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A 56-year old male patient screened for diabetes has a fasting plasma
glucose level of 96mg/dl. The nurse practitioner management plan
includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - ANSWER ✔✔a. repeat
fasting plasma glucose in three years
According to the Sexually presentation, atrophic vaginitis
,a. the symptoms are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - ANSWER ✔✔c. is a
contributing factor for frequent urinary tract infections
Which of the following would you recommend annually for the elderly
type 2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an ophthalmologist - ANSWER ✔✔d. eye exam with
an ophthalmologist
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - ANSWER ✔✔d. at home
,Which of the following is a role of the advanced practice nurse in
palliative cancer care?
a. detecting cancer in asymptomatic patients or those with specific
symptoms
b. arranging for follow up including patients
c. identifying and managing complications of care
d. all of the above - ANSWER ✔✔d. all of the above
A 58 year old Caucasian mane with type 2 diabetes mellitus presents to
the clinic as a new patient. He takes metformin 500mg twice a day. His
last Hgb A1c was 7%. He is up to date on eye and foot examinations.
His BP is 142/96. According to ACC 2017 guidelines for high blood
pressure in adults, what is the most appropriate first line medication?
a. lisinopril
b. furosemide
c. amlodipine
d. clonidine - ANSWER ✔✔a. lisinopril
A 68 year old woman presents with a complaint of urine leakage
whenever she sneezes, laughs or strains for the past 4 months. She
denies dysuria, frequency and nocturia. US dipstick is negative for
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, RBC's leukocyte esterase, nitrates, ketones and urobilinogen. What is
the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence - ANSWER ✔✔a. stress incontinence
A 52 year old female patient screened for diabetes has a fasting plasma
glucose level of 123 mg/dl. The nurse practitioners plan includes:
a. repeat fasting glucose in 1 month
b. prescribe metformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years - ANSWER ✔✔c. repeat
fasting plasma glucose in one year
According to the palliative care presentation, most elderly patients die:
a. alone
b. at home
c. in institutions
d. in pain - ANSWER ✔✔c. in institutions