An adult develops chronic cough with episodes of wheezing and shortness of breath.
The provider performs chest radiography and other tests and rules out infection,
upper respiratory, and gastroesophageal causes. Which test will the provider order
initially to evaluate the possibility of asthma as the cause of these symptoms?
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Spirometry
The primary care nurse practitioner performs a physical examination on a 9-month-
old infant with congenital hypothyroidism who takes daily levothyroxine sodium and
notes a recent slowing of the infant's growth rate. What will the nurse practitioner
order?
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, Free serum T4 and TSH levels.
A school-age child has recurrent diarrhea with foul-smelling stools, excessive flatus,
abdominal distension 2-week lactose-free trial failed to reduce symptoms. What is the
next step in diagnosing this condition?
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Serologic testing for celiac disease
What is called when cough sneeze and pee?
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stress incontinence
Most appropriate diagnostic approach to ruleout free air in the abdomen includes
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plain abdominal film
A patient who is obese has recurrent urinary tract infections and reports feeling tired
most of the time. What initial diagnostic test will the provider order in the clinic at this
visit?
,Give this one a try later!
Hemoglobin A1C
An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the
primary care NP notes vomiting, poor feeding, lethargy, and mild dehydration. Which
action is correct?
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Refer the infant to the ED for fluids, dextrose, and steroids
A patient is diagnosed with PAD and elects not to have angioplasty after an
angiogram reveals partial obstruction in lower extremity arteries. What will the
provider recommend to help with relief of symptoms in this patient?
Give this one a try later!
Walking to the point of pain each day
A teen who has otitis externa has severe swelling of the external auditory canal that
persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is
the next step in treatment for this child?
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Insert a wick into the external auditory canal
, Tx for chlamydia
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1 gram Zithromax x 1
The primary care nurse practitioner evaluates children's growth to screen for
endocrine and metabolic disorders. Which is a critical component of this screening?
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Obtaining serial measurements to assess patterns over time.
A patient reports a decrease in the frequency of stools and asks about treatment for
constipation. Which findings are part of the Rome Ill criteria for diagnosing
constipation? (Mark all that apply)
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Feeling of incomplete evacuation, lumpy stools, symptoms present for 3
months
Medial epicondial pain, tender to palpation, what question would you ask.
Give this one a try later!
The provider performs chest radiography and other tests and rules out infection,
upper respiratory, and gastroesophageal causes. Which test will the provider order
initially to evaluate the possibility of asthma as the cause of these symptoms?
Give this one a try later!
Spirometry
The primary care nurse practitioner performs a physical examination on a 9-month-
old infant with congenital hypothyroidism who takes daily levothyroxine sodium and
notes a recent slowing of the infant's growth rate. What will the nurse practitioner
order?
Give this one a try later!
, Free serum T4 and TSH levels.
A school-age child has recurrent diarrhea with foul-smelling stools, excessive flatus,
abdominal distension 2-week lactose-free trial failed to reduce symptoms. What is the
next step in diagnosing this condition?
Give this one a try later!
Serologic testing for celiac disease
What is called when cough sneeze and pee?
Give this one a try later!
stress incontinence
Most appropriate diagnostic approach to ruleout free air in the abdomen includes
Give this one a try later!
plain abdominal film
A patient who is obese has recurrent urinary tract infections and reports feeling tired
most of the time. What initial diagnostic test will the provider order in the clinic at this
visit?
,Give this one a try later!
Hemoglobin A1C
An infant has congenital adrenal hyperplasia. At a routine well baby checkup, the
primary care NP notes vomiting, poor feeding, lethargy, and mild dehydration. Which
action is correct?
Give this one a try later!
Refer the infant to the ED for fluids, dextrose, and steroids
A patient is diagnosed with PAD and elects not to have angioplasty after an
angiogram reveals partial obstruction in lower extremity arteries. What will the
provider recommend to help with relief of symptoms in this patient?
Give this one a try later!
Walking to the point of pain each day
A teen who has otitis externa has severe swelling of the external auditory canal that
persists after 2 days of therapy with ototopical antibiotic/corticosteroid drops. What is
the next step in treatment for this child?
Give this one a try later!
Insert a wick into the external auditory canal
, Tx for chlamydia
Give this one a try later!
1 gram Zithromax x 1
The primary care nurse practitioner evaluates children's growth to screen for
endocrine and metabolic disorders. Which is a critical component of this screening?
Give this one a try later!
Obtaining serial measurements to assess patterns over time.
A patient reports a decrease in the frequency of stools and asks about treatment for
constipation. Which findings are part of the Rome Ill criteria for diagnosing
constipation? (Mark all that apply)
Give this one a try later!
Feeling of incomplete evacuation, lumpy stools, symptoms present for 3
months
Medial epicondial pain, tender to palpation, what question would you ask.
Give this one a try later!
