AANPCBxfFNPxfPracticexfV1
~x f Whichx f ofx f thex f followingx f isx f thex f non-
pharmacologicalx f treatmentx f forx f anx f ever-sionxfanklexfsprain?
Selectxfonlyxfonexfoption
.xfA
Rest,xfice,xfcompression,xfandxfelevationx
fB
Axfheatingxfpadxfandxfdiclofenacxfsodiumxf(Voltaren)xfcrea
mxfC
Alternatexfbetweenxficexfandxfheatx
fD
Physicalx f therapyx f referral:x f A
1. ~xfAxfyoungxfadultxfmalexfwithxfnoncomplicatedxfChlamydiaxfinfectionxfmayxfexhib
it:xfSelectxfonlyxfonexfoption.
A
urticaria.
B
noxfremarkablexfclinicalxfsymptoms
.xfC
axfgreenxfmucoidxfpenilexfdischarge
.xfD
ax f penilex f ulcer.:x f B
2. ~xfInitialxftherapyxfforxfaxf3-week-
oldxfinfantxfwithxfuncomplicatedxfsymptomsxfofx f gastroesophagealxfrefluxxfdisease
xfincludesxfwhichxfofxfthexffollowing xfpositionsxfandxfchangexfinxfdiet?
Selectxfonlyxfonexfoption
.xfA
Pronex f positionx f andx f rotatex f formulasx f inx f orderx f tox f findx f onex f thatx f causesx f lessx f r
efluxxfB
Smaller,xfmorexffrequentxffeedingsxfwhilexfholdingxfinfan
txfC
Semisupinex f positionx f andx f offerx f morex f ouncesx f ofx f formulax f lessx f frequently
, AANPCBxfFNPxfPracticexfV1
D
Lateralx f positionx f andx f startx f smallx f amountsx f ofx f solidx f foodx f withx f formula:x f B
3. ~xfWhichxfofxfthexffollowingxfconditionsxfisxfaxfriskxffactorxfforxfdevelopmentxfofxfdee
pxfveinxfthromboembolismxfandxfpulmonaryxfembolism?
Selectxfonlyxfonexfoption
.xfA
Visceralxfmalignancy
xfB
Suddenxfweightxfgai
nxfC
CopperxfIUDxfinsertion
xfD
Chronicx f glucocorticoidx f use:x f A
4. ~xfAxfpatientxfisxfnewlyxfdiagnosedxfwithxfmultiplexfsclerosis.xfTreatmentxfinclude
sxfprednisonexfwithxfphysicalxftherapy.xfThexfnursexfpractitionerxfadvisesxfthexfpati
entxftoxfbeginxfdisease-modifyingxftherapy:
Selectxfonlyxfonexfoption
.xfA
asxfsoonxfasxfpossible.
xfB
ifxfsymptomsxfworsen.xf
C
ifxfsymptomsxfremainxfthexfsamexfforxf3xfmonths.xf
D
ifxfMRIxfofxfthexfbrainxfshowsxfaxfnewxflesion.:xfA
5. ~xfAxfchildxfisxfdiagnosedxfwithxfradialxfheadxfsubluxationxf("nursemaid'sxfelbow").
xfAfterxfclosedxfmanipulation, xfthexfbestxfindication xfofxfsuccessful xftreatment xfisxftha
t:xfSelectxfonlyxfonexfoption.
A
swellingxfdissipatesxfimmediately
.xfB
pulsexfandxfsensationxfarexfrestored.
, AANPCBxfFNPxfPracticexfV1
C
thexfchildxfquicklyxfbeginsxftoxfusexfthexfaffectedxfar
m.xfD
axf clickx f isxf feltx f whilex f thexf childx f isx f extendingxf andx f rotatingx f thexf arm.:x f C
6. ~xfAxfmiddlexfadultxfmalexfpresentsxfwithxfmalaise.xfFurtherxfquestioningxfreveals
xfthatxfhisxfprimaryxfconcernxfisxfprematurexfejaculation.xfHexfisxfcurrentlyxftakingxfth
exffollowingx f medications:x f atenololx f (Tenormin),x f 50x f mgx f daily;x f paroxetinex f (Pax
il),x f 20xfmgxfdaily;xfloratadinexf(Claritin-
D),xf1xftabletxfdaily;xfandxfhydrochlorothiazidexf(HCTZ),x f 25x f mgx f daily.x f Thex f mos
tx f likelyx f causex f ofx f thex f patient'sx f concernx f is:
Selectxfonlyxfonexfoption
.xfA
loratadinexf(Claritin).
xfB
hydrochlorothiazidexf(HCTZ).xf
C
lisinoprilx f (Zestril)
.
D
paroxetinex f (Paxil).:x f D
7. ~xfAxfyoungxfadultxfreportsxfdecreasedxfmobilityxfandxfpainxfinxfthexfrightxfshoulderx
f afterxfpaintingxfhisxfhousexfyesterday. xfPassivexfrangexfofxfmotionxfisxfintact.xfActive
xfrangexfofxfmotionxfisxfcausingxfpain.xfWhichxfofxfthexffollowingxfisxfthexfbestxfoptionxff
orx f imaging?
Selectxfonlyxfonexfoption
.xfA
Nonexfisxfneededxfatxfthisxftime
xfB
MRIxf
C
CTxfscan
xfD
, AANPCBxfFNPxfPracticexfV1
PlainxfX-ray,xf3xfviews:xfA
~x f Whichx f ofx f thex f followingx f isx f thex f non-
pharmacologicalx f treatmentx f forx f anx f ever-sionxfanklexfsprain?
Selectxfonlyxfonexfoption
.xfA
Rest,xfice,xfcompression,xfandxfelevationx
fB
Axfheatingxfpadxfandxfdiclofenacxfsodiumxf(Voltaren)xfcrea
mxfC
Alternatexfbetweenxficexfandxfheatx
fD
Physicalx f therapyx f referral:x f A
1. ~xfAxfyoungxfadultxfmalexfwithxfnoncomplicatedxfChlamydiaxfinfectionxfmayxfexhib
it:xfSelectxfonlyxfonexfoption.
A
urticaria.
B
noxfremarkablexfclinicalxfsymptoms
.xfC
axfgreenxfmucoidxfpenilexfdischarge
.xfD
ax f penilex f ulcer.:x f B
2. ~xfInitialxftherapyxfforxfaxf3-week-
oldxfinfantxfwithxfuncomplicatedxfsymptomsxfofx f gastroesophagealxfrefluxxfdisease
xfincludesxfwhichxfofxfthexffollowing xfpositionsxfandxfchangexfinxfdiet?
Selectxfonlyxfonexfoption
.xfA
Pronex f positionx f andx f rotatex f formulasx f inx f orderx f tox f findx f onex f thatx f causesx f lessx f r
efluxxfB
Smaller,xfmorexffrequentxffeedingsxfwhilexfholdingxfinfan
txfC
Semisupinex f positionx f andx f offerx f morex f ouncesx f ofx f formulax f lessx f frequently
, AANPCBxfFNPxfPracticexfV1
D
Lateralx f positionx f andx f startx f smallx f amountsx f ofx f solidx f foodx f withx f formula:x f B
3. ~xfWhichxfofxfthexffollowingxfconditionsxfisxfaxfriskxffactorxfforxfdevelopmentxfofxfdee
pxfveinxfthromboembolismxfandxfpulmonaryxfembolism?
Selectxfonlyxfonexfoption
.xfA
Visceralxfmalignancy
xfB
Suddenxfweightxfgai
nxfC
CopperxfIUDxfinsertion
xfD
Chronicx f glucocorticoidx f use:x f A
4. ~xfAxfpatientxfisxfnewlyxfdiagnosedxfwithxfmultiplexfsclerosis.xfTreatmentxfinclude
sxfprednisonexfwithxfphysicalxftherapy.xfThexfnursexfpractitionerxfadvisesxfthexfpati
entxftoxfbeginxfdisease-modifyingxftherapy:
Selectxfonlyxfonexfoption
.xfA
asxfsoonxfasxfpossible.
xfB
ifxfsymptomsxfworsen.xf
C
ifxfsymptomsxfremainxfthexfsamexfforxf3xfmonths.xf
D
ifxfMRIxfofxfthexfbrainxfshowsxfaxfnewxflesion.:xfA
5. ~xfAxfchildxfisxfdiagnosedxfwithxfradialxfheadxfsubluxationxf("nursemaid'sxfelbow").
xfAfterxfclosedxfmanipulation, xfthexfbestxfindication xfofxfsuccessful xftreatment xfisxftha
t:xfSelectxfonlyxfonexfoption.
A
swellingxfdissipatesxfimmediately
.xfB
pulsexfandxfsensationxfarexfrestored.
, AANPCBxfFNPxfPracticexfV1
C
thexfchildxfquicklyxfbeginsxftoxfusexfthexfaffectedxfar
m.xfD
axf clickx f isxf feltx f whilex f thexf childx f isx f extendingxf andx f rotatingx f thexf arm.:x f C
6. ~xfAxfmiddlexfadultxfmalexfpresentsxfwithxfmalaise.xfFurtherxfquestioningxfreveals
xfthatxfhisxfprimaryxfconcernxfisxfprematurexfejaculation.xfHexfisxfcurrentlyxftakingxfth
exffollowingx f medications:x f atenololx f (Tenormin),x f 50x f mgx f daily;x f paroxetinex f (Pax
il),x f 20xfmgxfdaily;xfloratadinexf(Claritin-
D),xf1xftabletxfdaily;xfandxfhydrochlorothiazidexf(HCTZ),x f 25x f mgx f daily.x f Thex f mos
tx f likelyx f causex f ofx f thex f patient'sx f concernx f is:
Selectxfonlyxfonexfoption
.xfA
loratadinexf(Claritin).
xfB
hydrochlorothiazidexf(HCTZ).xf
C
lisinoprilx f (Zestril)
.
D
paroxetinex f (Paxil).:x f D
7. ~xfAxfyoungxfadultxfreportsxfdecreasedxfmobilityxfandxfpainxfinxfthexfrightxfshoulderx
f afterxfpaintingxfhisxfhousexfyesterday. xfPassivexfrangexfofxfmotionxfisxfintact.xfActive
xfrangexfofxfmotionxfisxfcausingxfpain.xfWhichxfofxfthexffollowingxfisxfthexfbestxfoptionxff
orx f imaging?
Selectxfonlyxfonexfoption
.xfA
Nonexfisxfneededxfatxfthisxftime
xfB
MRIxf
C
CTxfscan
xfD
, AANPCBxfFNPxfPracticexfV1
PlainxfX-ray,xf3xfviews:xfA
