mn576 final exam 2021

Question 1 (3 points)

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In Edwards syndrome, which of the following statements is true?

Question 1 options:

1) Edwards syndrome is more common than Down syndrome.

 

 

 

 

3)            Edwards syndrome is unlikely to cause developmental disability.

 

4)            Edwards syndrome is associated with elevated AFP.

Question 2 (3 points)

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Identify the corresponding characteristic of Goodell sign Question 2 options:

1)            blue–violet vaginal color

 

2)            softening of uterus isthmus

 

 

 

 

Question 3 (3 points)

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Hypokalemia is noted in: Question 3 options:

1)            Anorexia nervosa

 

2)            Bulimia nervosa

 

 

 

 

 

 

 

Question 4 (3 points)

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HDL levels are a better predictor of CAD in women than LDL. Question 4 options:

1)            True

 

Question 5 (3 points)

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Which patient is most at risk for a fibroadenoma of the breast? Question 5 options:

 

 

 

2)            A 30 year old women

 

3)            A 45 year old women

 

4)            A 70 year old women

Question 6 (3 points)

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Which patient should be referred out for further testing? Question 6 options:

1)            one breast smaller than the other

 

2)            eversion of both nipples

 

 

 

 

 

 

 

4) visible veins in both breasts

Question 7 (3 points)

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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 7 options:

1)            True

 

Question 8 (3 points)

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Absolute contraindications to postmenopausal HT include: Question 8 options:

 

 

 

2)            seizure disorder.

 

3)            dyslipidemia.

 

4)            migraine headache.

Question 9 (3 points)

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Patient presentation possibly common to anxiety and depression includes:

Question 9 options:

1) feeling of worthlessness.

 

 

 

 

3)            dry mouth.

 

4)            appetite disturbance.

Question 10 (3 points)

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Concerning the use of alcohol during pregnancy, which of the following statements is most accurate?

Question 10 options:

1)            Although potentially problematic, maternal alcohol intake does not increase the risk of miscarriage.

 

2)            Risk to the fetus from alcohol exposure is greatest in the third trimester.

 

 

 

 

4) Risk of fetal alcohol syndrome is present only if alcohol exposure has occurred throughout the pregnancy.

Question 11 (3 points)

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A 24-year-old woman has a new onset of panic disorder. As part of her clinical presentation, you expect to find all of following except:

Question 11 options:

1)            peak symptoms at 10 minutes into the panic attack.

 

 

 

 

2)            history of agoraphobia.

 

3)            report of chest pain during panic attack.

 

 

 

 

Question 12 (3 points)

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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 12 options:

1) history of perpetrator striking victim on the face with an open hand

 

 

 

 

3)            perpetrator’s access to kitchen knives.

 

4)            alcohol abuse history in the victim

Question 13 (3 points)

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Parotid Gland Enlargement is noted in: Question 13 options:

1)            Anorexia nervosa

 

2)            Bulimia nervosa

 

 

 

 

Question 14 (3 points)

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Pharmacological intervention in an anxiety disorder should be: Question 14 options:

1) generally given for about 4 to 6 months.

 

 

 

 

3)            continued indefinitely with a first diagnosis of the condition.

 

4)            titrated to a highest dose recommended after symptom relief is achieved.

Question 15 (3 points)

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Conditions that commonly mimic or can worsen anxiety include all of the following except:

Question 15 options:

 

 

 

 

2)            thyrotoxicosis.

 

3)            alcohol withdrawal.

 

4)            overuse of caffeine.

Question 16 (3 points)

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Use of St. John’s wort is known to impact the effectiveness of all of the following medications except:

 

Question 16 options:

1) oral contraceptives.

 

 

 

 

3)            cyclosporine.

 

4)            select antiretrovirals.

Question 17 (3 points)

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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 17 options:

1)            1 year.

 

2)            3 years.

 

 

 

 

4) 7 years.

Question 18 (3 points)

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Which test is used to confirm the diagnosis of breast cancer? Question 18 options:

1)            ultrasound

 

2)            mammogram

 

 

 

 

4) MRI

Question 19 (3 points)

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During pregnancy, the most intense organogenesis occurs how many days following the last menstrual period (LMP)?

Question 19 options:

1) 12–30 days

 

 

 

 

3) 92–120 days

 

4) 121–150 days

Question 20 (3 points)

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A patient is concerned because she is experiencing some milky and sticky breast discharge. What nonmalignant condition is she most likely experiencing?

Question 20 options:

1)            an inflammatory lesion

 

2)            breast infection

 

3)            breast feeding

 

Question 21 (3 points)

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Increased folic acid intake before conception is likely to reduce the risk of which of the following birth defects?

Question 21 options:

1)            congenital cataract

 

2)            pyloric stenosis

 

3)            clubfoot

 

 

 

 

Question 22 (3 points)

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The typical female onset of hypothyroidism is between which ages?

Question 22 options:

1) 20 and 30 years

 

 

 

 

3) over 60 years

Question 23 (3 points)

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In treating a person with panic disorder using an SSRI, the NP should consider that there is:

Question 23 options:

1)            considerable abuse potential with these medications.

 

 

 

 

2)            no significant therapeutic advantage over TCAs.

 

 

 

 

4) significant toxicity in overdose.

Question 24 (3 points)

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The presence of an adnexal mass in the woman with PID most likely indicates the presence of:

Question 24 options:

1)            uterine fibroids.

 

2)            an ectopic pregnancy.

 

3)            ovarian malignancy.

 

 

 

 

Question 25 (3 points)

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Pica (ingestion of nonfood substances) during pregnancy should be considered:

Question 25 options:

1)            a harmless practice common in certain ethnic groups.

 

2)            problematic only if more nutritious food sources are left out of the diet and are replaced by the nonfood substance.

3)            a way of providing select micronutrients not usually found in food products.

 

 

 

 

 

 

 

Question 26 (3 points)

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Medications most commonly pass through the placenta via: Question 26 options:

1) facilitated transport.

 

 

 

 

3)            capillary pump action.

 

4)            mechanical carrier state.

Question 27 (3 points)

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Anxiety in response to a challenging life event is a natural response by the body to:

Question 27 options:

 

 

 

 

2)            diminish the fight-or-flight response.

 

3)            impair decision-making under duress.

 

4)            provide transient improvement in physical capabilities.

Question 28 (3 points)

 

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A patient has been prescribed adjuvant tamoxifen therapy following breast cancer. What common side effect might she experience?

Question 28 options:

1)            nausea and vomiting

 

2)            vomiting, weight loss and hair loss

 

 

 

 

4) diarrhea

Question 29 (3 points)

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A transvaginal ultrasound in the woman with PID will likely show:

Question 29 options:

 

 

 

 

2)            cervical thickening.

 

3)            endometrial thinning.

 

4)            inflammation of the ovaries.

Question 30 (3 points)

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The most likely causative pathogen in a 23-year-old woman with PID is:

Question 30 options:

 

1)            Escherichia coli.

 

2)            Enterobacteriaceae.

 

 

 

 

4) Pseudomonas.

Question 31 (3 points)

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Examples of neural tube defects include all of the following except:

Question 31 options:

1)            anencephaly.

 

2)            spina bifida.

 

3)            encephalocele.

 

 

 

 

Question 32 (3 points)

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Women with PID typically present with all of the following except:

Question 32 options:

1) dysuria.

 

 

 

 

3)            cervical motion tenderness.

 

 

 

 

4)            abdominal pain.

Question 33 (3 points)

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During well-women visits for 21- to 29-year-old sexually-active women who report more than 1 sex partner within the past 6 months, all of the following are appropriate screening tests except:

Question 33 options:

1) Pap smear.

 

 

 

 

3)            Pelvic examination.

 

4)            STI screening.

Question 34 (3 points)

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Esophageal Tears is noted in: Question 34 options:

1) Anorexia nervosa

 

 

 

 

3) Both anorexia nervosa and bulimia nervosa

Question 35 (3 points)

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Women with bacterial vaginosis typically present with: Question 35 options:

1)            vulvitis.

 

2)            pruritus.

 

3)            dysuria.

 

 

 

 

Question 36 (3 points)

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When initiating SSRI therapy for a patient with panic disorder, the NP should consider all of the following except:

Question 36 options:

1) start with a low dose and slowly escalate doses as necessary.

 

 

 

 

3)            select agents with a low rate of insomnia and akathisia.

 

4)            SSRI therapy can precipitate panic attacks with early use.

Question 37 (3 points)

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In advising a perimenopausal woman about HT, you consider that it may:

Question 37 options:

1)            reduce the risk of venous thrombotic events.

 

2)            significantly reduce serum triglyceride levels.

 

 

 

 

3)            worsen hypertension in most women.

 

 

 

 

Question 38 (3 points)

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As you develop the initial treatment plan for a woman with panic disorder, you consider prescribing:

Question 38 options:

1)            carbamazepine (Tegretol®).

 

2)            risperidone (Risperdal).

 

 

 

 

4) bupropion (Wellbutrin).

Question 39 (3 points)

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Diagnostic criteria for generalized anxiety disorder include all of the following except:

Question 39 options:

1) difficulty concentrating.

 

 

 

 

3)            apprehension.

 

4)            irritability.

 

 

 

Question 40 (3 points)

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Identify the correct uterine size during the 20th week of pregnancy

Question 40 options:

1)            Size of a large lemon

 

2)            Size of a tennis ball or orange

 

 

 

 

4) Uterine fundus halfway between symphysis pubis and umbilicus

Question 41 (3 points)

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Maternal iron requirements are greatest during what part of pregnancy?

Question 41 options:

1) first trimester

 

 

 

 

3)            equal throughout pregnancy

 

4)            preconception

Question 42 (3 points)

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Which of the following options rank depression and thoughts about death from most common (1) to least common (3):

Question 42 options:

 

 

 

 

2)            having suicidal thoughts, making a plan to commit suicide, thinking it would be fine to just die

 

3)            having suicidal thoughts, thinking it would be fine to just die, making a plan to commit suicide

Question 43 (3 points)

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The recommended frequency of prenatal visits in weeks 28 to 32 of pregnancy is every:

Question 43 options:

1) 1 week.

 

 

 

 

3)            3 weeks.

 

4)            4 weeks.

Question 44 (3 points)

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Lanugo is noted in: Question 44 options:

 

 

 

2)            Bulimia nervosa

 

3)            Both anorexia nervosa and bulimia nervosa

 

 

 

Question 45 (3 points)

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Malignant thyroid nodules are more common in women than men.

Question 45 options:

1) True

 

Question 46 (3 points)

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In Down syndrome, which of the following is true? Question 46 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.

 

 

 

 

4) Antenatal serum analysis is sufficient to make the diagnosis.

Question 47 (3 points)

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The most common form of acquired anemia during pregnancy is:

Question 47 options:

 

 

 

 

2)            folate deficiency.

 

3)            vitamin B12 deficiency.

 

4)            primary hypoproliferative.

Question 48 (3 points)

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Identify the correct uterine size during the 10th week of pregnancy

Question 48 options:

 

 

 

 

2)            Size of a softball or grapefruit

 

3)            Size of a large lemon

 

4)            Size of a tennis ball or orange

Question 49 (3 points)

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Identify the corresponding characteristic of Chadwick sign Question 49 options:

 

 

 

2)            softening of uterus isthmus

 

3)            softening of vaginal portion of the cervix

Question 50 (3 points)

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You see a 16-year-old woman with a history of C. trachomatis infection and a total of ten lifetime partners. You recommend:

 

Question 50 options:

1)            Pap smear only.

 

2)            Pap smear and HPV testing.

 

3)            Pap smear and STI testing.

 

 

 

 

Question 51 (1 point)

Saved

Dysrhythmias is noted in: Question 51 options:

Anorexia nervosa Bulimia nervosa

 

 

 

 

 

Submit Quiz51 of 51 questions saved

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