NP Family Nurse Practitioner 3

Question 1

A 16-year-old female presents with primary amenorrhea, absent breast development, and elevated FSH and LH. The most likely diagnosis is:

Accepted Answer

Turner syndrome

Answer

Elevated gonadotropins with absent secondary sex characteristics in a phenotypic female suggests hypergonadotropic hypogonadism, most commonly Turner syndrome (45,X).

Question 2

Which of the following is the most appropriate screening tool for depression in a primary care setting for adults?

Accepted Answer

Patient Health Questionnaire-9 (PHQ-9)

Answer

The PHQ-9 is the validated, USPSTF-recommended screening tool for depression in primary care adults due to its brevity and accuracy.

Question 3

A 55-year-old male smoker presents with hemoptysis, weight loss, and a persistent cough. Chest X-ray shows a hilar mass. The next best diagnostic step is:

Accepted Answer

CT scan of the chest with contrast

Answer

CT chest with contrast is the appropriate next step to characterize the mass, assess lymphadenopathy, and guide further biopsy planning.

Question 4

A 3-year-old child is brought in with a limp. X-ray shows a lucent area in the femoral head with flattening. The most likely diagnosis is:

Accepted Answer

Legg-Calvé-Perthes disease

Answer

Legg-Calvé-Perthes disease (avascular necrosis of the femoral head) presents in children 4–8 years with limp and characteristic X-ray findings of femoral head flattening.

Question 5

A patient with CKD stage 3b has a potassium level of 5.8 mEq/L. Which medication in their current regimen is most likely contributing?

Accepted Answer

Lisinopril

Answer

ACE inhibitors like lisinopril block aldosterone production, reducing renal potassium excretion and causing hyperkalemia, especially in CKD.

NP - Nurse Practitioner Practice Test

NP - Nurse Practitioner Practice Test

NP Family Nurse Practitioner 3