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Clinical Therapeutics, Paroxysmal supraventricular tachycardia (PSVT) Stable Narrow Complex: Adenosine Clinical Therapeutics, Paroxysmal supraventricular tachycardia (PSVT) Stable Wide: Amiodarone Diagnosis, Acute coronary syndrome: If left coronary artery is ischemic, what are the ECG changes? ST elevations V5, V6, I and avL Diagnosis, Coarctation of the aorta o CXR: rib notching, and "3 sign" o Difference in BP upper and lo

What are potential causes of chronic infection/UTI? -obstructions -antibiotic-resistant bacteria ---- presence of multiple strains of bacteria What additional HPI questions would you want to ask a patient with urinary complaints (dyuria, urgency, etc.)? -fever -N/V -Pain (abdominal, pelvic, back) -LMP -Contraceptive use -Sexual partners -hygeine habits -Vaginal discharge/irritation -hx of UTIs What are possible differential diagnosis of dysuria? -Usually bladder problem -UTI -Pyle...

Claudication is the classic presenting symptom associated with which of the following? arterial insufficiency Risk factors for chronic arterial insufficiency?- tobacco use You are using the CURB 65 clinical tool, for determining which patient dx with CAP should be hospitalized or treated at home. Mabel's score is 2- what should we do? Short inpatient stay; if she is relatively healthy, she could be closely supervised outpatient S/S of COPD correlate with which of the following?- Chroni...

if rapid strep test is negative what is the first thing you should do? send out culture when examining lab from a person with mono what would the NP expect to find? Lymphocytosis EBV is transmitted through which route? oral pharyngeal secretions (saliva) Sx of mono usually present how many days after initially infected? 30-50 days if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to avoid beta-lactam 60 yr old concerned over a painless fixed...

23-year-old, sexually active female who presents for her first pap smear. Her history includes no pregnancies. Her first intercourse was at age 14 and has had at least 10 sexual partners if not 12 partners since. Which conditions do you want to be alert for during her exam? HPV 20-year-old, sexually active female seen in the clinic because her boyfriend was diagnosed with gonorrhea. What is the treatment of choice for gonorrhea? ceftriaxone A 24-year-old female with complaints of dysuria...

Which of the following is not a common cause of chronic renal failure? a. Polycystic kidney disease b. Type 1 diabetes c. Hypothyroidism Hypothyroidism In clinical practice the NP notes an elevation in the creatinine clearance and understands that this lab test: a. Does not change with the aging process b. Is greater in women than in men c. Approximates the GFR Approximates the GFR The NP is seeing an 80 YO patient and understands that which of the following is an early finding of ch...

Health Insurance Portability & Accountability Act (HIPAA) is a Federal Law designed to facilitate the electronic exchange of information in health care. Which of the following does not pertain to this law? a) Privacy protection components of the law limit non-consensual use as a release or private health information b) Patients must receive notice of privacy rights c) Restrictions on access to and use of information is required d) Criminal and civil sanctions do not exist for improper ...

According to ACHE's Code of Ethics, one way that healtcare executives can avoid or minimoze the negative implications of conflict of interest Make the conflict known to those in superior positions The principles of quality improvement require that healthcare exectutive change their management philosophy from Finding fault with employees to finding problems in processes What type of problems arises when a healthcare executive knowingly allows the organization to continue double billi...

For the routine service cost center, an increase in the number of patient days over the budgeted number of patient days will result in: 1. A higher average cost per patient day. 2. A lower average cost per patient day. 3. An increase in the budgeted fixed costs for the routine service cost center. 4.No change in the average cost per patient day. 2. Which of the following balance sheet items would differ between a for-profit and a not-forprofit healthcare organization? 1.Retained earning...

1) The purpose of management in a healthcare organization is to: a. Oversee appointment of competent medical staff to render care for the service area b. Appoint an effective governing board based on the wishes of the medical staff c. Implement the mission, strategies and goals established by the governing board d. Implement stakeholder wishes on the future direction the organization should take c. Implement the mission, strategies and goals established by the governing board 2) An effect...