FNP LEIK SYSTEM REVIEW EXAM 1

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FNP LEIK SYSTEM REVIEW EXAM

QUESTIONS LATEST (VERIFIED

ANSWERS)

Question : A 28-year-old student is seen in the school

health clinic with complaints of a hacking cough that is productive of small amounts of sputum and a runny nose.He does not take any medications, denies any allergies, and has no significant medical history. Physical examination reveals a low-grade temperature of 99.9 degrees Fahrenheit, respirations of 16/min, a pulse of 90 beats per minute, and diffuse fine crackles in the base of the lungs. A chest radiograph (x-ray) shows diffuse infiltrates on the lower lobe of the right lung. The total white blood cell count is 10,500/uL. What is the most likely diagnosis?

• Streptococcal pneumonia
• Mycoplasma pneumonia
• Acute bronchitis
• Legionnaires disease

CORRECT ANSWER: B) Mycoplasma pneumonia

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Mycoplasma pneumonia is the organism most commonly seen in children and young adults. It is easily spread from droplets, from sneezing and coughing, in close proximity.Diagnosis is based on symptoms and x-ray results of infiltrates in lower lobes.

Question : Which of the following antihypertensive

medications has beneficial effects for an elderly White female with osteoporosis?

• Calcium channel blocker
• Angiotensin-converting enzyme (ACE) inhibitor
• Beta-blocker
• Diuretic

CORRECT ANSWER: A) Calcium channel blocker

Calcium channel blockers act by blocking the cal- cium channels in the heart muscle and the blood vessels, thereby keeping more calcium in the bones.

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Question : All of the following are false statements

regarding acute gastritis except:

• Chronic intake of nonsteroidal anti-inflammatory

drugs (NSAIDs) can cause the disorder

• Chronic lack of dietary fiber is the main cause of the

disorder

• The screening test for the disorder is the barium

swallow test

• The gold standard to evaluate the disorder is a

colonoscopy

CORRECT ANSWER: C) The screening test for the

disorder is the barium swallow test

The gold standard for diagnosing gastric disease is biopsy of gastric and/or duodenal tissue by upper endoscopy.Chronic use of NSAIDs disrupts the production of prostaglandins, which decreases blood supply and then breaks down the protective layer of the mucosa, which leads to gastric disease.

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Question : Epidemiologic studies show that Hashimoto's

disease occurs most commonly in:

• Middle-aged to older women
• Smokers
• Obese individuals
• Older men

CORRECT ANSWER: A) Middle-aged to older women

Hashimoto's disease commonly occurs in middle-aged to older women.

Question : A 63-year-old patient with a 10-year history of

poorly controlled hypertension presents with a cluster of physical exam findings. Which of the following indicate target organ damage commonly seen in hypertensive patients?

• Pedal edema, hepatomegaly, and enlarged kidneys
• Hepatomegaly, AV nicking, bibasilar crackles
• Renal infection, S3, neuromuscular abnormalities
• Glaucoma, jugular vein atrophy, heart failure