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Your 22 year old male patient states during his review of systems thathis scrotum is very enlarged and feels like it is full a powerlifter and works as a trash collector. You suspect the patient likely has which of the following diagnoses? A -Varicocele B -Meningocele C -Rectocele D -Hydrocele correct answers A -Varicocele The point of maximum impulse (PMI) is MOST often palpable in healthy adults when positioned in the supine or left lateral decubitus position. Which one of the following...

Hypertension correct answers Underlying vascular dysfunction that leads to end organ damage Brain, heart, eyes, kidneys Thiazide diuretics are preferred agent for ___ correct answers Stage 1 HTN; preferred initial therapy for african-americans Mechanism of action: Diuretics correct answers Decrease blood volume, venous pressure, and preload Mechanism of action: Thiazide diuretics correct answers Block Na-Cl channel in kidneys Decreased Na > decreased Na-K+ pump = increased urine ou...

Pharmacokinetics correct answers The study of drug absorption, distribution, metabolism, and excretion in the body "What the body does to the drug" Factors that affect drug absorption (5) correct answers Rate of dissolution Surface area Blood flow Lipid solubility PH partitioning Factors that affect drug distribution (4) correct answers Blood flow to tissues Ability to exit vascular system Blood-brain barrier Protein-binding capacity Pharmacodynamics correct answers The st...

Who should receive Tdap vaccination? correct answers Adults in close contact with infants healthcare workers Contraindication for Tdap vaccine correct answers Severe allergic reaction to previous dose, or hx of encephalopathy within 7 days of vaccine Varicella vaccine contraindications correct answers Hx of anaphylaxis with previous dose, allergy to gelatin or neomycin Hepatitis B vaccine contraindications correct answers Previous rxn to vaccine, allergy to yeast and neomycin Example...

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endometrial cycle correct answers The 28 days of the menstrual cycle as they apply to the events in the uterus. The endometrial cycle has four subphases: menstruation, the proliferative phase, and the secretory phase, and the ischemic phase . proliferative phase correct answers The second phase of the uterine (endometrial) cycle, during which the endometrium (shed off during menstration is rebuilt). This phase of the cycle is under the control of estrogen, secreted from the follicle developin...

In a cellular metabolism, each enzyme has a high affinity for a? correct answers Substrate An FNP student is observing a cell under the microscope, It is observed to have supercoiled DNA with histones. Which of the following would also be part of the cellular structure observed by the student? correct answers Nucleus Which of the following statements is true regarding benign tumors? correct answers is similar to normal cells T-cells are produced in the bone marrow and then enter the blo...

Type 1 hypersensitivity reaction. correct answers Hives (urticaria) are an example of a: Type 1 hypersensitivity reaction. correct answers Anaphylaxis is a type ___ hypersensitivity reaction. Type 4 hypersensitivity reaction. correct answers Allergic contact dermatitis is an example of ______ hypersensitivity reaction. Neutrophils correct answers Which of the following are considered the "first responders" of the innate immune system? IgG or IgM. correct answers Type 2 (Cytot...

How, in most cases, is electricity produced? correct answers Usually some type of combustion occurs which heats steam to spin a turbine/ generator to create electricity direct current correct answers Thomas Edison. One way electricity, battery. alternating current correct answers Nikola Tesla, bidirectional power that can go long distances making for less investments in large infrastructure because energy could travel further distances why did electricity contribute to economic developm...

Cardiovascular disorders correct answers Cardiovascular disorders are prevalent in primary care. Many of the disorders develop over several years, due to the risk factors to which individuals have been exposed. For each disorder covered in this unit, a discussion of risk factors will be included. For the concepts covered below, clinical application of each disease will be provided so that students can understand the importance of pathophysiology in diagnosing and treating the disease. Prerequ...

Acute Renal Failure (ARF) correct answers Acute renal failure (ARF) involves a sudden loss of kidney function. The individual will experience: -Oliguria (< 30ml/hr). -Increased blood urea nitrogen (BUN) and creatinine. -Fluid and electrolyte abnormalities. ARF is organ failure which means that the kidney is no longer functional. The pathogenesis of ARF is divided into three categories (pre-renal, intrinsic, and post-renal). Each category has its own area within the kidney that malfun...

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Expiratory Reserve Volume (ERV) correct answers The maximum volume of air exhaled from end expiration. Inspiratory Reserve Volume (IRV) correct answers Maximum volume of air inhaled from end inspiration Residual Volume (RV) correct answers The volume of air remaining in lungs after maximum exhalation. Tidal Volume (VT or TV) correct answers Volume of air inhaled or exhaled during each respiratory cycle Functional Residual capacity (FRC) correct answers Volume of air in the lungs at r...

Leading reason for long-term care placement correct answers incontinence incontinence increases correct answers skin breakdown and falls Higher incontinence rate when younger than 85 correct answers women Incontinence rate for men and women 85+ correct answers similar Overactive bladder correct answers Urgency, frequency, and nocturia Incontinence risk factors correct answers assistance ambulating, female, walker, obesity, diabetes, depression, hysterectomy, neuro impairment, cogn...

A 52 year old female patient screened for diabetes has a fasting plasma glucose level of 123 mg/dl. The nurse practitioners plan includes: a. repeat fasting glucose in 1 month b. prescribe memformin 500mg BID po c. repeat fasting plasma glucose in one year d. repeat fasting glucose in three years correct answers c. repeat fasting plasma glucose in one year A 56-year old male patient screened for diabetes has a fasting plasma glucose level of 96mg/dl. The nurse practitioner management pl...

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What are the s/s of fluid overload? correct answers - poor skin turgor - flat neck veins? - hypotension - tachycardia - weak threads pulse - crackles in the lungs - weight gain - bounding pulses What diagnostic test will the nurse anticipate for a patient with suspected fluid overload? correct answers - chest x-ray - lab draw (CBC, CMP, BNP) - possible ABG THINK: - edema, possible HF, sedentary lifestyle What is the interpretation for the following: - pH 7.47 - CO2 36 HCO...

gerontologic considerations correct answers nutritional disorders due to poor dentition decreased motility resulting in GERD or constipation decreased number of parietal cells decreased ability of the liver to metabolize drugs and hormones increased incidence of gallstones economic/social constraints affecting nutrition radiological studies for GI correct answers upper gastrointestinal series lower gastrointestinal series abdominal ultrasound virtual colonoscopy CT plus MRI diagn...

A nurse is caring for a client who enters the emergency department complaining of severe chest pain. Which of the following interventions should the nurse implement to determine if the client is experiencing a myocardial infarction? A. Check the client's blood pressure. B. Auscultate heart tones. C. Perform a 12-lead ECG. D. Determine if pain radiates to the left arm. correct answers C. Perform a 12-lead ECG. Beta adrenergic blockers cause? A. Tachycardia B. Bradycardia C. Hyper...