GUIDE / 1,000+ QUESTIONS & ANSWERS / LATEST
UPDATE.
Terms in this set (1060)
ADA screening for DM in -symptomatic children (polyuria, polydipsia, polyphagia,
Children blurred vision) regardless of risk factors -asymptomatic
children after puberty or 10 years of age or older if
overweight or obese (>85th percentile).
Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis
nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
- leading causes of death: Heart disease, cancer, lungdisease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents- most common
cancer: skin.
Statistics
- in males: prostate. in females: breast
suicide: males more successful, women more attempts.
highest rate is older white males.
,Osgood-Schlatter: knee pain in young adults, overuse.
Repetitive stress pain, tenderness,
swelling at the tendon's insertion site.
The tibial tuberosity. Rule out avulsion
fracture if there is an acute onset and
order a lateral xray. RICE. Usually stops when the growth
stops.
If patient has right sided left side
weakness, etc. the CVA
occurred where
Urinalysis and urine culture
initial evaluation of
symptoms of acute
prostatitis
,A 65-year-old woman A statin drug
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
cholesterolabsorption
inhibitor.
4. low-dose aspirin.
a click is heard or felt as dislocation is reduced
Ortolani's Click
(developmental dysplasia of hip) (good until one year)
, Which of the following Erythrocyte sedimentation rate (ESR)
laboratory tests should a
nurse practitioner order
when the suspected
diagnosis is temporal
arteritis?
What are narrow therapeutic 1. Warfarin sodium (Coumadin): monitor INR 2.
index drugs? Digoxin (lanoxin): monitor digoxin level, EKG,
electrolytes(potassium, magnesium, calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin):
Monitor blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk ofhypothyroidism)
Otitis Externa tx Fluoroquinolone & Polymyxin B cortisporin drops
An elderly male patient sedimentation rate (expect to be very elevated)
complains of a new-onset,
left-sided temporal headache
accompanied by scalp
tenderness and indurated
temporal artery. The NP
suspects temporal arteritis.
What screening test would
you order to assist with
diagnosis?
Basal Cell Carcinoma Pearly domed nodule with overlaying telangiectatic vessels. Could
be plaque, papule, possible central ulceration and crusting. Dx:
Biopsy Tx:
Normal, healthy woman of white, clear, flocculent(physiologic leukorrhea), no complaints, pH
reproductive age 3.8-4.2 (toward acidic), no odor, microscopic shows lactobacilli
(gram+bacteria)
Multiple infections from Screen for HIV
bacteria and fungus?