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A 32-year-old landscaper with a history of seasonal allergic rhinitis presents with a variety of
symptoms. Match each symptom with the appropriate medication.
A. Oral antihistamine
B. Decongestant nasal spray
C. Corticosteroid nasal spray
1. Acute relief of nasal congestion __
2. Relieve pharyngeal itch __
3. Prevent allergy symptoms _ - ANSWER 1-B
2-A
3-C
Match each of the following patients with the most appropriate diagnosis.
A. Increased intracranial pressure
B. Migraine with aura
C. Tension-type headache
D. Cluster headache
1. A 33-year-old man who reports a 3-week history of recurrent headaches that awaken him
during the night. Pain lasts up to 2 hours and is focused primarily behind the right eye. __
,2. A 29-year-old woman with a 2-year history of recurrent, unilateral, pulsating headaches that
are often accompanied by nausea/vomiting and photophobia. She reports seeing "squiggles
before my eyes" about 10 minutes before a headache occurs. __
3. A 54-year-old man reporting occasional bilateral, pressing, nonpulsatile headaches of
moderate intensity without nausea, photophobia, or phonophobia. __
4. A 45-year-old man who reports a pressing, nonpulsatile headache that is greatest in severity
upon awakening each morning and lessens as the day progresses. __ - ANSWER 1-D
2-B
3-C
4-A
When counseling a patient with hypertension and/or dyslipidemia on recommended physical
activity, all of the following are appropriate goals to strive for except:
Aerobic physical activity (e.g., brisk walking) of at least 40 minutes at a time.
Exercise of at least 3‒4 times per week.
Achieving a peak heart rate of 150 BPM or greater.
No more than 48 hours without exercise. - ANSWER Achieving a peak heart rate of 150 BPM or
greater.
*****Type 2 diabetes mellitus is best described as:
,A genetically-base autoimmune process.
A consequence of obesity.
A condition largely dictated by environmental factors.
A disorder of insulin resistance with eventual insulin deficiency. - ANSWER A disorder of insulin
resistance with eventual insulin deficiency.
When a patient is seen by a nurse practitioner, the visit can be charged to Medicare using
"incident-to" billing. If the criteria for this type of visit are fulfilled, then anticipated
reimbursement is at what percentage of the physician rate?
75
80
90
100 - ANSWER 100
When evaluating a patient with low back pain without radiculopathy, the nurse practitioner will
most likely identify:
-Discomfort to direct palpation of paraspinal muscles.
-A positive straight leg raise.
-Abnormal lower extremity DTR.
-Pain relief with lumbar flexion. - ANSWER Discomfort to direct palpation of paraspinal muscles.
When initiating pharmacologic therapy for the patient with first diagnosis of major depression
disorder, the nurse practitioner advises the patient that treatment should:
-Generally be given for about 4-6 months before improvement is noted.
, -Continue for at least 6 months after remission is achieved.
-Be continued indefinitely after therapeutic goals are met.
-Be started at a higher dose then titrated to a lower dose once symptom relief is achieved. -
ANSWER Continue for at least 6 months after remission is achieved.
Which of the following best demonstrates the intent of informed consent?
-Discussing the risks of surgery with the parent of a 20-year-old
-Advising a 48-year-old woman about the likely course of illness if no treatment is rendered
-Conferring with the husband of a 30-year-old woman who has pneumonia about the benefits
of antimicrobial therapy
-Recommending a course of treatment to a 70-year-old man with prostate cancer - ANSWER
Advising a 48-year-old woman about the likely course of illness if no treatment is rendered
Which of the following describes the ethical principle of beneficence?
-The right of the competent person to choose a personal plan of life and action
-The obligation of the healthcare provider to help people in need
-The responsibility of the healthcare provider to treat all in the same fair manner
-The duty of the healthcare provider to do no harm - ANSWER The obligation of the healthcare
provider to help people in need
Which of the following is a potential adverse effect of chronic use of higher-potency topical
corticosteroids?
Atrophy in intertriginous areas
Epidermal sloughing