Family Practicum Final Exam | Actual Questions and
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NR601 / NR 601 Primary Care of the Maturing & Aged Family Practicum Final
Exam
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Definition
a. anticholinergic effects
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,The most common sustained rhythmic disorder, which consists of fibrillatory p
waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter
The proposed mechanism by which diphenhydramine caused delerium is:
a. anticholinergic effects
b. dopaminergic effects
c. gabanergic effectis
d. serotinergic effects
Which of the following signs or symptoms are not characteristics of delirium
a. patient is coherent
b. short duration
c. sudden onset
d. symptoms are worse in the evenings
Which of the following medications can blunt the signs of hypoglycemia in
diabetics?
a. beta blockers
b. calcium channel blockers
c. angiotensin receptor blockers (ARB's)
d diruetics
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,Term
Mrs. Smith, a 64 year old woman presents to the clinic for the first time
and complains of uruinary incontinece and dyspareunia. She went
through menipause 10 years ago without any hormone replacement
therapy and had a hysterectomy for a fibroid. Her mother had a hip
fracture at 87 years of age. The patiennt's most recent mammogram
was 7 years ago and no known family history of breast cancer. She is
not taking any medications. Her physical exam is unremarkable except
for findings consistant with atrophic vaginitis. You prescribed topical
hormone replacement therapy today. Which of the following
evaluations should also be ordered today
a. bone mineral density measurement
b. mammogram
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a. lisinopril d. impotence
b. osteoporosis b. mammogram
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Term
, An 80-year-old woman has no weight loss, no pain, and no distention
but over 2 years increasingly complains of constipation despite
adequate medical treatment. A colonoscopy is negative. An abdominal
CT is performed. It reveals well-circumscribed pelvic masses, the
largest adherent to the ovarian ligament. The best first step is:
a. Referral to a gynecological oncologist.
b. Transcutaneous CT guided biopsy.
c. Because it is unrelated to her symptoms advise observation.
d. Refer to hospice because massive ovarian cancer is unlikely to be
curable.
e. Invite her to return with a family member and have a long talk about
the diagnostic and therapeutic options.
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b. Confusion Assessment Method
b. Achalasia
(CAM)
e. Invite her to return with a
a. Individuals whose risk is high
family member and have a long
enough for the benefits to outweigh
talk about the diagnostic and
the risks
therapeutic options.
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Term