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A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not seen a healthcare provider for several years. She is a smoker and her hypertension is now adequately controlled with medication. Her mother died at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on: acid sequestrant. 2. a statin drug...

Assessment of the optic disc is a component of the evaluation of cranial nerve: I. II. III. .IV -ANSWER Cranial II You examine a 62-year-old woman with a 20-year history of hypertension. She reports intermittent use of antihypertensive medications, stating, "I feel better without the medications." Today she presents for a "check-up."On physical examination, you note the following: PMI with a downward and lateral shift as well as a Gr II/VI holosystolic murmur with radiation to the axi...

how long will a cough last for acute bronchitis? -ANSWER up to three weeks is completely normal how do you treat acute bronchitis? -ANSWER 95% cases are viral-- tessalon pearls to help with cough. ** prednisone is never the answer *** explain the following views of chest xrays: AP, PA, PA and lateral which one do you want for pneumonia patient? -ANSWER AP- shows the heart predominantly because its from front to back PA- shows the lungs predominantly because its back to front lateral sho...

Hegar's sign - ANSWERSoftening of lower uterine segment Chadwick's sign - ANSWERBluish color of cervix and vagina at 6-8 weeks Goodell's sign - ANSWERSoftening of cervix at 4+ weeks Lipids in chronic inactivity - ANSWERLow HDL Lipids in under- or untreated hypothyroidism - ANSWERElevated total cholesterol, TG, and LDL Lipids in chronic renal insufficiency - ANSWERElevated total cholesterol and TG Lipids in alcohol abuse - ANSWERElevated TG, HDL, and LDL Vaccines with live...

Cranial nerves responsible for extraoculomotor movements? -ANSWER a. 2, 3, 6? b. 3, 4, 6? Patient with hx of hypertension and stroke, now having memory loss and confusion - indicates what? -ANSWER a. Alzheimer's b. Vascular Dementia? CAGE acronym -ANSWER ? Treatment for chronic alcoholism? -ANSWER ? Frail elderly mammogram breast tissue? -ANSWER ? Patient has Barrett's esophagus, insurance no longer covers gastroenterologist who was treating condition, patient at the FNP offic...

All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM - ANSWERIII first time audible, IV first time thrill Fundal height 12 weeks - ANSWERFundal Height 12 weeks above symphysis pubis. EXAM Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20 weeks is at umbilicus. 2 cm more of less from # of wk gestation is normal if more or less order US 3 month old infant with down s...

Health Threat - ANSWERScomposite of ongoing or potential enemy actions; adverse environmental, occupational, and geographic and meteorological conditions; endemic diseases; and employment of CBRN weapons (to include weapons of mass destruction that have the potential to affect the short- or long-term health [including psychological impact] of personnel.) Health Support Service (HSS) - ANSWERSall support and services performed, provided, and arranged by the AMEDD to promote, improve, conserve,...

BSMC - ANSWERSbrigade support medical company assigned to brigade support battalion (BSB) supports BCTs located in BSA (brigade support area) BSB - ANSWERSbrigade support battalion 3 types of BCTs - ANSWERSarmored infantry stryker MCAS - ANSWERSmedical company area support provides role 2 support within its assigned AO, as well as role 1 in attached units with no organic role 1 capability assigned to medical brigade attached to MMB (multifunctional medical battalion) su...

What is the focus of the medical planning process? - ANSWERSQuickly develop a flexible, tactically sound, fully integrated and synchronized plan that supports the tactical commander's mission What are the responsibilities of the medical planner? - ANSWERS-Analyzes medical requirements before, during, and after all phases of an operation -Conducts medical estimate (mission analysis) while tactical staff does MDMP ("parallel planning") -Develops medical plan for each COA developed -Consid...

Categories to build military symbols - ANSWERSFramed: Unit, equipment, installation, activity symbols Unframed: Control measure and tactical symbols What is the circle or rectangle mean? - ANSWERSFriend/assumed friend What is the diamond symbol mean? - ANSWERShostile/suspect what is the square symbol mean? - ANSWERSneutral what is the quatrefoil symbol mean? - ANSWERSunknown/pending Colors for symbols - ANSWERSblue: Friend Red: hostile green: neutral yellow: unknown Tr...

Secure - ANSWERSTo gain possession of a position or terrain with or without force, deployed in a manner which prevents destruction or loss to the enemy and physical occupation not required. Seize - ANSWERSTo clear a designated area and obtain control of it. Must physically occupy the ground. Mission Command (MC) - ANSWERSThe exercise of authority and direction by the commander using mission orders to enable disciplined initiative within the Commander's intent to empower agile and adaptive...

Which of the following is a significant maintenance report at the unit level? - ANSWERSEquipment Status Report What is considered the most critical operation of the Army Maintenance System? - ANSWERSOperator/Crew Maintenance The maintenance unit organic to the Brigade Combat Team (BCT) is... - ANSWERSField Maintenance Company Disrupts the enemy so that he is either unwilling or unable to continue his mission. - ANSWERSDefeat This symbol denotes hostel forces - ANSWERSDiamond Diffe...

What is the purpose to having the Amphibious Assault Ship (LHD/LHA)? - ANSWERSTo provide similar care as a role 2+ near a coastal location - Can be used in emergency or natural disaster events Role 1 Capabilities - ANSWERS- Immediate Lifesaving Measures - Disease Non-Battle Injury - Patient Collection - Medical Evacuation Role 2 Capabilities - ANSWERS- All Capabilities of Role 1 - Ancillary Support - Patient Holding - Preventive Medicine - Behavioral Health Physical Therapy - Med...

Autosomal Dominant - ANSWER1 parent has, 50% change of child having Autosomal Recessive - ANSWERBoth parents are carriers, 25% change of child having, 50% chance child is a carrier. Cystic Fibrosis - ANSWERaffects pancreas causing secretions in lungs 21st Trisomy - ANSWERDown Syndrome Klinefelter Syndrome (XXY) - ANSWERmale has extra X, female like qualities Turner Syndrome - ANSWERMissing X in females Alpha Thalassemia - ANSWERinherited blood disorder; mild to severe anemia ...

What organ does cystic fibrosis affect? - ANSWERAffects the pancreas causing secretions into the lungs What is Klinefelter syndrome? - ANSWERAn extra X chromosome for males so example XXY causing female-like qualities What is Turner Syndrome? - ANSWERfemales. missing or deformed x chromosome. right hemisphere dysfunction, hearing loss, ear infection, language and articulation disorders, visual spatial and attentional problems What is beta thalassemia? - ANSWERa condition in which the sy...

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Main role of sterile processing is: - ANSWERSprovide reliable services to enhance quality of patient care instruments sets and patient care equipment processing and distributing must be done accurately and timely so: - ANSWERSpatient care is not adversely affected Ethics is - ANSWERSdoing the right thing Compliance with OSHA is - ANSWERSrequired by law Establishes sterile practice based on opinion, research and theory: - ANSWERSAAMI Reccomended practices are: - ANSWERSstatements o...

Steam Using Gravity Displacement: Method of Killing - ANSWERSDenatures microorganism proteins Steam Using Gravity Displacement: Sterilant Used - ANSWERSCombination of steam and ambient air Steam Using Gravity Displacement: How do steam and ambient are sterilize? - ANSWERSSteam displaces the air, and forces it out of the drain vent. Steam then comes in direct contact with items Steam Using Gravity Displacement: Parameters (3) - ANSWERS1. Time 2. Temperature 3. Pressure Steam Using G...

Which of the following is a major cause of AER failures? - ANSWERSUsing incorrect connectors Which agency requires that eyewash stations be available for emergency use? - ANSWERSOSHA (Occupational Safety and Health Administration) The OSHA Hazard Communication Standard requires that SDS's (Safety Data Sheet) must be available for? - ANSWERSAll chemicals used in the department How often should cleaning and sterilization instructions be requested from device manufacturers? - ANSWERSEach ...

What should the sterilizer access area pressure be? - ANSWERSNegative w/10 air exchanges per hour What two steps are involved in decontamination? - ANSWERS1. Manual and/or automated mechanical cleaning 2. application of a thermal or chemical disinfection process Define Cleaning... - ANSWERSThe removal of contamination from an item to the extent necessary for further processing or for the intended use. nosocomial infections are well documented and caused by... - ANSWERSpoor or ineffecti...