6531 midterm review
The most common cancer found on the auricle is: - ANS>>Basal cell carcinoma
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Which of the following medication classes should be avoided in patients with acute or chronic
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bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? -
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ANS>>Antihistimines
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A 47 year old male patient presents to the clinic with a single episode of a moderate amount of
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bright red rectal bleeding. On examination, external hemorrhoids are noted. How should the
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nurse practitioner proceed? - ANS>>Refer the patient for a barium enema and sigmoidoscopy.
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Which of the following patient characteristics are associated with chronic bronchitis? -
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ANS>>Overweight, cyanosis, and normal or slightly increased respiratory rate
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A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
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polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her
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current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily,
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simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse
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practitioner suspects acute diverticulitis and possibly an abscess. The most appropriate
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diagnostic test for this patient at this time is: - ANS>>CT scan
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A patient reports "something flew in my eye" about an hour ago while he was splitting logs. If
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there were a foreign body in his eye, the nurse practitioner would expect to find all except: -
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ANS>>Purulent drainage
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A 21 year old college student presents to the student health center with copious, markedly
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purulent discharge from her left eye. The nurse practitioner student should suspect: -
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ANS>>Gonococcal conjunctivitis
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, A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles
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consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain,
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burning, and itching. The nurse practitioner should suspect: - ANS>>Herpes zoster and consider
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that this patient may be immunocompromised
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Which type of lung cancer has the poorest prognosis? - ANS>>Small cell carcinoma
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An 83-year-old female presents to the office complaining of diarrhea for several days. She
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explains she has even had fecal incontinence one time. She describes loose stools 3-4 times a
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day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests
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that the patient has: - ANS>>Chronic diarrhea
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Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly
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distribution on her face. The rash has red papules and plaques with a fine scale. What do you
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suspect? - ANS>>Systemic lupus erythematosus
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Antibiotic administration has been demonstrated to be of little benefit to the treatment of
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which of the following disease processes? - ANS>>Acute bronchitis
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Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist
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daily. Her exacerbations affect her activities and they occur at least twice weekly and may last
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for days. She is affected more than once weekly during the night with an exacerbation. Which
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category of asthma severity is Lisa in? - ANS>>Moderate persistent
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Which of the following is the most appropriate therapeutic regimen for an adult patient with no
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known allergies diagnosed with group A B-hemolytic strep? - ANS>>Penicillin V 500 milligrams
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PO every 8 hours for 10 days
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The most common cancer found on the auricle is: - ANS>>Basal cell carcinoma
ii ii ii ii ii ii ii ii ii ii ii ii
Which of the following medication classes should be avoided in patients with acute or chronic
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? -
ii ii ii ii ii ii ii ii ii ii ii ii
ANS>>Antihistimines
ii
A 47 year old male patient presents to the clinic with a single episode of a moderate amount of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
bright red rectal bleeding. On examination, external hemorrhoids are noted. How should the
ii ii ii ii ii ii ii ii ii ii ii ii ii
nurse practitioner proceed? - ANS>>Refer the patient for a barium enema and sigmoidoscopy.
ii ii ii ii ii ii ii ii ii ii ii ii ii
Which of the following patient characteristics are associated with chronic bronchitis? -
ii ii ii ii ii ii ii ii ii ii ii
ANS>>Overweight, cyanosis, and normal or slightly increased respiratory rate
ii ii ii ii ii ii ii ii ii
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
ii ii ii ii ii ii ii ii ii ii ii
polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily,
ii ii ii ii ii ii ii ii ii ii ii ii ii
simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse
ii ii ii ii ii ii ii ii ii ii ii ii ii
practitioner suspects acute diverticulitis and possibly an abscess. The most appropriate
ii ii ii ii ii ii ii ii ii ii ii
diagnostic test for this patient at this time is: - ANS>>CT scan
ii ii ii ii ii ii ii ii ii ii ii ii
A patient reports "something flew in my eye" about an hour ago while he was splitting logs. If
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
there were a foreign body in his eye, the nurse practitioner would expect to find all except: -
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ANS>>Purulent drainage
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A 21 year old college student presents to the student health center with copious, markedly
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
purulent discharge from her left eye. The nurse practitioner student should suspect: -
ii ii ii ii ii ii ii ii ii ii ii ii ii
ANS>>Gonococcal conjunctivitis
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, A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain,
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
burning, and itching. The nurse practitioner should suspect: - ANS>>Herpes zoster and consider
ii ii ii ii ii ii ii ii ii ii ii ii ii
that this patient may be immunocompromised
ii ii ii ii ii ii
Which type of lung cancer has the poorest prognosis? - ANS>>Small cell carcinoma
ii ii ii ii ii ii ii ii ii ii ii ii
An 83-year-old female presents to the office complaining of diarrhea for several days. She
ii ii ii ii ii ii ii ii ii ii ii ii ii
explains she has even had fecal incontinence one time. She describes loose stools 3-4 times a
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
that the patient has: - ANS>>Chronic diarrhea
ii ii ii ii ii ii ii
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
distribution on her face. The rash has red papules and plaques with a fine scale. What do you
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
suspect? - ANS>>Systemic lupus erythematosus
ii ii ii ii ii
Antibiotic administration has been demonstrated to be of little benefit to the treatment of
ii ii ii ii ii ii ii ii ii ii ii ii ii
which of the following disease processes? - ANS>>Acute bronchitis
ii ii ii ii ii ii ii ii ii
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
daily. Her exacerbations affect her activities and they occur at least twice weekly and may last
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
for days. She is affected more than once weekly during the night with an exacerbation. Which
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
category of asthma severity is Lisa in? - ANS>>Moderate persistent
ii ii ii ii ii ii ii ii ii ii
Which of the following is the most appropriate therapeutic regimen for an adult patient with no
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
known allergies diagnosed with group A B-hemolytic strep? - ANS>>Penicillin V 500 milligrams
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PO every 8 hours for 10 days
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