Family Nurse Practitioner Flashcards
7 cards from real NP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Family Nurse Practitioner flashcards as text
A 16-year-old female presents with primary amenorrhea, absent breast development, and elevated FSH and LH. The most likely diagnosis is:
Answer: Turner syndrome
Elevated gonadotropins with absent secondary sex characteristics in a phenotypic female suggests hypergonadotropic hypogonadism, most commonly Turner syndrome (45,X).
Which of the following is the most appropriate screening tool for depression in a primary care setting for adults?
Answer: Patient Health Questionnaire-9 (PHQ-9)
The PHQ-9 is the validated, USPSTF-recommended screening tool for depression in primary care adults due to its brevity and accuracy.
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:
Answer: CT scan of the chest with contrast
CT chest with contrast is the appropriate next step to characterize the mass, assess lymphadenopathy, and guide further biopsy planning.
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:
Answer: Legg-Calvé-Perthes disease
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.
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?
Answer: Lisinopril
ACE inhibitors like lisinopril block aldosterone production, reducing renal potassium excretion and causing hyperkalemia, especially in CKD.
Which vaccine is recommended for all adults aged 50 and older regardless of prior varicella-zoster infection history?
Answer: Shingrix (recombinant zoster vaccine)
Shingrix (RZV) is recommended for all adults ≥50 years, offering >90% efficacy against herpes zoster, and is preferred over the older Zostavax.
A 28-year-old male presents with painful oral ulcers, genital ulcers, and uveitis. This triad is most characteristic of:
Answer: Behçet disease
Behçet disease is characterized by the triad of recurrent oral aphthous ulcers, genital ulcers, and uveitis, often affecting young adults.