MN 576 NEW GENERATION FINAL EXAM FOR WEEK 10
1. Elevated inhibin-A is noted when a pregnant woman is at increased risk of having an infant
with:
A) Down syndrome.
B) Edwards syndrome.
C) open neural tube defect.
D) hemolytic anemia.
Answer: A) Down syndrome.
2. 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:
A) Pap smear.
B) HPV testing.
C) Pelvic examination.
D) STI screening.
Answer: B) HPV testing.
3. Components of the antenatal screening test known as the "quad screen" include all of the
following except:
A) AFP.
B) hCG.
C) unconjugated estriol.
D) progesterone.
Answer: D) progesterone.
4. Anxiety in response to a challenging life event is a natural response by the body to:
A) help a person focus on the issue at hand.
B) diminish the fight-or-flight response.
C) impair decision-making under duress.
D) provide transient improvement in physical capabilities.
Answer: A) help a person focus on the issue at hand.
5. Women who experienced gestational diabetes are at higher risk of developing Type 2 Diabetes
later in life.
A) True
B) False
Answer: A) True
6. Malignant thyroid nodules are more common in women than men.
A) True
B) False
Answer: B) False
7. 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?
A) history of perpetrator striking victim on the face with an open hand
B) history of perpetrator attempting to strangle the victim
C) perpetrator's access to kitchen knives.
D) alcohol abuse history in the victim
Answer: A) history of perpetrator striking victim on the face with an open hand
8. Treatment of vulvovaginitis caused by Candida albicans includes:
A) metronidazole gel.
B) clotrimazole cream.
C) hydrocortisone ointment.
D) clindamycin cream.
Answer: B) clotrimazole cream.
9. HDL levels are a better predictor of CAD in women than LDL.
A) True
B) False
Answer: A) True
10. Diagnostic criteria for generalized anxiety disorder include all of the following except:
A) difficulty concentrating.
B) consistent early morning wakening.
C) apprehension.
D) irritability.
Answer: B) consistent early morning wakening.
11. Concerning the use of alcohol during pregnancy, which of the following statements is most
accurate?
A) Although potentially problematic, maternal alcohol intake does not increase the risk of
miscarriage.
B) Risk to the fetus from alcohol exposure is greatest in the third trimester.
C) No level or time of exposure is considered to be safe.
D) Risk of fetal alcohol syndrome is present only if alcohol exposure has occurred throughout
the pregnancy.
Answer: C) No level or time of exposure is considered to be safe.
12. Which of the following is most consistent with the diagnosis of generalize anxiety disorder?
A) gastrointestinal upset
B) difficulty initiating sleep
C) diminished cognitive ability
D) consistent early morning wakening
Answer: B) difficulty initiating sleep
13. For a woman with bothersome hot flashes who cannot take HT, alternative options with
demonstrated efficacy and limited adverse effects include the use of all of the following except:
A) venlafaxine.
B) sertraline.
C) gabapentin.
D) clonidine.
Answer: D) clonidine.
14. Among the preferred first-line pharmacological treatment options for patients with PTSD
include the use of:
A) methylphenidate (Ritalin®).
B) oxazepam (Serax®).
C) lithium carbonate.
D) sertraline.
Answer: D) sertraline.
15. Identify the corresponding characteristic of Chadwick sign
A) blue–violet vaginal color
B) softening of uterus isthmus
C) softening of vaginal portion of the cervix
Answer: A) blue–violet vaginal color
16. Identify the correct uterine size during the 8th week of pregnancy
A) Size of a baseball
B) Size of a softball or grapefruit
C) Size of a large lemon
D) Size of a tennis ball or orange
Answer: D) Size of a tennis ball or orange
17. In Down syndrome, which of the following is true?
A) Most infants affected with Down syndrome are born to women older than age 35 years.
B) Down syndrome is noted in about 1 in 10,000 live births.
C) Down syndrome is associated with decreased maternal serum AFP level.
D) Antenatal serum analysis is sufficient to make the diagnosis.
Answer: A) Most infants affected with Down syndrome are born to women older than age 35
years.
18. Which of the following is an over-the-counter herbal preparation used to relieve symptoms of
depression?
A) valerian root
B) melatonin
C) kava kava
D) St. John's wort
Answer: D) St. John's wort
19. Physical examination of a 19-year-old woman with a 3-day history of vaginal itch reveals
moderate perineal excoriation, vaginal erythema, and a white, clumping discharge. Expected
microscopic examination findings include:
A) a pH greater than 6. 0.
B) an increased number of lactobacilli.
C) hyphae.
D) an abundance of white blood cells.
Answer: C) hyphae.
20. When initiating SSRI therapy for a patient with panic disorder, the NP should consider all of
the following except:
A) start with a low dose and slowly escalate doses as necessary.
B) preferable to use agents that are more energizing than less energizing.
C) select agents with a low rate of insomnia and akathisia.
D) SSRI therapy can precipitate panic attacks with early use.
Answer: B) preferable to use agents that are more energizing than less energizing.
21. Identify the correct uterine size during the 12th week of pregnancy
A) Size of a baseball
B) Size of a softball or grapefruit
C) Size of a large lemon
D) Size of a tennis ball or orange
Answer: B) Size of a softball or grapefruit
22. Concomitant use of an SSRI with which of the following herbal products can potentially lead
to serotonin syndrome?
A) St. John's wort
B) kava kava
C) gingko biloba
D) valerian root
Answer: A) St. John's wort
23. A 22-year-old woman complains of pelvic pain. Physical examination reveals cervical motion
tenderness and uterine tenderness. Which of the following would further support a diagnosis of
PID?
A) temperature less than 100ºF (37. 8ºC)
B) absence of white blood cells in vaginal fluid
C) mucopurulent vaginal discharge
D) laboratory documentation of cervical infection with E. coli
Answer: C) mucopurulent vaginal discharge
24. Medications most commonly pass through the placenta via:
A) facilitated transport.
B) passive diffusion.
C) capillary pump action.
D) mechanical carrier state.
Answer: B) passive diffusion.
25. 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:
A) 1 year.
B) 3 years.
C) 5 years.
D) 7 years.
Answer: C) 5 years.
26. Which patient should be referred out for further testing?
A) one breast smaller than the other
B) eversion of both nipples
C) small dimple in the outer quadrant of one breast
D) visible veins in both breasts
Answer: C) small dimple in the outer quadrant of one breast
27. Which of the following options rank depression and thoughts about death from most
common (A) to least common (C):
A) thinking it would be fine to just die, having suicidal thoughts, making a plan to commit
suicide
B) having suicidal thoughts, making a plan to commit suicide, thinking it would be fine to just
die
C) having suicidal thoughts, thinking it would be fine to just die, making a plan to commit
suicide
Answer: A) thinking it would be fine to just die, having suicidal thoughts, making a plan to
commit suicide
28. Patient presentation possibly common to anxiety and depression includes:
A) feeling of worthlessness.
B) psychomotor agitation.
C) dry mouth.
D) appetite disturbance.
Answer: D) appetite disturbance.
29. Women with PID typically present with all of the following except:
A) dysuria.
B) leukopenia.
C) cervical motion tenderness.
D) abdominal pain.
Answer: B) leukopenia.
30. Which of the following describes prescriptions for antidepressant medications written by
primary care providers?
A) dose too high
B) dose too low
C) excessive length of therapy
D) appropriate length of therapy
Answer: B) dose too low
31. 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.
A) True
B) False
Answer: B) False
32. Identify the corresponding characteristic of Hegar sign
A) blue–violet vaginal color
B) softening of uterus isthmus
C) softening of vaginal portion of the cervix
Answer: B) softening of uterus isthmus
33. The most common form of acquired anemia during pregnancy is:
A) iron deficiency.
B) folate deficiency.
C) vitamin B12 deficiency.
D) primary hypoproliferative.
Answer: A) iron deficiency.
34. The use of which of the following drugs often mimics generalized anxiety disorder?
A) sympathomimetics
B) antipsychotics
C) anticholinergics
D) alpha-beta antagonists
Answer: A) sympathomimetics
35. The most likely causative pathogen in a 23-year-old woman with PID is:
A) Escherichia coli.
B) Enterobacteriaceae.
C) trachomatis.
D) Pseudomonas.
Answer: C) trachomatis.
36. IBS patients typically report
A) nausea
B) heartburn
C) dyspepsia
D) All of the above
Answer: D) All of the above
37. Identify the correct uterine size during the 10th week of pregnancy
A) Size of a baseball
B) Size of a softball or grapefruit
C) Size of a large lemon
D) Size of a tennis ball or orange
Answer: A) Size of a baseball
38. In advising a perimenopausal woman about HT, you consider that it may:
A) reduce the risk of venous thrombotic events.
B) significantly reduce serum triglyceride levels.
C) worsen hypertension in most women.
D) help preserve bone density.
Answer: D) help preserve bone density.
39. The most conservative approach for early staged breast cancer following a lumpectomy is
which of the following?
A) chemotherapy
B) mastectomy
C) radiation therapy
D) hormonal therapy
Answer: C) radiation therapy
40. Identify the correct uterine size during the 16th week of pregnancy
A) Size of a large lemon
B) Size of a tennis ball or orange
C) Uterine fundus at umbilicus
D) Uterine fundus halfway between symphysis pubis and umbilicus
Answer: D) Uterine fundus halfway between symphysis pubis and umbilicus
41. A 25-year-old woman presents in the 10th week of gestation requesting antenatal screening
for Down syndrome. What advice should the NP give?
A) Because of her age, no specific testing is recommended.
B) She should be referred for second-trimester ultrasound.
C) Screening that combines nuchal translucency measurement and biochemical testing is
available.
D) She should be referred to a genetic counselor.
Answer: D) She should be referred to a genetic counselor.
42. Expected laboratory findings for the woman with PID include all of the following except:
A) elevated ESR.
B) elevated CRP.
C) elevated CrCl.
D) leukocytosis.
Answer: C) elevated CrCl.
43. The recommended frequency of prenatal visits in weeks 28 to 32 of pregnancy is every:
A) 1.week.
B) 2.weeks.
C) 3.weeks.
D) 4.weeks.
Answer: B) 2.weeks.
44. Identify the correct uterine size with the Nongravid stage of pregnancy:
A) Size of a baseball
B) Size of a softball or grapefruit
C) Size of a large lemon
D) Size of a tennis ball or orange
Answer: C) Size of a large lemon
45. The prevalence rate of hypertension is nearly equal between men and women ages 45 to 64,
but after women have a much higher rate of hypertension.
A) True
B) False
Answer: A) True
46. Women with bacterial vaginosis typically present with:
A) vulvitis.
B) pruritus.
C) dysuria.
D) malodorous discharge.
Answer: D) malodorous discharge.
47. Identify the correct uterine size during the 20th week of pregnancy
A) Size of a large lemon
B) Size of a tennis ball or orange
C) Uterine fundus at umbilicus
D) Uterine fundus halfway between symphysis pubis and umbilicus
Answer: C) Uterine fundus at umbilicus
48. Conditions that commonly mimic or can worsen anxiety include all of the following except:
A) opioid use.
B) thyrotoxicosis.
C) alcohol withdrawal.
D) overuse of caffeine.
Answer: A) opioid use.
49. Increased folic acid intake before conception is likely to reduce the risk of which of the
following birth defects?
A) congenital cataract
B) pyloric stenosis
C) clubfoot
D) open neural tube defects
Answer: D) open neural tube defects
50. Use of St. John's wort is known to impact the effectiveness of all of the following
medications except:
A) oral contraceptives.
B) fluoroquinolones.
C) cyclosporine.
D) select antiretrovirals.
Answer: B) fluoroquinolones.
51. Dysrhythmias is noted in:
A) Anorexia nervosa
B) Bulimia nervosa
C) Both anorexia nervosa and bulimia nervosa
Answer: C) Both anorexia nervosa and bulimia nervosa
