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(Mostly Resourceful) APEA m m
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1. Whenmperformingmamvisualmacuitymtestmthemnursempractitionermnotesm20/30minmthemleftme
yemandm20/40minmthemrightmeyemusingmthemSnellenmeyemchart.mThismmeans:
a) havemthempatientmreturningminmtwomweeksmformamfollowmupmvisionmscreen
b) dilatedmthemeyemandmretest
c) refermthempatientmtomanmophthalmologist
d) documentmthismasmamnormalmfinding
2. ThemAmericanmpsychiatricmassociation’smdiagnosticmandmstatisticalmmanualmofmment
almdisordermdefinesmMunchausenmSyndromemBymProxy
a) amself-inflictedminjurymtomgainmattention
b) amcaregivermmakingmupmormcausingmanmillnessmorminjuryminmampersonmundermhis
mormhermcare
c) anmabusivembehaviormthatmdoesmnotminvolvemthemcaregiver
d) amsituationminmwhichmthemabusermismoftenminattentivemandmuncaringmtowardmthemvictim
Munchausenmsyndromembymproxymismammentalmillnessmandmamformmofmchildmabuse.mThemcaretaker
mofmamchild,mmostmoftenmammother,meithermmakesmupmfakemsymptomsmormcausesmrealmsymptomsmto
mmakemitmlookmlikemthemchildmismsick.
3. Symptomsmofmdepressionmaremamsidemeffectmofmwhichmneurotransmittermmedication?
a) dopamine serotonin,mnorepinephrine
b) gabapentin
c) mil
d) cortisol
4. Whichmlesionmismdarkmraisedmandmasymmetricmwithmirregularmborder?mQuizletmBatesmChapterm20
a) Nevus
b) Actinicmkeratosis
c) Keratoacanthoma
d) Melanoma
5. Am32myearsmoldmwomanmpresentsmwithmdullmpuffinessmofmthemayesmpronouncedmn
otmpittingmperiorbitalmedemamthismfindingmismsuggestivemofmthismcondition?mAPE
A
a) Nephroticmsyndrome
b) Myxedema
c) Cushingmsyndrome
d) Sinusitis
Myxedemamismamdepositionmofmmucopolysaccaridesminmthemdermis.mIsmcommonlymfoundmifmpatien
tsmwithmadvancedmhypothyroidism.mThemclassicmskinmchangesmare:mswellingmofmface,mlips,meyelids,
mandmtonguemormswellingmandmthickeningmofmskinmanywheremonmthembody,mespeciallyminmthemlower
mlegs.
MyxedemamismthemhallmarkmofmGrave’smdisease,manmautoimmunemformmofmhyperthyroidis
m.mMyxedemamcanmalsomoccurminmHashimoto’smthyroiditismamformmofmhypothyroidism.
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6. Am42myearsmoldmwomanmwithmampastmmedicalmhistorymofmmigrainemheadachesmismreq
uestingmprophylacticmmedicationmtreatment.mWhichmmedicationmshouldmthemNursemp
ractitionermprescribe?
a) Sumatriptanm(Imitrex)
b) Amitriptylinem(Elavil)
c) Verapamilm(verelan)
d) Metoprololm(Lopressor)
Amitriptylinem(Elavil)mismamtricyclicmantidepresantmandmismconsideredmofflabelmusemformprophylacticmtr
eatmentmofmmigrane.mSumatriptanm(Imimtrex)mIsmaTriptansmusedmtomabortmmigraine
7. Ampediatricmpatientmhasmareasmofmscalingmonmthemscalpmwithmroundmpatchesmofmalopec
ia.mThismclinicalmfindingmismconsistentmwith:
a) Tineamcapitis
b) Seborrheicmdermatitis
c) Trichotillomania
d) Alopeciamareata
8. Whatmismthemappropriatemprophylacticmmedicationmformanm18myearsmoldmwomanmwit
hmampastmmedicalmhistorymofmmigrainemheadaches?
a) Sumatriptanm(Imitre
x)mb)mPropanololm(Inde
ral)
c) Ibuprofenom(motrin)
d) Dihydroergotaminem(DHE)
9. Whymwouldmamcombinedmhormonalmcontraceptivembemcontraindicatedminmam36myearmo
ldmpatientmwithmampastmmedicalmhistorymofmtypem2mdiabetes,mobesity,mchronicmsmokin
gmandmsedentarymlife
a) Shemismobese
b) Shemhasmtypem2mdiabetesmmellitus
c) Hermagemandmtobaccomuse
d) Shemleadsmamsedentarymlifestyle
Combinedmoralmcontraceptivemismcontraindicatedminmwomenmoldermthanm45,mbreastfeeding,msmoking,
mHTN,mdiabetesmormhxmofmstroke
10. DuringmthembreastmexaminationmofmamperimenopausalmwomanmthemNPmdetects
mambloodymspontaneousmdischargemfrommthemrightmnipple.mThismindicatesmfurt
hermevaluation.
a) Fibroadenoma
b) PolycysticmbreastmdiseasemGeneralizedmbreastmpainmormtenderness.mGreenmormdarkmb
rownmnonbloodymnipplemdischargemthatmtendsmtomleakmwithoutmpressuremormsqueezin
g
c) Anmintraductalmpapilloma
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d) Pituitarymprolactinoma
Intraductalmpapillomasmaremusuallymsolitarymandmsmallermthanm1mcm.mTheymaremlocatedminml
argemlactiferousmsinusesmormductsmandmhavemamtendencymtombleed.mQuizletmNipplemDischarg
e
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