MSN 621 FINAL STUDY GUIDE 107
QUESTIONS WITH COMPLETE
SOLUTIONS!!
1 of 107
Term
A 45-year-old man presents to the hospital with complaints of dull
aching chest pain, exacerbated upon inhalation. The pain worsens
and becomes unbearable while coughing and sneezing. He further
states that he had a fever two days ago, which responded to
acetaminophen. Which of the following is the most likely source of
pain in this patient?
Give this one a try later!
, Central nervous system Respiratory system
Integumentary system Cardiovascular system
Don't know?
2 of 107
Term
A 65-year-old man presents with erectile dysfunction. The postage
stamp test is positive. Which of the following medications will be
beneficial?
Give this one a try later!
Ramipril Lisinopril
Verapamil Losartan
Don't know?
3 of 107
Term
A 43-year-old man presents to the clinic for evaluation after
abnormalities noted on a routine set of labs. CBC with differential
demonstrated hemoglobin 14 g/dL, WBC count 26,000/microL,
,lymphocytes 21,000/microL, neutrophils 4500/microL, and platelets
260,000/microL. The basic metabolic panel demonstrates normal
electrolytes and renal function. LFTs show total bilirubin 1.2 mg/dL
and normal liver enzymes. On examination in office, his examination
is normal, with no palpable lymph nodes or hepatosplenomegaly.
He denies any B symptoms. Peripheral smear shows lymphocytosis
with many small lymphocytes and smudge cells. Which of the
following is the next best step in the management of this patient?
Give this one a try later!
Observation and close
Chronic lymphocytic leukemia follow
up
Right-sided pleural effusion Increase inhaled budesonide dose.
Don't know?
4 of 107
Term
A nursing home patient with chronic obstructive pulmonary disease
(COPD) and chronic carbon dioxide retention is wheezing. The
oxygen saturation drops from 93 to 90. Which of the following would
be most appropriate?
Give this one a try later!
, Treat with oral corticosteroids Treat with albuterol
by nebulizer
Administer Increase oxygen flow to 10 liters per
intravenous antibiotics
minute
Don't know?
5 of 107
Term
A 65-year-old man with metastatic lung cancer presents with
complaints of dyspnea, dry cough, and chest pain that is
exacerbated on inspiration. His blood pressure is 110/70 mmHg,
heart rate 90/min, respiratory rate 26/min, and he is afebrile. A
chest x-ray shows hyperinflation of the left lung. The patient has
most
likely developed which of the following complications?
Give this one a try later!
Primary spontaneous
pneumothorax Tension pneumothorax
Secondary spontaneous
Closed traumatic pneumothorax
pneumothorax
Don't know?
6 of 107
QUESTIONS WITH COMPLETE
SOLUTIONS!!
1 of 107
Term
A 45-year-old man presents to the hospital with complaints of dull
aching chest pain, exacerbated upon inhalation. The pain worsens
and becomes unbearable while coughing and sneezing. He further
states that he had a fever two days ago, which responded to
acetaminophen. Which of the following is the most likely source of
pain in this patient?
Give this one a try later!
, Central nervous system Respiratory system
Integumentary system Cardiovascular system
Don't know?
2 of 107
Term
A 65-year-old man presents with erectile dysfunction. The postage
stamp test is positive. Which of the following medications will be
beneficial?
Give this one a try later!
Ramipril Lisinopril
Verapamil Losartan
Don't know?
3 of 107
Term
A 43-year-old man presents to the clinic for evaluation after
abnormalities noted on a routine set of labs. CBC with differential
demonstrated hemoglobin 14 g/dL, WBC count 26,000/microL,
,lymphocytes 21,000/microL, neutrophils 4500/microL, and platelets
260,000/microL. The basic metabolic panel demonstrates normal
electrolytes and renal function. LFTs show total bilirubin 1.2 mg/dL
and normal liver enzymes. On examination in office, his examination
is normal, with no palpable lymph nodes or hepatosplenomegaly.
He denies any B symptoms. Peripheral smear shows lymphocytosis
with many small lymphocytes and smudge cells. Which of the
following is the next best step in the management of this patient?
Give this one a try later!
Observation and close
Chronic lymphocytic leukemia follow
up
Right-sided pleural effusion Increase inhaled budesonide dose.
Don't know?
4 of 107
Term
A nursing home patient with chronic obstructive pulmonary disease
(COPD) and chronic carbon dioxide retention is wheezing. The
oxygen saturation drops from 93 to 90. Which of the following would
be most appropriate?
Give this one a try later!
, Treat with oral corticosteroids Treat with albuterol
by nebulizer
Administer Increase oxygen flow to 10 liters per
intravenous antibiotics
minute
Don't know?
5 of 107
Term
A 65-year-old man with metastatic lung cancer presents with
complaints of dyspnea, dry cough, and chest pain that is
exacerbated on inspiration. His blood pressure is 110/70 mmHg,
heart rate 90/min, respiratory rate 26/min, and he is afebrile. A
chest x-ray shows hyperinflation of the left lung. The patient has
most
likely developed which of the following complications?
Give this one a try later!
Primary spontaneous
pneumothorax Tension pneumothorax
Secondary spontaneous
Closed traumatic pneumothorax
pneumothorax
Don't know?
6 of 107
