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A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not seen a
healthcare provider for several years. She is a smoker and her hypertension is now adequately
controlled with medication. Her mother died at age 40 from a heart attack. The fasting lipid profile
shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - **CORRECT ANSWER**A statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
1. azathioprine (AZA).
2. belimumab (Benlysta).
3. ibuprofen (Advil).
4. cyclophosphamide (Cytoxan). - **CORRECT ANSWER**ibuprofen (advil)
,The most common sign of cervical cancer is:
1. postcoital bleeding.
2. strong odor from vaginal discharge.
3. itching in the vaginal area.
4. molluscum contagiosum. - **CORRECT ANSWER**postcoital bleeding
,The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary to
diabetes mellitus. On follow-up, the patient complains of urine retention and dry mouth. The
practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin). - **CORRECT
ANSWER**discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole (Prilosec).
The patient complains of headache, abdominal pain, and gas. These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. - **CORRECT ANSWER**associated with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
, 1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. - **CORRECT ANSWER**ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for
a follow-up examination after a recent hospitalization. It is most important to continue
monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.