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, NRNP 6531 Final Exam
Question 1
What is the maximum compensation of PaC02 in metabolic acidosis?
26
Signs of preeclampsia
BP > 140/90
Proteinuria 300mg of protein in urine in 24 hours
Headache
Visual changes
2+ pitting edema
Question 2.
Which of the following is a potential acquired cause of thrombophilia?
Homocystinuria
Protein C deficiency
Factor V Leiden
Antiphospholipid antibodies
Question 3
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
Ulnar tunnel syndrome
Carpal tunnel syndrome
Tarsal tunnel syndrome
Myofascial pain syndrome
Question 4
Which patient would benefit most from screening for type 2 diabetes?
A 30 year old female with unintended weight loss.
A 25 year old male with family history of type 1 diabetes
An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male
Question 5
A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal
interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte
sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally
elevated. What is the most likely diagnosis?
Rheumatoid arthritis (RA)
Osteoarthritis (OA)
Lupus
Peripheral neuropathy
,Question 6
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis
reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be:
Trimethoprim-sulfamethoxazole for 3 days
Ciprofloxacin afor a7-10 adays
Trimethoprim-sulfamethoxazole afor a14 adays
aCiprofloxacin afor a3 adays
A athymectomy ais ausually arecommended ain athe aearly atreatment aof awhich
adisease? aParkinson's adisease
Multiple asclerosis
aMyasthenia agravis
aHuntington's achorea
Question a8
The adiagnosis aof ahuman apapilloma avirus a(HPV) ainfection ain amales ais ausually amade aby
Clinical
aappearance aViral
aculture a Tzanck
asmear
KOH aprep
Question a9
The amost aeffective aintervention(s) ato aprevent astroke ais a(are):
81 amg aof aaspirin adaily
Carotid aendarterectomy afor apatients awith ahigh-grade acarotid
alesions aRoutine ascreening afor acarotid aartery astenosis awith
aauscultation afor abruits aSmoking acessation aand atreatment aof
ahypertension
Question a10
What ais athe amost acommon acause aof aCushing's asyndrome?
Excessive aACTH a production
aAdministration aof aa aglucocorticoid aor
aACTH
Pituitary aadenoma aor aa anon-pituitary aACTH-producing atumor
aAutonomous acortisol aproduction afrom aadrenal atissue
Question a11
Diagnostic aradiological astudies aare aindicated afor alow aback apain:
Routinely aafter a3 aweeks aof alow aback apain asymptoms.
To ascreen afor aspondylolithiasis ain apatients aless athan a20 ayears aof aage awith a2 aweeks aof amore aof alow
aback
, pain.
When athere ais aa asuspicion aof aa aspace-occupying alesion, afracture, acauda aequina, aor
ainfection. aAs aa apart aof aa apre-employment aphysical awhen aheavy alifting ais aincluded ain
athe ajob adescription.
Question a12
After atreating aa apatient afor aHelicobacter apylori ainfection, awhat atest ado ayou aorder ato asee aif ait ahas
abeen acured?
An aenzyme-linked aimmunosorbent aassay
atiter aA aurea abreath atest
A arapid aurease
atest aA arepeat
aendoscopy
Question a13
Which aappropriate atest afor athe ainitial aassessment aof aAlzheimer's adisease aprovides athe
aperformance aratings aon a10 acomplex, ahigher aorder aactivities?
MMSE
CAGE aquestionnaire
FAQ a- aFunctional aActivities aQuestionnaire
aHolmes aand aRahe asocial areadjustment
ascale
Question a14
Major adepression aoccurs amost aoften ain awhich aof athe afollowing aconditions?
A. Myocardial
ainfarction aParkinson's
adisease aStroke
Alzheimer's adisease
Question a15
Which aof athe afollowing astatements aabout amultiple asclerosis a(MS) ais acorrect?
MS ais aa achronic, auntreatable aillness athat ais aalmost aalways afatal.
MS ais aa adisease aof asteadily aprogressive aand aunrelenting aneurologic
adeterioration. aMS ais aa achronic, atreatable aillness awith aunknown acause aand
aa avariable acourse.
Patients awith aMS awho atake aactive asteps ato aimprove atheir ahealth ahave athe abest acure arate.
Question a16
Diagnostic aevaluation aof ahypothyroidism areveals:
Elevated aTSH aand adecreased aT4
aDecreased aTSH aand aincreased aT4
aDecreased aTSH aand adecreased aT3
aElevated aTSH aand aincreased aT4