Question: Epididymitis in 55-year-old — most common organism
Answer Choices: Chlamydia
S. aureus
E. coli
Klebsiella
Answer: E. coli
Question: Leading cause of vision loss >65
Answer Choices: cataract
diabetic retinopathy
glaucoma
AMD
Answer: AMD
Question: Electrolyte used to calculate osmolality
Answer Choices: magnesium
chloride
potassium
sodium
Answer: Sodium
Question: Asymptomatic exposure to pertussis
Answer Choices: observe
cephalosporin
macrolide
fluoroquinolone
Answer: Treat with macrolide
Question: Least likely differential for cholecystitis
Answer Choices: GERD
angina
PUD
appendicitis
Answer: Appendicitis
Question: First episode genital herpes
Answer Choices: no meds
acyclovir 400 mg TID 7–10 days
acyclovir 800 mg
penciclovir
Answer: Acyclovir 400 mg TID 7–10 days
Question: Milky nipple discharge
Answer Choices: duct ectasia
galactorrhea
prolactinoma
gynecomastia
Answer: Galactorrhea
Question: Best urine collection method to avoid contamination
Answer Choices: clean catch any stream
fresh void with labia spread
initial stream
midstream clean catch
Answer: Midstream clean catch
Question: A 30-year-old male reports increasing problems with acne and mood swings… NP suspects anabolic steroid use.
Answer Choices: A – excess body hair
B – enlarged testicles
C – increased sex drive
D – shrinking testicles
Answer: D – shrinking testicles
Question: Does NOT increase osteoporosis risk
Answer Choices: omeprazole
carbamazepine
fluticasone
escitalopram
Answer: Fluticasone
Question: 20-month-old febrile seizure
Answer Choices: fluids + antipyretics
diazepam
antibiotics
lumbar puncture
Answer: Fluids + antipyretics
Question: Alcohol withdrawal
Answer Choices: starts <24 hr
lasts 3 days
lasts 48 hr
variable, starts 2 hours
Answer: Variable, can start in 2 hours
Question: 13-year-old needs varicella vaccine — first step
Answer Choices: 1 dose now
2 doses 4 weeks apart
check titer
vaccine only for high risk
Answer: Two doses, 4 weeks apart
Question: Adnexa refers to
Answer Choices: cervix
glands
fornices
ovaries/tubes
Answer: Ovaries, tubes, supporting tissues
Question: Least risk for micronutrient deficiency
Answer Choices: lactose deficiency
bariatric history
vegan
type 1 diabetes
Answer: Type 1 diabetes
Question: Fever, chills, CVA tenderness in 17-year-old
Answer Choices: A cystitis
B nephrolithiasis
C pyelonephritis
D PID
Answer: C – pyelonephritis
Question: UA finding supporting nephrolithiasis
Answer Choices: RBCs
pH 7
nitrites
spec grav 1.010
Answer: RBCs
Question: Onset of puberty in 13-year-old male indicated by
Answer Choices: Testicular enlargement
Pubic hair
Growth spurt
Penis lengthening
Answer: Testicular enlargement
Question: Late-pregnancy sciatica — LEAST appropriate
Answer Choices: support belt
ibuprofen
side sleeping
heat
Answer: Ibuprofen
Question: HTN education—correct statement
Answer Choices: lifestyle only
secondary cause
reduce target-organ damage
typical with energy drinks
Answer: Reduce target-organ damage
Question: DRE in acute prostatitis
Answer Choices: defer exam
nodular prostate
gentle exam
useless exam
Answer: Gentle exam