Answers NEW VERSION ALREADY
GRADED A
It inhibits the effect of renal prostaglandins and blunts the
effectiveness of the diuretic - ANSWER-A 72 yo woman has been
on hydrochlorothiazide 12.5mg for many years to control her Stae
I HTN. Her blood pressure at this visit is 168/96. She is currently
complaining of pain in her right hip and on both knees. She has
increased her dose of ibuprofen from 400mg 3 times a day to
800mg 3 times a day. She is still in pain and would like something
stronger. Which of the following statements is the best
explanation of the effects of ibuprofen on her disease.
Acute appendicitis - ANSWER-The NP would test the obturator
and iliopsoas muscle to evaluate for what?
A prescription of methyldopa (Aldomet) to control BP - ANSWER-
Treatment for mild preeclampsia includes all of the following
except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and
platelet count
D) A prescription of methyldopa (Aldomet) to control BP.
,Nursing home care - ANSWER-All of the following services are
covered under Medicare Part A except:
A) Inpatient hospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons
Mycoplasma pneumonia - ANSWER-A 28 yo student is seen in
the school health clinic with complaints of hacking cough that is
productive of small amounts of sputum and runny nose. He does
not take any meds, denies any allergies, and has no significant
medical history. Physical exam reveals a low-grade temperature
of 99.9 degrees F, respirations of 16/min, pulse =90, and diffuse
fine crackles in the base of the lungs. A chest x-ray shows diffuse
infiltrates in the lower lobe of the right lung. The total white blood
cell count is 10,500/uL. What is the likely diagnosis?
10mm - ANSWER-A 39 yo migrant worker presents to the clinic
2.5 days after a purified protein derivative (PPD) test. What
minimum size of induration would be considered positive for this
patient?
The patient's spouse has the right to override the agent's
decisions - ANSWER-All of the following are correct statements
regarding the role of the person named in a durable power of
attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's
life such as financial issues.
C) The agent can decide for the patient who is on life support
when that life support can be terminated.
D) The patient's spouse has the right to override the agent's
decisions
,The patient has a medical illness that causes an anxiety reaction
and denial - ANSWER-The following statement regarding
Munchausen syndrome is false:
Beta-blockers - ANSWER-Which antihypertensive medications
should the NP avoid when treating patient with emphysema?
Perform a complete and thorough history - ANSWER-A 30 y/o
chef complains of pruritic hives over her chest and arms but
denies difficulty breathing. She reports a family history of allergic
rhinitis and asthma. What intervention is most appropriate?
Edema of the face and upper extremities - ANSWER-Which
finding is most likely in young primigravidas with pregnancy
induced hypertension?
Tingling and numbness of both feet - ANSWER-Which symptom
is associated with B12 deficiency anemia?
Order an ultrasound - ANSWER-A second triple screen on a 35
yo primigravida reveals abnormal low levels of the alpha
fetoprotein and estriol and high levels of human chorionic
gonadotropin. Which of the following interventions is the best
choice for this patient?
Chlamydia trachoma's - ANSWER-Pts. diagnosed with gonorrhea
should also be treated for what other infections?
Osteoporosis - ANSWER-Kyphosis is a late sign of
Higher than normal - ANSWER-A 35 y/o primigravida who is at
28wks gestation is expecting twins. What would you would expect
her alpha fetal protein (AFP) to be?
, Calcium channel blockers - ANSWER-Which of the following
antihypertensive medications has beneficial effects for an elderly
white female with osteoporosis?
Knee instability - ANSWER-The Lachman maneuver is used to
detect which of the following?
Tanner Stage III - ANSWER-When an adolescent male's penis
grows more in length than width, at which of the following Tanner
stages is he classified?
Toxoplasma gondii, other infections, rubella, cytomegalovirus and
herpes - ANSWER-Fetal TORCH infections can cause
microcephaly, mental retardation, hepatosplenomegaly, and
intrauterine growth retardation. The acronym for TORCH stands
for:.
Laryngeal neoplasia - ANSWER-HPV infection of the larynx has
been associated with:
Degenerative joint disease - ANSWER-Mr. Brown is a 65 y/o
carpenter complaining of morning stiffness and pain in both his
hands and right knee upon awakening. He feels some relief after
warming up. On exam, the nurse notices the presence of
Heberden's nodes. What is most likely diagnosis?
Instability of the knee - ANSWER-What does the positive
posterior drawer sign in a 10 yr old soccer player signify?
From 33-35 cm - ANSWER-A multigravida who is at 34 wks
gestation wants to know at what level her uterine funds should be.
The best answer is to advise the mother that her funds is: