Complete Exam/ 500 Actual Questions with
100% Correct Verified Answers/ Graded A+
What is the treatment for active, chronic Hep B? - Correct Answer -
Tenofovir or entecavir
What is spasticity? - Correct Answer - clasp knife when the limb is rapidly
moved. It moves freely for a short distance, "catches momentarily" and
forces the practitioner to use more force until it reaches a point of release
What is the DESC model of conflict resolution? - Correct Answer - D
describe the situation E express concerns S suggest alternatives C state
the consequences
IgM antibody to hepatitis B core antigen (IgM anti-HBc) - Correct Answer -
Positivity indicates recent infection with hepatitis B virus (<6 mos). Its
presence indicates acute infection.
What is normal calcium level? - Correct Answer - 8.5-10.5 mg/dL
What is calcitriol? - Correct Answer - the active form of Vit D (1,25 (OH)2
D3). There is a deficiency of this with hypoparathyroidism which means it
should be given after thyroidectomy to increase the absorption of calcium.
pg. 1
,What is calcitonin? - Correct Answer - a hormone secreted by the thyroid
that has the effect of lowering blood calcium
What is a Lisfranc injury? - Correct Answer - An injury involving the lisfranc
joint, which is composed of 5 tarsometarsal joints.
What side effects do you worry about with Bactrim? - Correct Answer -
SJS, bone marrow suppression, electrolyte abnormality, nausea,
hepatotoxicity, photosensitivity
What are the SEs of ciprofloxacin? - Correct Answer - Diarrhea, headache,
drowsiness, insomnia, QT prolongation
When should women have screening for osteoporosis? - Correct Answer -
Screening every 2 years with Dexa bone scan in women > 65 years old
When is lung cancer screening recommended? - Correct Answer - annual
screening with low-dose CT for adults 55-80 who have a 30 pack year
smoking history and currently smoke or have quit within the past 15 years
What volume is normal in the pericardial sac? - Correct Answer - 50 ml
What is first degree heart block? - Correct Answer - Prolonged but fixed PR
interval > .20 seconds (5 little boxes); prolonged conduction of atrial
impulses without loss of any impulses
What is second degree heart block? - Correct Answer - Wenkebach (mobitz
1): PR continues to get longer and longer until a QRS is dropped. "Longer
longer longer drop, that is a wenkebach"
pg. 2
,Mobitz type 2: the PR is lengthened but constant. But then a dropped QRS
occurs
What is third degree AV block? - Correct Answer - Complete heart block.
No conduction (relationship) between the atria and ventricles. P-waves and
QRS are unrelated on ECG. P-waves at normal rate (SA node pace); QRS
40-60 beats/min (AV node pace).
When should you consider a G tube? - Correct Answer - If supplemental
feeding is needed > 6 weeks
When should parenteral nutrition be used? - Correct Answer - When GI
tract cannot be used. And use the central line if > 2 weeks.
What is garlic used for and what should you watch for? - Correct Answer -
Indigestion, respiratory complaints, increase energy
INCREASED RISK OF BLEEDING
What are the two titles of HIPAA? - Correct Answer - Title 1: projects health
insurance coverage for workers and their families when they lose their job
(Cobra)
Title 2: requires the establishment of national standards for electronic
health care transactions and national identifiers for providers, health
insurance plans and employers
Who is required to follow HIPAA? - Correct Answer - Health care providers,
clearinghouses, and health plans
What are the two goals of healthy people 2020? - Correct Answer - 1)
Increase the quality and years of healthy life
pg. 3
, 2) Eliminate health disparities among Americans
What diagnoses must NPs report to the Department of Health? - Correct
Answer - Gonorrhea
Chlamydia
Syphilis
HIV
TB
Animal bites to animal control
What is beta thalassemia? - Correct Answer - - a condition in which the
synthesis of the beta-globin chains is decreased or absent.
- excess alpha chains
- microcytic anemia
Why should you stop hydrochlorothiazide when a patient is having gout
flares? - Correct Answer - It can increase uric acid levels
What diagnosis do you suspect in a 30 year old female with double vision
and complaints of difficulty swallowing who is otherwise healthy? - Correct
Answer - Myasthenia Gravis. Give pyridostigmine or neostigmine,
anticholinesterase medications
What is the strongest and lowest evidence in the hierarchy? - Correct
Answer - Expert opinion is lowest
Meta-analysis is highest
pg. 4