BARKLEY PRE AND POST TEST EXAM 150 QUESTIONS AND CORRECT ANSWERS 2023-2024 UPDATE ALREADY A GRADED WITH EXPERT FEEDBACK Doris, 77 y/o F, reports abd pain in the LLQ. For the last several weeks, Doris experienced frequent constipation and has taken laxatives for relief. However, her abd pain has become increasing severe and has been accompanied by n/v. Her lab work shows an ESR of 45 mm/hour and leukocytosis. Additionally, a sigmoidoscopy reveals inflamed mucosa. What is the most likely diagnosis? - ANSWER- Diverticulitis Donna, 25, took pregnancy test a week ago and learned that she is pregnant. Her mother is currently on insulin therapy to control diabetes, and Donna has BMI of 31. Since she is in her first trimester, which of the following diagnostic tests should you first order to assess the risk specific to this pt? - ANSWER- Urinalysis Kaitlin is 18 y/o and has recently become sexually active. She requests a contraceptive prescription at your clinic. A physical exam indicates that she is 5'6 and 205lbs. Based on her ht and wt, which would be the LEAST effective form of contraception? - ANSWER- ? Nuva ring Dori, 64, has experienced recurring bouts of shingles. although you note during todays appointment that her skin eruptions have disappeared, she complains of pain and burning sensations that remain in the areas of outbreak. These sensations, she adds, have been severe enough to interfere with her sleep. What would be prescribed? - ANSWER- Gabapentin You have been treating Jason, 35 y/o M, for HIV infection, and the course of his treatment requires that he be hospitalized for a few days. His medical bill is paid by his Aunt, Sylvia, who wants to know why her nephew was in the hospital, but Jason is not willing to share that information. What is the appropriate course of action? - ANSWER- the NP should not release the details of Jason's health status to his aunt Which of the following best describes a II/VI heart murmur? - ANSWER- Audible but faint 21 y/o M comes complaining of a painful bump with small, red-looking halo on his penis. The affected area is about 5 mm in diameter, soft and TTT. he states that the halo has been there for about a week and is painful. he doubts that he has a STI, since the only unprotected sex he has ever had has been with his current, longtime GF. he adds that his GF "can be trusted" and that she has never had an STI. What is the most likely diagnosis? - ANSWER- Chancroid While treating 29 y/o F for vulvovaginitis, you inquire about her sexual hx. She explains that she has been sexually active for about 10 years. There are many cases of vulvovaginitis, but only one is an STI. Which one? - ANSWERTrichomoniasis 35 y/o sarah says she her partner are in committed relationship and are looking for long lasting, effortless BC method. She wants to explore her BC options but mentions that she has an allergy to estrogen=based BC. What choice should be recommended? - ANSWER- Implanon Differences b/t glaucoma and cataracts. Which test would be test? - ANSWER- T test Which of the following CN does NOT control eye movement - ANSWER- CN II (Olfatory) A man who recently attempted suicide is brought to your office by his wife. Having conducted a significant amount of research on her own about suicide prevention, she has many questions. Which of the following choice is the LEAST effective treatment for her husband? - ANSWER- ? Intervention is the pt's risk is escalating During a physical exam, Brett mentions that he wants to quit his job but is worried about losing health insurance. you inform him that HIPAA will provide protection for workers when they change or lose their jobs. This includes certain private information that pertains to Brett's experience with the healthcare system. What is NOT true about HIPAA? - ANSWER- ? All sharing of pt's information requires written authorization Using the Dubowitz/Ballard exam to estimate the gestational age of a Caucasian newborn, you determine him to be post-term. Which of the following is a finding NOT related to a criterion included in the Dubowitz/Ballard exam? - ANSWERElasticity of cartilage in nose plantar creases over sole of feet thickness and size of breast tissue Hypertonic flexion of knees are included There is concern at your clinic that some children with developmental delays are not being identified soon enough. You are examining a 6 y/o M. Which is the best tool to identify risk for developmental delay in this child? - ANSWER- Denver II Tanya is 10 y/o, 4'8, and 110 lbs. Tanya's mother is concerned about her wt and eating habits, as she has found junk food wrappers hidden around the house. She adds that Tanya is very defiant when it comes to food restrictions. Which of the following is the most appropriate way of approaching the topic of diet with Tanya? - ANSWER- Review the new MyPlate standards with Tanya and help her understand why a balanced diet and maintaining a healthy wt are important 24 y/o comes in for sore throat, nasal congestion, and cough. Pt repeatedly clears her watery congestion into tissue. Pt does not have fever, and PE is unremarkable. What is the most likely cause? - ANSWER- Common cold 59 y/o M is having FU eval 2 years after conclusion of chemo for leukemia. He tells you that he has been feeling "run down" and report unexplained wt loss, pain below the ribs on his left side, and night sweats. You determine he also has a fever. You consider chronic myelogenous leukemia Which finding is hallmark? - ANSWER- ? Lymphocytosis 15 y/o penelope, who complains of regularly being tired. You note that she has dry skin, thinning hair, and intolerance to cold. Which of the following should be tested for in order to verify the most likely diagnosis? - ANSWER- ? Elevated TSH and decreased T4 *Anti-seizure drugs Muscle relaxants Tricyclic antidepressants