QUESTIONS AND VERIFIED ANSWERS
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Know the difference between Peripheral Arterial Disease and Chronic
Venous Insufficiency or PVD. There was question about PAD. >>Correct
Answer > PAD: Absence of pulse, decrease blow flowing down, PAIN,
Dx doppler or ABI<0.9, TX exercise by walking or antiplatelet,
PVD: Volume, edema, discoloration, decrease blood going up,
Chronic Bronchitis Treatment >>Correct Answer > Smoking cessation
Pulmonary rehabilitation
Pharmacologic therapy
Supplemental oxygen
Hyperthyroidism treatment >>Correct Answer > methimazole,
PTU-propylthiouracil (preferred in pregnancy)
Radioactive iodine, Beta blockers
,pt. pap's smear noted with Low Grade Squamous Intraepithelial Lesions
and High Grade Squamous Epithelia Lesion noted on the report, what
should NP do? >>Correct Answer > HPV test if not done. Refer for
colposcopy
Chlamydia trachomatis >>Correct Answer > Doxycycline (+ ceftriaxone
for gonorrhea coinfection)
Mammography Screening >>Correct Answer > -Age 45 - 54 yearly
mammogram
-55 and older every 2 years
TB... PPD is positive if area of induration is: >>Correct Answer >
>5 mm in an immunocompromised patient or close contact
>10 mm in immigrant, health care workers, drug user
>15 mm in a patient who lives in an area where TB is very rare.
what condition would make you order Lateral X-ray of the neck.
Options include: Drooling, Unable to do ROM of the neck / stiff neck.
>>Correct Answer > Croup/Epiglottitis
AV nicking (Arterioles pressing on vein of the eye) >>Correct
Answer > HTN retinopathy
,intraocular pressure (IOP) >>Correct Answer > Fluid pressure inside the
eye; measured with tonometry
Rovsing sign >>Correct Answer > pain in the RLQ when the LLQ is
palpated (indicative of appendicitis)
Pencil-like stools occur in an obstruction of what >>Correct
Answer > Sigmoid descending colon
It's a thin narrow stool and possible causes include colon cancer,
diarrhea, IBS. Refer for GI colonoscopy
headache after trauma >>Correct Answer > SDH
migraine headache >>Correct Answer > -paroxysmal (sudden, periodic)
attacks of mostly unilateral headache, often accompanied by disordered
vision, nausea, or vomiting, lasting hours or days and caused by dilation
of arteries.
4-12 hours,
abortive triptans
prophylaxis propranolol, TCA amitriptyline, anticonvulsants topiramate
, Vitamin B12 >>Correct Answer > Folate shares a close relationship with
this other B Vitamin.
Vitamin B12 >>Correct Answer > Cognitive deficits, glossitis, pernicious
anemia,
Folate shares a close relationship with this other B Vitamin.
88/yr. old patient in for follow up secondary. She's been treated with
Tylenol for Joint arthritis. Her SED rate was checked after 6 weeks of
treatment and it was 28. Normal range is from something to 25. How
would you treat the pt. >>Correct Answer > be changed to NSAID, SED
rate is a sign of inflammation
Which medication causes low sperm count for a patient >>Correct
Answer > SSRI
grandiosity >>Correct Answer > Exaggerated belief in or claims about
one's importance or identity.
Bipolor
ADHD >>Correct Answer > A behavioral problem characterized by
short attention span, restless movement, and impaired learning
capacity.