1. A 72 year old woman has been on hydrochlorthiazide 12.5 mg for many
years to control her Stage II hypertension. Her BP at this visit is 168/96. She
is currently complaining of pain in her right hip and both knees. She has
increased her dose of ibuprofen from 400 mg TID to 800 mg TID. She is still
in pain and would like something stronger. Best explanation of the effects of
ibuprofen on her disease. ANS >>> It inhibits the effect of renal prostaglandins
and blunts the effectiveness of the diuretic
2. Infections that affect mostly the labia and vagina except? ANS >>>
Chlamydia tra- chomatis
3. The nurse practitioner would test the obturator and iliopsoas muscle to
evaluate for?
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, a. cholecystitis
b.
c. inguinal hernia
d. gastric ulcer ANS >>> Acute appendicitis
4. Tx for mild preeclampsia includes all except ANS >>> ANS >>> Prescription of
methyldopa to control BP
5. All of the following services are covered under Medicare Part A except ANS
>>>
a. inpatient hospitalization
b. medicines administered to a patient while hospitalized
d. surgeons ANS >>> nursing home care
6. A 28 year old student is seen in the school health clinic with complaints
of a hacking cough that is productive of small amounts of sputum and a
runny nose. He does not take medications, denies any allergies, and has no
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, significant medical history. Physical exam reveals low-grade temperature of
99.9 degrees, respirations of 16 per minute, heart rate of 90 beats per minute,
and diffuse fine crackles in the base of the lungs. A chest xray shows diffuse
infiltrates on the lower lobe of the right lung. The total WBC is 10,000. What is
the most likely diagnosis?
a. streptococcal pneumonia
b. mycoplasma pneumonia
c. acute bronchitis
d. legionnaire's disease ANS >>> b
7. A 39 year old migrant worker presents to the clinic 2.5 days after a PPD
skin test. The minimum size of induration would be considered positive in this
patient?
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