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Your patient arrives the urgent care complaining of a swollen throat and vocal changes. Which of the following statements made by the patient brings an index of suspicion of angioedema? A. I have been taking my lisinopril for the past week as prescribed B. I do not take any ibuprofen since it gives me an upset stomach C. I have never had this happen before D. This seems to be getting better already getting out of the cold (Ans- A Which of the following treatments is not recommended for a...

Which of the following influenza vaccines is most appropriate for a 67- year-old man with no reported allergic reactions? Quadrivalent live attenuated influenza vaccine (LAIV) High-dose trivalent IIV Intradermal quadrivalent IIV Cell cultured-based quadrivalent IIV (- Ans: High-dose trivalent IIV While counseling a 32-year-old man in good health about influenza vaccination, he reports that he occasionally experiences hives when consuming eggs (e.g., scrambled eggs), but has no reaction ...

A 73-year-old male who is a smoker has a BMI of 28 and his newly diagnosed with primary hypertension. He has a history of emphysema and second-degree AV block. His blood pressure from the previous visit is 145/80 mmHg. During the current visit, his blood pressure is 155/80 mmHg. What is the next step? A. Start patient on atenolol 50 mg once a day and reassess in three months B. Start patient on felodipine 2.5 mg once a day and reassess in two months C. Start patient on chlorthalidone 12...

The nurse practitioner is caring for a patient with an elevated WBC, fever, chills, and malaise. When developing a differential diagnosis for this finding, which of the following is not a potential cause of the elevated WBC? A -Sepsis B -Diabetes Mellitus Type 2 C -Leukemia D -Recent oral corticosteroid therapy (Ans- B -Diabetes Mellitus Type 2 Your 21 year old sexually active female patient states during a routine health exam that they have some "weird bumps" on their vulva.She i...

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what bone serves as an attachment to the ribs (Ans- sternum function of the skeletal system (Ans- protect, support, and serve as attachment sites which nerve controls the heart, lungs, and digestion (Ans- pneumogastric origin of hamstrings (Ans- ischial tuberosity small discolored spot on skin (Ans- macule the bones of the skull, thorax, and vertebrae make up the skeleton. (Ans- axial dorsiflexion is the movement of the foot and . (Ans- up and backex of pivot joint (Ans- neck appr...

What do you do if you are working on a client and he/she complains of pain where you are working? (Ans- Discontinue and communicate to be sure they are comfortable Which endangerment site is located behind the knees? (Ans- Popliteal artery Which endangerment site is located in the anterior elbow? (Ans- Cubital vein The best movement to relieve muscle cramps: (Ans- Effleurage and Petrissage Which is best for locating spasms or pain? (Ans- Effleurage What manipulation is used on scar ti...

What is not a characteristic of inflammation: (Ans- Tenderness Muscles are attached to bones by: (Ans- Tendons The adductor pollicis is located in the: (Ans- Hand The distal end of the clavicle articulates with the: (Ans- Scapula The rotator cuff includes the: (AnsSubscapularis Infraspinatus Freely movable joints are called: (Ans- DiarthroticThe quadricep muscles: (Ans- Extend the knee The insertion of the sternocleidomastoid is the: (Ans- Mastoid Process

A patient reports a panic attack several years ago in an elevator and since then has avoided elevators. The pt meets the criteria for: (Ans- B) Specific phobia A patient with a substance use disorder who does not meet clinical criteria for hospitalization but lacks sufficient social and vocational skills and lack substance-free social supports is to (Ans- D) All of the above (Residential tx, partial hospitalization, outpt tx) Obscene phone calling to an unsuspecting partner for sexual ar...

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what is the type of rent when the contract rent exceeds market rent (Ans- excess rent what rate is the return of the investment (Ans- recapture rate providing free rent in order to attract a tenant is called what? (Ans- concessions what is it when the market rent is greater than the contract rent? (Ans- deficit what term is the use of comparable sales to derive an overall rate? (Ans- direct capitalization rate overall rate is percentage of what (Ans- market value what are the three b...

Another name for market rent is ______________ rent. (Ans- economic A lease that provides for one or more extensions of the lease term in the original lease document at the option of the tenant is a ___________________ lease. (Ans- renewal The fixed portion of the rent under the terms of a percentage lease is known as __________________________. (Ans- minimum base rent When contract rent exceeds economic rent, the difference is known as _______________ rent. (Ans- excess The rent tha...

A property comparable to your subject property has a net operating income of $1,200,000 with an annual debt service of $800,000. The property was financed with a loan for 70% of its value, at 7.95% for 20 years. The annual mortgage constant for this loan is 10%. Your subject property has a net operating income of $840,000. What is the indicated subject value? A. $7,850,000 B. $8,000,000 C. $8,400,000 D. $7,600,000 (Ans- This is solved by using the Debt Coverage Ratio (DCR) method: A p...

Direct Capitalization (Ans- A method of converting an estimate of a single year's income into value in one direct step. Yield capitalization (AnsA method of converting future net benefits into present value where each future net benefit is discounted at a proper yield rate (discount rate). Methods of Financing (Ans- 1. Cash 2. Mortgage 3. Trust Deed 4. Land Contract Types of Mortgages (Ans- 1. First Mortgage 2. Junior Mortgage3. Construction Loan Mortgage 4. Purchase Money Mo...

What's a lease? (Ans- Considered both a contract and conveyance Month to Month Lease (Ans- short term lease that May or may not me in written form. This type of lease provides no security for the tenant or landlord. Percentage Lease (Ans- a contract which calls for a fixed minimum base rent and a variable rent. Gross Lease (Ans- the landlord is required to pay all operating expenses associated with the real estate. Net Lease (Ans- the tenant is required to pay all or par...

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How soon should you follow up with a patient after starting thyroid medications? (Ans- 6-8 weeks. Recheck TSH. if TSH is high, increase dose by 0.1-1.0mcg/kg/day. Then recheck again in 6-8 weeks. What should you do if TSH is normal 6-8 weeks after you start thyroid medications? (Ans- maintain current dose, and then check annually What would you do is TSH is low 6-8 weeks after starting thyroid medication? (Ans- lower the dose, then recheck in 6-8 weeks. What is the starting dose of le...

What is acute pyelonephritis? (Ansinfection of upper urinary tract and renal parenchyma. usually uncomplicated What are complications of pyelonephritis? (Ansbacteremia, scarring, death What are the causative agents for pyelonephritis (AnsE. Coli, proteus, klebsiella, enterobacter, staph saprophyticus What is the treatment for pyelonephritis? (Ansbroad spectrum abx should be started before c/s results are in. quinolone or 3rd gen cephalosporin for 10-14 yretics, pain meds, antispasmodics...

What are characteristics of mitral regurgitation (Anspansystolic, blowing radiates to axilla best heard at apex of heart what are some s/s of mitral regurgitation (Ansmigraine chest pain in pericordium anxiety panic attacks carotid upstroke What is the management of mitral regurgitation (Anssodium restrictions diuretics vasodilatorsanticoags and CCB if in A-fib surgery What is the most common valvular heart problem (Ans- mitral valve prolapse what are characteristics of MVP (An...

What is an incomplete fracture? (Ans- the break extends only across part of the bone What is a compound fracture? (Ansfracture that has soft tissue or wound involvement Type 1 Type 2 Type 3--has extensive disruption of soft tissue What is a simple fracture? (Ans- fracture where the skin is intact over the broken bone What are the types of simple fractures? (Ans- spiral, oblique, transverse What is a greenstick fracture? (Ans- fracture when the bone bends and breaks, usually during ea...