NR 509 APEA 3P EXAM

A 35-year-old archaeologist comes to your office for a regular skin check-up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-blond hair. She has many freckles scattered across her skin. From this description, which of the following is not a risk factor for melanoma in this patient? Age Hair color Heavy sun exposure Actinic lentiginous - ANS-- Age The following information is best placed in which category? The patient has had three-cesarian sections Adult illness Surgeries Psychiatric Obstetrics/gynecology - ANS-- Surgeries Which of the following skin lesions is the least likely to metastasize Seborrheic keratosis Squamous cell carcinoma Basal cell carcinoma Melanoma - ANS-- Seborrheic keratosis Which of the following brief screening measures is useful in assessing memory Three-item recall Serial 7s Copying intersecting pentagrams Spelling "world" backward - ANS-- Three-item recall A 25-year-old radio announcer comes to the clinic for and annual examination His BMI is 25.9 kg/m2. He is concerned about his weight. Based on this information, what is appropriate counsel for the patient during the visit? Refer the patient to a nutritionist because he is anorexic Reassure the patient that he has a normal body weight Give the patient information about reduction of fat and cholesterol because he is obese Give the patient information about reduction of fat, cholesterol, and calorie because he is overweight. - ANS-- Give the patient information about reduction of fat, cholesterol, and calorie because he is overweight. A 55 year old bookkeeper comes to your office for a routine visit. You note that on pervious visit for treatment of contact dermatitis, her blood pressure was elevated. She does not have prior elevated readings and her family history in negative for hypertension. You measure her blood pressure in your office today. Which of the following factors can result in a false high reading? Blood pressure cuff is tightly fitted Patient is seated quietly for 10 minutes prior to measurement Patients arm is resting supported by your arm at her mid chest level as you stand to measure the blood pressure Blood pressure is measured on bare arm. - ANS-- Blood pressure cuff is tightly fitted You are beginning the examination of the skin on a 25 year old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weight gain and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with hypothyroidism. Dry and smooth Moist and flaky Moist and velvety Dry and rough - ANS-- Dry and rough A provide is evaluating a patient who presents with increased of breath over the past several weeks. During the discussion with the patient the following occurs. Patient "Sometimes I become so anxious that I lose track of time." Provider "Lose track of time/" Patient "yes a few minutes will pass but it feels like hours" Which of the following describes the interviewing technique used by the provider Summarization Validation Echoing Partnering - ANS-- Echoing The following information is recorded in the comprehensive health history for a patient who is establishing care and has no focused concerns. Patient denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea. To which category does it belong? Past medial illness Present illness Review of systems Personal and social history - ANS-- Review of systems You are beginning the physical examination of a patient. Which of the following areas are important to observe as part of the general survey? Select all that apply Level of consciousness Signs of distress Vital signs Dress, grooming, and personal hygiene - ANS-- Level of consciousness Signs of distress Dress, grooming, and personal hygiene