Practice test 1

Question 1

Which med is considered an estrogen for the control of AUB?

Answer 1

Ethinyl Estradiol

Question 2

Who is more likely to have MVP?

Answer 2

Females
14 to 30 years

Question 3

What are adverse reactions associated with glucocorticoid nasal sprays

Answer 3

epistaxis
nasopharyngitis
nasal septal perforation

Question 4

in older adults, what’s a goal post prandial glucose value?

Answer 4

<180 mg/dL

Question 5

Patients who take steroids for Crohn’s should notify the NP if pain develops where?

Answer 5

hip or knee pain

because long term steroid use may lead to avascular necrosis that may require surgery

Question 6

When will you expect a bilirubin level to peak in a full-term newborn diagnosed with hyperbilirubinemia

Answer 6

3 to 4 days

in premies its 5 to 7.

hyperbilirubinemia is diagnosed when levels are >5mg/dL

Question 7

A child that can stack a max of 5 blocks is ___ years old

Answer 7

2 years

Question 8

What are common developmental tasks for a 2 year old?

Answer 8

stacking 5 blocks
following 2 step commands
using 2 work phrases
kicking a ball
saying 20 words
walking up and down the stairs one step at a time

Question 9

What are the goals of affordable care organizations? ACOs

Answer 9

ensure pts get right care at right time
avoiding duplication of services
prevent medical errors

Question 10

5 year old boy presents with multiple scaly patches of annular shaped alopecia. The 1st line tx for this condition is

Answer 10

This is tinea capitis

TX:
1st line: griseofulvin
Terbinafine (Lamisil)
Fluconazole (Diflucan)

Question 11

What med is initially recommended to control pain associated with osteoarthritis in multiple joints?

Answer 11

NSAIDs

Question 12

Aliskiren (Tekturna)

MOA
Indication

Answer 12

Direct Renin inhibitor

inhibits conversion of angiotensinogen to angiotensin I thus preventing the vasoconstricting effects of angiotensin II

Tx: essential (primary) hypertension

Question 13

The most common cause of infertility in men is

Answer 13

variocele

causes primary and secondary infertility in men.

vascular abnormality of the testicular venous drainage system

Question 14

When is a test of cure needed for a gonococcal infection?

Answer 14

pharyngeal gonorrhea
treated with NOT 1st line medication should return within 2 weeks

Question 15

When is test of cure for gonococcal infection recommended for pregnant women?

Answer 15

within 7 to 14 days after treatment

3 months after treatment or in last month of pregnancy

Question 16

When should risk assessment for the development of colon cancer begin?

Answer 16

20 years old

Question 17

This initial recommended tx for uncomplicated acute bronchitis in adults is:

Answer 17

antitussives

Question 18

Cough and cold preparations should not be used in children younger than ______ years

Answer 18

6 years

Question 19

Use of methylphenidate (Ritalin) ADHD in children can result in

Answer 19

tics
Tourette syndrome
Growth suppression
Lower seizure threshold for patients with a history of seizure

Question 20

A 65 y/o women asks if she should continue to get screenings for cervical cancer….When can screenings be discontinued?

Answer 20

if they are not at high risk
- # of pregnancies
- Types of births
- gestational age

Question 21

What are common findings with idiopathic thrombocytopenia purpura (ITP)

Answer 21

2 to 4 years old
petechiae
nosebleeds
bleeding gums

usually URI 4 weeks prior to ITP onset

Question 22

signs of hypokalemia

Answer 22

muscle cramps
weakness
fatigue
palpitations
psychological symptoms

Question 23

Guillain-Barre syndrome symptoms
complication

Answer 23

Begins in the legs and progresses upwards to arms/trunk/face

respiratory complications d/t paralysis of intercostal muscles
Vagus nerve paralysis = loss of protective mechanisms

Question 24

How long does the tx for chronic prostatitis last?

what do you prescribe?

Answer 24

treatment is up to 3 months

Fluoroquinolones and Bactrim

Question 25

What should be monitored before administering bisphonphonates?
(aldrondronate (fosamax); ibadronate (boniva); risedronate (actonel))

Answer 25

calcium & vitD

hypocalcemia has been reported with bisphosphonates

Question 26

When does medication overuse occur in people that take “triptans”

Answer 26

overuse when triptans are taken more than 10 days per month