Correct Answers
A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not seen a
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healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled with
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medication. Her mother died at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240
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mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse practitioner
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should start the patient on:
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1.bile acid sequestrant.
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2. a statin drug.
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3. a cholesterol absorption inhibitor.
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4. low-dose aspirin. - correct answer A statin drug
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The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
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1. azathioprine (AZA).
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2. belimumab (Benlysta).
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3. ibuprofen (Advil).
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4. cyclophosphamide (Cytoxan). - correct answer ibuprofen (advil)
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The most common sign of cervical cancer is:
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,1. postcoital bleeding.
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2. strong odor from vaginal discharge.
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3. itching in the vaginal area.
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4. molluscum contagiosum. - correct answer postcoital bleeding
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The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary to
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diabetes mellitus. On follow-up, the patient complains of urine retention and dry mouth. The practitioner
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would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
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2. refer to physical therapy.
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3. start methocarbamol (Robaxin).
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4. discontinue amitriptyline and begin gabapentin (Neurontin). - correct answer discontinue amitriptyline
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and begin gabapentin (neurontin)
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A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole (Prilosec). The
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patient complains of headache, abdominal pain, and gas. These symptoms are most likely:
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1. associated with the omeprazole.
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2. related to the underlying condition.
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3. the result of the NSAID.
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4. caused by viral gastroenteritis. - correct answer associated with the omeprazole
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The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
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1. acetaminophen.
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2. prednisone.
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3. aspirin.
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4. ibuprofen. - correct answer ibuprofen
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, A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for a follow-up
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examination after a recent hospitalization. It is most important to continue monitoring growth, development,
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and:
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1. white blood cell levels.
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2. fecal occult blood test.
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3. hemoglobin levels.
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4. urine dipsticks. - correct answer hemoglobin levels
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A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine, but the nurse
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practitioner notes that she has poor hygiene and bruises on her trunk. The neighbor is concerned that the
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patient often has no money to buy food, despite income from social security and a coal miner's pension. The
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nurse practitioner suspects abuse. Which of the following is the nurse practitioner obligated to do next?
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1. Report the case to the proper authorities.
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2. Tell the neighbor to check on the woman daily and report back.
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3. Document the data and report the information to risk management.
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4. Call the patient's family and inquire about the concerns. - correct answer report the case to proper
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authorities
In most cases, the first manifestation of Alzheimer's disease is:
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1. impaired judgment.
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2. decrease in short-term memory.
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3. disorientation in time and place.
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4. decrease in long-term memory. - correct answer decrease in short-term memory
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The optimal treatment for latent tuberculosis is:
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1. rifampin (Rifadin) for 5 months.
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2. isoniazid (Nydrazid) for 9 months.
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