Family Nurse Practitioner Test Family Nurse Practitioner Knowledge 5

Question 1

A 35-year-old woman with migraine with aura is seeking contraception. Which method is contraindicated due to increased stroke risk?

Accepted Answer

Combined estrogen-progestin oral contraceptive

Answer

Combined hormonal contraceptives containing estrogen are contraindicated (WHO MEC Category 4) in women with migraine with aura due to significantly increased ischemic stroke risk.

Question 2

A 4-year-old child with a high fever develops a brief generalized tonic-clonic seizure lasting 90 seconds that self-resolves. This is the first episode. Which statement is most accurate?

Accepted Answer

This is a simple febrile seizure and routine anti-epileptic therapy is not indicated

Answer

Simple febrile seizures (<15 minutes, generalized, single episode) in children 6 months–5 years do not require anti-epileptic treatment or routine neuroimaging.

Question 3

Which screening tool is recommended by the USPSTF for depression in adults in the primary care setting?

Accepted Answer

Patient Health Questionnaire-9 (PHQ-9)

Answer

The PHQ-9 is the validated, widely recommended screening tool for depression in primary care settings and is endorsed by USPSTF guidelines.

Question 4

A patient presents with a painful, swollen, erythematous first metatarsophalangeal joint. Synovial fluid analysis reveals negatively birefringent needle-shaped crystals. What is the diagnosis?

Accepted Answer

Gout

Answer

Negatively birefringent, needle-shaped monosodium urate crystals under polarized light are diagnostic of gout, which classically affects the first MTP joint (podagra).

Question 5

A 25-year-old male presents with urethral discharge and dysuria. Gram stain shows intracellular gram-negative diplococci. What is the first-line treatment?

Accepted Answer

Ceftriaxone 500mg IM single dose plus doxycycline 100mg twice daily for 7 days

Answer

CDC guidelines recommend ceftriaxone 500mg IM for uncomplicated gonorrhea plus doxycycline to treat concurrent chlamydia infection.

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Family Nurse Practitioner Knowledge 5