CORRECT ANSWERS.
If taken with a selective serotonin reuptake inhibitor (SSRI), which herbal
product can increase risk of serotonin syndrome?
A. St. John's wort
B. Kava kava
C. Ginkgo biloba
D. Valerian root - CorreCt Answers -A. St. John's wort
--Taking St. John's wort with antidepressants might increase the risk of the
accumulation of high levels of serotonin in your body. Too much serotonin
can cause mild to severe side effects.
A 12-year-old-child patient presents to the clinic and report signs and
symptoms consistent with asthma. How would the healthcare professional
objectively confirm this diagnosis?
A. Draw serum levels of immunoglobulin E (IgE) and eosinophils
B. Measure expiratory flow rate and spirometry testing
C. Assess for parental history of asthma
D. Give a trial of asthma medication and check for improvement - CorreCt
Answers -B. Measure expiratory flow rate and spirometry testing
--To objectively diagnose asthma, pulmonary function testing using
spirometry can be accomplished after a child is 5 to 6 years of age. Reduced
expiratory flow rates that are reversible in response to an inhaled
bronchodilator would be characteristic abnormalities found on a PFT.
,According to CDC risk classification, a PPD measuring 7 mm in a patient
living in a homeless shelter is:
A. Negative results because induration is greater than 5 mm
B. Positive result because induration is less than 15 mm
C. Negative result because induration is less than 10 mm
D. Positive result because induration is greater than 5 mm - CorreCt
Answers -C. Negative result because induration is less than 10 mm
--In high-risk patients, a PPD must measure at least 10 mm of induration to
be positive. High-risk patients include those that live in congregant settings
like correctional facilities, nursing homes, etc.
Which of the following is the most consistent finding in a patient with
unstable angina?
A. 5 minute episode of chest tightness after stairs but relieved with rest
B. Severe, searing pain that penetrates the chest and last 30 seconds
C. Chest pressure lasting 20 minutes that doesn't resolve with resting
D. "heartburn" feeling relieved by position change - CorreCt Answers -C.
Chest pressure lasting 20 minutes that doesn't resolve with resting
--Key features of unstable angina are severe, unpredictable and prolonged
chest pressure or pain lasting longer than 5 minutes. Usual methods to
mitigate symptoms do not reliably work.
When treating type 2 diabetes, sulfonylureas are:
, A. An antagonist of insulin receptor site activity
B. A drug category that enhances insulin release
C. The facilitator of renal glucose excretion
D. A drug category that can reduce hepatic glucose production - CorreCt
Answers -B. A drug category that enhances insulin release
--Sulfone areas for example glipizide, work by increasing production of
insulin by the beta cells in the pancreas. This increase in insulin transports
the glucose in the bloodstream intracellularly.
Crohn's disease is associated with increased risk of malignancy in which
segments of the G.I. tract?
A. Duodenum and colon
B. Esophagus and stomach
C. Ileum and jejunum
D. Ileum and colon - CorreCt Answers -D. Ileum and colon
--Patients with poorly controlled Crohn's disease will be at a heightened
risk for malignancy in the distal G.I. tract which includes the ileum and
colon.What is the gold standard for the suspected diagnosis of Celiac
Disease? - CorreCt Answers -Endoscopy with small intestine biopsy
A 44-year-old woman has recently been diagnosed with advanced
metastatic non-small-cell lung cancer. Genetic testing is ordered to
determine if the patient's tumor has any genomic alterations and to guide
treatment decisions. A few weeks later, the patient's test results come back
positive for a genetic mutation. The APN starts osimertinib (Tagrisso).
Based on this information, what type of genetic mutation does this patient
have? - CorreCt Answers -EGFR mutation