3P Practice Questions

3P Practice Questions

• The groove of the metacarpophalangeal joint can be palpated by having thepatient:

Answer: flex his hand

• When auscultating breath sounds in a patient who has left sided heart failure, the breath

sounds are:

Answer: vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion (looses ability to pumpout blood)

• You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has

severe mood swings, is easily distracted, and constantly corrects his teachers. You have the high suspicion for bipolar if which symptomwas present?

Answer: he sleeps less than 4 hours nightly

• Using GTPAL nomenclature, how would document a patient currently pregnant with a hx of

uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective abortion?

Answer: G4 T1 P1 A1 L3 (mult births count as 1 pregnancy and 1 birth)

• What is the most likely presenting symptom in a pediatric patient withcroup?

Answer: barking cough

• 47 year old woman post total hysterectomy and estrogen hormone therapy.Which is

contraindicated?

Answer: Heart disease

• Severe aortic regurgitation symptoms with dyspnea

Answer: dry cough, angina, hypotension, systolic murmur

• Unipolar depression. What medications are not considered?

Answer: TCA (tricyclicantidepressants); Buspar, SSR, wellbutin are all okay

• Which of the following statements is most accurate about cough associatedwith ACEI?

Answer: Asthma

• Conductive Hearing loss

Answer: External ear, middle ear, or both problem

• Which of the following is a risk factor for the development of prostateenlargement?

Answer: Diabetes; Obesity, heart and circulatory disease, DM2 1 / 2

• Patients with suspected PAD may be asymptomatic or may complain ofwhich symptom in

the lower extremity?

Answer: Pain during activity

• A patient who presents with nocturia, dyspnea on exertion, and peripheraledema and is

found to have ascites and JVD should be evaluated for:

Answer: heart failure

• 23 year old woman is having frequent migraines and needs a prophylacticmedication. She

also has asthma. The medication should be avoided in this patient:

Answer: Propranolol (inderal); can cause increase bronchospasm

• 45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is

safe to use with warfarin?

Answer: Clarithromycin (PCN and cephalosporinsare okay)

• On PA of 50 year old woman who has complains of joint pain, the NP findsswan neck and

boutoniere deformities which she knows are related to the diagnosis of

Answer: rheumatoid arthritis

• 28 year old woman has symptoms of asthma daily and several nights a week. She uses a

SABA and will be starting fluticasone/salmeterol (Advair).Advair:

Answer: is not effective during an acute asthma attack

• The main lymphatic channel that drains lymph back to the systemic circulation from the

entire body, with the exception of the RT arm, thorax, head andneck is the

Answer: thoracic duct

• Intrauterine growth restriction is suspected in an 18 year old pregnantpatient at 35 weeks

gestation if the fundal height measurement is

Answer: 32

• A 22 year old patient presents with complaints of headaches with associated nausea and

vomitting.The LEAST likely differential diagnosis for thispatient is

Answer: tension headaches

• The symptoms that will help differentiate acute pyelonephritis from acutenephrolithiasis

is the presence of

Answer: costovertebral pain

• While assessing an 80 year old man, the NP considers the need to evaluatefor depression

based on the patient's Answer: poor motivation to participate in care

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