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A 43 year old female has been diagnosed with hypothyroidism. Which of the following
symptoms would you expect her to be experiencing? Select all that apply.
A. Fatigue
B. Heat intolerance
C. Muscle weakness
D. Muscle cramps
E. Depression
F. Fine, silky hair
G. Skin dryness - Correct Answers-A. D. E. G.
Which metabolic abnormality is associated with hypothyroidism?
A. increased LDL values
B. Hyponatremia
C. Increased MCV
D. Elevated CK - Correct Answers-A. Increased LDL values
A 32 year old man has acute bronchitis. He is a non smoker and is otherwise healthy.
How should he be managed?
A. Treat symptoms only
B. Prescribe a macrolide antibiotic.
C. Prescribe an an antitussive.
D. Prescribe an antibiotic and antitussive. - Correct Answers-A. Treat symptoms only
An 84 year old male has acute bronchitis. Which of the following tests would you
perform as the Nurse Practitioner?
A. Sputum culture
B. Chest X-ray
C. Chest CT
D. Chest MRI - Correct Answers-B. Chest X-ray
A 58 year old male has acute bronchitis. He is a heavy smoker, but is otherwise
healthy. What is the most likely etiology?
, A. Viral infection
B. S. pneumoniae
C. B. Pertussis
D. Haemophilus influenzae - Correct Answers-D. Haemophilus influenzae
A 76 year old man has acute productive cough, fever 100-101 F for the past 3-4 days.
He is a non smoker and is otherwise healthy. Which likely diagnosis should be included
in your differential?
A. Acute bronchitis
B. Pneumonitis
C. Pneumonia
D. COPD
E. Bronchiectasis
F. Pertussis - Correct Answers-C. Pneumonia
Which of the following warrant a chest x-ray when an acute cough is present?
A. Temp 100.4
B. HR 86
C. Rales, consolidation
D. >65 years of age
E. RR 26 - Correct Answers-A. C. E.
Abnormal vital signs (increased RR or HR, temp >100.4)
Rales, consolidation
>75 years of age with cough
A 76 year old male has a chest x-ray that shows infiltrates. Which of the following
medication is first-line treatment?
A. Amoxicillin 1 gram TID
B. Doxycycline 100 mg BID
C. Azithromycin 500 mg on first day, then 250 mg daily
D. Clarithromycin 500 mg BID - Correct Answers-A. Amoxicillin 1 gram TID
A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a chest x-
ray that shows infiltrates. Which of the following medications is first line treatment?
A. Amoxicillin
B. Levofloxacin
C. Azithromycin
D. Doxycycline - Correct Answers-B. Levofloxacin
A 76 year old male with a he of COPD, diabetes mellitus, and alcoholism has a chest x-
ray that shows infiltrates. Which of the following is the most likely pathogen?
A. H. flu
B. S. Pneumoniae
C. B. Pertussis
D. Viral infection - Correct Answers-A. H. flu.