Family Nurse Practitioner Test Family Nurse Practitioner Practice 4

Question 1

A 40-year-old woman presents with fatigue, weight gain, constipation, and cold intolerance. TSH is 8.2 mIU/L and free T4 is low. What is the treatment of choice?

Accepted Answer

Levothyroxine (T4)

Answer

Levothyroxine is the standard of care for hypothyroidism due to its consistent potency and long half-life.

Question 2

A 35-year-old HIV-positive patient has a CD4 count of 180 cells/μL. Which opportunistic infection prophylaxis is most urgently indicated?

Accepted Answer

Trimethoprim-sulfamethoxazole for PCP prophylaxis

Answer

TMP-SMX prophylaxis against Pneumocystis jirovecii pneumonia is indicated when CD4 count falls below 200 cells/μL.

Question 3

A 28-year-old woman presents 6 weeks postpartum with low mood, inability to bond with her infant, hopelessness, and passive suicidal ideation. What is the most appropriate initial intervention?

Accepted Answer

Screen with the Edinburgh Postnatal Depression Scale and initiate an SSRI

Answer

Postpartum depression presenting at 6 weeks should be formally assessed and SSRIs (many safe during breastfeeding) are first-line pharmacotherapy.

Question 4

A 55-year-old woman with osteoporosis has a T-score of -2.8. She has no history of fractures. According to the NOF/USPSTF guidelines, what FRAX 10-year fracture risk threshold typically warrants pharmacotherapy in the US?

Accepted Answer

≥3% hip fracture or ≥10% major osteoporotic fracture

Answer

The NOF recommends treatment when 10-year FRAX probability is ≥3% for hip fracture or ≥20% for major osteoporotic fracture.

Question 5

A 7-year-old child presents with a 3-day history of sore throat, fever of 101.5°F, tonsillar exudates, and tender anterior cervical lymphadenopathy. Rapid strep test is positive. What is the treatment?

Accepted Answer

Amoxicillin 10-day course

Answer

Amoxicillin for 10 days is the first-line treatment for Group A Streptococcal pharyngitis to prevent rheumatic fever.

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Family Nurse Practitioner Practice 4