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LEIK Tests Bundle Set
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[Montrer plus]It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic CORRECT ANSWER A 72 yo woman has been on hydrochlorothiazide 12.5mg for many years to control her Stae I HTN. Her blood pressure at this visit is 168/96. She is currently complaining of pain in her right hip ...
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Ajouter au panierIt inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic CORRECT ANSWER A 72 yo woman has been on hydrochlorothiazide 12.5mg for many years to control her Stae I HTN. Her blood pressure at this visit is 168/96. She is currently complaining of pain in her right hip ...
Which of the following drugs interact with warfarin/coumadin? 
a. Imodium (loperamide) 
b. Diltiazem Hydrochloride SR (diltiazem) 
c. trimethoporim-sulfamethoxazole (Bactrim) 
d. sumatriptan (Imitrex) CORRECT ANSWER c 
 
Sulfa drugs will interact with warfarin (increases the blood level), which resu...
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Ajouter au panierWhich of the following drugs interact with warfarin/coumadin? 
a. Imodium (loperamide) 
b. Diltiazem Hydrochloride SR (diltiazem) 
c. trimethoporim-sulfamethoxazole (Bactrim) 
d. sumatriptan (Imitrex) CORRECT ANSWER c 
 
Sulfa drugs will interact with warfarin (increases the blood level), which resu...
Chapter 4 (Preventive Health) CORRECT ANSWER 
 
Sensitivity CORRECT ANSWER (SNOUT) Negative results rules out the disease. Sensitivity test are good at identifying the positive markers of disease. So good that it is more prone to report false positives. So a negative result is more definitive 
 
Sp...
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Ajouter au panierChapter 4 (Preventive Health) CORRECT ANSWER 
 
Sensitivity CORRECT ANSWER (SNOUT) Negative results rules out the disease. Sensitivity test are good at identifying the positive markers of disease. So good that it is more prone to report false positives. So a negative result is more definitive 
 
Sp...
A 30 yr old with chief complaint of pruritic hives over her chest and arms but denies difficulty swallowing or breathing. Reports family history of allergic rhinitis and asthma. Which of the following interventions is most appropriate? 
A. Perform a complete and thorough history 
B. Prescribe an ora...
Aperçu 3 sur 20 pages
Ajouter au panierA 30 yr old with chief complaint of pruritic hives over her chest and arms but denies difficulty swallowing or breathing. Reports family history of allergic rhinitis and asthma. Which of the following interventions is most appropriate? 
A. Perform a complete and thorough history 
B. Prescribe an ora...
Which of the following findings is assoc. with thyroid hypofunction? 
A. Graves Disease 
B. Eye Disorder 
C. Thyroid storm 
D. Myxedema CORRECT ANSWER D. Myxedema 
Myxedema or myxedema coma is seen in patients with severe hypothyroidism. It refers to the skin changes (thickened skin) seen in chroni...
Aperçu 4 sur 59 pages
Ajouter au panierWhich of the following findings is assoc. with thyroid hypofunction? 
A. Graves Disease 
B. Eye Disorder 
C. Thyroid storm 
D. Myxedema CORRECT ANSWER D. Myxedema 
Myxedema or myxedema coma is seen in patients with severe hypothyroidism. It refers to the skin changes (thickened skin) seen in chroni...
The Lachman Maneuver is used to detect which of the following? 
A: Instability of the knee 
B: Nerve Damage of the knee due to past knee injuries 
C: Integrity of the patellar tendon 
D: Tears of the meniscus CORRECT ANSWER instability of the knee 
 
A 28-year old multipara who is at 32 weeks gesta...
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Ajouter au panierThe Lachman Maneuver is used to detect which of the following? 
A: Instability of the knee 
B: Nerve Damage of the knee due to past knee injuries 
C: Integrity of the patellar tendon 
D: Tears of the meniscus CORRECT ANSWER instability of the knee 
 
A 28-year old multipara who is at 32 weeks gesta...
After warfarin is discontinued CORRECT ANSWER Anticoagulant affects persist for 2 to 5 days 
 
Drugs that increase bleeding risk CORRECT ANSWER Coumadin 
Pradaxa 
Heparin 
Plavix 
Asa 
Pepto 
NSAIDs 
Celebrex 
 
Asian patients may require CORRECT ANSWER Lower start dose and maintenance of warfar...
Aperçu 4 sur 58 pages
Ajouter au panierAfter warfarin is discontinued CORRECT ANSWER Anticoagulant affects persist for 2 to 5 days 
 
Drugs that increase bleeding risk CORRECT ANSWER Coumadin 
Pradaxa 
Heparin 
Plavix 
Asa 
Pepto 
NSAIDs 
Celebrex 
 
Asian patients may require CORRECT ANSWER Lower start dose and maintenance of warfar...
Why is Rhogam given? CORRECT ANSWER Rho(D) immune globulin (RhoGAM) is used to prevent the immunological condition known as rhesus disease or hemolytic disease of the newborn. RhoGAM is a solution of IgG anti-D (anti-RhD) antibodies that suppresses the mother's immune system from attacking Rh-posit...
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Ajouter au panierWhy is Rhogam given? CORRECT ANSWER Rho(D) immune globulin (RhoGAM) is used to prevent the immunological condition known as rhesus disease or hemolytic disease of the newborn. RhoGAM is a solution of IgG anti-D (anti-RhD) antibodies that suppresses the mother's immune system from attacking Rh-posit...
Screening test for temporal arteritis CORRECT ANSWER Sed rate 
 
Ability of test to detect if a person has the disease CORRECT ANSWER Sensitivity 
 
Ability of a test to detect a person who is healthy (or does NOT have the disease) CORRECT ANSWER Specificity 
 
Gold standard test for sickle cell, G6...
Aperçu 2 sur 6 pages
Ajouter au panierScreening test for temporal arteritis CORRECT ANSWER Sed rate 
 
Ability of test to detect if a person has the disease CORRECT ANSWER Sensitivity 
 
Ability of a test to detect a person who is healthy (or does NOT have the disease) CORRECT ANSWER Specificity 
 
Gold standard test for sickle cell, G6...
An 18yr old is being followed up for acne by the NP. The facial eat reveals that papule and pustules are present mostly on the forehead and the chin area. The patient has been using prescription topical and OTC medicated soap daily for 6 moths without much improvement. What would you recommend? CORR...
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Ajouter au panierAn 18yr old is being followed up for acne by the NP. The facial eat reveals that papule and pustules are present mostly on the forehead and the chin area. The patient has been using prescription topical and OTC medicated soap daily for 6 moths without much improvement. What would you recommend? CORR...
MAOIs (monoamine oxidase inhibitors) CORRECT ANSWER isocarboxide, phenelzine, tranylcypromine 
■ Rarely used because of serious food (high tyramine content) and drug interactions 
 - (elevates BP, risk of stroke) 
■ Do not combine with SSRIs, TCAs, MAO-B (selegiline/Eldepryl), serotonin receptor...
Aperçu 4 sur 99 pages
Ajouter au panierMAOIs (monoamine oxidase inhibitors) CORRECT ANSWER isocarboxide, phenelzine, tranylcypromine 
■ Rarely used because of serious food (high tyramine content) and drug interactions 
 - (elevates BP, risk of stroke) 
■ Do not combine with SSRIs, TCAs, MAO-B (selegiline/Eldepryl), serotonin receptor...
Which medications are associated with the highest incidence of erectile dysfunction? CORRECT ANSWER SSRI -- Paroxetine (Paxil) is a selective serotonin reuptake inhibitor (SSRI) that causes sexual adverse effects (impotence, inability to reach orgasm) in up to 50% of men who take it. Of all the SSRI...
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Ajouter au panierWhich medications are associated with the highest incidence of erectile dysfunction? CORRECT ANSWER SSRI -- Paroxetine (Paxil) is a selective serotonin reuptake inhibitor (SSRI) that causes sexual adverse effects (impotence, inability to reach orgasm) in up to 50% of men who take it. Of all the SSRI...
D) 4 years 
Developmental stages in children include the following: 1 year: walk; 2 years: walks up steps with the same foot; 3 years: pedals a tricycle and copies a circle; 4 years: rides a bicycle and copies a cross and draws a person with 2 parts. CORRECT ANSWER At what age can a child copy a cr...
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Ajouter au panierD) 4 years 
Developmental stages in children include the following: 1 year: walk; 2 years: walks up steps with the same foot; 3 years: pedals a tricycle and copies a circle; 4 years: rides a bicycle and copies a cross and draws a person with 2 parts. CORRECT ANSWER At what age can a child copy a cr...
A nurse practitioner working in a community health clinic sees a male patient who expresses concern about starting a homosexual relationship with a new partner. Which of the following is the best plan to follow during this visit? (Select all that apply.) 
Contact the patient's partner to schedule H...
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Ajouter au panierA nurse practitioner working in a community health clinic sees a male patient who expresses concern about starting a homosexual relationship with a new partner. Which of the following is the best plan to follow during this visit? (Select all that apply.) 
Contact the patient's partner to schedule H...
Beneficence CORRECT ANSWER The obligation to help the patient. Remove harm, prevent harm, promote good. ("do no harm"). Acting in the patient's best interest. Compassionate patient care. 
 
What ethical principle 
 
Educating an obese patient on the harmful effects of obesity and recommending we...
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Ajouter au panierBeneficence CORRECT ANSWER The obligation to help the patient. Remove harm, prevent harm, promote good. ("do no harm"). Acting in the patient's best interest. Compassionate patient care. 
 
What ethical principle 
 
Educating an obese patient on the harmful effects of obesity and recommending we...
A 23-year-old woman is seen in the office by the nurse practitioner for complaints of weakness, poor balance, and problems with walking. She states, "I am so clumsy. Sometimes I fall when I walk." She reports new-onset vision loss and bladder incontinence. Each episode lasts a few days; she has ha...
Aperçu 3 sur 24 pages
Ajouter au panierA 23-year-old woman is seen in the office by the nurse practitioner for complaints of weakness, poor balance, and problems with walking. She states, "I am so clumsy. Sometimes I fall when I walk." She reports new-onset vision loss and bladder incontinence. Each episode lasts a few days; she has ha...
First Pass Metabolism CORRECT ANSWER GI Tract ---> Portal Circulation ---> Liver --->Metabolized ---> Systemic Circulation 
 
1st pass metabolism lowers the amount of drug available. 
 
If high first-pass effect, mostly becomes inactivated and cannot be used, these meds cannot be given o...
Aperçu 4 sur 51 pages
Ajouter au panierFirst Pass Metabolism CORRECT ANSWER GI Tract ---> Portal Circulation ---> Liver --->Metabolized ---> Systemic Circulation 
 
1st pass metabolism lowers the amount of drug available. 
 
If high first-pass effect, mostly becomes inactivated and cannot be used, these meds cannot be given o...
A 30-year-old chef complains of pruritic hives over her chest and arms, but denies difficulty swallowing or breathing. She reports a family history of allergic rhinitis and asthma. Which of the following interventions is most appropriate? 
A. Obtain a complete and thorough history 
B. Recommend an o...
Aperçu 3 sur 25 pages
Ajouter au panierA 30-year-old chef complains of pruritic hives over her chest and arms, but denies difficulty swallowing or breathing. She reports a family history of allergic rhinitis and asthma. Which of the following interventions is most appropriate? 
A. Obtain a complete and thorough history 
B. Recommend an o...
Screening test for all anemias CORRECT ANSWER CBC (hemoglobin/ hematocrit) 
 
diagnosis test for thalessemia CORRECT ANSWER hemoglobin electrophoresis 
 
diagnosis test for sickle cell anemia "gold standard" CORRECT ANSWER hemoglobin electrophoresis 
 
what type of anemia does the patient have If ...
Aperçu 3 sur 21 pages
Ajouter au panierScreening test for all anemias CORRECT ANSWER CBC (hemoglobin/ hematocrit) 
 
diagnosis test for thalessemia CORRECT ANSWER hemoglobin electrophoresis 
 
diagnosis test for sickle cell anemia "gold standard" CORRECT ANSWER hemoglobin electrophoresis 
 
what type of anemia does the patient have If ...
1. A 70 year old woman complains of left lower quadrant abdominal pain and fever for 2 days. Her blood pressure of 130/80 mmHg, pulse is 90 bpm, respirations are 14 breaths/min, and temperature is 100.5. During the abdominal exam, the left lower quadrant of the abdomen is tender to palpation. The NP...
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Ajouter au panier1. A 70 year old woman complains of left lower quadrant abdominal pain and fever for 2 days. Her blood pressure of 130/80 mmHg, pulse is 90 bpm, respirations are 14 breaths/min, and temperature is 100.5. During the abdominal exam, the left lower quadrant of the abdomen is tender to palpation. The NP...
Pulmonary Embolism CORRECT ANSWER - An older adult c/o sudden onset of dyspnea and coughing. Cough may be productive of pink-tinged frothy sputum. 
- Other symptoms are tachycardia, pallor, feelings of impending doom. 
- Any condition that increases blood clots will increase risk of PE. 
- history...
Aperçu 3 sur 26 pages
Ajouter au panierPulmonary Embolism CORRECT ANSWER - An older adult c/o sudden onset of dyspnea and coughing. Cough may be productive of pink-tinged frothy sputum. 
- Other symptoms are tachycardia, pallor, feelings of impending doom. 
- Any condition that increases blood clots will increase risk of PE. 
- history...
A 55-year-old male patient describes an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved immediately when he stopped. His symptoms are highly suggestive of which condition? 
 
A. angina pectoris 
B. acute MI 
C. GERD 
D. acute costocho...
Aperçu 3 sur 21 pages
Ajouter au panierA 55-year-old male patient describes an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved immediately when he stopped. His symptoms are highly suggestive of which condition? 
 
A. angina pectoris 
B. acute MI 
C. GERD 
D. acute costocho...
Labs to order if Digoxin overload suspected CORRECT ANSWER electrolytes, creatinine, and serial EKG's 
 
First line for atrial fibrillation CORRECT ANSWER Coumadin. 
 
INR of 5 to 8 without bleeding CORRECT ANSWER hold for 1 to 2 doses, then recheck every 2 to 3 days until normal. 
 
Those taking t...
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Ajouter au panierLabs to order if Digoxin overload suspected CORRECT ANSWER electrolytes, creatinine, and serial EKG's 
 
First line for atrial fibrillation CORRECT ANSWER Coumadin. 
 
INR of 5 to 8 without bleeding CORRECT ANSWER hold for 1 to 2 doses, then recheck every 2 to 3 days until normal. 
 
Those taking t...
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