A 48 12 months antique male affected person screened for diabetes has a fasting plasma
glucose stage of 120mg/dl (6.7mmol/L). The nurse practitioner plan consists of:
a. Prescribe metformin 500mg po BID
b. Train the affected person on way of life changes to decrease blood glucose
c. Initiate self monitoring of blood glucose
d. Assessment the outcomes of oral hypoglycemic medicinal drugs - ANS-b. Train the patient on
life-style changes to decrease blood glucose
A 52 yr old girl affected person screened for diabetes has a fasting plasma glucose degree of
123 mg/dl. The nurse practitioners plan consists of:
a. Repeat fasting glucose in 1 month
b. Prescribe memformin 500mg BID po
c. Repeat fasting plasma glucose in twelve months
d. Repeat fasting glucose in three years - ANS-c. Repeat fasting plasma glucose in 365 days
A 56 12 months antique man is recognized with acute prostatitis, he is afebrile with out severe
pain and may be managed outpatient. He ought to to begin with be dealt with with antibiotics for
how lengthy?
A. 6-12 weeks
b. 14-21 days
c. 3-6 weeks
d. 10-14 days - ANS-d. 10-14 days
A fifty six 12 months antique guy provides to the office with concerns about low strength, loss of
pleasure in his existence and reduced urge for food for two weeks. The nurse practitioner
assesses him using SIG-E CAPS, the NP knows that the E stands for
a. Energy (decreased)
b. Emotional instability
c. Ego dystonia
d. Enthusiasm (decreased) - ANS-a. Electricity (decreased)
A 56-year vintage male patient screened for diabetes has a fasting plasma glucose stage of
96mg/dl. The nurse practitioner management plan includes:
a. Repeat fasting plasma glucose in three years
,b. Prescribe Metformin 500mg po BID
c. Repeat fasting plasma glucose in three hundred and sixty five days
d. Seek advice from ophthalmology for eye exam - ANS-a. Repeat fasting plasma glucose in 3
years
A 58 12 months vintage Caucasian mane with kind 2 diabetes mellitus presents to the clinic as
a new affected person. He takes metformin 500mg two times an afternoon. His remaining Hgb
A1c changed into 7%. He is updated on eye and foot examinations. His BP is 142/96. According
to ACC 2017 pointers for high blood strain in adults, what's the maximum appropriate first line
medicine?
A. Lisinopril
b. Furosemide
c. Amlodipine
d. Clonidine - ANS-a. Lisinopril
A fifty eight year antique male provides to the medical institution with lawsuits of increasing
SOB. The NP suspects HF. The NP examines the CXR film. The NP knows prognosis can be
made with a excessive diploma of accuracy if of the subsequent criteria are met:
1. Symptoms of interstitial edema (Kerley Bs)
2. Top quarter redistribution of pulmonary blood float (cephalization)
3. Abnormally enlarged retrosternal apace
four. Flattening of the diaphragm with blunting of the costrophrenic perspective on PA movie
a. 1 & 2
b2&4
c. 1 & three
d. 2 & three - ANS-a. 1 & 2
A 60 yr vintage overweight male purchaser has type 2 diabetes mellitus and a lipid panel of
TC=250 HDL=32 LDL=a hundred sixty five. The nurse practitioner teaches the patient
approximately his modifiable cardiac danger elements, which consist of:
a. Diabetes, obesity and hyperlipidemia
b. Advancing age, diabetes, hyperlipidemia, and male gender
c. Hyperlipidemia, smoking and family history of coronary heart disease
d. Male with age >forty five, diabetes mellitys and hyperlipidemia - ANS-a. Diabetes, weight
problems and hyperlipidemia
A sixty five caucasian lady affords for her every year bodily. She is 5"1 tall and weighs 102 lbs.
A evaluation of her chart well-knownshows she smokes 1 percent of cigarettes a day, and
liquids 2 beers every nighttime due to the fact that she retired. She has taken synthroid and
, simvastatin for 10 years. She does no longer workout, she likes to sit and knit. The NP is aware
of the non-modifiable hazard element for osteoporosis for this affected person encompass:
a. Activity degree
b. Age
c. Tobacco use
d. Medicinal drugs - ANS-b. Age
A sixty five year antique caucasian provided on your health center with the subsequent history
and signs: reviews correct general health, asymptomatic mitral valve stenosis, modern-day beta
blocker use and bodily examination findings unremarkable. The NP is aware of this affected
person's level of heart failure is:
a. Stage D
b. Stage B - ANS-b. Stage B
A 65 yr antique hispanci female provides to the workplace for recurring follow up for her kind 2
diabetes mellitus. Her recurring UA famous few epithelial cells, negative leukocytes, negative
nitrates, poor protein, no ketones. Which of the subsequent exams must also be ordered
annually for diabetic patients.
A. Reslult is regular, no further checking out is necessary
b. Urine for tradition and sensitivity
c.Advocate a screening intravenous pyelopgram (IVP)
d. Microalbumin - ANS-d. Microalbumin
A sixty five year antique Hispanic girl who gives to the workplace for habitual observe up of her
type 2 diabetes mellitus. Her recurring UA effects are as follows: few epithelial cells, negative
leukocytes, bad nitrates, bad protein, no ketones. Which of the subsequent checks need to
additionally be ordered yearly for diabetic patients:
a. Result is regular, no in addition trying out is vital
b. Urine for lifestyle and sensitivity
c. Recommend a screening intravenous pyelogram (IVP)
d. Micoralbumin - ANS-d. Micoralbumin
A 67 12 months old guy is seen in the medical institution with a prime criticism of nocturia.
Which of the following need to be protected within the differential analysis?
A. Psychogenic nocturia
b. Benign prostatic hypertrophy
c. Drug brought about impotence
d. Irritative posterior urethral lesion - ANS-b. Benign prostatic hypertrophy