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A 65-year-old woman presents for a follow-up examination after a new patient
visit. She has not seen a healthcare provider for several years. She is a smoker and
her hypertension is now adequately controlled with medication. Her mother died at
age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
1.bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - ✔✔✔ANSWER-A statin drug
,The most commonly prescribed medication for mild systemic lupus erythematosus
(SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). - ✔✔✔ANSWER-ibuprofen (advil)
The most common sign of cervical cancer is:
1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. - ✔✔✔ANSWER-postcoital bleeding
,The nurse practitioner prescribes amitriptyline (Elavil) for a patient with
neuropathic pain secondary to diabetes mellitus. On follow-up, the patient
complains of urine retention and dry mouth. The practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin). - ✔✔✔ANSWER-
discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and
omeprazole (Prilosec). The patient complains of headache, abdominal pain, and
gas. These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
, 4. caused by viral gastroenteritis. - ✔✔✔ANSWER-associated with the
omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis
is:
1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. - ✔✔✔ANSWER-ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis
and presents for a follow-up examination after a recent hospitalization. It is most
important to continue monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.