Primary Care Two Exam One | 100% Correct Answers | Verified | Latest 2024 Version

A 65 year old woman presents complaining of left sided, throbbing headache along with mild fatigue. On examination, the client has a very tender, tortuous temporal artery. A diagnosis of temporal arteritis is suspected. What test will help the NP confirm diagnosis? - Serum ESR Maria is a 24 year old female who presents with a chief complaint of fatugue that she has had for a few months. Serum laboratory tests are ordered and her CBC results are as follow: WBC 9.6 (4.5-11) RBC 3.6 (4.5-11) HGB 10.9 (12-16) HCT 33.1 (35-45) MVC 79 (82-100) MCH 27.2 (26-34) PLT 285 (150-450) Iron 42 (200-400) Ferritin 7.8 (10-150) What type of anemia does Maria have? - Microcytic Anemia Rita, a 22 year old college student, presents to the office complaining of frequent abdominal pain with bloating that is "relieved by defecation." She states that ofter flare-ups of this problem seem to begin with an increased number of loose stools. It is reported that she also struggles with anxiety disorder. What gastrointestinal disorder is most likely? - Irritable bowel syndrome Christopher, age 48, presents to the practice complaining of reflux and abdominal symptoms. What symptom warrants immediate referral to gastroenterology? - Unintentional weight loss (always suspect malignancy)A 44 year old male presents complaining of epigastric pain which occurs two hours after eating and is somewhat relieved with antacids. A urea breath test detects the presence of H.pylori. Which of the following is the preferred treatment regimen? - Non-bismuth-based quadruple therapy for 10 days (PPI, amoxicillin, clarithromycin, metronidazole, plus probiotics) Which type of leukemia is characterized by the presence of "smudge" cells, usual onset after the age of 50 years, and is often asymptomatic? - Chronic lymphocytic leukemia What is the least expensive and most appropriate test to evaluate for brain neoplasm? - CT of head plain A 65 year old male presents to his primary care office. He is an active hiker and spends a lot of time in the mountains hiking. The last time he went hiking was two weeks ago. He complains of fatigue and on exam the NP finds a rash on his elbow. Serologic test