Susan a 29 old Female Who Comes to the Clinic


Susan a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Her most likely diagnosis is:

a) Lower urinary tract infection

b) Abdominal virus

c) Upper urinary tract infection

d) Sexually transmitted disease


Ann is a primigravida in her 35th week of pregnancy and presents to the clinic with severe recurrent headaches, blurred vision, pitting edema, and right upper quadrant pain. Additionally, she has oliguria, nausea, and vomiting. Her urine protein is >1+. Her most likely diagnosis is:

a) Placentia previa

b) Hemolysis, elevated liver enzymes, and low platelets (HEELP) syndrome

c) Placental abruption

d) Severe preeclampsia


What is the earliest age at which one would not give DTap to a child but rather would give Td or Tdap?

a) 1 year old

b) 2 years old

c) 3 years old

d) 7 years old


Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. This presentation is most typical of:

a) Pelvic inflammatory disease (PID)

b) Vulvovaginitis

c) Dysmenorrhea

d) Amenorrhea


The most common drug trigger for Stevens-Johnson Syndrome include all the following except:

a) ASA


c) Anticonvulsants

d) Allopurinol



A patient with type 2 DM should have an eye exam for diabetic retinopathy every

a) 6-12 months

b) 12-18 months

c) 18-24 months

d) 24-36 months


Differential diagnoses for patients with alcohol use disorder would include all the following except:

a) Depression

b) Pulmonary disease

c) Peptic ulcer disease

d) Essential hypertension


Scott is a 16 y/o male who presents to the clinic with a tender testicular mass, but no pain. He has previously been diagnosed with cryptorchidism. His most likely diagnosis is:

a) Testicular torsion

b) Testicular cancer

c) Hodgkin lymphoma

d) A & B only


Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3. Sierra’s most likely diagnosis is:

a) Hypothyroidism

b) Primary hyperthyroidism (Graves’ disease)

c) Primary hyperparathyroidism

d) None of the above


The CDC recommends HPV vaccine for males until what age?

a) 18 y/o

b) 20 y/o

c) 26 y/o

d) 23 y/o


Oscar is a 41 y/o male who presents to the clinic with onset of fever, n&v, with a rapid onset of pain that radiates to the midback, epigastric region. On physical exam, you notice guarding over epigastric area and a positive Cullen’s and Grey-Turner’s sign. The most likely diagnosis is:


b) Acute pancreatitis

c) Hepatitis

d) Peptic ulcer disease


Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides.

a)  True

b) False


The most common side effects of giving SSRIs to depressed patients include:

a) Diarrhea

b) Nausea and vomiting

c) Weight gain

d) Sexual dysfunction

e) All of the above

f) A, B & C only


Which of the following vaccines are contraindicated in pregnancy?

a) MMR

b) Oral polio

c) Varicella

d) All of the above


Mary is going through puberty at 13 y/o and notices that her areola/nipples separate and form a secondary mound. This is what state in Tanner?

a) Stage 2

b) Stage 3

c) Stage 4

d) Stage 5


Oral contraceptives can be started anytime in the menstrual cycle.

a) True

b)  False


Mary is a 22 y/o female who is at 6 weeks gestation. She stated that her last menstrual period was June 10, 2020. Using Naegele’s rule, which of the following is her expected date of confinement (EDD)?

a) March 17, 2021

b) March 10, 2021

c) April 10, 2021

d) April 17, 2021


Breast cancer in women is characterized by all of the following except:

a) Mobile mass on palpation

b) Mass is painless

c) Mass is typically found in the upper outer quadrant

d) Skin around breast is dimpled


John is a 7 y/o whose mother brings him to the clinic with the following chief complaint: “He fidgets and squirms all the time. His teachers tell me he has difficulty remaining in his seat, talks excessively, can’t wait for his turn, interrupts conversations, and acts like a robot.” After evaluation, the NP determines that he probably has which of the following:

a) Attention-deficit/hyperactive disorder (ADHD)

b) Developmental delays

c) Learning disability

d) Poor parenting


Risk factors for Alcohol Use Disorder include which of the following?

a) Family history

b) Stressful life events

c) Low socioeconomic status

d) All of the above

e) A & B only

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