- Question: A patient has received a prescription for metronidazole for the treatment of C. difficile. What should be avoided in this patient?
- Correct Answer: Alcohol
- Question: A patient with gallbladder disease has classic symptoms. Which symptom below is NOT classic of gallbladder disease?
- Correct Answer: Pain that occurs when the stomach empties
- Question: Which of the following is NOT a risk factor for developing hepatitis B?
- Correct Answer: Consuming contaminated water
- Question: A 24-year-old female presents with pain and tenderness in the right lower abdominal quadrant. Her pelvic exam and urinalysis are within normal limits. Her WBC is elevated, and her urine pregnancy test is negative. What is part of the differential diagnosis?
- Correct Answer: Appendicitis
- Question: A patient has elevated liver enzymes. What is the likely etiology of the elevation?
- Correct Answer: Hepatitis
- Question: Choose the number on the image that most closely approximates the location of an indirect inguinal hernia.
- Correct Answer: 4
- Question: An 85-year-old adult has chronic constipation. What is the most likely cause of her constipation?
- Correct Answer: Medication-related
- Question: An 83-year-old patient is diagnosed with diverticulitis. Where is her pain typically located?
- Correct Answer: Left lower quadrant
- Question: A 19-year-old female presents with a temperature of 100.8°F and lower abdominal pain that began about 12 hours ago. She denies vaginal discharge. Which choice below is the least likely cause of her symptoms?
- Correct Answer: Renal stone
- Question: What is true regarding older adults who are overweight?
- Correct Answer: Mortality in older adults related to overweight states declines over time.
- Question: A patient has been diagnosed with hepatitis A. The most common reported risk factor is:
- Correct Answer: International travel
- Question: A 63-year-old male has been your patient for several years. He is a former smoker who takes simvastatin, ramipril, and an aspirin daily. His blood pressure and lipids are well controlled. He presents to your clinic with complaints of fatigue and “just not feeling well” for the last few days. His vital signs and exam are normal, but his liver enzymes are elevated. His hepatitis panel is negative for infectious hepatitis. What is the most likely cause of his elevated liver enzymes?
- Correct Answer: Daily grapefruit consumption for the past 10 days
- Question: An 84-year-old presents with a stated involuntary weight loss. He states that he’s lost about 6 pounds in the last 6 or 8 weeks. What statement below is NOT part of the assessment?
- Correct Answer: Evaluate his upper and lower extremity muscle mass.
- Question: The relationship between colon polyps and colon cancer is that polyps:
- Correct Answer: Have a slow progression to colon cancer.
- Question: In a patient with end-of-life physical pain, constipation commonly occurs. What is the most common cause of this?
- Correct Answer: Opioid use
- Question: A patient asks for advice about a medication that will produce rapid relief if he is having heartburn symptoms. What should the nurse practitioner recommend?
- Correct Answer: Calcium carbonate
- Question: The three most common causes of bacterial diarrhea in the US are Salmonella, Campylobacter, and:
- Correct Answer: Shigella
- Question: A 43-year-old female patient reports a possible exposure to hepatitis C about 4 months ago. Which statement is true about this patient?
- Correct Answer: The patient does not have hepatitis C but has immunity to hepatitis B.
- Question: A patient has the following laboratory values. What does this mean?
- Correct Answer: He has acute hepatitis B.
- Question: A patient has the following lab results. This means:
- Correct Answer: More data is needed.
- Question: A patient with diarrhea has a stool specimen positive for WBCs. What is a likely etiology?
- Correct Answer: A viral infection
- Question: Which is NOT an effective strategy for helping older adults gain weight?
- Correct Answer: Increase carbohydrate intake
- Question: A 70-year-old presents to the nurse practitioner’s office for a well exam today. What medication probably has no effect on screening for occult blood in the stool?
- Correct Answer: Acetaminophen
- Question: A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with:
- Correct Answer: Cancer of the sigmoid colon
- Question: A patient has a positive hepatitis B surface antibody. This means he:
- Correct Answer: Is immune to hepatitis B
- Question: A patient with diarrhea is tested for C. difficile. How soon should the enzyme immunoassay (EIA) yield results?
- Correct Answer: About 24 hours
- Question: What choice below is most commonly associated with pancreatitis?
- Correct Answer: Gallstones and alcohol abuse
- Question: The most common cause of diarrhea in adults is:
- Correct Answer: Viral gastroenteritis
- Question: Which of the following would be usual in a patient with biliary colic?
- Correct Answer: Pain in the upper abdomen in response to eating fatty foods
- Question: Choose the number on the image that most closely approximates the location of a direct inguinal hernia.
- Correct Answer: 1
- Question: What medication listed below could be used to increase appetite in an anorexic patient?
- Correct Answer: Megestrol
