FREE ENPC Certification Question and Answers

Question 1

Lifestyle modification for patients with Raynaud phenomenon includes:

Accepted Answer

discontinuing cigarette smoking

Answer

avoiding placing hands in warm water.

Answer

bursal aspiration

Answer

screening for mood disorders.

Question 2

Intervention in microalbuminuria for a person with DM includes:

Accepted Answer

All of the above:
-improved glycemic control.
-strict dyslipidemia control.
-use of an angiotensin-converting enzyme inhibitor or angiotensin receptor blocker.

Answer

He should receive a single dose of HBV vaccine now.

Answer

avoiding eating within 1-2 hours of a.m. awakening.
Recommend:
-limiting exposure to cigarette smoke.
-avoiding trigger physical activities.
-implementing strategies to reduce stress.

Answer

candidates include women who have difficulty remembering to take a daily pill.

Question 3

With the use of a levonorgestrel intrauterine system (Mirena), which one of the following is normally noted?

Accepted Answer

reduction in menstrual flow

Answer

endometrial

Answer

biopsy of temporal artery.

Answer

increase in pid rates

Question 4

Concomitant disease often seen with giant cell arteritis includes:

Accepted Answer

polymyalgia rheumatica.

Answer

giant cell arteritis.

Answer

cluster headache.

Answer

psoriatic arthritis.

Question 5

Sharon is a 29-year-old woman with moderate intermittent asthma. She is not using prescribed inhaled corticosteroids, but is using albuterol prn to relieve her cough and wheeze with reported satisfactory clinical effect. Currently she uses about 2 albuterol metered-dose inhalers per month and is requesting a prescription refill. You consider that:

Accepted Answer

excessive albuterol use is a risk factor for asthma death.

Answer

phasic combined oral contraceptive with a 7-day-per-month withdrawal period.

Answer

ask the patient about what he believes contributes to his weight issues.

Answer

pooled blood product with an excellent safety profile.

Question 6

Which of the following best describes patient presentation during an absence (petit mal) seizure?

Accepted Answer

blank staring lasting 3 to 50 seconds, accompanied by impaired level of consciousness

Answer

pernicious anemia.

Answer

a 21-year-old who has had one male sexual partner and consistent condom use

Answer

Patients born before 1957 have a high likelihood of immunity against these diseases because of a history of natural infection.

Question 7

A 78-year-old man presents with a 3-day history of new-onset fatigue and difficulty with bladder emptying. Examination reveals a distended bladder, but is otherwise unremarkable. Blood urea nitrogen level is 88 mg/dL (31.4 mmol/L); creatinine level is 2.8 mg/dL (247.5 µmol/L). The most likely diagnosis is:

Accepted Answer

postrenal azotemia.

Answer

acute glomerulonephritis.

Answer

tubular necrosis.

Answer

baker's yeast.

Question 8

Which of the following food-based allergies is likely to be found in adults and children?

Accepted Answer

peanut

Answer

almond

Answer

canola

Answer

shellfish

Question 9

Patients with gluteus medius or deep trochanteric bursitis typically present with:

Accepted Answer

increased pain from resisted hip abduction.

Answer

sciatic nerve pain.

Answer

limited hip rom.

Answer

heat over the affected area.

Question 10

Which of the following women should have screening for cervical cancer?

Accepted Answer

a 21-year-old who has had one male sexual partner and consistent condom use

Answer

receive hepatitis B immune globulin (HBIG) and hepatitis B immunization series.

Answer

in patients with advanced disease who have unstable medication responses.

Answer

progesterone-only oral contraception initiated at 3 weeks