether the patient is at least 18 years of age

presence of a sulfa allergy

past medical history of peptic ulcer disease

Question 32

In which condition would the use of triptans for migraine

headaches be contraindicated?

Question options:

kidney stones

hypertension

osteoarthritis

vertigo

Question 33

Which is a true statement about varicose veins?

Question options:

They are usually diagnosed on clinical presentation.

They are not affected by pregnancy.

They are due to congenital valve deformities.

They are more symptomatic during ovulation.

Question 34

When measuring the fundal height of a pregnant woman at 32

weeks, which measurement would prompt the nurse practitioner

to suspect fetal growth restriction?

Question options:

29 cm

30 cm

31 cm

32 cm

Question 35

What is the term for excess fluid that accumulates in the pleural

cavity between the visceral and parietal spaces?

Question options:

pericardial effusion

pleural effusion

chylothorax

pleural empyema

Question 36

Which pathogen is associated with common UTIs?

Question options:

Streptococcus

Klebsiella

Proteus mirabalis

E coli

Question 37

Which medication inhibits blood coagulation by selectively

blocking the active site of factor X-a?

Question options:

Coumadin (warfarin)

Pradaxa (dabigatran)

Lovenox (enoxaparin)

Eliquis (apixaban)

Question 38

Which is a contraindication for menopausal estrogen

replacement therapy in a 55 year old woman?

Question options:

history of phlebitis

family history of lung cancer

prior breast or uterine carcinoma

current or past migraine headaches

Question 39

During abdominal exam, which sound over the bulging area of

the abdomen would indicate ascitic fluid?

Question options:

tympany

dullness

hyperresonance

normal resonance

Question 40

What is a typical finding in a patient with a meniscal tear?

Question options:

fixed patellar subluxation

positive McMurray's test

audible click at the joint line

positive anterior drawer test

Question 41

What is the most common presenting symptom of a woman with

trichomoniasis?

Question options:

vaginal discharge

painless, ulcerated vulvar lesion with vaginal discharge

dyspareunia and abdominal pain

fever, papules, and vaginal discharge with burning

Question 42

What is the single dose treatment for chlamydia?

Question options:

Rocephin (ceftriaxone) 250 mg IM

Zithromax (azithromycin) 1 g po

Vibramycin (doxycycline) 200 mg po

Flagyl (metronidazole) 2 g po

Question 43

What is the mechanism of action of prostaglandin E1 in a patient

with transposition of the great arteries?

Question options:

to prevent cyanotic episodes by trapping blood in the lower extremities

to produce vasodilation and adequate oxygen saturation

to maintain patency of the great arteries

to maintain equal pressure in the ventricles

Question 44

How do 5-alpha reductase inhibitors work to reduce the

symptoms of BPH?

Question options:

relax smooth muscle in the bladder neck

decrease the size of the prostate

relax smooth muscle in the prostate capsule

increase blood flow to the prostate

Question 45

Which condition is best treated by using alpha adrenergic

antagonists?

Question options:

renal insufficiency

urge incontinence

functional incontinence

overflow incontinence

Question 46

What should not be prescribed for migraine prophylaxis in a 42

year old woman?

Question options:

verapamil (Verelan)

amitriptyline (Elavil)

metoprolol (Lopressor)

sumatriptan (Imitrex)

Question 47

How would a 60 year old man typically describe prostate pain?

Question options:

Located in the glans penis

Located in the suprapubic area

Located in the perineum

Located in the lower back

Question 48

What is the most common characteristic among patients with

migraine headache?

Question options:

initial onset after age 35

weakness

family history

focal deficits

Question 49

Which patient would be at highest risk for contracting TB?

Question options:

A nursing home resident

A low income immigrant

A person who smoke 2 packs per day

Someone who had recent contact with an infected patient

Question 50

Which is not a location of pain associated with kidney and ureter

disorders?

Question options:

suprapubic

abdominal

flank

back

Question 51

Which medication is appropriate for a woman with bladder

sphincter dysfunction and stress incontinence?

Question options:

Minipress (prazosin)

Urecholine (bethanechol)

Urispas (flavoxate)

pseudoephedrine

Question 52

Which condition is associated with chronic, bloody diarrhea?

Question options:

celiac disease

irritable bowel syndrome

Hepatitis A

Crohn's disease

Question 53

Which medication is indicated for patients with Generalized

Anxiety Disorder (GAD)?

Question options:

Citalopram (Celexa)

Imipramine (Tofranil)

Buspirone (Buspar)

Bupropion (Wellbutrin)

Question 54

At what point in pregnancy should Rh negative women receive

Rhogam (Rho D immune globulin)?

Question options:

6 weeks

35 weeks

28 weeks

12 weeks

Question 55

Which is common among patients with psoriasis?

Question options:

pruritis, positive Auspitz sign, and pitted nails

pruritis, pitted nails, and satellite lesions

dermatomal rash and satellite lesions

pitted nails and plaques

Question 56

What historical finding may predispose a patient to testicular

cancer?

Question options:

epididymitis

inguinal hernia

testicular torsion

cryptorchidism

Question 57

What would you advise for a patient taking an oral

glucocorticoid?

Question options:

take it in an empty stomach

crush it in applesauce

chew it prior to a high fat meal

take it with food

Question 58

A child with enuresis should be treated with nasal desmopressin

(DDAVP) for which symptom?

Question options:

daytime incontinence

urinary pain

secondary enuresis

nocturnal enuresis

Question 59

Which medication is not contraindicated in a patient with sulfa

allergy?

Question options:

celecoxib (Celebrex)

sumatriptan (Imitrex)

glimepride (Amaryl)

silver sulfadiazine (Silvadene)

Question 60

What is likely to be elevated in a woman with polycystic ovarian

syndrome?

Question options:

renin

estrogen

insulin

progesterone

Question 61

Which medication should not be prescribed during an acute gout

flare?

Question options:

Colchicine

Steroids

NSAIDs

Allopurinol

Question 62

A Hispanic woman at 26 weeks of pregnancy tells you that she

has been eating ice. What should the NP do?

Question options:

check the patient for diabetes

encourage her to eat more at mealtimes

tell her this is a dangerous cultural practice

check the patient for anemia

Question 63

A 40 year old female patient has breasts with a soft texture, but

uneven contour bilaterally. What is the most likely diagnosis?

Question options:

malignancy

normal finding

fibroadenoma

cystic breasts

Question 64

What test of renal function is the best measure of renal

insufficiency?

Question options:

24 hour creatinine clearance

serum creatinine

serum uric acid

BUN

Question 65

You are seeing a 63 year old male who has decreased chest

expansion, symmetric thorax with moderate kyphosis, and

bilateral diaphragm distention of 2 cm. What is the most likely

diagnosis?

Question options:

pleural effusion

COPD

rib fracture

pneumothorax

Question 66

Which cranial nerves are assessed when assessing bilateral eye

movement?

Question options:

II, III, IV

III, IV, and VI

III, IV, VII

II, IV, VI

Question 67

What pathological finding is noted in asthma?

Question options:

hypertrophy of smooth muscle

necrosis of small airways

absence of goblet cells

absence of ciliary regeneration

Question 68

Which type of incontinence is most likely in a patient with

Alzheimer's disease who cannot reach the toilet in time?

Question options:

Urge

Stress

Overflow

Functional

Question 69

Using GTPAL nomenclature, how would you document a patient

currently pregnant with a history of an uncomplicated term

vaginal delivery, preterm delivery of liveborn twins, and an 8

week elective abortion?

Question options:

G4 T1 P1 A1 L3

G3 T1 P1 A1 L3

G4 T1 P2 A1 L3

G5 T1 P2 A2 L2

Question 70

The right lymphatic ducts drain into what part of the circulatory

system?

Question options:

arteriovenous

venous

capillary bed

arterial

Question 71

What is the most likely presenting symptom in a pediatric

patient with croup?

Question options:

nocturnal symptoms

shortness of breath

A barking cough

sudden onset of symptoms

Question 72

Which medication targets postprandial glucose by blocking its

transport across the intestine into the bloodstream?

Question options:

acarbose (Precose)

glipizide (Glucotrol)

metformin (Glucophage)

rosiglitazone (Avandia)

Question 73

Which type of insulin will help to reduce nocturnal

hypoglycemia?

Question options:

NPH

regular

immediate-acting

long-acting

Question 74

What symptoms in a college student living in a dorm would be

suspicious for atypical community acquired pneumonia?

Question options:

temp of 102, dyspnea, and diminished lung sounds on auscultation

low grade fever, malaise, and crackles audible throughout the lung fields

temp of 101.2, sore throat, and diminished lung sounds on auscultation

low grade fever, malaise, and clear lung fields on auscultation

Question 75

How would you describe the lesions of condyloma accuminata in

a male patient?

Question options:

a chancre

a red, nontender, enlarging nodule with induration

a group of small, scattered vesicles

multiple papular lesions with a verrucous appearance