NURS 536- FNPIII Midterm review Questions With
Complete Solutions
A 45 year old female comes into the office complaining of
"poison ivy" on right flank area. Pt denies itching but states the
rash is just "uncomfortable". She lives in suburban Pennsylvania
and home is on a wooded lot. She states this feels different than
when she had poison ivy this summer. She denies recent
gardening given winter months. Patient currently waiting to see
eye doctor so she can start back on her "Lupus medication". On
exam, you note scattered vesicular lesions with a few noted
stabbed lesions along the right flank area.
What is your diagnosis?
How would you treat or is it necessary to do anything?
Are there any risks for complications? Correct Answers 1.
Shingles
2. Valcyclovir
A 52 year old female presents with complaints of leaking urine.
During the questioning, she tells you that it occurs when she
laughs r coughs, she also leaks during her exercise class. She
most likely has:
A. Stress incontinence
B. Overflow incontinence
C. Urge incontinence
D. Functional incontinence Correct Answers A. Stress
incontinence
A 66 year old black male comes into office wanting to establish
care. He hasn't seen a provider since having sutures in his hand
, when he was in his 20's. He is not aware of any medical
problems. Family history- mother died of "old age" at 88. Father
died early 70s from cancer (unsure type). He admits smoking
about a pack of cigarettes a day since high school. He drinks
about 2 beers a day.
Given above history- what preventative screenings/vaccines
would you recommend? Correct Answers Influenza,
Pneumococcal, Tdap
Labs: CBC, CMP, Lytes
Colonoscopy
A non-pregnant 27 yo female presents to your face with
complaints of burning with urination and mild Supra public
discomfort for the last 2 days. Labs and PE indicate that she has
cystitis. She tells you this is her 4th episode this year and it
seems to start a day or two after she has intercourse. Options for
antibiotic prophylaxis for this patient include all of the following
except:
A. Daily low false Macrobid
B. Daily dose of Bactria taken after intercourse
C. 3 days of Bactria at the onset of symptoms
D> Vaginal estrogen cream on application 3 times a week
Correct Answers ...
All of the following are characteristic symptoms of interstitial
cystitis except:
A. Bladder pain the decreases with voiding
B. Pain with sexual intercourse
C persistent urge to void
D. Urinary incontinence Correct Answers A. Bladder pain that
decreases with voiding
Complete Solutions
A 45 year old female comes into the office complaining of
"poison ivy" on right flank area. Pt denies itching but states the
rash is just "uncomfortable". She lives in suburban Pennsylvania
and home is on a wooded lot. She states this feels different than
when she had poison ivy this summer. She denies recent
gardening given winter months. Patient currently waiting to see
eye doctor so she can start back on her "Lupus medication". On
exam, you note scattered vesicular lesions with a few noted
stabbed lesions along the right flank area.
What is your diagnosis?
How would you treat or is it necessary to do anything?
Are there any risks for complications? Correct Answers 1.
Shingles
2. Valcyclovir
A 52 year old female presents with complaints of leaking urine.
During the questioning, she tells you that it occurs when she
laughs r coughs, she also leaks during her exercise class. She
most likely has:
A. Stress incontinence
B. Overflow incontinence
C. Urge incontinence
D. Functional incontinence Correct Answers A. Stress
incontinence
A 66 year old black male comes into office wanting to establish
care. He hasn't seen a provider since having sutures in his hand
, when he was in his 20's. He is not aware of any medical
problems. Family history- mother died of "old age" at 88. Father
died early 70s from cancer (unsure type). He admits smoking
about a pack of cigarettes a day since high school. He drinks
about 2 beers a day.
Given above history- what preventative screenings/vaccines
would you recommend? Correct Answers Influenza,
Pneumococcal, Tdap
Labs: CBC, CMP, Lytes
Colonoscopy
A non-pregnant 27 yo female presents to your face with
complaints of burning with urination and mild Supra public
discomfort for the last 2 days. Labs and PE indicate that she has
cystitis. She tells you this is her 4th episode this year and it
seems to start a day or two after she has intercourse. Options for
antibiotic prophylaxis for this patient include all of the following
except:
A. Daily low false Macrobid
B. Daily dose of Bactria taken after intercourse
C. 3 days of Bactria at the onset of symptoms
D> Vaginal estrogen cream on application 3 times a week
Correct Answers ...
All of the following are characteristic symptoms of interstitial
cystitis except:
A. Bladder pain the decreases with voiding
B. Pain with sexual intercourse
C persistent urge to void
D. Urinary incontinence Correct Answers A. Bladder pain that
decreases with voiding
