N582 Exam 1 Questions with 100% Correct
Answers
Where would you want to look when look for breast cancer on an exam?
UOQ of the breast
Classic signs of malignant masses
Single, firm, nontender, immobile with irregular borders
Concerning signs of nipple discharge
Bloody or serosanguinous, unilateral, persistant, from a single duct,
Recommendations for IPV screening.
Gold standard is to conduct a one on one interview, in private, and asking specific direct
questions.
(dont use family members as translators)
(full body physical exam in private)
How does IPV get missed?
Failure to ask the client
Substance abuse during pregnancy: Alcohol
fetal alcohol syndrome
2-5 drinks per day
causes growth retardadtion, CNS efects, abnorma facies, cardiac deffects
Substance abuse during pregnancy: Caffeine
,greater than 150mg perday correlates with increased risk of spontaneous abortion
Substance abuse during pregnancy: Cigarettes
spontaneous abortion, preterm birth, abruptio placentae, decreased birth weight
Increased rsk for SIDS and respiratory illnesses
Substance abuse during pregnancy: marijuana
Most common illicit drug used during pregnancy
Lw birth weight, preterm birth, still birth
affects neurodevelopment
Substance abuse during pregnancy: Cocaine
abruptio placenta, IUGR, preterm L&D
Vasocontriction and HTN- can mimic preeclampsia
CNS complications: developmental delay
Substance abuse during pregnancy: Methamphetamines
Low birth weight, IUFD, preeclampsia, neurodevelopmental sequalea in children.
HTN, cardiomyopathy, arythmias
long term uses- paranoia and psychosis
Substance abuse during pregnancy: Opiates
most common are oxycodone, heroin, methadone
W/D may pose greater risk to the fetus (MC, PT, FD) than chronic narcotic use. Should be
enrolled in a maintenance program instead of just quitting
Medication for opiate maintenance in pregnancy
buprenorphine (Subutex) or Methadone
, How much weight should pediatric pt loose per month
weight loss goal should be 1lb per month for BMI lower than 85th percentile
Underweight Child
<5th percentile
Healthy weight for child
5th percentile to 85th percentile
Overweight child
85th to <95th percentile
Obese child
> than 95th percentile
What is the rate of Reimbursement when comparing physician to NP
rate of NP reimbursement set at 85% of actual care
NPs working for medical practices and fulfill "incident to" requirements can receive full fee
What is "incident to?"
Incident to a physician's professional service
services of a non-physician must be rendered under the direct supervision of a physician.
Physician performs initial tx and nonphysician performs subsequent treatments. Must be in
the same office during tx.
Hospital visits covered when "shared visit" rules are followed.
What is the recommended caloric intake for pediatrics?
Age 2-3 boy/girl: 1000-1400 calories
Answers
Where would you want to look when look for breast cancer on an exam?
UOQ of the breast
Classic signs of malignant masses
Single, firm, nontender, immobile with irregular borders
Concerning signs of nipple discharge
Bloody or serosanguinous, unilateral, persistant, from a single duct,
Recommendations for IPV screening.
Gold standard is to conduct a one on one interview, in private, and asking specific direct
questions.
(dont use family members as translators)
(full body physical exam in private)
How does IPV get missed?
Failure to ask the client
Substance abuse during pregnancy: Alcohol
fetal alcohol syndrome
2-5 drinks per day
causes growth retardadtion, CNS efects, abnorma facies, cardiac deffects
Substance abuse during pregnancy: Caffeine
,greater than 150mg perday correlates with increased risk of spontaneous abortion
Substance abuse during pregnancy: Cigarettes
spontaneous abortion, preterm birth, abruptio placentae, decreased birth weight
Increased rsk for SIDS and respiratory illnesses
Substance abuse during pregnancy: marijuana
Most common illicit drug used during pregnancy
Lw birth weight, preterm birth, still birth
affects neurodevelopment
Substance abuse during pregnancy: Cocaine
abruptio placenta, IUGR, preterm L&D
Vasocontriction and HTN- can mimic preeclampsia
CNS complications: developmental delay
Substance abuse during pregnancy: Methamphetamines
Low birth weight, IUFD, preeclampsia, neurodevelopmental sequalea in children.
HTN, cardiomyopathy, arythmias
long term uses- paranoia and psychosis
Substance abuse during pregnancy: Opiates
most common are oxycodone, heroin, methadone
W/D may pose greater risk to the fetus (MC, PT, FD) than chronic narcotic use. Should be
enrolled in a maintenance program instead of just quitting
Medication for opiate maintenance in pregnancy
buprenorphine (Subutex) or Methadone
, How much weight should pediatric pt loose per month
weight loss goal should be 1lb per month for BMI lower than 85th percentile
Underweight Child
<5th percentile
Healthy weight for child
5th percentile to 85th percentile
Overweight child
85th to <95th percentile
Obese child
> than 95th percentile
What is the rate of Reimbursement when comparing physician to NP
rate of NP reimbursement set at 85% of actual care
NPs working for medical practices and fulfill "incident to" requirements can receive full fee
What is "incident to?"
Incident to a physician's professional service
services of a non-physician must be rendered under the direct supervision of a physician.
Physician performs initial tx and nonphysician performs subsequent treatments. Must be in
the same office during tx.
Hospital visits covered when "shared visit" rules are followed.
What is the recommended caloric intake for pediatrics?
Age 2-3 boy/girl: 1000-1400 calories
