FNP Domain 2: Diagnosis Welcome to your FNP Domain 2: Diagnosis 1. FNP: Diagnosis A 62-year-old male patient presents with sudden onset of severe headache, photophobia, and neck stiffness. What is the most likely diagnosis? Migraine Cluster headache Meningitis Subarachnoid hemorrhage None 2. FNP: Diagnosis A 45-year-old female reports fatigue, weight gain, and constipation. Physical examination reveals dry skin and bradycardia. What is the most appropriate initial diagnostic test? Serum glucose Thyroid-stimulating hormone (TSH) level Electrocardiogram (ECG) Complete blood count (CBC) None 3. FNP: Diagnosis A patient presents with joint pain and stiffness that improves with activity but worsens after rest. The pain is symmetrical and involves multiple joints. What is the most likely diagnosis? Osteoarthritis Rheumatoid arthritis Gout Fibromyalgia None 4. FNP: Diagnosis A 3-year-old presents with a high fever, drooling, and a muffled voice. The child is sitting upright, leaning forward, and appears anxious. What is the most likely diagnosis? Asthma Epiglottitis Croup Acute bronchitis None 5. FNP: Diagnosis A patient presents with sudden, severe abdominal pain, vomiting, and signs of shock including tachycardia and hypotension. What is the most likely diagnosis? Acute pancreatitis Peptic ulcer disease Appendicitis Ruptured abdominal aortic aneurysm None 6. FNP: Diagnosis A 55-year-old smoker presents with a new cough, weight loss, and hemoptysis. What is the most likely diagnosis? Acute bronchitis Pneumonia Tuberculosis Lung cancer None 7. FNP: Diagnosis A patient presents with pallor, fatigue, and tachycardia. Lab tests show low hemoglobin and hematocrit with high mean corpuscular volume (MCV). What is the most likely diagnosis? Iron deficiency anemia Vitamin B12 deficiency Acute blood loss Hemolytic anemia None 8. FNP: Diagnosis A patient reports severe recurrent temporal headaches and jaw claudication. Examination shows a tender, thickened temporal artery. What is the most likely diagnosis? Migraine Temporal arteritis Trigeminal neuralgia Tension headache None 9. FNP: Diagnosis A 30-year-old female presents with dyspnea, chest pain, and a rapid heart rate. She recently took a 12-hour flight. D-dimer test returns positive. What is the most likely diagnosis? Acute myocardial infarction Pneumothorax Pulmonary embolism Costochondritis None 10. FNP: Diagnosis A patient with a history of alcohol abuse presents with confusion, ophthalmoplegia, and ataxia. What is the most likely diagnosis? Hepatic encephalopathy Wernicke's encephalopathy Delirium tremens Stroke None 11. FNP: Diagnosis A 28-year-old female presents with pelvic pain, irregular menstruation, and infertility. Physical examination shows a palpable mass in the pelvic area. What is the most likely diagnosis? Pelvic inflammatory disease Endometriosis Uterine fibroids Ovarian cyst None 12. FNP: Diagnosis A 40-year-old male presents with polyuria, polydipsia, and unexplained weight loss. Blood tests reveal elevated blood glucose levels. What is the most likely diagnosis? Type 1 Diabetes Mellitus Type 2 Diabetes Mellitus Chronic kidney disease Hyperthyroidism None 13. FNP: Diagnosis A patient presents with a butterfly rash on the face and joint pain. Lab tests show antinuclear antibodies 'ANA'. What is the most likely diagnosis? Dermatomyositis Rheumatoid arthritis Systemic lupus erythematosus (SLE) Scleroderma None 14. FNP: Diagnosis An elderly patient presents with acute onset of chest pain radiating to the back and a tearing sensation. Blood pressure is different in each arm. What is the most likely diagnosis? Acute myocardial infarction Aortic dissection Pulmonary embolism Pericarditis None 15. FNP: Diagnosis A patient presents with night sweats, fever, and unexplained weight loss over the past month. A chest X-ray shows a mediastinal mass. What is the most likely diagnosis? Lymphoma Tuberculosis Sarcoidosis Bronchogenic carcinoma None 16. FNP: Diagnosis A patient with severe back pain following a fall presents with decreased sensation in the lower extremities and bladder incontinence. What is the most likely diagnosis? Herniated disc Spinal cord injury Compression fracture Lumbar sprain None 17. FNP: Diagnosis A 50-year-old patient presents with a red, warm, swollen knee joint and severe pain on movement. Synovial fluid analysis shows negatively birefringent crystals. What is the most likely diagnosis? Osteoarthritis Rheumatoid arthritis Gout Pseudogout None 18. FNP: Diagnosis A patient presents with severe headache, nausea, and blurred vision. Fundoscopic examination reveals papilledema. What is the most likely diagnosis? Migraine Glaucoma Brain tumor Hypertensive crisis None 19. FNP: Diagnosis A 35-year-old female presents with dysphagia, especially with solids, and regurgitation of undigested food. No significant weight loss is reported. What is the most likely diagnosis? Gastroesophageal reflux disease 'GERD' Achalasia Esophageal cancer Peptic ulcer disease None 20. FNP: Diagnosis A newborn presents with bilious vomiting and abdominal distension within the first two days of life. An abdominal X-ray shows a "double bubble" sign. What is the most likely diagnosis? Pyloric stenosis Intestinal malrotation with volvulus Hirschsprung's disease Duodenal atresia None 21. FNP: Diagnosis A 25-year-old male presents with digital ulceration and severe, episodic digital ischemia triggered by cold or stress. Which diagnostic test is most appropriate to confirm the suspected diagnosis? Rheumatoid factor (RF) Antinuclear antibodies 'ANA' Erythrocyte sedimentation rate (ESR) Nailfold capillaroscopy None 22. FNP: Diagnosis A 40-year-old female with a history of asthma presents with acute worsening of her respiratory symptoms. She is using her inhaler more frequently with limited relief. What is the most likely diagnosis? Acute bronchitis Asthma exacerbation Chronic obstructive pulmonary disease 'COPD' Pneumonia None 23. FNP: Diagnosis A 60-year-old presents with bluish discoloration of fingers and toes, along with pain and cold sensitivity in the extremities. What condition are these symptoms indicative of? Peripheral neuropathy Raynaud's disease Deep vein thrombosis Peripheral arterial disease None 24. FNP: Diagnosis A patient presents with sudden, excruciating lower back pain, hematuria, and nausea. What diagnostic test should be initially performed? Abdominal ultrasound Renal function test Computed tomography (CT) of the abdomen Urinalysis None 25. FNP: Diagnosis A patient presents with severe chest pain, radiating to the back and persisting for hours. The patient is hypotensive and tachycardic. What is the most likely diagnosis? Pericarditis Myocardial infarction Aortic dissection Pulmonary embolism None 26. FNP: Diagnosis A 30-year-old presents with abdominal pain, bloody diarrhea, and weight loss. Colonoscopy shows continuous colonic inflammation. What is the most likely diagnosis? Crohn's disease Ulcerative colitis Irritable bowel syndrome (IBS) Celiac disease None 27. FNP: Diagnosis A postmenopausal woman presents with vaginal bleeding. Transvaginal ultrasound shows thickened endometrium. What is the most likely diagnosis? Endometrial hyperplasia Cervical cancer Endometrial cancer Uterine fibroids None 28. FNP: Diagnosis An adult patient presents with a 'slapped cheek' appearance, fever, and joint pain. What is the most likely diagnosis? Rosacea Lupus Fifth disease Rheumatoid arthritis None 29. FNP: Diagnosis A 20-year-old college student presents with sudden onset of high fever, severe headache, and a purpuric rash. What should be the immediate course of action? Administer antipyretics Perform a lumbar puncture Start broad-spectrum antibiotics Conduct a full blood count None 30. FNP: Diagnosis A patient presents with peeling skin on the fingers, toes, lips, and a strawberry tongue after a high fever and sore throat. What is the most likely diagnosis? Kawasaki disease Scarlet fever Stevens-Johnson syndrome Toxic shock syndrome None 1 out of 30 Time is Up! Time's up
