Question: Spirometry for chronic bronchitis
Answer Choices: ↓FRC
↓FVC
↓FEV1/FVC post-bronchodilator
↓TLC
Answer: Decreased FEV1/FVC ratio
Question: Least likely cause of antidepressant failure
Answer Choices: dose
adherence
length of treatment
coping
Answer: Length of treatment
Question: Uncircumcised 2-yr-old with non-retractable foreskin
Answer Choices: refer
normal don’t retract
antibiotics
teach retraction
Answer: Normal, don’t retract
Question: Signs of primary hypothyroidism
Answer Choices: irregular menses + bradycardia
diarrhea + edema
constipation + tinnitus
fatigue + sweats
Answer: Irregular menses + bradycardia
Question: BMI 27 requesting diuretic — suspicious for
Answer Choices: anorexia
bulimia
malingering
body dysmorphic disorder
Answer: Bulimia nervosa
Question: Infant makes clicking sounds while breastfeeding
Answer Choices: continue
avoid pacifiers
weak suck reflex
reposition nipple
Answer: Reposition nipple
Question: Chronic cough + right supraclavicular lymph node
Answer Choices: COPD
Pneumonia
Acute bronchitis
Lung cancer
Answer: Lung cancer
Question: Follow-up labs after starting levothyroxine
Answer Choices: 2 weeks
4 weeks
6 weeks
10 weeks
Answer: 6 weeks
Question: NOT used to assess visual acuity in toddler
Answer Choices: Hirschberg
red reflex
pupillary reflex
tracking
Answer: Hirschberg
Question: Suboccipital lymph nodes enlarged
Answer Choices: otitis media
tinea capitis
melanoma
pharyngitis
Answer: Tinea capitis
Question: NOT conductive hearing loss
Answer Choices: otitis media
otitis externa
TM perforation
presbycusis
Answer: Presbycusis
Question: Least likely migraine trigger
Answer Choices: sleep disturbance
fasting
repetitive head/neck movements
menses
Answer: Repetitive movements
Question: Hoarseness every morning x5 weeks
Answer Choices: Allergic rhinitis
Esophageal cancer
GERD
Pharyngitis
Answer: GERD
Question: True about GAD
Answer Choices: more common in men
concurrent disorders common
no genetic link
rare after 50
Answer: Concurrent disorders common
Question: Anaphylaxis most associated with
Answer Choices: hypertension
tachypnea
hives
rhonchi
Answer: Hives
Question: Mild dementia suspected if forgetting
Answer Choices: spouse’s name
meds taken
birthday
how to start car
Answer: Whether meds were taken
Question: Septal perforation cause
Answer Choices: toxic fumes
cocaine
Afrin
allergies
Answer: Cocaine misuse
Question: NP cannot notify spouse due to
Answer Choices: Contract
Beneficence
Maleficence
Confidentiality
Answer: Confidentiality