With Complete Solutions Graded A+
QUESTIONS AND ANSWERS
Visual acuity test. ANSWER -20/30 in the left eye and 20/40 in the right eye using the
Snellen eye chart indicates the need for further evaluation.
Munchausen Syndrome By Proxy. ANSWER -A caregiver making up or causing an illness
or injury in a person under his or her care.
Symptoms of depression. ANSWER -Side effect of medications such as serotonin and
norepinephrine.
Lesion characteristics. ANSWER -A dark raised and asymmetric lesion with irregular
border is indicative of melanoma.
Puffiness of the eyes. ANSWER -Dull puffiness of the eyes pronounced not pitting
periorbital edema suggests nephrotic syndrome.
Prophylactic medication for migraines. ANSWER -Amitriptyline (Elavil) is considered off-
label use for prophylactic treatment of migraines.
Scaling on the scalp. ANSWER -Areas of scaling on the scalp with round patches of
alopecia are consistent with tinea capitis.
Combined hormonal contraceptive contraindications. ANSWER -Contraindicated in
women older than 45, breastfeeding, smoking, hypertension, diabetes, or history of stroke.
Bloody nipple discharge. ANSWER -Bloody spontaneous discharge from the right nipple
indicates the need for further evaluation.
Rho (D) immunoglobulin administration. ANSWER -Rh negative women should receive
Rho (D) immunoglobulin at 28 weeks' gestation.
, Mean corpuscular volume (MCV). ANSWER -MCV describes the size of the RBCs; small-
sized RBCs result in a lower MCV, while larger RBCs result in a higher MCV.
Avoided medication for headache prophylaxis. ANSWER -Venlafaxine (Effexor) should be
avoided due to serious side effects.
Prostaglandin E1 (PG1) mechanism. ANSWER -Maintains patency of the great arteries in
a patient with transposition of the great arteries.
Calf pain in peripheral artery disease. ANSWER -A dull pain or cramp describes lower
extremity calf pain associated with peripheral artery disease.
Hyperprolactinemia symptoms. ANSWER -Typical symptoms include infertility,
oligomenorrhea, or amenorrhea in premenopausal women.
Asthma treatment. ANSWER -Short-acting bronchodilators are used to relieve acute
wheezing in asthma patients.
Shingles vaccine. ANSWER -The shingles (herpes zoster) vaccine reduces the risk for
infection with the virus that causes painful localized blistering rash.
Short-Acting Beta Agonist (SABA). ANSWER -Inhalers for acute asthma attacks, quickly
relieve constriction.
Albuterol. ANSWER -Common SABA, brand name Ventolin.
Levalbuterol. ANSWER -SABA, brand name Xopenex, less side effects.
Pirbuterol. ANSWER -SABA, brand name Maxair, used for asthma.
Terbutaline. ANSWER -SABA, brand name Brethine, relaxes airway muscles.
Metaproterenol. ANSWER -SABA, brand name Alupent, bronchodilator.