Leik Exam 2
A patient receiving thyroid replacement therapy contracts the flu and
forgets to take her thyroid replacement medicine. The patient is at risk
for which life-threatening complication?
Exophthalmos
Thyroid storm
Myxedema coma
Pretibial myxedema - ✔ ✔ Solution: C
Myxedema coma.
Myxedema coma (severe hypothyroidism) is a life-threatening
condition that may develop with the abrupt cessation of thyroid
replacement therapy. Exophthalmos, protrusion of the eyeballs, is seen
with hyperthyroidism. Thyroid storm is life-threatening but is caused by
severe hyperthyroidism. Pretibial myxedema, peripheral mucinous
edema involving the lower leg, is associated with hypothyroidism but is
not life-threatening.
The nurse practitioner is performing screenings for scoliosis. What will
the nurse practitioner do to accurately perform this screening?
Ask patient to stand firmly on both feet and bend forward at the hips
while arms hang free
Abduct the patient's hips and listen for a clicking sound
,Ask patient to shrug their shoulders as the nurse practitioner applies
pressure to both shoulders
Ask patient to raise the heel of the right foot and slide the heel down
the knee of the left leg while in a standing position - ✔ ✔ Solution:
A
Ask patient to stand firmly on both feet and bend forward at the hips
while arms hang free.
To screen for scoliosis, a lateral curvature of the spine, the patient
should stand firmly on both feet with the trunk exposed and arms
hanging free. The nurse practitioner examines the adolescent from
behind, checking for asymmetry of the shoulders, scapulae, and hips.
The nurse practitioner should ask the patient to bend forward at the
hips and then inspect for a rib hump, which is another sign of scoliosis.
The nurse practitioner would listen for a clicking sound while the
patient abducts the hips when screening for congenital hip dysplasia.
Having the adolescent shrug their shoulders against mild resistance
helps evaluate the integrity of cranial nerve XI. The heel-to-shin test
evaluates cerebellar function.
Your female patient of 10 years is concerned about her most recent
diagnosis. She was told by her dermatologist that she has an advanced
case of actinic keratosis. Which of the following is the best explanation
for this patient?
It is a benign condition
It is a precancerous lesion and needs to be followed up with her
dermatologist
, It will diminish with application of hydrocortisone cream 1% BID for 2
weeks
It is important for her to follow up with an oncologist - ✔ ✔
Solution: B
It is a precancerous lesion and needs to be followed up with her
dermatologist.
Actinic keratoses are small, raised skin lesions that result from
extended sun exposure. Some actinic keratoses may develop into skin
cancer; therefore, further evaluation is needed to determine if removal
is required
A 4-year-old child presents with a high fever and enlarged lymph nodes
in the neck area. The nurse practitioner notes dry, cracked lips and a
"strawberry tongue" upon a physical assessment. Which diagnosis is
most likely?
Pharyngitis
Allergic rhinitis
Kawasaki disease
Tonsillitis - ✔ ✔ Solution: C
Kawasaki disease.
Kawasaki disease classically presents with high fever; enlarged lymph
nodes in the neck; conjunctivitis; dry, cracked lips; and a "strawberry"
(bright-red) tongue. Most cases occur in children under 5 years of age.
Pharyngitis is an acute infection of the pharynx and presents with a
stuffy nose, rhinitis with clear mucus, and watery eyes. Allergic rhinitis
A patient receiving thyroid replacement therapy contracts the flu and
forgets to take her thyroid replacement medicine. The patient is at risk
for which life-threatening complication?
Exophthalmos
Thyroid storm
Myxedema coma
Pretibial myxedema - ✔ ✔ Solution: C
Myxedema coma.
Myxedema coma (severe hypothyroidism) is a life-threatening
condition that may develop with the abrupt cessation of thyroid
replacement therapy. Exophthalmos, protrusion of the eyeballs, is seen
with hyperthyroidism. Thyroid storm is life-threatening but is caused by
severe hyperthyroidism. Pretibial myxedema, peripheral mucinous
edema involving the lower leg, is associated with hypothyroidism but is
not life-threatening.
The nurse practitioner is performing screenings for scoliosis. What will
the nurse practitioner do to accurately perform this screening?
Ask patient to stand firmly on both feet and bend forward at the hips
while arms hang free
Abduct the patient's hips and listen for a clicking sound
,Ask patient to shrug their shoulders as the nurse practitioner applies
pressure to both shoulders
Ask patient to raise the heel of the right foot and slide the heel down
the knee of the left leg while in a standing position - ✔ ✔ Solution:
A
Ask patient to stand firmly on both feet and bend forward at the hips
while arms hang free.
To screen for scoliosis, a lateral curvature of the spine, the patient
should stand firmly on both feet with the trunk exposed and arms
hanging free. The nurse practitioner examines the adolescent from
behind, checking for asymmetry of the shoulders, scapulae, and hips.
The nurse practitioner should ask the patient to bend forward at the
hips and then inspect for a rib hump, which is another sign of scoliosis.
The nurse practitioner would listen for a clicking sound while the
patient abducts the hips when screening for congenital hip dysplasia.
Having the adolescent shrug their shoulders against mild resistance
helps evaluate the integrity of cranial nerve XI. The heel-to-shin test
evaluates cerebellar function.
Your female patient of 10 years is concerned about her most recent
diagnosis. She was told by her dermatologist that she has an advanced
case of actinic keratosis. Which of the following is the best explanation
for this patient?
It is a benign condition
It is a precancerous lesion and needs to be followed up with her
dermatologist
, It will diminish with application of hydrocortisone cream 1% BID for 2
weeks
It is important for her to follow up with an oncologist - ✔ ✔
Solution: B
It is a precancerous lesion and needs to be followed up with her
dermatologist.
Actinic keratoses are small, raised skin lesions that result from
extended sun exposure. Some actinic keratoses may develop into skin
cancer; therefore, further evaluation is needed to determine if removal
is required
A 4-year-old child presents with a high fever and enlarged lymph nodes
in the neck area. The nurse practitioner notes dry, cracked lips and a
"strawberry tongue" upon a physical assessment. Which diagnosis is
most likely?
Pharyngitis
Allergic rhinitis
Kawasaki disease
Tonsillitis - ✔ ✔ Solution: C
Kawasaki disease.
Kawasaki disease classically presents with high fever; enlarged lymph
nodes in the neck; conjunctivitis; dry, cracked lips; and a "strawberry"
(bright-red) tongue. Most cases occur in children under 5 years of age.
Pharyngitis is an acute infection of the pharynx and presents with a
stuffy nose, rhinitis with clear mucus, and watery eyes. Allergic rhinitis
