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Ms. H. is diagnosed with hypothyroidism and is placed on levothyroxine 0.05 mg
per day. After a week she calls to tell you she hasn't seen any improvement and
wants to discontinue her medication. Your best response would be to: - ANSWER-
Encourage her to take this dose for at least another week
Mrs. O. is a 46-year-old female whose hypertension has been controlled with
hydrochlorothiazide 50 mg every day for the past 3 years. She is 5'9" and weighs
220 lbs. Although no other abnormal physical findings were noted, blood work
done as part of her routine annual physical examination reveals a fasting blood
glucose of 230 mg/dL. Other abnormal laboratory tests included elevated serum
cholesterol (250) and triglyceride level (170). You should then: - ANSWER-Repeat a
fasting glucose
Dietary recommendations for persons with diabetes do not include: - ANSWER-
Elimination of carbohydrates
The nurse practitioner is counseling a 59-year-old patient who smokes and has
chronic obstructive pulmonary disease. When discussing disease management
strategies, the nurse practitioner advises the patient that the one particular
intervention that will slow the progression of forced expiratory volume loss is: -
ANSWER-smoking cessation
,A 52 year-old male presents with increasing shortness of breath. He has a 60-
pack year history of cigarette smoking and is currently smoking 2PPD. He
complains of daily morning cough for the past five years, producing 1-2
tablespoons of thick white mucus. He began taking ASA 325 mg. QD and Vitamin E
400 I.U. QD approximately six months ago to help prevent heart attack. His chest
x-ray is normal. Breath sounds are harsh. Chest percussion is hyperresonant.
What is your assessment: - ANSWER-COPD
When treating diabetes, the goal for hemoglobin A1c (normal 4-6%) is: - ANSWER-<
7%
A 72 year old male with type 2 diabetes has had good control of his blood glucose
with oral agents. He is in for a routine 3-month check. He had a complete workup
6 months ago. Which of the following diagnostic tests is least likely to be done at
this visit? - ANSWER-ECG
The best indicator of hypothyroidism is: - ANSWER-Presence of elevated TSH
A patient develops acute bronchitis and is diagnosed as having influenza. Which
medication will help reduce the duration of symptoms in this patient? - ANSWER-
Oseltamivir
, A patient is seen in clinic for an asthma exacerbation. The provider administers
three nebulizer treatments with little improvement, noting a pulse oximetry
reading of 90% with 2 L of oxygen. A peak flow assessment is 70%. What is the
next step in treating this patient? - ANSWER-Admit to the hospital with specialist
consultation
Assessment findings in a patient with COPD would include: - ANSWER-Decreased
tactile fremitus and hyperresonance to percussion
What is the most important measurement of pulmonary function in asthma? -
ANSWER-The forced expiratory volume (FEV1)
Albuterol is an example of: - ANSWER-Beta-2-adrenergic agonist
What is the drug of choice for acute management of asthma exacerbation? -
ANSWER-Albuterol
Which of the following findings would be consistent with a hypothyroid state? -
ANSWER-Dry skin and weight gain
Which of the following is not a diagnostic criterion for diabetes mellitus? -
ANSWER-The presence of islet cell antibodies