Cranial nerve IX Ans>Glossopharyngeal- swallowing and rise of the palate, gag reflex
Cranial Nerve XI Ans>Spinal Accessory (upper trapezius)
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,Deep tendon reflex Ans>Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale Ans>CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
D- Diabetes
S-prior Stroke/TIA
In the majority of children, the first permanent teeth start to erupt at the age of 6 years.
Which of the following are the first permanent teeth to erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines
Ans>A. First Molars
All of the following are classified as activities of daily living (ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping
Ans>D. Grocery shopping
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,You note the following result on a routine urinalysis of a 37-year old primigravida who is at
30 weeks gestation. Leukocyte=trace, nitrite=negative, protein=2+, blood=negative. Her
weight has increased by 5 lbs during the past week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension
Ans>B. Pregnancy-induced hypertension (pre-eclampsia). Classic triad of symptoms of
preeclampsia include hypertension, edema (weight gain), and proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that her child had a
high fever for several days, which spontaneously resolved. After the fever resolved, the child
developed a maculopapular rash. Which of the following is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes
Ans>B. Roseola Infantum (Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his left eye for 2 days.
He denies eye pain, visual changes, or headaches. He has a new onset of cough from a
recent viral upper respiratory infection. The only medicine he is on Bayer aspirin, 1 tablet a
day. Which of the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage
Ans>D. Subconjunctival hemorrhage. Bright red blood in a sharply defined area surrounded
by normal-appearing conjunctiva indicates subconjunctival hemorrhage.
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, A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A
microscopy slide reveals a large number of atrophic squamous epithelial cells. The vaginal
pH is 4.0. There are very few leukocytes and no RBCs are seen on the wet smear. Which of
the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding.
Ans>A. Atrophic vaginitis. Symptoms of atrophic vaginitis include painful intercourse,
atrophic squamous epithelial cells, and a decrease in pH. Vaginal atrophy is caused by lack of
or imbalance of estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi
Ans>B. Basal skin cancer. It is several times more common that squamous cell skin cancer
according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome
Ans>B. Measles. S/S include fever over 101, coryza, cough, conjunctivitis, rash, and koplik's
spots on buccal mucosa
At what level of prevention would you classify for lung cancer?
A. Primary prevention
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