A 2-month-old infant is presented for exam and immunizations. History includes an
uncomplicated full-term delivery and hep B virus immunization shortly after birth.
Exam is unremarkable except for a diffusely erythematous macular rash in the diaper
area, sparing the inguinal folds. No satellite lesions are noted. The infant's diaper rash
is most likely caused by?
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Contact dermatitis
,Which of the following lab tests should an NP order when the suspected diagnosis is
temporal arteritis?
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Erythrocyte sedimentation rate (ESR)
An NP is evaluating a 40-year-old patient suspected of having a pulmonary embolus.
The patient complains of anxiety and cough. A stat CXR is normal. What tests should
the NP perform next?
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Helical CT pulmonary angiography
During an employment PE of a 21-year-old female, bruising around the areolae on the
breasts is noted. An appropriate health history for these findings should include all of
the following EXCEPT:
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Socioeconomic status
A geriatric male is diagnosed with stage II PD. What should be a first-line medication?
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, Levodopa-carbidopa (Sinemet)
In a 6-year-old, what is the preferred drug for stage 1 Lyme disease?
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Cefuroxime (Ceftin)
An adult female who recently returned from a business trip to Japan presents for a
recheck appointment. The only remarkable lab result is for TSH, at 0.3 (0.4-6 = normal).
The patient reports that her neck hurts; exam reveals thyroid tenderness. What lab
tests should the NP order now?
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T3 and free T4
A frail elderly patient presents with constipation. What normal physiologic changes
seen with aging is the most likely cause?
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Decreased bowel muscle tone
A 3-year-old patient presents at an inner-city clinic with fever, cough, malaise, and
loss of appetite. The patient lives with several relatives, including a grandmother who
, also has a cough. What diagnostic test would be most appropriate for the patient?
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Sputum culture
An 18-year-old college student presents for an athletic physical. When asked about
current medication, she mentions that she takes "some herb" she bought at a health
food store for migraines and menstrual cramps. Which of the following herbal
remedies has been commonly used for these conditions?
Give this one a try later!
Feverfew
A 65-year-old patient being treated with digoxin for CHF presents with complaints of
palpitations. Three days ago, the patient was placed on clarithromycin by another
provider for community-acquired PNA. The appropriate course of action at this point
would be to?
Give this one a try later!
Obtain a digoxin level and change the abx to azithromycin
A 3-year-old female has been diagnosed with bacterial meningitis. She attends
preschool daily at a local church day care program. The day before her diagnosis, she
ate lunch with her mother at a local restaurant. For which contact would
chemoprophylaxis with rifampin be recommended?
uncomplicated full-term delivery and hep B virus immunization shortly after birth.
Exam is unremarkable except for a diffusely erythematous macular rash in the diaper
area, sparing the inguinal folds. No satellite lesions are noted. The infant's diaper rash
is most likely caused by?
Give this one a try later!
Contact dermatitis
,Which of the following lab tests should an NP order when the suspected diagnosis is
temporal arteritis?
Give this one a try later!
Erythrocyte sedimentation rate (ESR)
An NP is evaluating a 40-year-old patient suspected of having a pulmonary embolus.
The patient complains of anxiety and cough. A stat CXR is normal. What tests should
the NP perform next?
Give this one a try later!
Helical CT pulmonary angiography
During an employment PE of a 21-year-old female, bruising around the areolae on the
breasts is noted. An appropriate health history for these findings should include all of
the following EXCEPT:
Give this one a try later!
Socioeconomic status
A geriatric male is diagnosed with stage II PD. What should be a first-line medication?
Give this one a try later!
, Levodopa-carbidopa (Sinemet)
In a 6-year-old, what is the preferred drug for stage 1 Lyme disease?
Give this one a try later!
Cefuroxime (Ceftin)
An adult female who recently returned from a business trip to Japan presents for a
recheck appointment. The only remarkable lab result is for TSH, at 0.3 (0.4-6 = normal).
The patient reports that her neck hurts; exam reveals thyroid tenderness. What lab
tests should the NP order now?
Give this one a try later!
T3 and free T4
A frail elderly patient presents with constipation. What normal physiologic changes
seen with aging is the most likely cause?
Give this one a try later!
Decreased bowel muscle tone
A 3-year-old patient presents at an inner-city clinic with fever, cough, malaise, and
loss of appetite. The patient lives with several relatives, including a grandmother who
, also has a cough. What diagnostic test would be most appropriate for the patient?
Give this one a try later!
Sputum culture
An 18-year-old college student presents for an athletic physical. When asked about
current medication, she mentions that she takes "some herb" she bought at a health
food store for migraines and menstrual cramps. Which of the following herbal
remedies has been commonly used for these conditions?
Give this one a try later!
Feverfew
A 65-year-old patient being treated with digoxin for CHF presents with complaints of
palpitations. Three days ago, the patient was placed on clarithromycin by another
provider for community-acquired PNA. The appropriate course of action at this point
would be to?
Give this one a try later!
Obtain a digoxin level and change the abx to azithromycin
A 3-year-old female has been diagnosed with bacterial meningitis. She attends
preschool daily at a local church day care program. The day before her diagnosis, she
ate lunch with her mother at a local restaurant. For which contact would
chemoprophylaxis with rifampin be recommended?
