QUESTIONS AND ANSWERS
When performing a health history, your 52 year old male patient complains of
difficulty hearing people when spoken in the right ear. During physical
examination, you perform a Weber test with your patient reporting increased
hearing of vibrations in the right ear. Which one of the following would you
suspect based on these findings?
*Left side conductive hearing loss.
*Left side sensorineural hearing loss.
*Bilateral conductive hearing los.
*Bilateral sensorineural hearing loss. - ANSWER-left side sensorineural
hearing loss
Your patient has provided you with a research paper about a new treatment plan
that is being used, somewhat controversially, in other
areas of the world to treat sinus infections. She asks for your opinion. In
reviewing the article, you educate the patient that they should look for which of
the following, which are considered the highest level of research quality?
*Unblinded retrospective analysis
*Expert opinion statement
*Cohort study
*Systematic review - ANSWER-systemic review
A 16-year-old female patient with heavy menses has been diagnosed with iron
deficiency anemia. She is also having longer and more irregular periods than is
,typical as well as extremely painful cramping. You would likely need to
consider which of the following diagnoses in your workup:
*Sarcoidosis.
*Endometriosis.
*Pelvic inflammatory disease.
*Thalassemia. - ANSWER-endometriosis
While managing the care of the patient with chronic alcoholism, the nurse
practitioner would likely anticipate which findings on the CBC with
differential?
*Low MCV and MCH.
*Normal MCV and MCH.
*Chronic alcoholism will not affect the differential.
*Elevated MCV and MCH. - ANSWER-elevated MCV and MCH
While evaluating Tori, a 24 year old female patient who presented to your clinic
for an annual well-visit, you discuss her health history of migraines and
endometriosis. She reports heavy menses since menarche, sometimes 14 days in
duration which has been well controlled with a combined oral contraceptive
(OCP). Her migraines although frequent seem to be well controlled with the use
of daily propranolol (Inderal) and abortive therapy of sumatriptan (Imitrex).
While evaluating the patient, which of the following questions should the nurse
practitioner consider a priority?
*Have you ever been evaluated for Thalassemia?
*Do you have any visual, sight, or taste symptoms before your migraine
symptoms present?
*Does anyone in your family smoke?
,*Do you have any history of premature cardiac disease? - ANSWER-Do you
have any visual, sight, or taste symptoms before your migraine symptoms
present?
Kevin, a 19 year old male presents to your clinic with a racing feeling in his
chest. An EKG is performed and you hav diagnosed him with
supraventricular tachycardia (SVT) at a rate of 220 and call for EMS.
Understanding the physiology of SVT, you anticipate Kevin will most likely
respond favorably to which of the following intravenous agents?
*Atropine.
*Epinephrine.
*Adenosine.
*Albuterol - ANSWER-Adenosine
Your 52 year old male patient Gus has a diagnosis of heart failure with a low
ejection fraction (HFrEF) (EF 30%) following a recent myocardial infarction
and has been started on optimal medical therapy. Assuming he tolerates all the
following medicines without side effects or contraindications, which one of the
following agents should be avoided for optimal medical therapy specifically
aimed at optimizing his HFrEF?
*Amlodipine (Norvasc)
*Entresto (Sacubitril/Valsartan).
*Furosemide (Lasix).
*Carvedilol (Coreg). - ANSWER-Amlodipine (Norvasc)
Marvin, your 47 year old African American patient with a diagnosis of severe
COPD and coronary artery disease (CAD) has been complaining of shortness of
breath and wheezing after initiation of a new medicine for his coronary artery
disease management. Given his health history, which of the following agents is
considered the safest beta blocker for his CAD management?
, *Carvedilol (Coreg).
*Propranalol (Inderal).
*Labetalol (Trandate).
*Metoprolol (Lopressor). - ANSWER-Metoprolol (oppressor)
Maya, your 52 year old patient is receiving education for her new mediation
regimen for her COPD. Which of the following agents should include rinsing
the mouth for risk of development of oral candidiasis (thrush)?
*Long acting beta agonists.
*Short acting beta agonists.
*Leukotriene inhibitors.
*Inhaled corticosteroids. - ANSWER-inhaled corticosteroids
Margo, a 47 year old female patient recently underwent routine surveillance
labs during her annual visit. From a routine screening lab of Hgb A1C of 7.2,
you have diagnosed her with type 2 diabetes mellitus (T2DM) and anticipate
discharging her with medication and referral to diabetic education. Your
patient teaching should include notification of which common side effect of
the most commonly prescribed first agent for T2DM?
*diarrhea
*delayed gastric emptying
*mycotic infections
*constipation - ANSWER-diarrhea