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,Question 1
ADA screening for DM in Children
Correct Answer
-symptomatic children (polyuria, polydipsia, polyphagia, blurred vision) regardless of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or obese (>85th
percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
Question 2
Statistics
Correct Answer
- leading causes of death: Heart disease, cancer, lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate is older white males.
Question 3
Osgood-Schlatter:
Correct Answer
knee pain in young adults, overuse. Repetitive stress pain, tenderness, swelling at the tendon's insertion
site. The tibial tuberosity. Rule out avulsion fracture if there is an acute onset and order a lateral xray.
RICE. Usually stops when the growth stops.
Question 4
If patient has right sided weakness, etc. the CVA occurred where
Correct Answer
left side
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,Question 5
initial evaluation of symptoms of acute prostatitis
Correct Answer
Urinalysis and urine culture
Question 6
A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not seen a
healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled
with medication. Her mother died at age 40 from a heart attack. The fasting lipid profile shows cholesterol
= 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse
practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.
Correct Answer
A statin drug
Question 7
Ortolani's Click
Correct Answer
a click is heard or felt as dislocation is reduced (developmental dysplasia of hip) (good until one year)
Question 8
Which of the following laboratory tests should a nurse practitioner order when the suspected diagnosis is
temporal arteritis?
Correct Answer
Erythrocyte sedimentation rate (ESR)
Question 9
What are narrow therapeutic index drugs?
Correct Answer
1. Warfarin sodium (Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium, calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
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, Question 10
Otitis Externa tx
Correct Answer
Fluoroquinolone & Polymyxin B cortisporin drops
Question 11
An elderly male patient complains of a new-onset, left-sided temporal headache accompanied by scalp
tenderness and indurated temporal artery. The NP suspects temporal arteritis. What screening test would
you order to assist with diagnosis?
Correct Answer
sedimentation rate (expect to be very elevated)
Question 12
Basal Cell Carcinoma
Correct Answer
Pearly domed nodule with overlaying telangiectatic vessels. Could be plaque, papule, possible central
ulceration and crusting. Dx: Biopsy Tx:
Question 13
Normal, healthy woman of reproductive age
Correct Answer
white, clear, flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2 (toward acidic), no odor,
microscopic shows lactobacilli (gram+bacteria)
Question 14
Multiple infections from bacteria and fungus?
Correct Answer
Screen for HIV
Question 15
Screening Tests
Correct Answer
- sensitivity: detect those WITH the disease. higher the sensitivity is higher the false positives
- Specificty: detect those who DONT have the disease.
Question 16
erythromycin for chlamydia eye infection in infants
Correct Answer
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