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ABFM ITE Prep Test Verified Solutions With Rationales 100% Pass Guarantee During the interview you note jerking movements first in one hand and then the other, but when the patient is distracted the symptom resolves. NEURO EXAM- WNL WHAT KIND OF TREMOR IS THIS - ANSWER PSYCHO-GENIC TREMOR= GOES AWAY WHEN PT IS DISTRACTED VS physiologic tremor = WORSE WITH MEDICATION OR ANXIETY OR COFFEE Parkinsonian tremor is noted at rest, is asymmetric, and decreases with voluntary movement. patient with Alzheimer's disease has been taking quetiapine (Seroquel), daily at bedtime, to manage behavioral symptoms related to the dementia. Symptoms have been stable on the quetiapine for 6 months without any side effects should seroquel be continued on this pt?. - ANSWER no if pt's sx have stabilized then ANTI-PSYCHOTIC MEDICATIONS SHOULD BE TAPERED DOWN WITH GOAL OF DISCONTINUATION This is recommended because antipsychotic medications have adverse effects ESPECIALLY IN ELDERLY NURSE TRAVELING TO COUNTRY WITH HIGH TB PREVALANCE TB TEST PRIOR TO TRAVEL IS NEGATIVE Assuming she remains asymptomatic, which one of the following would you recommend? A) Prophylactic treatment with isoniazid starting 1 month prior to departure and continuing throughout her trip B) Prophylactic treatment with rifampin (Rifadin) starting 1 month prior to departure and continuing throughout her trip C) A repeat TB skin test 2 months after she returns D) A chest radiograph 2 months after she returns E) An interferon-gamma release assay (IGRA) 6 months after she returns 9. - ANSWER C) A repeat TB skin test 2 months after she returns DON'T NEED TO TX FOR LATENT TB IS NO SX, TB TEST ENGATIVE DO NOT RE-TEST FOR TB UPON RETURN IMMEDIATELY INSTEAD WAIT 2 MONTHS discuss FIRST AND SECOND HEART BLOCK - ANSWER 1ST DEGREE= NO MISSED BEATS= ONLY PR INTERVAL= PROLONGED= FIXED 2ND DEGREE TYPE 1/WENKEBACH= MISSED BEAT + PR INTERVAL THAT'S GETTING LONGER 2ND DEGREE TYPE 2/MOBITZ- MISSED BEAT= NOTHING WRONG WITH P INTERVAL PT WITH CAD UNABLE TO TOLERATE ATORVASTATIN Which one of the following would you recommend? A) Evolocumab (Repatha) B) Ezetimibe/simvastatin (Vytorin) C) Fenofibrate (Tricor) D) Niacin E) Omega-3 fatty acid supplements 4 - ANSWER B) Ezetimibe/simvastatin (Vytorin) SWITCH HIGH INTESITY STATIN WITH A MODERATE INTENSITY STATIN SUCH AS SIMVASTATIN/PARVASTATIN PT UNABLE TO EXTEND INDEX FINGE