1.Question: Diagnostic studies for Type II diabetes mellitus would include which of the following?

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

3.Question: Deep palpation of the left lower quadrant of the abdomen causes referred pain to the RLQ. This is a positive for:

4.Question: Rescue drugs for patients with respiratory problems such as asthma or COPD would include both SABAs and LABAs.

5.Question: 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.” Differential diagnoses for John would include all the following except:

6.Question: Jon, a 63 y/o male, comes to the clinic with the following presentation. He reports a sudden eruption of multiple vesicular lesions on his scalp, forehead, and sides and tips of his nose. After performing a physical exam, the NP diagnoses his condition as:

7.Question: Mark is a 2-month-old infant, and he should be able to do all the following tasks except:

8.Question: Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July with the following symptoms: fever, chills, severe headache photophobia, and myalgia. He states that since his fever occurred 2 days ago, he now has this rash of petechiae on wrists, forearms, and ankles. The NP, based on these data, diagnoses Andrew with:

9.Question: Since UTIs are never "normal" in a male, what should the NP rule out as the cause of the infection?

10.Question: Risk factors for Alcohol Use Disorder include which of the following?

11.Question: Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. All of the following could be risk factors for Artie except:

12.Question: Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is:

13.Question: Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. His most likely diagnosis is:

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

15.Question: According to the U.S. Preventive Task Force, screening for cervical cancer should not begin in women before the age of:

16.Question: Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. The most likely diagnosis is:

17.Question: All the following are antihypertensive drugs that can be used in pregnant women except:

18.Question: Patients with bipolar disorder may have all the following except:

19.Question: 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:

20.Question: Lactation mastitis typically occurs in which time frame:

21.Question: Emergency contraception works best if taken within how many hours after unprotected sex or 2 days of missed birth control pills?

22.Question: A pregnant women who has gestational diabetes mellitus (GDM) in the second trimester has which type of diabetes?

23.Question: Vulvovaginitis in the vulva and vagina can be caused by which of the following organisms?

24.Question: A 32 y/o female comes to the clinic for what she describes as “a dark-colored urine.” During the exam, the NP uses a urine dipstick to test for blood in the urine. Since the result had so many false negative and false positive indicators, the next step would be:

25.Question: Amanda was out hiking with her boyfriend in the woods. When she gets home, she notices that she has an inflammatory skin reaction caused by something she picked up in the woods. The next day she sees bright red pruritic lesions on her lower extremities that are moist and painful. Treatment for Amanda’s condition would include which of the following?

26.Question: RhoGAM should be given to all mothers who are Rh-negative.

27.Question: Susan is 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. In treating Susan, the NP could use which of the following antibiotics?

28.Question: All the following are risk factors for gestational diabetes except:

29.Question: Danger signs of oral contraceptives include all the following except:

30.Question: 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. Treatment for Judy’s condition would include all the following drugs except: