MN 576 Final Exam Unit 10 Paper Question 1
Down syndrome is the clinical manifestation of trisomy
. Question options:
1) 13
2) 15
3) 18
4) 21
Question 2
In Edwards syndrome, which of the following statements is true? Question options:
1) Edwards syndrome is more common than Down syndrome.
2) Most affected infants with Edwards syndrome die during the first year of life.
3) Edwards syndrome is unlikely to cause developmental disability.
4) Edwards syndrome is associated with elevated AFP. Question 3
Examples of neural tube defects include all of the following except: Question options:
1) anencephaly.
2) spina bifida.
3) encephalocele.
4) omphalocele.
Question 4
Which of the following is often reported by anxious patients? Question options:
1) constipation
2) muscle tension
3) hive-form skin lesions
4) somnolence
Question 5
A 24-year-old woman presents with a 1-week history of thin, green-yellow vaginal discharge with perivaginal irritation. Physical examination findings include vaginal erythema with petechial hemorrhages on the cervix, numerous white blood cells, and motile organisms on microscopic examination. These findings most likely represent:
Question options:
1) motile sperm with irritative vaginitis.
2) trichomoniasis.
3) bacterial vaginosis.
4) condyloma acuminatum.
Question 6
Which of the following statements is true concerning domestic violence? Question options:
1) It is found largely among people of lower socioeconomic status.
2) The person in an abusive relationship usually seeks help.
3) Routine screening is indicated during pregnancy.
4) A predictable cycle of violent activity followed by a period of calm is the norm.
Question 7
Identify the corresponding characteristic of Chadwick sign Question options:
1) blue–violet vaginal color
2) softening of uterus isthmus
3) softening of vaginal portion of the cervix Question 8
Thyroid nodules are more common in women than men. Question options:
1) True
2) False
Question 9
Increased folic acid intake before conception is likely to reduce the risk of which of the following birth defects?
Question options:
1) congenital cataract
2) pyloric stenosis
3) clubfoot
4) open neural tube defects Question 10
For a woman with bothersome hot flashes who cannot take HT, alternative options with demonstrated efficacy and limited adverse effects include the use of all of the following except: Question options:
1) venlafaxine.
2) sertraline.
3) gabapentin.
4) clonidine.
Question 11
Which test is used to confirm the diagnosis of breast cancer? Question options:
1) ultrasound
2) mammogram
3) needle- localization biopsy
4) MRI
Question 12
The prevalence rate of hypertension is nearly equal between men and women ages 45 to 64, but women have a much higher rate of hypertension.
Question options:
1) True
2) False
Question 13 Lanugo is noted in:
Question options:
1) Anorexia nervosa
2) Bulimia nervosa
3) Both anorexia nervosa and bulimia nervosa Question 14
Which of the following therapeutic agents is commonly used to help with sleep difficulties such as insomnia associated with PTSD?
Question options:
1) duloxetine
2) bupropion
3) mirtazapine
4) zolpidem
Question 15
Conditions that commonly mimic or can worsen anxiety include all of the following except: Question options:
1) opioid use.
2) thyrotoxicosis.
3) alcohol withdrawal.
4) overuse of caffeine.
Question 16
Patient presentation possibly common to anxiety and depression includes: Question options:
1) feeling of worthlessness.
2) psychomotor agitation.
3) dry mouth.
4) appetite disturbance.
Question 17
A 45-year-old woman just had a normal Pap test result and has an absence of high-risk HPV. You recommend her next Pap test in:
Question options:
1) 1 year.
2) 3 years.
3) 5 years.
4) 7 years.
Question 18
Which patient is most at risk for a fibroadenoma of the breast?
Question options:
1) A 17 year old girl
2) A 30 year old women
3) A 45 year old women
4) A 70 year old women
Question 19
Gallbladder disease occurs primarily in healthy women 40 to 65 years of age. Question options:
1) True
2) False
Question 20
A 25-year-old woman presents in the 10th week of gestation requesting antenatal screening for Down syndrome. What advice should the NP give?
Question options:
1) Because of her age, no specific testing is recommended.
2) She should be referred for second-trimester ultrasound.
3) Screening that combines nuchal translucency measurement and biochemical testing is available.
4) She should be referred to a genetic counselor.
Question 21
Malignant thyroid nodules are more common in women than men. Question options:
1) True
2) False
Question 2
Which of the following describes prescriptions for antidepressant medications written by primary care providers?
Question options:
1) dose too high
2) dose too low
3) excessive length of therapy
4) appropriate length of therapy Question 23
A patient is concerned because she is experiencing some milky and sticky breast discharge. What nonmalignant condition is she most likely experiencing?
Question options:
1) an inflammatory lesion
2) breast infection
3) breast feeding
4) galactorrhea
Question 24
Identify the correct uterine size during the 8th week of pregnancy Question options:
1) Size of a baseball
2) Size of a softball or grapefruit
3) Size of a large lemon
4) Size of a tennis ball or orange Question 25
Treatment of vulvovaginitis caused by Candida albicans includes: Question options:
1) metronidazole gel.
2) clotrimazole cream.
3) hydrocortisone ointment.
4) clindamycin cream.
Question 26
In Down syndrome, which of the following is true? Question options:
1) Most infants affected with Down syndrome are born to women older than age 35 years.
2) Down syndrome is noted in about 1 in 10,000 live births.
3) Down syndrome is associated with decreased maternal serum AFP level.
4) Antenatal serum analysis is sufficient to make the diagnosis.
Question 27
Women who experienced gestational diabetes are at higher risk of developing Type 2 Diabetes later in life.
Question options:
1) True
2) False
Question 28
Identify the corresponding characteristic of Hegar sign Question options:
1) blue–violet vaginal color
2) softening of uterus isthmus
3) softening of vaginal portion of the cervix Question 29
When considering characteristics of the domestic violence perpetrator. One of the best predictors of a subsequent homicide of victims of domestic violence is which of the following? Question options:
1) history of perpetrator striking victim on the face with an open hand
2) history of perpetrator attempting to strangle the victim
3) perpetrator’s access to kitchen knives.
4) alcohol abuse history in the victim
Question 30
Parotid Gland Enlargement is noted in:
Question options:
1) Anorexia nervosa
2) Bulimia nervosa
3) Both anorexia nervosa and bulimia nervosa Question 31
Pharmacological intervention in an anxiety disorder should be:
Question options:
1) generally given for about 4 to 6 months.
2) continued for at least 6 months after remission is achieved.
3) continued indefinitely with a first diagnosis of the condition.
4) titrated to a highest dose recommended after symptom relief is achieved.
Question 32
HDL levels are a better predictor of CAD in women than LDL. Question options:
1) True
2) False
Question 33
When initiating SSRI therapy for a patient with panic disorder, the NP should consider all of the following except:
Question options:
1) start with a low dose and slowly escalate doses as necessary.
2) preferable to use agents that are more energizing than less energizing.
3) select agents with a low rate of insomnia and akathisia.
4) SSRI therapy can precipitate panic attacks with early use.
Question 34
The typical female onset of hypothyroidism is between which ages? Question options:
1) 20 and 30 years
2) 30 and 60 years
3) over 60 years
Question 35
Identify the correct uterine size with the Nongravid stage of pregnancy: Question options:
1) Size of a baseball
2) Size of a softball or grapefruit
3) Size of a large lemon
4) Size of a tennis ball or orange Question 36
Esophageal Tears is noted in:
Question options:
1) Anorexia nervosa
2) Bulimia nervosa
3) Both anorexia nervosa and bulimia nervosa Question 37
Concomitant use of an SSRI with which of the following herbal products can potentially lead to serotonin syndrome?
Question options:
1) St. John’s wort
2) kava kava
3) ginkgo biloba
4) valerian root
Question 38
The NP is performing a breast exam on a woman previously diagnosed with fibroadenoma. The defining characteristics of a fibroadenoma are:
Question options:
1) inflammation of the milk duct and glands
2) discharge from the nipple of the affected breast
3) a single lump in one breast that should shrink with age
4) lumps in both breast present 1 week prior to the menses Question 39
The use of which of the following drugs often mimics generalized anxiety disorder? Question options:
1) sympathomimetics
2) antipsychotics
3) anticholinergics
4) alpha-beta antagonists
Question 40
In advising a perimenopausal woman about HT, you consider that it may: Question options:
1) reduce the risk of venous thrombotic events.
2) significantly reduce serum triglyceride levels.
3) worsen hypertension in most women.
4) help preserve bone density.
Question 41
Physical examination of a 19-year-old woman with a 3-day history of vaginal itch reveals moderate perineal excoriation, vaginal erythema, and a white, clumping discharge. Expected microscopic examination findings include:
Question options:
1) a pH greater than 6. 0.
2) an increased number of lactobacilli.
3) hyphae.
4) an abundance of white blood cells.
Question 42
IBS patients typically report Question options:
1) nausea
2) heartburn
3) dyspepsia
4) All of the above Question 43
Identify the correct uterine size during the 12th week of pregnancy Question options:
1) Size of a baseball
2) Size of a softball or grapefruit
3) Size of a large lemon
4) Size of a tennis ball or orange
Question 44
A transvaginal ultrasound in the woman with PID will likely show:
Question options:
1) tubal thickening with or without free pelvic fluid.
2) cervical thickening.
3) endometrial thinning.
4) inflammation of the ovaries.
Question 45
The NP is in an ideal position to provide counseling to both members of a couple involved in domestic violence, particularly if both members of the couple are members of the NP’s practice panel.
Question options:
1) True
2) False
Question 46
The recommended frequency of prenatal visits in weeks 28 to 32 of pregnancy is every: Question options:
1) 1 week.
2) 2 weeks.
3) 3 weeks.
4) 4 weeks.
Question 47
In treating a person with panic disorder using an SSRI, the NP should consider that there is: Question options:
1) considerable abuse potential with these medications.
2) no significant therapeutic advantage over TCAs.
3) a reduction in number and severity of panic attacks.
4) significant toxicity in overdose.
Question 48
You see a 16-year-old woman with a history of C. trachomatis infection and a total of ten lifetime partners. You recommend:
Question options:
1) Pap smear only.
2) Pap smear and HPV testing.
3) Pap smear and STI testing.
4) STI testing only.
Question 49
The most conservative approach for early stage breast cancer following a lumpectomy is which of the following?
Question options:
1) chemotherapy
2) mastectomy
3) radiation therapy
4) hormonal therapy
Question 50
The presence of an adnexal mass in the woman with PID most likely indicates the presence of: Question options:
1) uterine fibroids.
2) an ectopic pregnancy.
3) ovarian malignancy.
4) a tubo-ovarian abscess.
Question 51
Dysrhythmias is noted in:
A. Question options:
B. Anorexia nervosa
C. Bulimia nervosa
D. Both anorexia nervosa and bulimia nervosa
