MN 568 Mid-Term Exam -Questions
With Verified Correct Answers!!
You have taught Jennifer, age 15, about using a flow meter to assess how to manage her asthma
exacerbations. She calls you today because her peak expiratory flow rate is 65%. What would
you tell her? - ✔✔Use your rescue inhaler, begin the Rx of PO glucocorticoids you have,
and call back tomorrow."
Which statement about adenocarcinoma of the lung is accurate? - ✔✔It is the most
prevalent carcinoma of the lungs in both sexes and in nonsmokers, representing 35-40% of all
tumors
Jason, age 62, has obstructive sleep apnea. What do you think is one of his contributing factors? -
✔✔His collar size is 17in
The forced vital capacity is decreased in:
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. Restrictive disease - ✔✔restrictive disease
The most common cause of CAP is: - ✔✔Streptococcus pneumoniae
Which of the following pt's would you expect to have a decreased response to TST? -
✔✔Sandy, a 40yo pt who recently survived a fire that left 40% of her total body
surface covered in burns
Which of the following is a possible consequence of sleep apnea?
a. Asthma
b. Increased WBC
,c. Insulin resistance
d. Hyperactivity - ✔✔insulin resistance
Which of the following conditions is associated with cigarette smoking?
a. Glaucoma
b. Increased sperm quality
c. Bladder cancer
d. Eczema - ✔✔Bladder cancer
Marta is taking TB drugs prophylactically. How do you instruct her to take them? -
✔✔Take them on an empty stomach to facilitate absorption
Which of the following statements regarding pulmonary function is true?
a. Cigarette smoking accelerates the decline in pulmonary function tenfold
b. Smoking cessation can reverse most pathological changes c. Cigarette
smoking decreases mucus production
d. There is a normal age-related decline in pulmonary function - ✔✔There is a normal
age-related decline in pulmonary function
Supplemental oxygen for how many hours per day has been shown to improve the mortality
associated with COPD? - ✔✔15-18 hours
The barrel chest characteristic of emphysema is a result of: - ✔✔hyperinflation
Which ethnic group has the highest lung cancer incidence and mortality rates? -
✔✔African American men
,A pt is 66in in height, weighing 200lbs, and newly diagnosed with T2DM. Her fasting
plasma glucose level is 215mg/dL. What is the best initial treatment? - ✔✔Diet and
exercise for 6 week trial
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?
-High sensitivity thyroid-stimulating hormone (TSH) and free T4
-Free T4 and serum calcium
-Free T3 and T4
-TSH and thyroxin antibodies - ✔✔High sensitivity thyroid-stimulating hormone (TSH)
and free T4
A pt whit T2DM asks the clinician why she needs to exercise. In order to answer her, the
clinician must understand that exercise has what effect on the pt with T2DM?
-Reduces postprandial blood glucose
-Reduces triglycerides and increases HDL
-Reduces total cholesterol-
All of the above - ✔✔All of the above
A pt with T1DM comes to the clinic c/o feeling nervous and clammy. He states that he took
his insulin this morning but was late for work and did not eat breakfast. Which action should
the clinician take first.
-Check his blood sugar
-Have him drink 4oz of juice
-Call 911
-Ask him about his usual eating habits - ✔✔Have him drink 4oz of juice
A pt with T2DM comes to the clinic after reading about metformin in a magazine. Which of the
following conditions that the patient also has would be a contraindication to taking metformin?
, -Ketoacidosis
-Cirrhosis
-Hypoglycemic episodes
-All of the above - ✔✔All of the above
A 25yo pt presents to the clinic with fatigue, cold intolerance, wt gain, and constipation for the
past 3mo. On physical exam, the clinician notices a sinus bradycardia; muscular stiffness;
coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests
should be ordered next?
-Serum calcium
-TSH
-Electrolytes
-Urine specific gravity - ✔✔TSH
The clinician has been doing diabetic teaching for a pt with type 1 diabetes. Which of the
following statements by the pt would indicate that teaching has been effective? - ✔✔I know I
need to have my eyes checked every year.
A 64yo man with T2DM presents to the clinic with the complaint of "my feet feel like they're
on fire." He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left
heel. Which of the following would be an appropriate treatment?
-Tricyclic antidepressants
-Capsaicin cream
-Vitamin B12 injections
-Insulin - ✔✔Tricyclic antidepressants
After removing a tack from a T2DM pt's heel and evaluating the site for infection, what is
the best plan for this pt?
-Suggest she use a heating pad to improve circulation
With Verified Correct Answers!!
You have taught Jennifer, age 15, about using a flow meter to assess how to manage her asthma
exacerbations. She calls you today because her peak expiratory flow rate is 65%. What would
you tell her? - ✔✔Use your rescue inhaler, begin the Rx of PO glucocorticoids you have,
and call back tomorrow."
Which statement about adenocarcinoma of the lung is accurate? - ✔✔It is the most
prevalent carcinoma of the lungs in both sexes and in nonsmokers, representing 35-40% of all
tumors
Jason, age 62, has obstructive sleep apnea. What do you think is one of his contributing factors? -
✔✔His collar size is 17in
The forced vital capacity is decreased in:
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. Restrictive disease - ✔✔restrictive disease
The most common cause of CAP is: - ✔✔Streptococcus pneumoniae
Which of the following pt's would you expect to have a decreased response to TST? -
✔✔Sandy, a 40yo pt who recently survived a fire that left 40% of her total body
surface covered in burns
Which of the following is a possible consequence of sleep apnea?
a. Asthma
b. Increased WBC
,c. Insulin resistance
d. Hyperactivity - ✔✔insulin resistance
Which of the following conditions is associated with cigarette smoking?
a. Glaucoma
b. Increased sperm quality
c. Bladder cancer
d. Eczema - ✔✔Bladder cancer
Marta is taking TB drugs prophylactically. How do you instruct her to take them? -
✔✔Take them on an empty stomach to facilitate absorption
Which of the following statements regarding pulmonary function is true?
a. Cigarette smoking accelerates the decline in pulmonary function tenfold
b. Smoking cessation can reverse most pathological changes c. Cigarette
smoking decreases mucus production
d. There is a normal age-related decline in pulmonary function - ✔✔There is a normal
age-related decline in pulmonary function
Supplemental oxygen for how many hours per day has been shown to improve the mortality
associated with COPD? - ✔✔15-18 hours
The barrel chest characteristic of emphysema is a result of: - ✔✔hyperinflation
Which ethnic group has the highest lung cancer incidence and mortality rates? -
✔✔African American men
,A pt is 66in in height, weighing 200lbs, and newly diagnosed with T2DM. Her fasting
plasma glucose level is 215mg/dL. What is the best initial treatment? - ✔✔Diet and
exercise for 6 week trial
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?
-High sensitivity thyroid-stimulating hormone (TSH) and free T4
-Free T4 and serum calcium
-Free T3 and T4
-TSH and thyroxin antibodies - ✔✔High sensitivity thyroid-stimulating hormone (TSH)
and free T4
A pt whit T2DM asks the clinician why she needs to exercise. In order to answer her, the
clinician must understand that exercise has what effect on the pt with T2DM?
-Reduces postprandial blood glucose
-Reduces triglycerides and increases HDL
-Reduces total cholesterol-
All of the above - ✔✔All of the above
A pt with T1DM comes to the clinic c/o feeling nervous and clammy. He states that he took
his insulin this morning but was late for work and did not eat breakfast. Which action should
the clinician take first.
-Check his blood sugar
-Have him drink 4oz of juice
-Call 911
-Ask him about his usual eating habits - ✔✔Have him drink 4oz of juice
A pt with T2DM comes to the clinic after reading about metformin in a magazine. Which of the
following conditions that the patient also has would be a contraindication to taking metformin?
, -Ketoacidosis
-Cirrhosis
-Hypoglycemic episodes
-All of the above - ✔✔All of the above
A 25yo pt presents to the clinic with fatigue, cold intolerance, wt gain, and constipation for the
past 3mo. On physical exam, the clinician notices a sinus bradycardia; muscular stiffness;
coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests
should be ordered next?
-Serum calcium
-TSH
-Electrolytes
-Urine specific gravity - ✔✔TSH
The clinician has been doing diabetic teaching for a pt with type 1 diabetes. Which of the
following statements by the pt would indicate that teaching has been effective? - ✔✔I know I
need to have my eyes checked every year.
A 64yo man with T2DM presents to the clinic with the complaint of "my feet feel like they're
on fire." He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left
heel. Which of the following would be an appropriate treatment?
-Tricyclic antidepressants
-Capsaicin cream
-Vitamin B12 injections
-Insulin - ✔✔Tricyclic antidepressants
After removing a tack from a T2DM pt's heel and evaluating the site for infection, what is
the best plan for this pt?
-Suggest she use a heating pad to improve circulation
