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A test performed with an albuterol nebulizer treatment that can confirm a diagnosis
of asthma by indicating whether a patient has reversible airway obstruction.
ANS: Office Spirometry
Amoxicillin-Clavulanate (Augmentin) is the appropriate initial pharmacologic
intervention.
ANS: Initial pharmacologic intervention for maxillary facial pain and yellow nasal
discharge
Lung Cancer is the leading cause of cancer-related deaths in the majority of
women.
ANS: Leading cause of cancer-related deaths in women
A 29-year old male may exhibit no remarkable clinical symptoms.
ANS: Noncomplicated Chlamydia infection symptoms
A nurse practitioner could ask the patient the meaning of a common proverb.
ANS: Assessing a patient's ability to think abstractly
Start at a lower dose than what is commonly prescribed for adults, and increase the
dose slowly.
ANS: Medication prescribing rule for the elderly
Differential diagnoses would include Depression, Unresolved grief, and
hypothyroidism.
ANS: Differential diagnoses for a 72-year old female with emotional distress
Development of fever may lower the seizure threshold.
ANS: Effect of fever on seizure medication
A target lesion with central clearing in the inguinal area may indicate a condition
such as Lyme disease.
ANS: Target lesion with central clearing
,Pharmacologic management for a patient with severe headache, malaise, fatigue,
and generalized musculoskeletal pain.
ANS: Doxycycline
Test chosen to evaluate memory in an 88 year old male concerned about memory
loss.
ANS: Folstein Mini-Mental State examination
Condition to keep in mind during the treatment plan for an 84 year old patient with
hypothyroidism.
ANS: Osteoporosis
Appropriate response for a 16 year old female experiencing midcycle spotting
while taking Ortho-Novum 7/7/7.
ANS: Providing reassurance
Management of choice for polymyalgia rheumatica.
ANS: Prednisone
Most likely cause of delayed ejaculation in a 50 year old male taking multiple
medications.
ANS: Paroxetine (Paxil)
Most appropriate diagnostic test for a 3 year old patient presenting with fever,
cough, malaise, and loss of appetite.
ANS: Sputum culture
Next step to take in order to make a diagnosis for a 25-year old with decreased
mobility and pain of the right shoulder.
ANS: Palpate the structures around the shoulder
After treatment initiation, the most appropriate intervention is to reevaluate the
patient in 10 days.
ANS: Otitis media treatment intervention
Visual disturbances, edema of the face and hands, and headaches are indications;
glucosuria is NOT.
ANS: Indications of preeclampsia
,Gentamycin Ophthalmic (Genoptic) is the most important to administer.
ANS: Corneal abrasion pharmacotherapeutics
The most likely diagnosis for right-sided weakness after a fall is a left-sided stroke.
ANS: Right-sided weakness diagnosis
The next test to perform is a
Essential for a patient with a history of cryptorchidism to monitor for increased
risk of testicular cancer.
ANS: Testicular self-examination
A disease due to infection with Group A Beta-hemolytic streptococcus,
characterized by an acute onset of fever, pharyngitis, headache, cervical
lymphadenopathy, and a sandpaper textured rash.
ANS: Scarlet fever
A deep, nonblanching rash on the flexor surfaces of the skin associated with scarlet
fever.
ANS: Pastia lines
The nurse practitioner should check the patient's TSH 6 weeks after starting
thyroid hormone replacement therapy.
ANS: TSH check timing after thyroid hormone replacement
The half-life of levothyroxine, the treatment of choice for thyroid replacement, is 7
days.
ANS: Half-life of levothyroxine
The treatment of choice is a fluoroquinolone twice daily for 3 weeks to 4 months.
ANS: Chronic bacterial prostatitis treatment
Diabetes mellitus is a common underlying cause of frequent candidal vaginal
infections.
ANS: Candidal vaginitis underlying condition
The S3 heart sound is low-pitched and occurs just after the S2 heart sound,
produced by rapid ventricular filling.
ANS: S3 heart sound characteristics
, Normal PSA is 4 ng/ml or less; levels greater than 4 and less than 10 are associated
with BPH.
ANS: Normal PSA level
A PSA level of 10 or greater suggests prostate cancer.
ANS: Prostate cancer PSA level
Positive serum acid phosphatase is associated with malignancy of the prostate
gland with bone metastasis.
ANS: Positive serum acid phosphatase
Symptoms include fever, pharyngitis, headache, cervical lymphadenopathy, and a
sandpaper textured rash.
ANS: Acute onset symptoms in a child
The cure rate with Bactrim-DS for chronic bacterial prostatitis is only about 30-
40%.
ANS: Fluoroquinolone cure rate for CBP
Cryptorchidism is associated with an increased risk for testicular cancer.
ANS: Risk factors for testicular cancer
Pregnancy increases the incidence of candidiasis, but is unlikely a factor for a
patient in a monogamous relationship with an IUD.
ANS: Incidence of candidiasis during pregnancy
It is a common finding with right-sided heart failure, rapid growth, and the last
trimester of pregnancy.
ANS: Characteristics of S3 heart sound
Meaningful changes in TSH levels will be observed at 4-6 weeks after starting
therapy.
ANS: Timing for checking TSH after therapy
Frequent infections can be caused by underlying conditions such as diabetes
mellitus.
ANS: Candidal vaginitis risk factors