MN 568 Unit 8 Exam Practice Questions and Answers 2023/2024 Graded

MN 568 Unit 8 Exam Practice Questions and Answers 2023/2024 Graded. A patient is 66 inches in height, weighing 200 pounds, and newly diagnosed with type 2 diabetes mellitus (DM). Her fasting plasma glucose level is 215 mg/dL. What is the best initial treatment? Question options: a) No treatment at this time b) Diet and exercise for 6-week trial c) Diet, exercise, and oral medication d) Diet, exercise, and exogenous insulin Question 3 2 / 2 points Which of the following statements concerning the musculoskeletal examination is true? Question options: a) The uninvolved side should be examined initially and then compared to the involved side. b) The part of the body that is causing the patient pain should be examined first. c) When possible, the patient should not be asked to perform active range-of-motion (ROM) exercises to avoid causing pain. d) Radiographs should always be obtained prior to examination so as not to cause further injury to the patient. Question 4 2 / 2 points The clinician prescribes glipizide (Glucotrol) for a diabetic patient. Which statement made by the patient would indicate that your teaching has been effective? Question options: a) “I’ll take my pill at least 30 minutes before breakfast.” b) “I’ll take my Glucotrol before bedtime.” c) “It is important to take my medication right after I eat.” d) “Since I only like to eat two meals a day, I can take the pill between my meals.” Question 5 2 / 2 points Jennifer is an 18-year-old who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited ROM in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation? Question options: a) Posterior dislocations are more common than anterior dislocations. b) There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses. c) Recurrent dislocations are uncommon and would require great force to result in injury. d) Surgery is most commonly the treatment of choice. Question 6 2 / 2 points Which of the following is diagnostic for diabetes mellitus? Question options: a) A1C 7.0 on one occasion b) Fasting blood sugar (FBS) of 100 mg/dL on two occasions c) Random plasma glucose greater than or equal to 200 in a person with symptoms of hyperglycemia d) Two-hour post-load plasma glucose of 300 mg/dL on one occasion Question 7 2 / 2 points Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is very concerned about the risk of breast cancer associated with hormone replacement therapy and is wondering what other treatments are available to her. The clinician explains that bisphosphonates are another class of drugs used in the prevention and treatment of osteoporosis. What teaching should the clinician give Mrs. Allen in regard to taking bisphosphonates? Question options: a) Taking bisphosphonates can result in hypercalcemia, so calcium intake should be decreased while taking this class of drugs. b) There is potential for upper GI irritation, so these medications are contraindicated in people with abnormalities of the esophagus or delayed esophageal emptying. c) This class of drugs can be taken at any time of the day without regard to meals. d) None of the above Question 8 2 / 2 points A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram changes should the clinician expect as a manifestation of the disease? Question options: a) Sinus bradycardia b) Atrial fibrillation c) Supraventricular tachycardia d) U waves Question 9 0 / 2 points A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of diabetes mellitus. Which of the following should be included in the differential diagnosis? Question options: a) Anxiety disorder b) Pheochromocytoma c) Psychosis d) All of the above Question 10 2 / 2 points You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is: Question options: a) Articular b) Inflammatory c) Nonarticular d) A and B Question 11 2 / 2 points Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression? Question options: a) Gastrocnemius weakness b) A reduced or absent ankle reflex c) Numbness in the lateral foot d) Paresthesia of the perineum and buttocks Question 12 2 / 2 points Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow. The pain has increased following a day of gardening one week ago. A physical finding that differentiates the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is: Question options: a) Ecchymosis, edema, and erythema over the lateral epicondyle b) Pain at the elbow with resisted movements at the wrist and forearm c) Inability to supinate and pronate the arm d) Inability to flex or extend the elbow against resistance Question 13 2 / 2 points The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following tests should the clinician order on the initial visit? Question options: a) High sensitivity thyroid-stimulating hormone (TSH) and free T4 b) Free T4 and serum calcium c) Free T3 and T4 d) TSH and thyroxin antibodies Question 14 0 / 2 points The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient? Question options: a) Overweight b) Mild obesity c) Moderate obesity d) Morbid obesity Question 15 2 / 2 points Which of the following statements is true concerning the management of the client with a herniated disc? Question options: a) Muscle relaxants and narcotics can be used to control moderate pain but should be discontinued after 3 weeks of use. b) An epidural injection is helpful in reducing leg pain that has persisted for at least 3 weeks after the herniation occurred. c) Intolerable pain for more than a 3-month period is an indication for surgical intervention. d) All of the above Question 16 2 / 2 points Sam is a 25-year-old who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc? Question options: a) Morning stiffness and limited mobility of the lumbar spine b) Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain c) Fever, chills, and elevated erythrocyte sedimentation rate d) Pathologic fractures, severe night pain, weight loss, and fatigue Question 17 2 / 2 points The clinician suspects that a client has patellar instability. In order to test for this, the client is seated with the quadriceps relaxed, and the knee is placed in extension. Next the patella is displaced laterally, and the knee flexed to 30°. If instability is present, this maneuver displaces the patella to an abnormal position on the lateral femoral condyle, and the client will perceive pain. Testing for patellar instability in this way is known as: Question options: a) Apprehension sign b) Bulge sign c) Thumb sign d) None of the above Question 18 2 / 2 points Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy? Question options: a) Insulin b) Metformin c) Glucotrol d) Precose Question 19 2 / 2 points Which stage of Paget’s disease is characterized by elevated numbers of osteoblasts, resulting in abnormal increases in bone remodeling and leading to an irregular deposition of collagen fibers?