Primary Care 2 Questions with Verified Answers,100% CORRECT

Primary Care 2 Questions with Verified Answers Telemedicine is: A. When data, messages, or images are recorded by a patient and shared with the clinician at a later time. B. Real-time communication between the patient and clinician via telephone or video. C. Delivering specifically clinical remote health care services when the clinician and patient are not in the same location. D. Delivering at a distance a broad scope of health care services, including clinical and nonclinical services. E. Using technology to enable patients to captur - CORRECT ANSWER A 68-year-old patient calls the clinic to ask if she needs premedication for a dental cleaning. Her PSH includes a mitral valve replacement. She does not have any drug allergies. Your next action is? a. Prescribe Amoxicillin 2 grams 30-60 minutes prior to the dental procedure b. It is not necessary to prescribe antibiotics for this patient c. Antibiotic prophylaxis is not indicated since the patient does not have a PMH of infectious endocarditis d. Antibiotic prophylaxis would not be indica - CORRECT ANSWER a. Prescribe Amoxicillin 2 grams 30-60 minutes prior to the dental procedure 4. The adult-gerontology primary care nurse practitioner reminds a 16-year-old male patient who just received his driver's license to wear a seat belt at all times when in a car. The patient replies that he does not need to wear a seat belt, because nothing will happen to him if he is involved in an automobile collision. According to the health belief model, what chief component does the patient lack? A. Enabling factors. B. Motivation. C. Perceived role conflict. D. Perceived severity. - CORRECT ANSWER D. Perceived severity. 5. The adult-gerontology primary care nurse practitioner treats several patients for biological exposure. In the patients' records, the nurse practitioner documents which epidemiological factors for each exposure? A. Comorbidities and length of exposure. B. Location and event intensity. C. Mode of transmission and incubation. D. Premorbid conditions and surveillance rates - CORRECT ANSWER C. Mode of transmission and incubation. The four major categories of preventive care are: • Behavioral counseling (A) • Immunizations (C) • Screening (F) • Chemoprevention - CORRECT ANSWER The purpose of preventive care is disease prevention, not disease diagnosis. Dr. Keller asks you, "What do you think are the benefits of telemedicine visits?" Select all that apply. A. Eliminates need for in-person visits B. Overcome transportation barriers C. Reduced antibiotic prescribing for acute respiratory tract infections D. Reduced lost wages E. Reduced wait time for appointment - CORRECT ANSWER B. Overcome transportation barriers D. Reduced lost wages E. Reduced wait time for appointment Which of the following does the American Diabetes Association recommend to minimize the risk of cardiovascular disease in patients with diabetes? Select all that apply. A. BP 130/80 in patients with diabetes at elevated cardiovascular risk B. BP 140/90 for patients with diabetes at lower cardiovascular risk C. Daily aspirin therapy D. If 40 years old, regardless of other atherosclerotic cardiovascular disease risk factors, statin therapy D. smoking cessation - CORRECT ANSWER A. BP 130/80 in patients with diabetes at elevated cardiovascular risk B. BP 140/90 for patients with diabetes at lower cardiovascular risk D. If 40 years old, regardless of other atherosclerotic cardiovascular disease risk factors, statin therapy D. smoking cessation daily asa is no longer recommended as primary prevention for all patients with diabetes true or false: in critically ill medical patients, tight blood sugar control with intravenous insulin therapy, with a goal blood sugar of 80-110 is associated with lower mortality than less tight blood sugar control (140-180). A. true b. false - CORRECT ANSWER false which of the following medications is most likely to reduce mr. morales risk of hospitalization for heart failure or future cardiovascular death based on your knowledge of his reduced ejection fraction? A. empagliflozin B. Glipizide C. metformin D. Pioglitazone - CORRECT ANSWER A. empagliflozin pioglitazone, a thiazolinedione, is not recommended in patients who have newly developed heart failure or class III/IV heart failure while metformin and glipizide are generally safe to use in patients with heart failure, they have not been shown to decrease the risk of HF hospitalizations or future cardiovascular death metformin is not recommended for patients with reduced ejection fraction, in particular with unstable or acute heart failure. it is likely safe in patients with well compensated, stable CHF. it is prudent to stop metformin in the setting of recent hf diagnosis but it may also be reasonable to restart it in the future should their symptoms stabilize. metformin is also contraindicated in patients with a gfr of 30, or etoh abuse/liver disease (due to increased risk of lactic acidosis) Can patients accurately detect hypoglycemia by symptoms alone? yes/no - CORRECT ANSWER no which of the following are types of neuropathies a patient with diabetes might develop? a. distal symmetric polyneuropathy b. erectile dysfunction c. gastroparesis d. postural hypotension e. resting tachycardia - CORRECT ANSWER a. distal symmetric polyneuropathy b. erectile dysfunction c. gastroparesis d. postural hypotension e. resting tachycardia optimal blood pressure in patients with diabetes is - CORRECT ANSWER 140/90 testing for type 2 DM in asymptomatic, undiagnosed individuals older than 45 years old should be conducted ever a. year b. 3 years c. 5 years d. 10 years - CORRECT ANSWER b. 3 years Acanthosis nigricans is commonly noted in all of the following except: a. groin fold b. axilla c. nape of the neck d. face - CORRECT ANSWER d. face metformin should be discontinued for the day of and up to 24 hours after surgery because of increase risk of a. hypoglycemia b. hepatic impairment c. lactic acidosis d. interaction with most anesthetic agents - CORRECT ANSWER c. lactic acidosis which medication for type 2 diabetes mellitus should not be prescribed during pregnancy? a. insulin b. metformin c. glipizide (glucotrol) d. acarbose (precose) - CORRECT ANSWER c. glipizide