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,An asymptomatic female is concerned about having come c. Empirical ceftriaxone and azithromycin
into contact with sexually transmitted gonorrhea and asks
about antibiotics. What will the provider recommend?
a. Amoxicillin-clavulanate for 10 days
b. Cultures and treatment if symptoms appear
c. Empirical ceftriaxone and azithromycin
d. Trimethoprim-sulfamethoxazole
A patient reports recurrent headaches occurring 1 or 2 times c. Ergotamine tartrate
per month that generally occur with weather changes or when
sleep patterns are disrupted. They are described as severe,
with throbbing on one side of the head and sometimes
accompanied by nausea. What is the recommended abortive
treatment for this type of headache?
a. Gabapentin
b. Propranolol
c. Ergotamine tartrate
d. Topiramate
The provider is evaluating a patient for potential causes of c. This is a normal result.
urinary incontinence and performs a postvoid residual (PVR)
test which yields 30 mL of urine. What is the interpretation of
this result?
a. The patient may have overflow incontinence.
b. The patient probably has a UTI.
c. This is a normal result.
d. This represents incomplete emptying.
A patient exhibits visual field defect, ataxia, and dysarthria and c. Ischemic stroke
complains of a mild headache. A family member reports that
the symptoms began several hours prior. An examination
reveals normal range of motion of the neck. What type of
cerebrovascular event is most likely?
a. Hemorrhagic stroke
b. Hypertensive intracerebral hemorrhage
c. Ischemic stroke
d. Transient ischemic attack (TIA)
, An older male patient reports gross hematuria but denies d. Refer for cystoscopy and imaging
flank pain and fever. What will the provider do to manage this
patient?
a. Monitor blood pressure closely
b. Obtain a urine culture
c. Perform a 24-hour urine collection
d. Refer for cystoscopy and imaging
A patient who has diabetes has symptoms consistent with Uric acid
renal stones. Which type of stone is most likely in this patient?
Uric acid
Citrate
Oxalate
Cysteine
A previously healthy 30-year-old patient is brought to the d. Tissue plasminogen activator (tPA) administration
emergency department with signs of stroke. Diagnostic testing
determines an ongoing ischemic cause. The patient's spouse
reports that symptoms began approximately 2 hours prior to
transport. What is the recommended treatment?
a. Administration of low-molecular-weight heparin
b. Neurosurgical consultation for possible surgery
c. Observation for complications prior to initiating tPA
d. Tissue plasminogen activator (tPA) administration
A patient diagnosed with acute renal colic, nausea, and Order a narcotic pain medication and increased oral fluids
vomiting. A urinalysis reveals hematuria, but is otherwise
normal. A radiographic exam shows several radiopaque
stones in the ureter which are less than 1 mm in diameter. What
will the primary provider do initially to manage this patient?
Order a narcotic pain medication and increased oral fluids
Obtain a consultation with a urology specialist
Prescribe desmopressin and a corticosteroid medication
Prescribe nifedipine and hospitalize for intravenous antibiotics