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A patient comes to your office concerned about a gray arc visible above and below the outer part of his cornea. Upon exam, you diagnose the patient for which of the following underlying medical conditions? A. Hyperlipidiemia B. Ketonemia C. Hypoglycemia D. Presbyopia - A. Hyperlipidemia HLD is usually associated with arcus senilis in adults. Tx is generally aimed at controlling cholesterol and trigylyceride levels. Aware of the high rate of prostate cancer in middle-aged men, you routinely consider administering cancer screens to your patients within this demographic. The earliest time a NP could begin performing DRE of prostate on males is which of the following? A. 45 B. 50 C. 40 D. 55 - A. 45 Although there is some conflicting views on when digital rectal exams should be initiated, it is generally accepted that some male patients such as African-Americans and men with a positive family history of prostate cancer are at high risk and should be screened as early as 40 years of age. Age 45 and 50 are also possible recomendations for screening by some organizations; however, these are not the earliest possible ages. Lastly, 55 is not recommended for when digital rectal exams for prostate cancer should begin A caretaker is taking an Alzheimer's patient for a walk and hands him his jacket. However, the patient merely looks back at the caretaker and stares, as though he is confused. What should the caretaker do? A. Assume that the patient does not need that coat and continue the walk, carrying the coat B. Put the jacket on the patient C. Cancel the walk and reschedule for another time D. Remind the patient by telling him to put his jacket on again - D.The nurse practitioner should put the jack on the patient. This patient is exhibiting apraxia, an inability to perform previously learned tasks, which is a common finding in Alzheimer's patients. The other choices are inappropriate in the handling of the situation. The patient should have a jacket on to prevent susceptibility to ailments. With the patient's current apraxic state, a reminder would not lead the patient to put on the jacket as he has forgotten how to complete the task at hand. If the patient continues to be apraxic before scheduled walks, constant rescheduling would not help to address the situation James, 28, presents with what he thinks is an asthma attack and tightness in his chest. While taking his medical history, you learn he has a history of severe asthma attacks. Which arterial blood gas abnormality would you initially expect to see in James during this asthma attack? A. Metabolic alkalosis B Metabolic acidosis C Respiratory alkalosis D Respiratory acidosis - C. Respiratory alkalosis often occurs during an asthma attack. Respiratory alkalosis occurs as a result of hyperventilation which elevates the blood pH. The other choices feature conditions that do not typically occur during an asthma attack. You have finished assessing a 37-year-old female who has been diagnosed with hyperthyroidism, and you begin a discourse concerning her treatment options. Which of the following is not typically used in the management of hyperthyroidism? A. Methimazole B. Propranolol C. Levothyroxine D. Thiourea drugs - C. Levothyroxine is used only in

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