When reading a TST(PPD) all of the following indicate a positive test except:

In the employee health office, you have diagnosed latent TB in an employee who has a positive tuberculin skin test (TST) You have a positive QuantiFERON (QFT) test and a chest x-ray that shows no active disease. What other diagnostic test would you order before starting this employee on INH therapy?

The estimated attributed cause of lung cancer from active cigarette smoking is?

Assessment finding of greatest concern in an individual who smokes with a chronic cough that warrants CT scan

Bacterial causes of acute bronchitis include all of the following except

Which of the following is done to confirm a diagnosis of pneumonia?

Guidelines recommend high risk patients be screened for lung cancer beginning at

Which of the following best describes asthma?

Treatment for a pulmonary embolus would include all the following pharmacological agents except?

Classic EKG changes seen in an individual with pulmonary emboli are:

A patient presents to your office with significant shortness of breath, tachycardia, and recent history of travel. Your immediate concern would be to rule out?

Which of the following statements about lung cancer is NOT true?

Which of the following is NOT part of the differential diagnosis for a patient who complains of cough?

Which of the following is the gold standard in assessment and diagnosis of COPD?

An example of a SAMA you would use in the treatment of COPD is:

A patient diagnosed with acute bronchitis and cough 5 days ago, called to report that his cough is persistent since yesterday. He has no other new symptoms. How should the NP manage this patient?

Ryan is a 28 year old male who presents to your practice with symptoms consistent with acute bronchitis. Risk factors associated with acute bronchitis include the following EXCEPT?

When providing Ryan with patient education about his acute bronchitis, you explain acute bronchitis is :

A 50 year old male patient presents to your practice with cough, pharyngitis, nasal discharge, and fever. Which of these symptoms is most common with acute bronchitis?

A 25 year old female presents to the office with a hx of asthma. She states that she uses her albuterol inhalers 2-3 times a week with good relief symptoms and that is why she doesn't use the ICS that was previously prescribed. She does not consider her asthma to interfere with her life. She is requesting a refill of her albuterol. Your priority advise to the patient is that:

Which of the following is a basis of drug therapy used in the treatment of moderate persistent asthma?

Which of the following would be an appropriate treatment choice for a 40-year-old female diagnosed with community acquired pneumonia who has no comorbidities? (select 3)

Which of the following would be an appropriate treatment choice for a 40-year-old female diagnosed with community aquired pneumonia who has no co-morbidities? (select 3)

A 21 year old presents with ear pain. On PE, you observe pain with palpation of pinna and tragus and redness swelling of the external auditory canal. The patient has tympanostomy tubes. Which medication would you NOT prescribe:

A 35 year old female presents with redness in her eyes, yellowish drainage and some discomfort, she does not feel comfortable using her contact lenses. She has no visual disturbance. Her son who is in grade school had the same problem and was treated by the pediatrician. You diagnose her with acute bacterial conjunctivitis. The most appropriate antibiotic to prescribe is:

Lily has nasal congestion with purulent nasal discharge and facial pain without improvement for the past 12 days. She has a PCN allergy. The best option for initial therapy is:

The recommended pharmacological management for acute bacterial sinusitis include: (choose 3 correct answers)

James had a URI that started about 2 weeks ago. He started getting nasal congestion with purulent nasal discharge and facial pain without improvement. The patient most likely has:

In a patient with Benign Paroxysmal Positional Vertigo (BPPV), the recommended treatment includes

A 45 year old patient described a spinning sensation that has occurred intermittently in the last 2 days. It is precipitated by position changes like rolling over in bed. During these episodes, the patient has intense nausea. You diagnosed the patient with BPPV. Which symptom is most characteristic pf BPPV?

Treatment options for primary open angle glaucoma include all of the following topical ocular agents except:

Which of the following is a common vision problem in the person with untreated open angle glaucoma?

A patient was diagnosed with Strep pharyngitis and was prescribed azithromycin. He is now completed the 3rd day of treatment, with no improvement. He has no known drug allergies. What is the best course of action?

Patient presents with sore throat and fever (>101.5) x 2 days. He denies post-nasal drip or coughing. On exam, he has anterior cervical lymphadenopathy and swollen tonsils. Based on the Adult Centor criteria, what would be the recommendation for this patient?

What is the most common physical finding associated with strep pharyngitis?

A patient presents with a feeling of fullness in her right ear along with fever > 101.5 F x 2 days. Physical exam reveals, middle ear effusion and erythema of the tympanic membrane. TM is intact with no tubes. The patient has no allergies to medications. Select the appropriate initial treatments for this patient? (Select 3 answers)

A physical exam finding that differentiates otitis externa from otitis media is

Macular degeneration is manifested by:

In a patient presenting with a red eye, it is important to ask about this to help establish the seriousness of the problem:

A patient presents to the afterhours clinic with what you believe to be viral conjunctivitis based on the following signs and symptoms.

What is the treatment for allergic rhinitis?

A 30-year-old female presents with long-standing nasal stuffiness, clear watery nasal discharge, and annoying sneezing. Which symptom is not associated with allergic rhinitis? Fev

All of the following are useful in allergic rhinitis except

A patient is diagnosed with non-gonococcal, non chlamidial bacterial conjunctivitis and does not have any drug allergies. Which of the following would be an appropriate first-Kline treatment?

A patient comes in with copious purulent discharge, difficulty opening his eyes in the morning and redness with diminished vision loss. He is allergic to macrolides. What is the appropriate treatment?

A sexually-active patient presents with copious yellow and green discharge that is worse in the morning, redness, and pain and diminished vision. What is the treatment for this patient?

What is the predominant feature of allergic rhinitis?

A nurse is educating a patient diagnosed with viral conjunctivitis on appropriate treatment options. Which of the following are appropriate?

A patient presents with sudden onset of blurry vision, headache, nausea and vomiting. On exam, the patient has a fixed, mid-dilated pupil that is oval-shaped, and there is a loss of peripheral vision. Patient reports halos around lights. Which of the following is the most likely diagnosis?

A 70 year-old African American patient presents for eye exam. Patient reports no noticeable vision changes, but the fundocopic exam shows cupping of the optic disc. IOP is found to be 25mmHg. What is the first-line treatment for this patient?

Which of the following medications are considered add one or first line treatments when prostaglandin analogs and beta blockers are contraindicated?

What is the key finding of Otitis externa?

Patient presents with ear fullness, potent discharge and oranges progressing over 1-2 days. What is the appropriate treatment for this patient?

A patient presents with ear pain, fever, and ear drainage for the past 5 days. There is bulging of the tympanic membrane and mobility is reduced when pneumatic pressure is applied. There is cervicsl lymphadenopathy. The patient has not had any antibiotics in the past month. What is the appropriate treatment?

A patient presents with ear pain, fever, and hearing loss for the past week. There is bulging of the tympanic membrane and cervical lymphadenopathy on exam The patient was treated with antibiotics in the past month. What is the appropriate treatment?

What is the appropriate treatment for a patient with OE with severe penicillin and cephalosporin allergies? Select all that apply

A patient presents with ear pain, fever, and ear drainage for the past week and has been taking amoxicillin (amoxil) for the past 3 days. The patient reports that his symptoms have not improved. What is the next step?

Which of the following are first line treatments for allergic rhinitis?

A 30 year old adult presents with a sore throat and mild fever. Upon assessment, the patient has no cough, swollen and tender anterior cervical nodes and a temperature of 38.2. Using the Centor Criteria for Adults,which of the following is the most appropriate management plan?

Which antibiotics are indicated for the treatment of mild to moderate acute bacterial rinusinusitis in a patient with a severe allergy to penicillin and cephalosporins?

A 32 year old patient with no significant medical history presents with cough, fever and dyspnea and has crackles in the lower right lobe. They have not recently taken any antibiotics and have no drug allergies. What is the appropriate treatment?

A 64 year old male with asplenia and a severe penicillin allergy is presenting with dyspnea, fever, productive cough and pleuritic chest pain. He has rales on auscultation. What is the appropriate treatment?

A 58 year old female with a history of COPD and diabetes presents with a productive cough, fever and dyspnea. On assessment she has increased tactile terminus and egophany. What is the correct course of treatment?

A 68yo patient presents for an annual wellness exam. Which of the following vaccinations are recommended for this patient according to current clinical guidelines?

Which of the following are considered Short-acting bronchodilators?

A patient with asthma states that they have symptoms most days with walking daily with FEV of 70%. What is a possible treatment?

A 68 year old patient with a history of smoking undergoes spirometry. Post bronchodilator spirometry reveals an FEVQ/FVC ratio of 0.65, FEV1 of 45%. According to GOLD criteria, how would you classify the severity of this patient’s COPD?

A 60 year old male presents with an occasional cough with minimal sputum production. He has had one moderate exacerbation this year without hospitalization. Spirometry shows a FEV1 of 55% and FEV1/FVC ratio of 0.68. He has a mMRC of 2 and a CAT score of 15. Which initial therapy is most appropriate?

A 58 year old patient with COPD on tiotropium (Spiriva) now has increasing dyspnea and a CAT score of 12. She had two moderate exacerbations in the last year. What is the next step?