NRNP 6531 Week 8 Knowledge Check; Gastrointestinal, Genitourinary, Endocrine, and Hematologic Conditions (Fall Qtr).docx

1. Question: Which of the following patients most warrants screening for hypothyroidism? 2. Question: The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is: 3. Question: The most commonly recommended method for prostate cancer screening in a 55 year old male is: 4. Question: John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia? 5. Question: The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than: 6. Question: A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was “fine” as long as he took the medication. The most appropriate next step is: 7. Question: Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? 8. Question: Of the following choices, the least likely cause of cough is: 9. Question: Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)? 10. Question: A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH? 11. Question: A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis? 12. Question: Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered? 13. Question: What is the most common cause of Cushing’s syndrome? 14. Question: Reed-Sternberg B lymphocytes are associated with which of the following disorders: 15. Question: Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? 16. Question: Which of the following are classic features of ulcerative colitis? 17. Question: Diagnostic confirmation of acute leukemia is based on: 18. Question: After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most effective? 19. Question: Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? 20. Question: Micro albuminuria is a measure of: