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A 35-year-old female with a history of migraines presents to the clinic
with worsening symptoms for the past few weeks. She reports waking up
at night with headaches and nausea. Her only medication history is oral
contraceptive pills (OCPs). Otherwise, she states she is healthy. Which
of the following actions if taken by the NP is the best next step? -
ANSWER ✔✔Take a further history and perform a very careful
neurological exam
A grandmother is accompanying her 9-year-old granddaughter during a
routine physical examination. She asks you privately if her
granddaughter has started puberty yet. During the examination, the NP
,notes asymmetric projection of the areola and nipple of the right chest to
form a secondary mound above the level of the breast. The left breast is
underdeveloped. These assessment findings are consistent with which
Tanner Stage of development? - ANSWER ✔✔IV
Primary prevention is defined as which of the following? - ANSWER
✔✔Interventions designed to prevent disease
Based on the U.S. Preventive Services Task Force (USPSTF)
recommendations, which of the following statements is true about
screening for breast cancer in average-risk women? - ANSWER
✔✔Mammography is recommended every 2 years for women aged 50-
74 with insufficient evidence for screening women over the age of 75.
Which of the following statements is true regarding recommendations by
the eighth Joint National Committee (JNC8) for adults aged 60 and
older? Select all that apply. - ANSWER ✔✔Target blood pressure
should be </= 150/90 mmHg but notes that if treatment results in SBP
<140 and is "well tolerated and without adverse effects to health or
quality of live, treatment does not need to be adjusted."
, In those aged 80 or older, blood pressure targets of 140 to <150/70 to 80
appear optimal for notable reductions in stroke, cardiovascular events,
and all-cause mortality.
Which of the following is a useful strategy when examining young
children between the ages of 1 and 4? - ANSWER ✔✔Have the
parent facilitate the exam (e.g., removing clothes, holding the child on
lap).
The NP is completing the review of systems on a 4-month-old female
during a routine encounter. Which statement from the parent may
indicate a cardiac problem in the infant and require a more thorough
subjective history? - ANSWER ✔✔"It often takes the baby more than
30 minutes to finish a bottle."
A 16-year-old male presents to the clinic with a history of a congenital
right upper eyelid drooping as represented in this image. He has no
complaints and denies injury or trauma. Which cranial nerve (CN) is
involved in this condition?
Patient with eyelid drooping - ANSWER ✔✔CNIII
Which cranial nerve (CN) innervates the muscles of the pharynx and
provides sensory fibers to portions of the tympanic membrane, auditory
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