Description

1. Question: The patient is exhibiting a productive cough and a low-grade fever. Chest X-ray on PA view shows a left lower chest area of consolidation adjacent to the left border of the heart approximately 2 rib spaces above the costophrenic angle. The lateral X-ray view shows this lesion absent of the window posterior to the cardiac silhouette. Which is the most likely location of this area of focal consolidation?
2. Question: The inability to fully relax the myocardium during relaxation is a trademark of which diagnosis?
3. Question: An otherwise healthy African American adult male has been diagnosed with hypertension. He has been restricting his salt intake, eating a DASH diet, and exercising more, but his blood pressure is still elevated. Which is the best medication to prescribe?
4. Question: Your patient has been diagnosed with a 4.5 cm ascending aortic aneurysm. Which medical imaging is considered standard of care for serial surveillance?
5. Question: Which of the following medications does not cause beta-1 stimulation?
6. Question: A 50-year-old woman with a history of hypertension presents with dyspnea on exertion and orthopnea. On examination, she has jugular venous distention and bilateral crackles on lung auscultation. What is the most likely diagnosis?
7. Question: Your patient with a history of HFrEF with an ejection fraction of 40% who is not on optimal medical therapy is diagnosed with a myocardial infarction and receives emergent placement of a drug-eluting stent. As the medical home managing this patient after discharge, which medication strategy should be a priority?
8. Question: Which population group represents the least risk of cardiac disease?
9. Question: A 65-year-old woman who smokes has controlled hypertension and a family history of premature heart disease. Her lipid panel shows elevated cholesterol and LDL. In addition to lifestyle changes, what medication should be initiated?
10. Question: Which end-organ sequelae is not directly caused by uncontrolled hypertension?
11. Question: Preventive cardiac care should focus on all of the following except which factor?
12. Question: A 33-year-old woman presents with irregular menses, hirsutism, obesity, and elevated testosterone levels. What is the most appropriate initial treatment?
13. Question: A 50-year-old woman with hypertension and diabetes presents for a routine visit. What screening test should be performed to monitor for early diabetic nephropathy?
14. Question: Which individual is at highest risk for developing type 2 diabetes mellitus?
15. Question: What is the appropriate starting dose of levothyroxine for an elderly adult with a BMI of 20?
16. Question: An adult female has a low TSH and reports neck pain with thyroid tenderness. Which laboratory tests should be ordered next?
17. Question: All of the following are symptoms of hypocalcemia except which one?
18. Question: An adult patient with well-controlled type 2 diabetes presents for follow-up. According to ADA guidelines, when should the next visit be scheduled?
19. Question: A patient with Hashimoto’s disease on levothyroxine has an elevated TSH. What is the next best action?
20. Question: A patient has a 3 cm pituitary mass noted on CT. What is the next step in evaluation?
21. Question: An adult female presents with fatigue and weight gain. Which physical findings support a diagnosis of hypothyroidism?
22. Question: An older adult presents with new-onset GERD symptoms. What is the initial treatment approach?
23. Question: A 59-year-old male presents with abdominal pain, jaundice, and unintentional weight loss. Which malignancy is most likely?
24. Question: A 63-year-old male presents with a suspected lower GI bleed. What must be considered before performing colonoscopy?
25. Question: A 39-year-old female presents with chronic diarrhea and cramping. Which laboratory tests are helpful for further evaluation?
26. Question: An adult female presents with left lower quadrant abdominal pain, fever, and leukocytosis. Which diagnostic test confirms diverticulitis?
27. Question: A 70-year-old patient presents with dyspnea, palpitations, melena, and severe anemia. What is the most appropriate immediate intervention?
28. Question: An older adult on statin therapy presents with muscle aches. In addition to CPK, which test should be ordered?
29. Question: A 56-year-old male is diagnosed with localized colon cancer. What is the primary management strategy?
30. Question: A 28-year-old woman presents with abdominal pain, diarrhea, weight loss, and bloody stools. Colonoscopy shows continuous inflammation. What is the most likely diagnosis?
31. Question: A patient presents with suspected lower GI bleeding. What questions help differentiate the cause of bleeding?
32. Question: Which assessment is best used to evaluate fall risk in an 88-year-old adult?
33. Question: A frail elderly patient presents with constipation. Which age-related physiologic change is the most likely cause?
34. Question: An elderly patient with end-stage lung cancer is refusing meals. What is the most appropriate nurse practitioner response?
35. Question: Which finding triggers a complete fall risk assessment in an elderly patient?
36. Question: Management of COPD in the elderly is best guided by which factor?
37. Question: Which scenario is an example of implied consent?
38. Question: Which term refers to the primary access point of medical care promoted by the Affordable Care Act?
39. Question: A healthcare worker restrains a patient and performs a procedure against their will. What charge could result?
40. Question: Which 1996 act protects patient health information from unauthorized disclosure?
41. Question: An elderly patient with cancer wishes to discontinue chemotherapy despite family objections. What is the nurse practitioner’s most appropriate action?
42. Question: A patient reports a gritty sensation in the eye with no visible trauma. What diagnostic aid should be used?
43. Question: Blood is visible in the anterior chamber of the eye. What is the most consistent diagnosis?
44. Question: An elderly patient presents with throbbing eye pain, photophobia, and redness around the iris. What is the initial diagnosis?
45. Question: An older woman with nasal congestion and clear drainage since menopause is diagnosed with which condition?
46. Question: A patient presents with a unilateral injected cornea, nausea, and photophobia. Which diagnosis should be excluded?
47. Question: A patient with allergic rhinitis has persistent symptoms despite antihistamines. What is the next best management step?
48. Question: Which finding best characterizes presbycusis in older adults?
49. Question: A CT scan reveals a pyramidal fracture involving the maxillary sinuses and inferior orbital rim. What type of fracture is this?
50. Question: Which symptom is not commonly associated with Meniere’s disease?
51. Question: What is the medical term for a nosebleed?
52. Question: A patient presents with large-volume hematemesis. Which symptoms indicate a severe GI bleed requiring transfusion?
53. Question: A patient with sickle cell disease presents with a pain crisis. What is the most appropriate initial management?
54. Question: A patient with intrinsic factor autoantibodies is at risk for which condition?
55. Question: A patient with asymptomatic neutropenia is admitted for rehabilitation. What is the most appropriate intervention?
56. Question: Overactivation of coagulation and fibrinolysis causing thrombosis and hemorrhage is characteristic of which condition?
57. Question: A patient with iron-deficiency anemia requires supplementation. Which treatment would likely be ineffective?
58. Question: All of the following thrombocytopenic situations require immediate action except which one?
59. Question: In which patient is PRBC transfusion recommended?
60. Question: A patient with pancytopenia and dysplasia following chemotherapy requires which additional work-up?
61. Question: Which treatment is not recommended for a newly diagnosed rheumatoid arthritis patient?
62. Question: Which medication class is not typically included in HIV treatment regimens?
63. Question: A woman presents with fatigue, joint pain, and a butterfly rash. What is the most appropriate initial management?
64. Question: Which symptom best describes a classic presentation of systemic lupus erythematosus?
65. Question: Patients with Stevens-Johnson syndrome should be managed similarly to which patient population?
66. Question: A patient with active herpes zoster is at risk of transmitting which virus?
67. Question: A patient presents with rapidly ascending weakness suggestive of Guillain-Barré syndrome. What is the priority intervention?
68. Question: A patient with chronic joint pain treated with methotrexate likely has which diagnosis?
69. Question: A patient newly diagnosed with multiple sclerosis is advised to begin disease-modifying therapy when?
70. Question: A plaque-like skin condition on extensor surfaces treated with DMARDs suggests which diagnosis?
71. Question: An elderly patient with GI cancer presents with pallor, palpitations, and weakness. What is the most likely diagnosis?
72. Question: A teenager with worsening acne despite frequent washing should be advised of what?
73. Question: What is the definitive treatment for an uncomplicated skin abscess?
74. Question: Which statement about squamous cell carcinoma is true?
75. Question: An elderly man with sun exposure presents with a firm, ulcerated skin nodule. What is the most likely diagnosis?
76. Question: Which diagnostic procedure confirms pinworm infestation in a child?
77. Question: A fair-skinned male with light eyes is at highest risk for which serious condition?
78. Question: A new multicolored mole with irregular borders measuring 9 mm suggests which diagnosis?
79. Question: Dark, velvety skin folds with skin tags suggest what underlying condition?
80. Question: A patient presents with acute ankle injury and inability to bear weight. What injuries are included in the differential?
81. Question: A football player with a positive anterior drawer test has injury to which structure?
82. Question: Which finding best distinguishes plantar fasciitis from other foot disorders?
83. Question: Which urate-lowering medication is used in gout management?
84. Question: For primary prevention of osteoporosis, when does the USPSTF recommend bone density screening in women?
85. Question: Which scenario is the most likely cause of an acute GI bleed?
86. Question: A young athlete with shoulder impingement syndrome should receive which initial treatment?
87. Question: Which antidepressant may also benefit a patient with osteoarthritis?
88. Question: What treatment has the most evidence of benefit in chronic fatigue syndrome?
89. Question: A young woman with dysuria, urgency, and pyuria most likely has which diagnosis?
90. Question: Inability to reach the bathroom before urination is consistent with which type of incontinence?
91. Question: An older adult with multiple comorbidities develops chronic kidney disease. What is the most likely cause?
92. Question: An older woman presents with new-onset urinary urgency incontinence. What is the initial plan of care?
93. Question: What is the most appropriate screening recommendation for prostate cancer in a 50-year-old man?
94. Question: A young woman with urinary urgency and negative urologic workup should be treated with which medication?
95. Question: Elevated creatinine after contrast administration represents which type of renal failure?
96. Question: Which scenario represents postrenal failure?
97. Question: Which step of the renin-angiotensin-aldosterone system is inhibited by lisinopril?
98. Question: Hypotension preceding renal dysfunction represents which type of acute kidney injury?
99. Question: Patients on chronic anti-seizure medication should be warned about which risk if therapy is stopped abruptly?
100. Question: Which medication is most appropriate for migraine prophylaxis?