Exam 1 - Questions from Leik review book rated A 2024

Exam 1 - Questions from Leik review book rated A 2024 A 30 yr old with chief complaint of pruritic hives over her chest and arms but denies difficulty swallowing or breathing. Reports family history of allergic rhinitis and asthma. Which of the following interventions is most appropriate? A. Perform a complete and thorough history B. Prescribe an oral antihistamine such as diphenhydramine 25 mg po qi C. Give an injection of epinephrine 1:1000 IM stat D. Call 911 A All of the following are infections that affect mostly the labia and vagina except: A. Bacterial vaginosis B. Candidiasis C. Trichomoniasis D. Chlamydia trachomatis D Which of the following symptoms is assoc. with vitamin B 12 deficiency A. Spoon-shaped nails and pica B. An abnormal neurological exam C. A vegan diet D. Tingling and numbness of b/l feet D Rocky Mountain spotted fever is caused by the bite of the: A. Mosquito B. Tick C. Insect D. Flea B All of the following are false statement about atopic dermatitis except: A. Contact with cold objects may exacerbate the condition B. It does not have a linear distribution C. It is assoc. with bullae D. The lesions have vesicles that are full of serous exudate B Koplik's spots are assoc. with A. Poxvirus infections B. Measles C. Kawasaki's disease D. Reye's syndrome B Measles symptoms include Symptoms include fever over 101 F, coryza, cough, conjunctivitis, rash, and koplik's spots on the buccal mucosa An NP is giving dietary counseling to an alcoholic male who has recently been dx with folic acid deficiency anemia. Which of the following foods should the NP recommend? A. Tomatoes, oranges, and bananas B. Cheese, yogurt, milk C. Lettuce, beef, and dairy products D. Spinach, liver and whole wheat bread D 10 yr old patient, concerned about dx of actinic keratosis which is the following the best explanation to the client? A. It is a benign condition B. It is a precancerous lesion and should be followed up with her dermatologist C. Apply hydrocortisone cream 1% bid x 2 wks D. It is important for her to follow up with oncologist Physiologic anemia in pregnant is due to A. An increase in cardiac output at end of 2 nd trimester B B. A physiologic decrease in the production of RBCs in pregnant women C. An increase up to 50% of plasma volume during pregnancy D. Increase in the need for dietary iron in pregnancy C A fawn tail nevus is a sign of which of the following? A. Down syndrome B. Infantile scoliosis C. Congenital heart disease D. Spina bifida D Café au lait spots look like tan to light brown stains that have irregular borders. That can be located anywhere on the body. Which of the following is a correct statement? A. They are associated with neurofibromatosis or von Recklinghausen's disease B. They may be considered as precancerous after a biopsy C. They are more common in darker skinned children D. They are associated with Wilson's disease A Which of the following is the recommended treatment for erythema migrans or early Lyme disease? A. Doxycycline (Vibramycin) 100 mg BID x 21 days B. Ciprofloxacin (cipro) 250 mg bid x 14 days C. Erythromycin (E-mycin) 333 mg po TID x 10 days D. Dicloxacillin 500 mg po BID x 10 days A You are checking a 75 yr old woman's breast during an annual gyn exam. The left nipple and areola are scaly and reddened. The patient denies pain and pruritus. She has noticed this scaliness on her left nipple for the past 8 months. Her dermatologist gave her a potent topical steroid, which she used twice a day for 1 month. The patient never went back for the follow up. She still has the rash and wants and evaluation. Which of the following is the best intervention for this patient? A. Prescribe another potent topical steroid and tell the patient to use it twice a day for 4 wks B. Order a mammogram and refer the patient to breast surgeon C. Advise her to stop using soap on both breasts when she bathes to avoid drying up the skin on her areolae and nipples D. Order a sonogram and fine needle biopsy of the breast B What does a KOH (potassium hydroxide) prep help the nurse practitioner diagnose? A. Herpes zoster B. Yeast infections C. Herpes simplex D. Viral infections B The following skin findings are considered macules except: A. A freckle B. Petechiae C. Acne D. A flat, 0.5 cm brown birthmark C Koilonychia is associated with which of the following conditions? A. Lead poisoning B. Beta thalassemia trait C. B12 deficiency anemia D. Iron deficiency anemia D Which of the following tests is positive in a large number of patients with SLE?