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WorksheetsGNUR 567 Final Exam Review
Total questions: 54
Worksheet time: 47mins
Match the appropriate treatment for each acne type:
Comedonal Acne
Topical Retinoid
Mild mixed papular/
pustular acne
Topical Retinoid + Topical Antimicrobial
Moderate mixed papular/
pustular acne
Oral Abx + Topical Retinoid +/- Benzoyl
Nodulocystic
Oral Abx, OCP/ Spironolactone + Topicals
Postherpatic neuralgia is a painful condition. What organism is the most common cause?
Herpes Simplex 1
Herpes Zoster
Herpes Simplex 2
Herpes Simplex 7
Match the following
Tension Type Headache
Tightband around the head.
Migraines
Pain
Nausea
Visual changes
Cluster Headaches
Pain around 1 eye.
A 33-year-old-female whom is 32 weeks pregnant presents with right sided facial droop. What differential diagnoses are you considering?
Trigeminal Neuralgia
Bell's Palsy
CVA
Temporal Arteritis
A 72-year-old-female presents with a right sided facial pain. On exam, you notice grimacing and erythema on the right side of her forehead. What differential diagnoses are you considering?
Temporal Arteritis
Herpes Zoster
Sinusitis
Trigeminal Neuralgia
Match the following disorder with the most common symptom(s)
Bell's Palsy
Facial Paralysis
Trigeminal Neuralgia
Brief episodes of mild to severe pain
Temporal Arteritis
Headache with scalp tenderness
Preventative therapy for migraines should only be considered for any patient that has attacks over _ days per month.
2
3
6
8
Preventative medication for migraines include: select all that apply.
Beta blockers
Calcium Channel Blockers
Anticonvulsants
Antiemetics
Antidepressants
Abortive therapy for cluster headaches include: Select all that apply.
Triptans
100% oxygen
Propranolol
Amitriptyline
Hemodialysis is indicated for which of the following? Select all that apply
Fluid Overload
Hyperkalemia
Severe Metabolic Acidosis
Severe Hyponatremia
What are the common symptoms of fibromyalgia? Select all that apply.
Fatigue
Insomnia
Pain and stifness in the body
Joint swelling
Match the following disorders to the assessment tools that are helpful when diagnosing
Centor Criteria
Pharyngitis
Rome criteria
IBS
FENa
Acute Kidney Injury
MELD-Na
Cirrhosis survival predicator
A 59-year-old female presents to the urgent care with a history of 2-day history of viral conjunctivitis. She was seen by a mobile clinic and prescribed artificial tears ophthalmic solution. On exam, you notice crusting on her eye lashes. What is your next course of action?
Instruct her to continue artificial tears QID until symptoms resolve.
Prescribe polytrim ophthalmic solution for 10 days
Refer to an ophthalmologist
Obtain a Basic Metabolic Panel and CBC
A clinician decides to use a sterile otic drop for acute otitis externa. What is the rationale for this?
History of diabetes
Unable to determine tympanic membrane patency
Purulent discharge
Severe Pain
A 21-year-old male presents after traveling for a college party with a sore throat, fatigue, lymphadenopathy and low grade fever. Labs reveal a transaminitis. What diagnosis is most likely?
Acute Hepatitis A
Mononucleosis
Acute Hepatitis Secondary to Alcohol
Strep Pharyngitis
You are concerned that your patient has COPD. After pulmonary function tests, you confirm the diagnosis if results show a:
FEV1/FVC <80%
FEV1/FVC <70%
FEV1 <70%
ABG Oxygen Saturation <92%
A 72 year old female presents to the primary care setting for lower back pain and urinary incontinence. She notes some numbness and tingling in her legs. What is your next course of action?
Prescribe Naproxen as needed and a Prednisone 40mg for 5 days
Refer her to orthopedic spine
Call 911 for an emergent MRI
Obtain a urinalysis with microscopy
After referral to GI, you receive a colonoscopy report. The report mentions skip lesions. What disease does the patient most likely have?
Irritable Bowel Syndrome
Ulcerative Colitis
Crohn's Disease
Peptic Ulcer Disease
A 38-year-old female presents with "depression." Her review of symptoms is positive for fatigue, numbness/tingling and menorrhagia. What labs should be obtained initially?
Vitamin B12
Iron Panel
TSH
Lyme Titer
A 26-year-old female with a history of anxiety presents for a 2 week follow up after starting Sertraline. She inquires why did she have to come in so soon. What is your response?
Re-evaluate anxiety
Re-assess for suicidal ideations
Assess for sexual dysfunction
Assess if the dose needs to be adjusted
How long does it take for pain to improve after starting a antibiotic for acute otitis media?
12-36 hours
12-24 hours
36-48 hours
48-72 hours
A 68-year-old female presents with a painful red rash on the right side of her forehead with right eye pain. What is your next course of action?
Prescribe NSAIDS
Swab any open lesions and prescribe analgesia
Emergent referral to ophthalmology
Emergent referral to dermatology
Match the following angina types to common symptoms
Stable Angina
Predictable in pattern and frequency.
Unstable Angina
New or uncontrolled chest pain
Prinzmetal Angina
Vasospasm commonly occurring at night
A 72-year-old male presents with a recurrent gout attack. What are the complications of untreated gout?
Tophi and
Kidney Disease
Loss of joint function and tophi
Limb ischemia, venous insufficiency, and kidney disease
Loss of joint function, tophi, and kidney disease
Match the following
Hyperthyroidism
Low TSH
High Free T4
Hypothyroidism
High TSH
Low Free T4
Subclinical Hypothyroidism
High TSH
Normal Free T4
Multiple Sclerosis is most often managed with: Select all that apply
Pain medications
Steroids
Antispasmodics and Antitremor medications
Immunomodulators
Anti-infectives
A 54-year-old-male with a PMHx of Chronic Kidney Disease stage III presents for follow up. His most recent labs show hyperphosphatemia. You should consider: select all that apply
Patiromer
Calcium Acetate
Sevelamer
Calcium Carbonate
You are reviewing a CBC and Differential after starting vitamin b12 supplementation. What lab value would you expect to be elevated 7-10 days after starting treatment?
MCV
WBC
Reticulocyte Count
Platelets
All of the following are symptoms of parkinson's except:
Akinesia
Tremor worsened with movement
Rigidity
Postural Instability
Match the following:
Absence Seizure
Brief impaired consciousness blank stare
Simple Partial Seizure
Focal seizure with preserved awareness
Complex Partial Seizure
Focal seizure with impaired awareness
Grand Mal Seizure
Tonic (stiff)-Clonic (jerking) Seizures
A 53-year old female presents for preventative care. After receiving her Shingrix vaccine, when should she follow up for her booster dose?
Not necessary
1-3 months
2-6 months
12 months
When considering the treatment of pneumonia, what should the clinician review:
Age, PMHx, Allergies
PMHx, Allergies, Recent Hospitalizations
Age, PMHx, Allergies, Recent Hospitalizations
Age, Allergies, Recent Hospitalizations
A clinician should consider antibiotics for sinusitis:
If symptoms persist greater than 3-5 days
If symptoms persist greater than 7-10 days
If symptoms persist greater than 5-7 days
Right away
A 65-year-old female presents for an annual exam. She inquires about her pneumonia vaccine. She received PCV13 last year, and wants to know if she needs another dose. What is an appropriate response?
No additional dose(s) are needed.
Yes, you can receive the PCV13 booster today.
Yes, you can receive the Shringrix vaccine today.
Yes, you can receive the PCV 20 or PCV21 today.
Match the following levels of prevention to the examples provided:
Primary Prevention
Immunizations
Secondary Prevention
Mammogram
Tertiary Prevention
Dialysis
Quaternary Prevention
Ordering a ultrasound instead of an xray
Match the following asthma categories to the expected FEV1 results: and symptoms
Mild intermittent
FEV1 >80%,
Symptoms less than 2 days/week
Mild Persistent
FEV1 >80%,
Symptoms more than 2 days/week
Moderate Persistent
FEV1 60-80%, intermittent symptoms daily
Severe Persistent
FEV1 <60%, continuous symptoms daily
A 22-year-old male presents to occupational health office for a work physical. He is excited to start a job as a nurse. You must determine if he's had a hepatitis B vaccine; what lab should you order?
Hepatitis B Core Antibody (Anti Hbc)
Hepatitis B Surface Antibody (Anti Hbs)
Hepatitis B Antigen
Hepatitis B IgM
What is mostly likely this condition?
Tinea Cruris
Pityriasis Rosea
Psoriasis
Cellulitis
What is most likely this skin condition?
Tinea Capitis
Tinea Cruris
Tinea Corporis
Psoriasis
What is most likely this skin condition?
Scabies
Bed Bugs
Tinea Corporis
Cellulitis
What is the objective difference between open and closed comedones?
A 45-year-old male with a history of diabetes presents with blurred vision and occasional flashes of light. What is the most appropriate next step in management?
Refer to an ophthalmologist for possible retinal detachment.
Prescribe corrective eyeglasses.
Advise lifestyle modifications and reassess in 6 months.
Order a fasting blood glucose and HbA1c test.
A 34-year-old female presents with a sudden onset of severe headache, photophobia, and neck stiffness. What is the most likely diagnosis?
Migraine
Bacterial Meningitis
Cluster Headache
Tension Headache
A 50-year-old male with hypertension reports intermittent claudication. Which diagnostic test is most appropriate to evaluate the arterial circulation in his legs?
Ankle-Brachial Index (ABI)
Lower extremity Doppler ultrasound
Electrocardiogram (ECG)
Complete blood count (CBC)
23 year old female presents with vaginal pruritus and discharge. After a physical exam, the whiff test is positive. What differential is the most likely?
Vaginal Yeast Infection
Bacterial Vaginosis
Trichomonas
Chlamydia
A 72 year old male presents with acute flank pain, hematuria and diaphoresis. After medical evaluation, he is diagnosed with a renal stone. On examination of the stone, what is the most likely stone type?
Struvite
Calcium Oxalate
Uric Acid
Cystine
During the diuretic phase of acute kidney injury, the patient is most likely to have complications of: (select all that apply)
Urinary Tract Infections
Anorexia
Electrolyte Abnormalities
Dehydration
When assessing renal function, what labs are considered biochemical markers? (select all that apply)
Creatinine
BUN
GFR
Potassium
A 36 year old female 31 weeks present presents for blood pressure follow up. Her blood pressure in office is 142/86. Her routine lab work shows stable renal function. Her urine studies shows 2+ bacteria, 1+ ketones and no protein. What is your next course of action? (select all that apply)
The patient is diagnosed with AKI. Which of the following conditions is the most common cause
Renal stones
Acute Tubular Necrosis
Cardiac Failure
Acute Glomerulonephritis
After diagnosing a patient with trigeminal neuralgia, what pharmacologic interventions can be considered: (select all that apply)
Ibuprofen
Gabapentin
Carbamazapine
Fluoxetine
A patient on metformin is planned for a hip replacement. How long should metformin be held prior to surgery?
24-72 hours before surgery
24-48 hours before surgery
12-48 hours
72-96 hours
Mr. Smith has a PMHx of Left Hip osteoarthritis, HTN, HLD and diabetes type II. His medication list includes: Atorvastatin 20mg PO daily, Ozempic 1mg SQ weekly, Losartan 50mg daily and Ibuprofen 400mg PO QID PRN. He presents for diabetes follow up and reports a 1 day history of abdominal pain. What differential diagnoses are most likely: select all that apply
Colitis
Pancreatitis
Cholecystitis
Constipation
Gastric Ulcer
Mr. Smith, a 63 year old male with a remote history of bladder cancer, COPD, Chronic Low Back Pain and HTN presents for an sick visit due to "a flare up of my back pain." He reports worsening low back pain. His back pain is described as a 3/10 dull ache similar to normal but becoming more persistent. He's noticing his back pain does not radiate but starting to worsen when laying supine to sleep. He denies constitutional symptoms, fever, chills, trauma and reports feeling well otherwise.
Based on this history, what low back pain red flags does Mr. Smith have?
