One of the most effective treatments for alcoholism - Answers 1
Patient presentation possibly common to anxiety and depression includes - Answers agitation
When treating a 25 year old woman for mild anxiety, appropriate initial includes - Answers
referral to mental health services including cognitive behavioral therapy
In prescribing benzodiazepines, the NP considers that - Answers this drugs have a high potential
abuse and the onset of therapeutic effect is usually rapid
Tx recommendations for depression should always include - Answers cognitive behavioral
therapy
The NP knows that the full therapeutic effect of SSRI used for the treatment of depression/
anxiety may take - Answers 12 weeks
When assessing the patient for IVP, the provider should always - Answers screen patients
presenting for PCP visit
Appropriate txs for insomnia include all of the following - Answers encourage patients to have a
regular bed/ awake times, use of sleep machine that provides white noise, limiting alcohol and
caffeine
In a patient complaining of insomnia, education would include the following except - Answers 1
Evidence based first line pharmacological txs for insomnia includ - Answers use a short acting
benzodiazepine receptor agonist
Which class of drug represents the first choice for the management of both depression and
chronic anxiety? - Answers SSRI
Which of the following meds can be used in tx a patient in opioid withdrawal - Answers
methadone and clonidine
DSM 5 criteria for substance tolerance/ dependence includes - Answers diminished effect with
the same amount of substance used
A 34 year old male presenting for a wellness exam admits in the history of drinking a few drinks
now and then, but is vague on how often. You suspect he is a frequent alcohol user. Your next
action would be to - Answers Administer CAGE questionnaire
The common co morbidity associated with depression is - Answers anxiety
A 65 year old female has been on lorazepam for 6 years and wishes to stop. You advise her that
- Answers she needs to taper her dose down with supervision
, A 52 year old female patient presents to your office and is diagnosed with depression. You base
this diagnosis on which of the following symptoms - Answers 0
A 47 year old male presents to the office with chronic sadness and feelings of hopelessness
since his recent divorce 2 months ago. He admits to occasional thoughts that the world would
be better off without me but denies an active plan to commit suicide. Appropriate tx for this
patient would include all of the following except - Answers immediate referral to the ER for
evaluation of suicidal ideation
A 28 year old male presents to the office stating that he is withdrawing from an opioid. You
would expect to see - Answers nausea, vomiting, diarrhea
A maladaptive pattern of substance use that leads to impairment or distress at work, school,
with family and physical or social difficulties defines which of the following - Answers
substance use disorder
A 45 year old female presents to the office with chronic racing thoughts, mild headaches 2-3
days a week, insomnia and difficulty concentrating. Your diagnosis would include - Answers
general anxiety disorder
Evidence based first line treatment for bipolar disorder - Answers mood stabilizer
Labs that may be done when assessing a patient for a mental health concern to rule out a
physical illness may include - Answers drug screen
Prevention of influenza is best achieved by the administration of the annual flu vaccine.
Contradictions to the vaccine include - Answers history of anaphylaxis to the flu vaccine
You suspect that a patient has vitamin B-12 deficiency anemia and folate deficiency anemia. In
addition to checking vit B12 and folate levels, which other BW will confirm your diagnosis -
Answers MMA levels
A 52 year old man presents with a routine work related health assessment. He has no
complaints. His physical exam is normal. His routine CBC reveals HBG 11.1, HCT 37.5, MCV 70.
The patients lack of symptoms and physical findings - Answers is not unusual given the degree
of anemia
A 68 year old man with no past medical history and who is usually healthy presents with
symptoms of dyspnea during exercise for the past 2 weeks. His labs show: HGB 9.8, HCT 28.9,
MCV 82. What is the most likely cause of the finding? - Answers Occult blood loss
A patient has IDA. In treating the patient with supplemental Iron, which of the following is true? -
Answers The bioavailability of supplemental iron is increased with vitamin C
A patient presents with a tick bite. He noticed it today and removed the tick. He thinks it
occurred 2 days ago since that was the only time he was outdoors when he was hiking in the