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,A chronic cough lasts longer than: a. 8 weeks
A. 3 weeks
B. 8 weeks
C. 6 months
D. 1 year
You are doing a cerumen extraction and touch the external b. Arnold reflex
meatus if your pts ear. He winces and starts coughing. What is
the name of the reflex?
a. Baker phenomenon
b. Arnold reflex
c. Cough reflex
d. Tragus reflex
.Julie has a postnasal drip along with her cough. You assess c. Allergic or vasomotor rhinitis
her for:
a. Asthma
b. Sinusitis
c. Allergic or vasomotor rhinitis
d. Influenza
A patient with hypertension comes in and insists that one of d. Captopril
his new medications is causing him to cough. When looking at
his list of medications, you think the cough must be from:
a. Metoprolol
b. Clopidogrel
c. Tadalafil
d. Captopril
African American patients seem to have a negative reaction to b. Long-term beta-agonist bronchodilators
which of the following asthma medications?
a. Inhaled corticosteroids
b. Long-term beta-agonist bronchodilators
c. Leukotriene receptor agonists
d. Oral corticosteroids
,Sam, age 78, presents to the clinic with respiratory symptoms. c. Chronic bronchitis
His pulmonary function tests are as follows: a normal total
lung capacity, a decreased PaO2, and an increased PaCO2.
On assessment, you auscultate coarse crackles and forced
expiratory wheezes. What is your diagnosis?
a. Asthma
b. Emphysema
c. Chronic bronchitis
d. Influenza
You are using the CURB-65 clinical prediction tool to decide d. Hospitalize and consider admitting her to the intensive care unit.
whether Mabel, whom you have diagnosed with community-
acquired pneumonia (CAP), should be hospitalized or treated
at home. Her score is 3. What should you do?
a. Consider home treatment.
b. Plan for a short inpatient hospitalization.
c. Closely supervise her outpatient treatment.
d. Hospitalize and consider admitting her to the intensive care
unit.
Why do you suspect that your patient may have a decreased c. She has been on long-term corticosteroid therapy.
response to the tuberculin skin test (TBT)?
a. She is on a high-protein diet.
b. She is an adolescent.
c. She has been on long-term corticosteroid therapy.
d. She just got over a cold.
Marci has been started on a tuberculosis (TB) regimen. a. Pyridoxine
Because isoniazid (INH) may cause peripheral neuropathy,
you consider ordering which of the following drugs
prophylactically?
a. Pyridoxine
b. Thiamine
c. Probiotic
d. Phytonadione
, Jolene has breast cancer that has been staged as T1, N0, M0. c. The cancer is less than 2 cm in size and has not spread to the lymph nodes or other
What might this mean? parts of the body.
a. The tumor size cannot be evaluated; the cancer has not
spread to the lymph nodes; and the distant spread cannot be
evaluated.
b. The cancer is in situ; it is spreading into the lymph nodes,
but the spread cannot be evaluated otherwise.
c. The cancer is less than 2 cm in size and has not spread to
the lymph nodes or other parts of the body.
d. The cancer is about 5 cm in size; nearby lymph nodes
cannot be evaluated; and there is no evidence of distant
spreading.
Nathan, a 32-year-old policeman, has a 15-pack-a-year history d. Continue to ask him at every visit if he is ready to quit.
of smoking and continues to smoke heavily. During every visit,
he gets irate when you try to talk to him about quitting. What
should you do?
a. Hand him literature about smoking cessation at every visit.
b. Wait until he is ready to talk to you about quitting.
c. Document in the record that he is not ready to quit.
d. Continue to ask him at every visit if he is ready to quit.
Your patient has decided to try to quit smoking with Chantix. c. His quit date should be in 1 week.
You are discussing his quit date, and he will begin taking the
medicine tomorrow. When should he plan to quit smoking?
a. He should stop smoking today.
b. He should stop smoking tomorrow
c. His quit date should be in 1 week.
d. He will be ready to quit after the first 30 days.
Your patient states he has a strep throat infection. Which of the d. Rhinorrhea
following symptoms makes you consider a viral etiology
instead?
a. Fever
b. Headache
c. Exudative pharyngitis
d. Rhinorrhea