Which of the following is most likely to be reported as part of the HPI in a woman presenting with bacterial vaginosis? A. A 19-year-old woman with a 3-day history of vaginal and perineal itch, clumping white vaginal discharge that has a slight “musty” odor. B. A 24-year-old woman with a 1-week history of mild perineal irritation, thin, grey-green vaginal discharge with a strong “fishy” odor. C. A 68 year-old with chief complaint of vaginal irritation, discomfort on vaginal sexual activity, and ...
Jul 31, 2023•12 min•Season 1Ep. 29
A 67-year-old man has been recently diagnosed with HTN, dyslipidemia and T2DM. As part of his medication treatment plan, he agrees to start statin therapy. The NP appreciates that which of the following laboratory tests should be conducted about 4-12 weeks after starting statin therapy? A. AST and ALT B. CK and potassium C. Lipid profile D. CBC with WBC differential and platelet count --- YouTube: https://www.youtube.com/watch?v=EwQBD3z6rQs&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=2...
Jul 24, 2023•10 min•Season 1Ep. 28
A 65-year-old woman has hypertension, dyslipidemia, type 2 diabetes, a 50 pack-year history of cigarette smoking, currently smoking ½ PPD, and stage 3B chronic kidney disease (CKD) (GFR = 37 mL/min/1.73 m2). She is not currently taking any dyslipidemia therapy and her LDL= 140 mg/dL. Which of the following represents the most appropriate pharmacologic intervention for treatment of dyslipidemia? A. Owing to her age and comorbidity, no further intervention is required. B. Moderate-intensity statin...
Jul 17, 2023•12 min•Season 1Ep. 27
Leonardo is a healthy 4- month-old who was born at 40-weeks gestation is in the office for a well child visit. His parents voice no concerns and state, “He is a very happy baby who loves to eat and is a good sleeper.” Which of the following is an anticipated normative developmental finding on an infant of this age? A. Sitting without support B. Minimal to no Moro reflex noted C. Rolling over tummy to back D. Smiles when smiled to --- YouTube: https://www.youtube.com/watch?v=s89Id8kvLBQ&list=...
Jul 10, 2023•7 min•Season 1Ep. 26
A 28-year-old woman G2P1LC1AB0, currently 22-weeks pregnant, presents with a 3-day history of urinary frequency and dysuria. She is in no acute distress, without fever or vaginal discharge, reports “The baby is really moving around a lot” and denies GI symptoms. Fundal height is consistent with gestational age and FHT= 140 BPM and regular. UA dip in office is positive for leukocyte esterase and nitrites, yielding a working diagnosis of lower UTI. Which of the following antimicrobials is preferre...
Jul 03, 2023•12 min•Season 1Ep. 25
Robert has recently graduated from a NP program. During a job interview for an organization that has clinical sites in multiple states, he is asked questions about NP practice issues. Which of the following is accurate? A. Once I am nationally certified, I am also licensed to practice as an NP. B. Once I am a certified NP and licensed to practice in one state, I will be able to practice in every state. C. From state to state, NP practice acts are largely standardized. D. NPs must obtain state-le...
Jun 26, 2023•11 min•Season 1Ep. 24
A 45-year-old woman presents for a sick visit with a chief complaint of 2–3-day sudden onset right elbow swelling with pain, stating, “I’ve never had pain like this. It looks like I have a swollen ball hanging from my elbow”. She denies recent or remote injury to the area, fever, pain in other joints or skin lesions, and does report recently spending an extensive period of time on her computer due to a major work project. Physical exam reveals an area of painful sac-like swelling behind the righ...
Jun 19, 2023•10 min•Season 1Ep. 23
A 37-year-old adult was diagnosed with dyspepsia with documented H. pylori infection. An appropriate course of antimicrobial and proton pump inhibitor (PPI) therapy was prescribed and completed approximately 4 weeks ago. The patient states that the presenting symptoms have resolved and, “My stomach feels much better.” Which of the following is the most appropriate next step in care? A. Serologic test for H. pylori antibodies should be checked today. B. The patient should be referred to gastroent...
Jun 12, 2023•10 min•Season 1Ep. 22
Sarah is a 75 year-old woman with a 40 year history of HTN and a 30 year history of T2DM and dyslipidemia who was recently diagnosed with stage 4 chronic kidney disease (CKD). Given this history, which of the following hemograms would be expected? A. Hb = 9.7 g/dL (12 to 14 g/dL); MCV = 69 fL (80 to 96 fL); RDW=18% (11.5-15%) B. Hb = 7.2 g/dL (12 to 14 g/dL); MCV = 122 fL (80 to 96 fL); RDW= 18.1% (11.5-15%) C. Hb = 9.4 g/dL (12 to 14 g/dL); MCV = 83 fL (80 to 96 fL); RDW= 13% (11.5-15%) D. Hb =...
Jun 05, 2023•13 min•Season 1Ep. 21
Which of the following is a MEC Category 4 (use represents unacceptable health risk) to the use of a CHC (combined hormonal contraception method such as combined oral contraception [COC])? A. Mother with a history of breast cancer. B. Personal history of hepatitis A at age 10 years. C. Presence of factor V Leiden mutation. D. Cigarette smoking one pack per day in a 22-year-old. --- YouTube: https://www.youtube.com/watch?v=PI9_QBQGxFU&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=20 Visit...
May 29, 2023•11 min•Season 1Ep. 20
You see a 17-year-old woman with a long-standing history of eczema and allergic rhinitis. Today she presents with worsening symptoms of skin lesions with itch for the past 2 months, now affecting the antecubital fossa of both arms, stating, “I get like this every winter but I am much better during warm weather. “ She is otherwise healthy. The most important aspects of skin care for this scenario is: A.Daily use of medium to higher potency topical corticosteroids. B. Twice-daily application of an...
May 22, 2023•11 min•Season 1Ep. 19
A 72-year-old woman with severe COPD, who uses an inhaled LAMA/ LAMA daily on a set schedule and SABA via MDI as needed for symptom relief, presents with a 4-day history of URI symptoms, starting with sore throat and clear nasal discharge, without fever. She denies N, V, or other GI upset. She now reports a 2-day history of increasing shortness of breath and production of clear to white sputum. SaO2= 97% and she is no acute distress. In considering the diagnosis of COPD exacerbation, which of th...
May 15, 2023•15 min•Season 1Ep. 18
The NP is seeing a 65-year-old woman who is a former smoker, having quit at age 40, with a 20 pack-year cigarette smoking history, and has been diagnosed with community-acquired pneumonia (CAP). Which of the following is most often noted CAP finding in an adult who is deemed to be appropriate for outpatient treatment? A. Pleuritic chest pain B. Dyspnea C. Purulent sputum production D. Cough --- YouTube: https://www.youtube.com/watch?v=lQDnrmJjOLw&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&i...
May 08, 2023•10 min•Season 1Ep. 17
A 27-year-old, otherwise well, woman complains of recurrent headache that occurs every 1‒2 weeks and lasts up to 24 hours. During headache, she reports sudden onset of unilateral pulsating pain, nearly always on the left side that is accompanied by photophobia, phonophobia and mild nausea without vomiting. Her first headache occurred when she was approximately 12-years-old. Her neurological exam is within normal limits. What is this clinical scenario most consistent with? A. Cluster headache B. ...
May 01, 2023•10 min•Season 1Ep. 16
When advising a patient on the use of emergency contraception (EC) with levonorgestrel (LNG), which of the following is correct? A. If pregnancy does occur post LNG EC use, a teratogenic pattern in the offspring has been noted B. EC LNG must be used within 12 hours after unprotected heterosexual vaginal intercourse to provide EC benefit. C. LNG EC’s use is limited due to a number of common contraindications. D. LNG EC use does not result in the interruption of an established pregnancy. --- YouTu...
Apr 24, 2023•8 min•Season 1Ep. 15
The NP is caring for a 68 year-old man with a 20 year-history of type 2 DM, HTN, dyslipidaemia, obesity (BMI=32 kg/m2) stage 3a CKD who is currently taking all of the following medications at optimized doses and with adherence, ACEI, thiazide diuretic, statin, and metformin. His current A1c= 8.2%. (NL= <5-6%) and states he is feeling well. Which of the following should be considered as next step therapy? A. A sulfonylurea B. Basal insulin C. A SGLT2- inhibitor D. No additional therapy as he i...
Apr 17, 2023•11 min•Season 1Ep. 14
In which of the following situations is parental consent usually needed prior to treatment? A. A 16-year-old requesting information about contraception. B. A 17-year-old who wants help with smoking cessation. C.A 16-year-old requesting treatment for acne vulgaris. D. An 18-year-old who requests treatment for a sexually transmitted infection. --- YouTube: https://www.youtube.com/watch?v=4o47mBHN5t8&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=13 Visit fhea.com to learn more!...
Apr 10, 2023•6 min•Season 1Ep. 13
The legal authority of a nurse practitioner’s scope of practice is defined by: A. The organization that grants NP certification. B. The NP’s employer. C. The law of the state where the NP practices. D. Federal law. --- YouTube: https://www.youtube.com/watch?v=1hF-FgAfKdw&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=12 Visit fhea.com to learn more!
Apr 03, 2023•7 min•Season 1Ep. 12
The nurse practitioner is seeing a 24-year-old man in follow-up visit. Three weeks ago, he was diagnosed with allergic rhinitis, reporting that, “ for years, every spring when the pollen count is high, I get a runny, stuffy nose, and itchy throat”. He started on a regimen of daily use of an intranasal corticosteroid as a controller medication with PRN use of an oral second-generation antihistamine for more severe symptoms. Which statement indicates that the patient understands his medication ins...
Mar 27, 2023•8 min•Season 1Ep. 11
A 34-year-old woman presents with uncomplicated UTI. Her last menstrual period ended approximately 5 days ago and has a history of bilateral tubal ligation approximately 5 years ago. She is otherwise healthy, has not received a systemic antimicrobial in the past year, denies drug allergies, and is not taking any medications. Per local antibiogram, E. coli resistance rate to TMP/SMX is about 25%. Which of the following is the best choice for her therapy? A. Prescribe a course of 3-day oral trimet...
Mar 20, 2023•8 min•Season 1Ep. 10
In evaluating a 66-year-old man with dilated cardiomyopathy and heart failure, the NP notes a grade 3/6 medium-pitched blowing systolic murmur that radiates to the axillae. What do these findings most likely represent? A.Innocent murmur B. Mitral stenosis C. Aortic regurgitation D. Mitral regurgitation --- YouTube: https://www.youtube.com/watch?v=b9XlXNKk04U&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=9 Visit fhea.com to learn more!...
Mar 13, 2023•7 min•Season 1Ep. 9
In treating a 26-year-old man with panic disorder who is otherwise healthy, you consider prescribing: A. Bupropion. B. Alprazolam. C. Citalopram D. Risperidone --- YouTube: https://www.youtube.com/watch?v=dDYv02H0iDI&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=8 Visit fhea.com to learn more!
Mar 06, 2023•6 min•Season 1Ep. 8
Which of the following is a most often noted in a 65-year-old woman with osteoarthritis? A. Anemia of chronic disease is often noted. B. Usually presents as a systemic polyarthritis. C. Constitutional signs and symptoms, including fatigue and unintended weight loss are reported D. Typically impacts weight-bearing joints, particularly in early disease --- YouTube: https://www.youtube.com/watch?v=FXL1JYclKTg&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=7 Visit fhea.com to learn more!...
Feb 27, 2023•6 min•Season 1Ep. 7
A 55-year-old woman with recently diagnosed hypertension was started on a standard dose of or a thiazide diuretic daily 6 weeks ago. Today her blood pressure is 128/78 mm Hg and the patient is feeling well, and clinical exam fails to reveal abnormal heart sounds or hypertensive retinopathy. The appropriate action at this time would be to? A. Consider switching her HTN medication to a calcium channel blocker B. Continue on her current medication regimen C. Add an ACEI to enhance HTN control D. Ad...
Feb 20, 2023•6 min•Season 1Ep. 6
A 45-year-old woman with no chronic health problems presents a 6-month history increasing fatigue despite adequate opportunity for rest , worsening dry skin and increased menstrual flow volume. In analyzing the laboratory data below, which is most consistent with the diagnosis of hypothyroidism? A. TSH <0.15 mIU/L (0.4–4.0 mIU/L), free T4=79 pmol/L (10–27 pmol/L) B. TSH=8.9 mIU/L (0.4–4.0 mIU/L), free T4=15 pmol/L (10–27 pmol/L) C. TSH=1.9 mIU/L (0.4–4.0 mIU/L), free T4=22 pmol/L (10–27 pmol/...
Feb 13, 2023•9 min•Season 1Ep. 5
Saundra is a 72-year-old with hypertension who is on an appropriate dose of an ACE inhibitor with adherence. Today’s BP= 152/96 and is without HTN-related complaint. Physical exam is unremarkable.She has a history of well-controlled asthma and is using ICS/LABA therapy. Due to osteoarthritis, she reports, “I get up slowly. Sometimes I do not get the bathroom on time and I lose my urine control.” Which of the following represents the next best step in Saundra’s HTN therapy? A.Advise that her BP i...
Feb 06, 2023•9 min•Season 1Ep. 4
Josh is a well 16-year-old male who presents with a reporting a 4-day history of moderate left-sided otalgia with intermittent fever. Clinical assessment is consistent with acute otitis media (AOM). No drug allergy or recent (within the past month) antimicrobial use is reported. Which of the following represents the most appropriate first-line antimicrobial therapy? A. Oral moxifloxacin B. Oral amoxicillin C. Oral trimethoprim-sulfamethoxazole D. Oral azithromycin --- YouTube: https://www.youtub...
Jan 30, 2023•9 min•Season 1Ep. 3
A 35-year-old w presents complaining of a 15+ year history of recurrent cramping abdominal pain that is often relieved with defecation that occurs intermittently. Symptom onset is often accompanied by bloating and a change in stool frequency and form, particularly when “I eat certain foods.” She denies bloody or tarry stools, nausea, vomiting or fever. The NP notes the patient’s weight is stable, and there is no evidence of anemia. The most likely diagnosis is? A. Irritable bowel syndrome B. Par...
Jan 23, 2023•9 min•Season 1Ep. 2
The NP sees a 34-year-old woman with a chief complaint of 6-month history of increasing fatigue despite adequate opportunity to sleep and rest. Laboratory results reveal a microcytic, hypochromic anemia with elevated RDW. You expect to find which of the following upon review of the patient’s health history? A. Report that she has been eaten a plant-based diet since age 18 B. History of prolonged menses with the need for =8 pads per day C. Report of drinking 5 or more 5 oz glasses of wine daily D...
Jan 16, 2023•7 min•Season 1Ep. 1
