xf xf xf xf
Anxfadultxfpresentsxfwithxffever,xfheadache,xfnausea,xfvomiting,xfandxfprogres
sivelyxfincreasingxfrightxfflankxfpainxfforxfthexfpastxf2xfdays.xfWBCxfcountxfisxf1
5,000xfcells/μLxfandxfurinalysisxfisxfpositivexfforxfnitrites,xfleukocytexfesterase
,xfandxfblood.xfWhichxfofxfthexffollowingxfsymptomsxfpromptsxfthexfnursexfpra
ctitionerxftoxftransferxfthexfpatientxftoxfthexfhospital?xf-xfcorrectxfanswer✔ ✔
persistentxfvomiting
**Inxfaxfpatientxfwithxfaxflong-
standingxfhistoryxfofxfhepatitisxfC,xfwhichxfofxfthexffollowingxflaboratoryxftestxf
resultsxfcanxfbexfexpected?xf-xfcorrectxfanswer✔ ✔
ALTxfandxfASTxfwillxfbothxfnormalize.
Anxfelderlyxfpatientxfpresentsxfwithxfaxfdome-
shaped,xfpearly,xffirmxfnodulexfwithxftelangiectasiaxfonxfthexfsidexfofxfthexfnose
.xfThexfnodulexfisxfmostxflikelyxfa/an:xf-xfcorrectxfanswer✔ ✔
basalxfcellxfcarcinoma
Axfyoungxfadultxfpatientxfpresentsxfwithxfexplosivelyxfejectedxfclearxfliquidxfdi
arrhea.xfWhichxfofxfthexffollowingxftestsxfwouldxfbexfmostxfspecificxfforxfanxfinf
lammatoryxfbowelxfdisorder?xf-xfcorrectxfanswer✔ ✔
Whitexfbloodxfcellxfcount
,Whichxfofxfthexffollowingxfsymptomsxfofxfdepressionxfisxfmorexfcommonlyxfs
eenxfinxfolderxfadultsxfratherxfthanxfyoungerxfadults?xf-xfcorrectxfanswer✔ ✔
cognitivexfimpairment
**Whichxfofxfthexffollowingxftestsxfisxfusedxftoxfsupportxfaxfdiagnosisxfofxfrheu
matoidxfarthritisxfinxfanxfolderxfadult?xf-xfcorrectxfanswer✔ ✔
jointxfaspirationxfcellxfcount
Whichxfofxfthexffollowingxfisxfmostxfappropriatexftoxfperformxfinxfthexfinitialxfe
valuationxfofxfanxfolderxfadultxfwithxfsymptomsxfofxfacutexfprostatitis?xf-
xfcorrectxfanswer✔ ✔ urinalysisxfandxfurinexfculture
Whichxfofxfthexffollowingxfisxfaxfcommonxfpresentingxffeaturexfofxfhyperthyro
idismxfinxfthexfelderly?xf-xfcorrectxfanswer✔ ✔ axffib
**Anxfelderlyxfpatientxfwithxfdiabetesxfpresentsxfforxfaxf3-monthxffollow-
up.xfCurrentxfmedicationsxfinclude:xfmetformin,xf1,000xfmgxftwicexfaxfday,xfa
mlodipine-
benazeprilxf(Lotrel),xf10xfmgxfdaily,xfandxfsimvastatinxf(Zocor),xf20xfmgxfdail
y.xfLaboratoryxfresultsxfarexfasxffollows:
Glucosexf110xfmg/dLxf[normalxf=xf60-100]
BUNxf32xfmg/dLxf[normalxf=xf7-20]
Creatininexf2.1xfmg/dLxf[normalxf=xf0.8-1.4]
, Cholesterolxf180xfmg/dLxf[normalxf=xf200-240]
LDLxf84xfmg/dLxf[normalxf=xf62-130]
HDLxf42xfmg/dLxf[normalxf=xf40-59]
Triglyceridesxf165xfmg/dLxf[normalxf=xf35-135]
Thexfnursexfpractitioner'sxfbestxfactionxfisxfto:xf-xfcorrectxfanswer✔ ✔
discontinuexfmetformin.
**Anxfolderxfadultxfpresentsxfwithxfaxf"sorexfmouth."xfThexfpainxfbecomesxfesp
eciallyxfseverexfwhenxftryingxftoxfswallow.xfThexfpatientxfhasxfdiabetesxfmellit
usxfandxfwasxfrecentlyxftreatedxfwithxfantibioticsxfforxfbronchitis.xfWhichxfofxft
hexffollowingxfisxfthexfmostxflikelyxfdiagnosis?xf-xfcorrectxfanswer✔ ✔
Candidiasis
Anxfolderxfadultxfisxfbroughtxfinxfbyxfherxfdaughterxfwhoxfreportsxfthatxfherxfmot
herxfseemsxfconfusedxfandxfanxious,xfandxfhasxfstiffxfmovement.xfThexfpatient'
sxfmedicationsxfarexfhydrochlorothiazide,xflevothyroxinexf(Synthroid),xfsertr
alinexf(Zoloft),xfbabyxfaspirin,xfaxfmultivitamin,xfandxfSt.xfJohn'sxfwort.xfWhic
hxfconditionxfisxfmostxfurgentlyxfsuspected?xf-xfcorrectxfanswer✔ ✔
Serotoninxfsyndrome
Axfyoungxfadultxfwhoxfisxfbeingxftreatedxfforxfintermittentxfasthmaxfisxfexperie
ncingxfaxfmoderatexfexacerbation.xfAnxfacceptablexftreatmentxfapproachxfwo
uldxfbexfto:xf-xfcorrectxfanswer✔ ✔
prescribexforalxfcorticosteroidsxfforxf5xfdays.