APEA- Study Guide

When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means: - Answer- Refer the patient to an ophthalmologist The American psychiatric association's diagnostic and statistical manual of mental disorder defines Munchausen Syndrome by proxy: - Answer- a caregiver making up or causing an illness or injury in a person under his or her care Symptoms of depression are a side effect of which neurotransmitter medication? - Answer- dopamine Which lesion is dark, raised, and asymmetric with irregular border? - Answer- Melanoma A 32-year-old woman presents with dull puffiness of the eyes pronounced not pitting periorbital edema this finding is suggestive of this condition? - Answer- Myxedema A 42-year-old woman with a past medical history of migraine headaches is requesting prophylactic medication treatment. Which medication should the Nurse Practitioner prescribe? - Answer- Amitriptyline (Elavil) A pediatric has areas of scaling on the scalp with round patches of alopecia. this clinical finding is consistent with: - Answer- Tinea Capitis What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history of migraine headaches? - Answer- Propanolol (Inderal) Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past medical history of type 2 diabetes, obesity, chronic smoking, and sedentary life: - Answer- Her age and tobacco use During the breast examination of a perimenopausal woman, the NP detects a bloody spontaneous discharge from the right nipple. This indicates further evaluation. - Answer- An intraductal papilloma Intraductal papilloma are usually solitary and smaller than 1 cm. They are located in large lactiferous sinuses or ducts and have a tendency to bleed. Rh negative women should receive Rho(D) immunoglobulin at what gestational time? - Answ