NGS 6440 PREDICTOR EXAM TEST BANK WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED RATIONALES ANSWERS 2024 (NEWEST) ALREADY GRADED A+

1 | P a g e NGS 6440 PREDICTOR EXAM TEST BANK WITH ACTUAL CORRECT QUESTIONS AND VERIFI ED DETAILED RATIONALES ANSWERS 2024 (NEWE ST) ALREADY GRADED A+ You are treating a patient in your office whom you suspect has chronic lung disease, but you are unsure if you should start treatment today. What do you consider ordering first? A pulmonary consult A chest x -ray An office spirometry A pulmonary function test An office spirometry You are treating an elderly patient who tells you he has a history of allergies. His concern today is he is coughing more at night for the past 6 weeks and wheezing intermittently. He has no history of heart failure, smoking, or other lung disease. Your physical examination is unremarkable. What are y our differential diagnosis(es) for cough? Select all that apply. Asthma Sinusitis Postnasal drip GERD Asthma Sinusitis Postnasal drip GERD A chronic cough lasts longer than: a. 3 weeks. b. 1 month c. 6 months. d. 1 year. 2 | P a g e a. 3 weeks. You are doing a cerumen extraction and touch the external meatus of your patient's ear. He winces and starts coughing. What is the name of this reflex? a. Baker phenomenon b. Arnold reflex c. Cough reflex d. Tragus reflex b. Arnold reflex Julie has a post nasal drip along with her cough. You assess her for: a. Asthma. . b. Sinusitis. c. Allergic or vasomotor rhinitis. d. Influenza. c. Allergic or vasomotor rhinitis. Your patient with hypertension comes in and insists that one of his new medications is caus ing him to cough. When looking at his list of medications, you think the cough must be from: a. Metoprolol (Toprol XL). b. Tadalafil (Cialis). c. Clopidogrel (Plavix). d. Captopril (Capoten). d. Captopril (Capoten). African American patients seem to have a negative reaction to which of the following asthma medications? a. Inhaled corticosteroids b. Long -term beta -agonist bronchodilators c. Leukotriene receptor agonist d. Oral corticosteroid b. Long -term beta -agonist bronchodilators Sam, age 78, presents t o the clinic with respiratory symptoms. His pulmonary function tests (PFTs) 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 di agnosis? a. Asthma b. Emphysema 3 | P a g e c. Chronic bronchitis d. Influenza c. Chronic bronchitis You are using the CURB -65 clinical prediction tool to decide whether Mabel whom you have diagnosed with community -acquired pneumonia (CAP) should be hospitalized or c ould be 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 (IC U). d. Hospitalize and consider admitting her to the intensive care unit (ICU). Why do you suspect that your patient may have a decreased response to the tuberculin skin test (TST)? a. She is on a high -protein diet. b. She is an adolescent. c. She has bee n on long -term corticosteroid therapy. d. She just got over a cold. c. She has been on long -term corticosteroid therapy. Marci has been started on a tuberculosis (TB) regimen. Because isoniazid (INH) may cause peripheral neuropathy, you consider ordering which of the following drugs prophylactically? a. Pyridoxine b. Thiamine c. Probiotic d. Phytonadione a. Pyridoxine Jolen e has breast cancer that has been staged as T1, N0, M0. What might this mean? 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 otherwise cannot be evaluated. 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 ther e is no evidence of distant spreading. 4 | P a g e c. The cancer is less than 2 cm in size and has not spread to the lymph nodes or other parts of the body Nathan, a 32 -year -old policeman, has a 15 -pack year history of smoking and continues to smoke heavily. He gets i rate during every visit when you try to talk to him about quitting. What should you do? a. Just hand him literature about smoking cessation at every visit. b. Wait until he is ready to talk to you about quitting. c. Just document in the record that he is not ready yet. d. Continue to ask him at every visit if he is ready yet. d. Continue to ask him at every visit if he is ready yet. Your patient has decided to give Chantix a try to quit smoking. You are discussing his quit date, and he will begin taking th e 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. c. His quit date should be in 1 week. Which information should be included when you are teaching your patient about the use of nicotine gum? a. The gum must be correctly chewed to a softened state and then placed in the buccal mucosa. b. Patients should not eat for 30 minutes prior to or du ring the use of the gum. c. Initially, one piece is chewed every 30 minutes while awake. d. Acidic foods and beverages should be encouraged during the nicotine therapy. a. The gum must be correctly chewed to a softened state and then placed in the buccal mucosa. Your patient states he has a strep throat infection. Which of the following symptoms makes you consider a viral etiology instead? a. Fever b. Headache c. Exudative pharyngitis d. Rhinorrhea d. Rhinorrhea What is the first -line recommended treatment against Group A B -hemolytic streptococci (GABHS), the most common cause of bacterial pharyngitis?