|\ |\ |\ |\ |\ |\ |\
ANSWERS
55 year old male presents to the clinic with 2 day history of fever
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(101.5F), productive cough of green sputum, fatigue and chest
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pain from coughing. He has NKDA and his only routine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication is Zantac (Ranitidine) 150 mg bid. He does not |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
smoke. Temp 100.6 F, B/P 110/72 Pulse 90, Resp 18, O2 sat 96%.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Lung exam reveals coarse rhonchi and faint exp wheeze in his
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
right lower lobe with auscultation as well as dullness with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
percussion. Exam is otherwise unremarkable. What should the NP |\ |\ |\ |\ |\ |\ |\ |\
do next? - CORRECT ANSWERS ✔✔Prescribe Doxycylcine 100mg
|\ |\ |\ |\ |\ |\ |\ |\ |\
po bid for 7 days
|\ |\ |\ |\
20 year old male presents with dry cough for 4 days that is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
keeping him awake at night. He also reports mild chest
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
discomfort from coughing so much. He denies fever, dyspnea or|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
other URI symptoms. He has NKDA and takes no routine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medications. He does not smoke. He has tried Mucinex 600mg |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bid without improvement. Vital signs are stable. Exam
|\ |\ |\ |\ |\ |\ |\ |\
unremarkable. What should the NP do for this patient? - |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Prescribe Benzonatate (Tessalon Perles)
|\ |\ |\ |\ |\ |\
200mg every 8 hrs as needed for cough
|\ |\ |\ |\ |\ |\ |\
Which of the following pathogens would you suspect to be the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cause of Community Acquired Pneumonia in a 60 year old with a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
history of COPD? - CORRECT ANSWERS ✔✔Haemophilus
|\ |\ |\ |\ |\ |\ |\
influenzae
, What is the only therapy used for COPD that has been shown to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
decrease the mortality rate associated with COPD? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Supplemental oxygen |\ |\
The diagnostic criteria for COPD is an FEV1/FVC ratio that is less
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
than: - CORRECT ANSWERS ✔✔70%
|\ |\ |\ |\
Mild intermittent asthma has the following clinical features: -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Intermittent symptoms less than once a
|\ |\ |\ |\ |\ |\ |\ |\
week and nighttime symptoms less than twice a month
|\ |\ |\ |\ |\ |\ |\ |\
A 42 year old recent migrant worker presents to the clinic 60 hrs
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after a Mantoux test. What is the minimum size of induration that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
would be considered positive for this patient? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔10 mm |\ |\
Which of the following antihypertensive medications should be
|\ |\ |\ |\ |\ |\ |\ |\
avoided in the patient with Chronic Obstructive Pulmonary
|\ |\ |\ |\ |\ |\ |\ |\
Disease? - CORRECT ANSWERS ✔✔Atenolol (Tenormin)
|\ |\ |\ |\ |\
The etiology of a chronic cough can be related to all of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following except: - CORRECT ANSWERS ✔✔acute Viral Upper
|\ |\ |\ |\ |\ |\ |\ |\
Respiratory Infection |\
Which treatment offers the best chance of cure for lung cancer? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Surgical resection
|\ |\ |\ |\