WITH ANSWERS GRADED A+
◉ According to the Sexually presentation, atrophic vaginitis
a. the symptoms are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants. Answer: c. is a contributing
factor for frequent urinary tract infections
◉ Which of the following would you recommend annually for the
elderly type 2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an ophthalmologist. Answer: d. eye exam with an
ophthalmologist
◉ The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
,d. at home. Answer: d. at home
◉ Which of the following is a role of the advanced practice nurse in
palliative cancer care?
a. detecting cancer in asymptomatic patients or those with specific
symptoms
b. arranging for follow up including patients
c. identifying and managing complications of care
d. all of the above. Answer: d. all of the above
◉ A 58 year old Caucasian mane with type 2 diabetes mellitus
presents to the clinic as a new patient. He takes metformin 500mg
twice a day. His last Hgb A1c was 7%. He is up to date on eye and
foot examinations. His BP is 142/96. According to ACC 2017
guidelines for high blood pressure in adults, what is the most
appropriate first line medication?
a. lisinopril
b. furosemide
c. amlodipine
d. clonidine. Answer: a. lisinopril
◉ A 68 year old woman presents with a complaint of urine leakage
whenever she sneezes, laughs or strains for the past 4 months. She
denies dysuria, frequency and nocturia. US dipstick is negative for
,RBC's leukocyte esterase, nitrates, ketones and urobilinogen. What is
the diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontinence. Answer: a. stress incontinence
◉ A 52 year old female patient screened for diabetes has a fasting
plasma glucose level of 123 mg/dl. The nurse practitioners plan
includes:
a. repeat fasting glucose in 1 month
b. prescribe metformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years. Answer: c. repeat fasting
plasma glucose in one year
◉ According to the palliative care presentation, most elderly
patients die:
a. alone
b. at home
c. in institutions
d. in pain. Answer: c. in institutions
, ◉ Male patient presents with a BMI of 30 presents to the office for
an annual exam. You are reviewing the lab results. You ordered a
CMP as part of routine labs. The fasting glucose was 130. Your next
action is:
a. repeat the fasting glucose
b. start metformin 500mg BID
c. repeat fasting glucose in 1 year
d. call the patient and report lab results as normal. Answer: a. repeat
the fasting glucose
◉ The task of grieving include all of the following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships. Answer: a. begin to disengage
◉ All of the following are true statements regarding elder abuse
except:
a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse
c. missing scheduled appointments and delays in medical care are
common