AANP AGPCNP PRACTICE

An 88-year-old presents with right-side weakness after being unable to rise unassisted following a fall to the bath￾room floor. History includes aphasia and noncompliance with hypertension med￾ication regimen. What is the most likely diagnosis? Left-sided or right-sided CVA? Which of the following signs/symtpoms are often associated with headahces due to intracranial tumor? 1) pain worse laying down, focal neuro￾logical signs 2) Hyperflexia, personality change 3) acute onset: hours to days 4) pupillary constriction; stupor Which of the following pharmacothera- peutics would be most important to ad- minister to a patient who has a corneal abrasion? 1) Timolol 2) Gentamicin ophthalmic 3) Cromolyn optha 4) Olopatadine A 25-year-old presents with the chief complaint of decreased mobility and pain of the right shoulder exacerbated by movement. The patient reports that he participated in extensive house painting 24 hours prior to the onset of pain. He de- nies any trauma. Passive ROM is intact. No redness or ecchymosis is present. What is the next step to be taken in order to make a diagnosis? LEFT-SIDED CVA 1) pain worse laying down, focal neuro￾logical signs 2) Gentamicin ophthalmic (Genoptic) 2) palpate structures AANP AGPCNP PRACTICE 2 / 23 1) Xray of shoulder 2) Palpate structures around the shoul- der. 3) MRI of shoulder 4) EMG A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle spotting.She has not missed any doses and uses no other medication. Which of the following is appropriate? 1) Changing to Ortho-Novum 1/35 2) Discontinue use 3) Providing reassurance 4) Double dose-for two days According to the Report of the U.S. Pre- ventive ServicesTask Force, which of the following is NOT a current recommen- dation guideline for preventive care in elderly female patients? 1) Mammogram and clinical breast ex- ams 2) Fecal Occult blood test and/or sig 3) Rubella serology or vaccination history 4) Pnuemo and influenza vaccines 87 y/o NH patient is drowsy and barely responsive.Temp 95, BP: 110/70, Pulse 60, R 10. The best action is to: 1) initiate passive warming 2) apply a rebreather 3) Perform fluid replacement 4) initiate active warming A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How would you educate this patient on 3) provide reassurance 3) Rubella serology or vaccination history 1) initiate passive rewarming