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Reactive arthritis (Reiter Syndrome) is characterized by which of the
following triad of symptoms?
A. Eczema, neuropathy, and tendonitis.
B. Carditis, glomerulonephritis, and psoriasis.
C. Arthritis, conjunctivitis, and urethritis.
D. Pruritis, psoriasis, and ulcerative colitis. - ANSWER-C. Arthritis,
conjunctivitis, and urethritis.
("MAKE SURE YOU KNOW THIS")
Can't pee, can't see, can't climb a tree
,The nurse practitioner is managing care for a child who has been
recently diagnosed with juvenile idiopathic arthritis (JIA). Which
specialty referral is critical for this child?
A. Opthalmology
B. Orthopedics
C. Pain management
D. Cardiology - ANSWER-A. Opthalmology
Risk for asymptomatic uveitis, which can lead to vision loss if not
detected early.
A patient experiences a second gouty flare and the provider decides to
begin urate-lowering therapy (ULT). How should this be prescribed?
A. Start ULT in 4 to 8 weeks along with an anti-inflammatory drug.
B. ULT should be suspended during future gouty flares.
C. Start ULT during the current flare for best results.
D. Begin with a high-loading dose and gradually decrease. - ANSWER-
A. Start ULT in 4 to 8 weeks along with an anti-inflammatory drug.
Urate-lowering therapy (ULT), such as allopurinol or febuxostat,
should not be started during an acute gout flare, as it can worsen or
prolong the flare.
It's typically initiated 4-8 weeks after the flare resolves, often with
prophylactic anti-inflammatory therapy (like colchicine or an NSAID)
to prevent another flare during ULT initiation.
When should antibiotics be started in a patient suspected of having
bacterial meningitis?
,A. As soon as possible with high suspicion, prior to obtaining results of
lumbar puncture.
B. Immediately after blood and spinal cultures are obtained.
C. If the serum C-reactive protein is greater than 30 mg/L.
D. When MRI results are available. - ANSWER-A. As soon as possible
with high suspicion, prior to obtaining results of lumbar puncture.
A patient plans to travel to western Africa and is concerned about
contracting Ebola. What will the provider suggest to this patient?
A. Obtain the vaccine prior to travel.
B. Wear clothing that covers the skin.
C. Wear a mask when venturing outdoors.
D. Avoid contact with infectious body fluids. - ANSWER-D. Avoid
contact with infectious body fluids.
A patient who is asymptomatic tests positive for the hepatitis C virus
(HVC). What will the provider tell the patient about managing this
illness?
A. Treatment is supportive since the infection is self-limiting.
B. A rapidly fulminant disease ending with cirrhosis is likely.
C. Administering immunoglobulins helps shorten the course.
D. Several medications are available based on the type of hepatitis C. -
ANSWER-D. Several medications are available based on the type of
hepatitis C.
What is meant by an emerging infectious disease?
, A. The disease is becoming more virulent.
B. The disease has only recently been recognized.
C. The disease has been around a long time but has now been
reactivated.
D. The disease is becoming pandemic. - ANSWER-B. The disease has
only recently been recognized.
A young child may have latent tuberculosis infection (LTBI). Which test
will be performed initially to screen for this infection?
A. Two-step TST.
B. Mantoux test.
C. Interferon gamma release assay.
D. Chest radiograph. - ANSWER-B. Mantoux test.
A 28-year-old woman presents to your clinic with complaints of joint
pain, fatigue, and photosensitivity. On examination, she has an
erythematous rash across her cheeks and nasal bridge that spares the
nasolabial folds. Laboratory testing reveals a positive ANA
(antinuclear antibody). Which of the following is the most likely
diagnosis?
A) Rheumatoid arthritis
B) Systemic lupus erythematosus
C) Dermatomyositis
D) Rosacea - ANSWER-B) Systemic lupus erythematosus