NUR 530

1. Which of these findings is considered within normal limits ? - An INR of 2.0 in a patient taking warfarin 2. You will begin screening for renal nephropathy in a patient with type 1 diabetes when? - 5years after diagnosis 3. The most common signs and symptoms associated with mononucleosis are? - Fatigue and lymphadenopathy 4. A 43year-old patient who has been diagnosed with hepatitis B has the following laboratory values. How should they be interpreted? HCV IgG(-), RIBA (radio immune blot assay) (-) - The patient does not have hepatitis C 5. Drugs that target the renin-angiotensin-aldosterone system are particularly beneficial in patients with: - Diabetic nephropathy 6. A 70 year-old adult has suspectedvitamin B12 deficiency. The laboratory result indicating vitamin B12 deficiency is? - Macrocytosis 7. A male patient has epididymitis. His complaint would include: - Scrotal pain 8. A patient with diarrhea has a stool specimen positive for WBC s. This indicates? - A bacterial infection 9. An overweight 76 year-old female with a recent onset of diabetes has longstanding hypertension and hyperlipidemia. She developed atrial fibrillation. The nurse practitioner knows that she will be at risk for: - CHF 10. A patient is diagnosed with tineapedis. A microscopic examination of the sample taken from the infected area would likely demonstrate: - Hyphae 11. A patient with gout has hypertension. Which drug class should be avoided to prevent exacerbation of gout?

Loop diuretics

12. The classic description of TIA is a sudden onset of focal neurological symptoms that lasts less than : - 24 hours 13. A short-acting anticholinergic medication can be used alone or in combination with a short-acting beta agonist to manage symptoms of which disease? - COPD 14. A healthy 32 year-old female has fever, chill, left flank pain, and nausea. What is the most likely diagnosis? - Pyelonephritis 15. A medication which may produce exercise intolerance in a patient with hypertension is: - Metoprolol 16. A topical hydrocortisone cream would be most appropriate in a patient who has been diagnosed with: - Eczema 17. A skin lesion fluoresces under a Wood s lamp. What microscopic finding is consistent with this? - Spores 18. Patients with atopic dermatitis are also likely to exhibit: - Asthma and allergic rhinitis 19. A skin lesion which is a solid mass is described as a: - Papule 20. Impetigo is characterized by: - Honey-colored crusts 21. A 38 year-old patient, thought to be in good health, presents to a primary care clinic. On routine examination, the patient s fasting blood sugar is 242 mg/dl. Which of the following is inappropriate as initial evaluation of this patient? - Hgb A1c 22. The most appropriate sreening test for diabetic nephropathy is: - Microalbuminuria 23. Which laboratory abnormality very commonly accompanies hypothyroidism?

Hypercholesterolemia

24. When the serum free T4 concentration falls: - TSH rises 25. In order to determine how much T4 replacement a patient needs to regain a euthyroid state, the nurse practitioner considers: - Patient s body weight 26. The symptom triad most commonly associated with infectious mononucleosis is: - Fever, pharyngitis, lymphadenopathy 27. A 15 year-old patient presents to the Urgent Care due to a sensation that there is a lump or foreign body in the throat . He denies fever or throat pain. What diagnosis should the nurse practitioner make? - Globus 28. A patient diagnosed with Strep throat received a prescription of Amoxicillin. After48 hours of antibiotic intake, she has not improved and now with worsening symptoms. What course of action is acceptable? - A penicillin with beta lactamase coverage should be considered 29. A patient with an inguinal hernia complains today of colicky abdominal pain, nausea, and vomiting. It is likely: - The hernia has become strangulated

30. GERD and physiologic reflux have similar characteristics. However, physiologic reflux: - Is usually asymptomatic 31. Which drug/class listed below is most likely to produce rapid relief for a patient who is having a heartburn symptoms? - Antacids 32. What two states are most commonly associated with pancreatitis? - Gallstones and alcoholism 33. A patient has been diagnosed with glucose 6-phophate dehydrogenase deficiency (G6PD). He has been told to: - Avoid aspirin and sulfa drugs 34. A patient is being treated for iron deficiency anemia. He should take his iron supplement: - On an empty stomach

35. A patient is found to have anemia. The patient s MCH is normal. The patient s anemia can be described as: Normochromic 36. A patient is found to have anemia. The patient s MCV is normal. The patient s anemia can be described as: - Normocytic 37. Glossitis may be observed in patients with: - Pernicious anemia 38. Which of the following tests, if positive, is part of the criteria for diagnosing SLE? - Antinuclear antibody (ANA) 39. A 55 year-old male patient describes severe pain at the base of his left first toe. He is limping and says he can t remember hurting his toe. Which symptom below suggests something other than gout? - Fever 40. A 75 year-old patient who knits has a positive Finkelstein test. What is her likely diagnosis? - De Quervain s tenosynovitis 41. An 84 year-old female who is active, has osteoarthritis in her right hip. She complains of daily pain. What medication is considered first line treatment according to the American College of Rheumatology? - Acetaminophen 42. A patient with pneumonia reports that he has rust-colored sputum. What pathogen should the nurse practitioner suspect? - Streptococcus pneumonia 43. A 44 year-old female patient is diagnosed with UTI. Which bacterial count , collected via midstream, clean catch, supports a diagnosis of UTI? - > 100,000 bacteria 44. How long should a female patient with an uncomplicated UTI be treated with an oral antibiotic like Bactrim DS? - Three days 45. Clue cells are found in patients with: - Bacterial vaginosis 46. A positive Tinel s test can be used to assess carpal tunnel syndrome. What other test can be used to assess for this? - Phalen s test

47. A 16 year-old male, who plays soccer weekly, complains that his knees hurt. His mother states that he has been complaining for 2 weeks. On physical exam, there is note of tibial tubercle prominence. What is the most likely diagnosis: - Osgood-Schlatter disease 48. A patient taking an angiotensin receptor blocker should avoid: - Potassium supplements 49. A patient presents with severe toothache. She reports sensitivity to heat and cold. There is visible pus around the painful area. What is this termed? - Pulpitis 50. A patient reports that after a vaginal exam she reveived a prescription for metronidazole. What was her likely diagnosis? - Trichomonas