Nurs6531 Final Exam Adult Primary Care
Questions & 100% correct Answers-
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Question 2. Which of the following is a potential acquired cause of thrombophilia
Ξ -:- Homocysteinuria
Ξ Protein C deficiency
Ξ Factor V Leiden
Ξ Antiphospholipid antibodies
Question 3
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
Ξ -:- Ulnar tunnel syndrome
Ξ Carpal tunnel syndrome
Ξ Tarsal tunnel syndrome
Ξ Myofascial pain syndrome
Question 4
Which patient would benefit most from screening for type 2 diabetes?
Ξ -:- A 30 year old female with unintended weight loss.
Ξ A 25 year old male with family history of type 1 diabetes
Ξ An obese female with recurrent vaginitis
Ξ A 50 year old hyperlipidemic male
Question 5
A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful
distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte
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sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally
elevated. What is the most likely diagnosis?
Ξ -:- Rheumatoid arthritis (RA)
Ξ Osteoarthritis (OA)
Ξ Lupus
Ξ Peripheral neuropathy
Question 6
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days.
Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial
treatment should be:
Ξ -:- Trimethoprim-sulfamethoxazole for 3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease?
Ξ -:- Parkinson's disease
Multiple sclerosis
Myasthenia gravis
Huntington's chorea
Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made by
Ξ -:- Clinical appearance
Viral culture
Tzanck smear
KOH prep
Question 9
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The most effective intervention(s) to prevent stroke is (are):
Ξ -:- 81 mg of aspirin daily
Carotid endarterectomy for patients with high-grade carotid lesions
Routine screening for carotid artery stenosis with auscultation for bruits
Smoking cessation and treatment of hypertension
Question 10
What is the most common cause of Cushing's syndrome?
Ξ -:- Excessive ACTH production
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH-producing tumor
Autonomous cortisol production from adrenal tissue
Question 11
Diagnostic radiological studies are indicated for low back pain:
Ξ -:- Routinely after 3 weeks of low back pain symptoms.
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low
back pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection.
As a part of a pre-employment physical when heavy lifting is included in the job description.
Question 12
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been
cured?
Ξ -:- An enzyme-linked immunosorbent assay titer
A urea breath test
A rapid urease test
A repeat endoscopy
Question 13
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