Asthma
Anemia
Pneumonia
Diabetes
Thyroid Disease
100
A pt has HTN and asthma. Would med should be avoided?
A HCTZ
B propranolol
C amlodipine
D enalapril
B propranolol
100
pernicious anemia is usually caused by
A dietary lack of B12
B lack of production of intrinsic factor
C RBC enzyme deficiency
D combo of micronutrient deficiencies caused by malabsorption
B lack of production of intrinsic factor
100
Which describes transmission of atypical pna pathogen?
A microaspiration
B resp droplet
C surface
D aerosolized contaminated water
B resp droplet
100
criteria for DM2 dx include
A classic symptoms regardless of BGL
B plasma glucose of 126 as a random measurement
C 2 hr glucose of 156 after a 75-g anhydrous glucose load
D plasma glucose of 126 or greater after an 8+ hour fast on 2+ occasions
D plasma glucose of 126 or greater after an 8+ hour fast on multiple occasions
100
hypothyroidism is usually caused by
A primary pituitary failure
B thyroid neoplasm
C autoimmune thyroiditis
D radioactive iodine exposure
C autoimmune thyroiditis
200
A 44yo pt has a long hx of moderate persistent asthma that is normally well controlled with fluticasone with salmeterol (Advair) via MDI, 1 puff BID and albuterol 1-2 xs/wk prn wheezing. 3 days ago the pt developed a ST, clear nasal dc, body aches, and productive cough. Over the past day, he developed wheezing which is only partially relieved by albuterol. The NP should now obtain
A CXR
B PaO2
C spirometry
D WBC
C spirometry
200
in the 1st wks of anemia tx with parenteral B12 in a 68yo woman with HTN who takes a thiazide diuretic, pt should be monitored for
A hypernatremia
B dehydration
C hypokalemia
D acidemia
C hypokalemia
200
pt has CAP. She has a beta lactam allergy, dry cough, ha, and malaise. Which abx should the NP prescribe?
A oral clarithromycin
B oral amoxicillin
C IV levofloxacin
D IM rocephin
A oral clarithromycin
200
clinical presentation of DM1 usually includes all except
A unintended wt gain
B ketosis
C persistent thirst
D polyphagia
A unintended wt gain
200
which is least helpful for assessing thyroid disease
A total T4
B TSH
C free T4
D TPO antibodies
A total T4
300
Jane is a 24 yo pt with acute asthma flare following a URI. She has a hx of moderate persistent asthma well controlled with budesonide (Pulmicort) and albuterol prn. At home, her PEF is 55% of her personal best and in office, her FEV1 is 65% of predicted. The NP should prescribe
A oral theophylline
B inhaled salmeterol
C oral prednisone
D oral montelukast
C oral prednisone
300
folate deficiency anemia causes what changes in RBC?
A microcytic, normochromic
B normocytic, normochromic
C microcytic, hypochronic
D macrocytic, normochromic
D macrocytic, normochromic
300
pt has CAP. She is 78, has a hx of COPD/HTN/HLD, and takes lovastatin and a CCB. What should the NP prescribe?
A oral clindamycin
B oral augmentin and oral doxycycline
C oral clarithromycin
D IM rocephin
B oral augmentin and oral doxycycline
300
which is a goal of a 45yo man who doesn't smoke but has DM and HTN
A BP less than 140/90
B HGBA1C less than or equal to 7%
C TG 200-300
D HDL 35-40
A BP less than 140/90
300
at minimum, at what interval should TSH be reassessed after levothyroxine dose is adjusted
A 1-2 wks
B 2-4 wks
C 4-6 wks
D 6-8 wks
D 6-8 wks
400
after initiation of ICS, improvement is usually seen in/on
A the 1st day
B 2-8 days
C 3-4 weeks
D 1-2 months
B 2-8 days
400
a 46yo woman complains of a 2mos hx of tiredness and worsening short-term memory loss and coordination. Her results are
Hgb 10 (low)
Hct 30% (low)
RBC 3.7 (low)
MCV 118 (high)
MCHC 32 (normal)
RDW 19.4 (high)
Next step includes testing for
A cobalamin
B ferritin
C TSH
D CT of head
A cobalamin
400
the mechanism of resistance of Drug-resistant Streptococcus pneumoniae (DRSP) is through
A beta-lactamase production
B hypertrophy of cell membranes
C alteration of protein-binding sites
D failure of DNA gyrase reversal
C alteration of protein-binding sites
400
The use of GLP-1 agonist has been associated with the development of
A. leukopenia
B. pancreatitis
C. lymphoma
D. vitiligo
B. pancreatitis
400
in the report of a thyroid scan done on a 48yo woman with thyroid mass and a "cold spot," pt probs has
A autonomously fX adenoma
B Grave's
C Hashimoto's
D thyroid cyst
D thyroid cyst
500
compared with albuterol, levalbuterol (Xopenex) has
A a different MOA
B the ability to have greater bronchodilation at a lower dose
C anti-inflammatory effects similar to ICS
D contradiction in geriatrics
B the ability to have greater bronchodilation at a lower dose
500
a 68yo man who is usually healthy presents with new onset "huffing and puffing" with exercise for the past 3 mos. He has conjunctiva pallor and hemic murmur. His results are
hgb 7.6 (low)
hct 20.5% (low)
RBC 2.1 (low)
MCV 76 (low)
MCHC 28 (low)
RDW 18.4% (high)
Reticulocytes 1.8% (normal)
He most likely has
A poor nutrition
B occult blood loss
C malabsorption
D chronic inflammation
B occult blood loss
500
Right middle lobe pneumonia
(50 points for pneumonia, 450 for right middle lobe)
Note: an argument can be made that the pneumonia is starting to spread to the right lower lobe and the left lower lobe.
500
the MOA of DPP-4 I is
A drug that increases incretin, increasing synthesis and release of insulin from beta cells
B same as sulfonylureas
C increases insulin action to peripheral tissues and reduces hepatic glucose production
D facilitator of renal glucose excretion
A drug that increases incretin, increasing synthesis and release of insulin from beta cells
500
the findings of painless thyroid mass and TSH of less than 0.1 in a pt with fine tremor probs indicate
A autonomously fX adenoma
B Grave's
C Hashimoto's
D thyroid cyst
A autonomously fX adenoma