Primary Care of the Maturing & Aged Family Practicum
Questions and Answers (Verified Answers)
1. Mr. A, experienced a brief onset of right sided weakness, slurred speech
and confusion yesterday. The symptoms have resolved and the CT is
normal. What is the next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask
ANS: b. identify modifiable cardiovas- cular risk factors
2. A 56-year old male patient screened for diabetes has a fasting plasma
glucose level of 96mg/dl. The nurse practitioner management plan
includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
,c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam
ANS: a. repeat fasting plasma glucose in three years
3. RW, a 57 year old native American female, presents to the office. RW
states she feels irritable and has difficulty concentrating as well as fallingn
asleep and staying aleep. She states she is worried about her finances, her
husband has just lost his job. The NP diagnoses anxiety. The NP prescribes
a first line treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine
ANS: d. Paroxetine
4. The most common sustained rhythmic disorder, which consists of
fibrilla- tory p waves is:
a. AV block
b. atrial tachycardia
,c. atrial fibrillation
d. atrial flutter
ANS: c. atrial fibrillation
5. According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
, d. is not treated with vaginal lubricants
ANS: c. is a contributing factor for frequent urinary tract infections
6. Which of the following is the most appropriate screening tool for
delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model
ANS: d. Confusion Assessment Model
7. A drug that can be used to treat two very common symptoms in a
dying patient (pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine
ANS: d. Morphine