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1. Which medications used to treat nausea and vomiting works by affecting the
chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure?: Anticholinergics, such
as scopolamine (Donnatal).
2. The antibiotic of choice for recurrent acute otitis media (AM) and/or
treatment failure in children is:: Amoxicillin and potassium clavulanate (Augmentin).
3. A 67-year old female on multiple medications for chronic conditions
was just diagnosed with gastroesophageal reflux disease (GERD). In
teaching the patient about the disease, what medication should the
clinician recommend that the patient refrain from using?: Nonsteroidal anti-inflammatory drugs (NSAIDs).
4. A 30-year-old male presents to the clinic with intermittent diarrhea.
He is pretty sure that the antacids taken for heartburn are the cause
since the loose stools always occur within 30 minutes after taking
them. How should the clinician respond?: Antacids may contain magnesium,
which decreases bowel
transit time and may contain poorly absorbed salts that result
in an osmotic draw iofufluid into the bowel resulting in diarrhea.
5. When the Weber test is performed with a tuning fork to assess
hearing and there is no lateralization, the clinician should document
this finding as:: A normal finding.
6. A 72-year-old male patient presents to the clinic for his annual
physical. He states that he is worried because he only has a bowel
movement every three days. How should the clinician respond?: There is no
such thing as a "normal" pattern of defecation.
Patterns of defecation vary widely and may in part be affected
by dietary habits, fluid intake, bacteria in the stool,
psychological stress, or voluntary postponement of
defecation. Defecating every third day could be the routine
pattern for Simon. He should be questioned if this is routine
for him.
7. A 21-year-old female patient presents to the clinic for pre-operative
tonsillectomy clearance. She has heard about permanent taste
changes after a tonsillectomy and is concerned. What should the
clinician tell her?: Although some clients report a significant subjective drop in
taste function following surgery, none have ongoing taste
dysfunction.
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8. In a young child, unilateral purulent rhinitis is most often caused by:: A
foreign body.
9. Nausea is difficult to discern in a young child what question should the
clinician asked to determine if a child has nausea: Are you hungry
10. A 38-year-old male has recently had an iliomy for ulcerative colitis which
self-care measure should the clinician teach him to relieve food blockade: Massage the periosteum area
11. 52 year old female as suspected of having a gastric ulcer and will undergo
an EGD she's concerned because she heard that gastric ulcers can be malignant how should the clinician respond: About 95% of gastric ulcers are Banan
even though they seem to like a malignant on x-ray
12. A 29 year old female just returned from Central America with travelers
diarrhea and presents to the clinic for evaluation which of the following is the
best treatment: Supportive care
13. A 75-year-old female presents to your office complaining of dizziness and
ringing in both ears for one day she describes the dizziness as feeling like the
room is spinning on physical exam the run test reveals the air connection is
greater than bone conduction bilaterally the web or test reveals lateralization
to the left she is unable to hear the examiners whisper on the right but she
can hear the whisper on the left what is the next step to helping this patient
symptoms: Start the patient on a low salt diet prescribe meclizine for vertigo and
refer to ENT
14. An 82-year-old female has been diagnosed with IBS and chronic constipation and diverticulitis following a colonoscopy what pharmacologic agent
should the clinician recommend: Bulking agent
15. A 26-year-old male recently returned from a camping trip with symptoms
of acute gastroenteritis he reports that he only ate vegetables from his garden
that he can't prior to the attic which of the following pathogens might be
causing his symptoms: Clostridium botulinum
16. A 20-year-old male presents to your office in summer complaining of chest
discoloration he is a lifeguard and has been out in the sun without a shirt for
a long period of time his physical exam so small flat circular hypopigmented
macules on his chest that he states are mildly paretic what is the treatment
choice for this diagnosis: Selenium sulfide shampoo
17. Mary H 82 presents with several other problems she states that her eyes
are always draw and look sunken in what do you suspect: Age related changes
18. Sharon a 47-year-old bank taylor is saying by the nurse practitioner in the
office for red are you were trying to decide between a diagnosis of conjunctivitis in irritate us why distinguishing character between the two is: A Cillary
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flush when trying to decide between a diagnosis of conjunctivitis and he irritates one
distinguishing characteristic is the Silveri fret flush the toilet present in irritate us
19. Which of the following patients does not have an increased risk of candidia: A patient with a history of coronary artery disease
20. A 25-year-old male present to your urgent care clinic complaining of genital
pruritus. On physical exam the patient has small erythematous excoriated
papules on his pubic hair nomads are identified there's no penile discharge
and the patient has no constitutional symptoms he sexually active but where
is condoms during all sexual experiences what is the most likely diagnosis: Chlamydia
21. A rash that looks like the patient was slapped on the cheeks of the face is
a hallmark characteristics for what disease: Fifths disease
22. A 27 year old mail comes into your primary care office complaining of a
hairy oriole rash the patient notice burning around her lips a couple days ago
that quickly went away she awoke from sleep yesterday and noticed a group
of vesicles with erythematous faces were the burning had been before there
is no burning today she is afebrile and has no difficulty eating or swallowing
what test would confirm her diagnosis: Tzanck smear
23. 84-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash mostly between his fingers this is been going on
for multiple days and has been getting worse the patient recently started a
new daycare on physical exam the patient is afebrile and has multiple small
one to two MM read papules and sets of three located on the web spaces
between his fingers he also has signs of excoriation what is the treatment of
the problem: Permethrin lotion For the patient and also his family members
24. Mrs. Johnson of 54 year old accountant presents to the office with a painful
read out without discharge you should suspect: Iritis
25. A three-year-old patient presents to your pediatric office with her mother
she has recently started a daycare her mother notice lot Perry orbital erythema
on the right side of the patient's mouth last night before bed the patient at work
today with three small superficial honey colored bicycles with erythema what
was last night the patient has no surrounding erythema presently she had no
difficulty eating this morning and is active and energetic and doesn't appear
lethargic or fatigued she's also afebrile how would you trade this child: Local
debridement and mupirocin for five days
26. A 22-year-old college student presents to your urgent care clinic complaining of a rash she was recently on spring break and spent every night in the
hot tub of her hotel on physical exam she has multiple small areas of want to
two MM erythematous pustules that are mostly present with her bathing suit
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covered her buttocks what is the most likely pathogen causing these: Pseudo
Jonas aeruginosa
27. 18-year-old male presents to the office with his mother with complaints of
itchy and red eyes for one day he reports watering drainage in both eyes associated with repetitive itching he has no fever or constitutional symptoms the
patient has a sibling with that just started daycare recently upon examination
vision is 2020 with glasses he has mild to moderate conjunctival hyperemia
with Balletto preauricular lymph nodes that are inflamed what is the patient's
diagnosis: Viral conjunctivitis
28. Henry 64 years old is having difficulty getting rid of a corneal infection he
asked why how do you respond: Because the cornea doesn't have blood supply
an infection can't be thought of as usual
29. You don't knows 46-year-old male with viral conjunctivitis your treatment
should include: Supportive measures and lubricating drops
30. A 25-year-old male presents with bleeding in my heart for one day he'll
walk this morning with dark area redness and his ass he has no visual loss
or changes he did not constitutional symptoms Piratas drainage or recent
trauma the redness presents on physical examination as a dark red area in
the patient sclera of the rat are only in tax app to less than 50% of the are the
patient remains clear at is clear and rot he also notes was drinking alcohol last
night in vomited after what is the best treatment: reassurance that this lesion
resolved Without any treatment in 2 to 4 weeks
31. Which of the following initiatives does not fall under national prevention
strategy: Diabetes management
32. All of the following statements about US preventative services task force
are true: This is a private sector group without government ties this group makes
recommendations about preventative medicine and all of the US PSTF recommendations are considered mandatory in primary care
33. What type of reaction following an immunization is considered serious and
requires reevaluation: Temperatures greater than one 03 Fahrenheit
34. Herbert a 69-year-old man comes into your office complaining of not to you
on questioning Herbert you find that for three Months he has been getting up
at least five times a night to avoid he came in to seek help today because of
his wife's insistent that he be checked out when you perform the digital rectal
exam you find that his prostate protrudes 3 to 4 cm into the rectum what grade
would you assign Herbert's prostate enlargement: Grade 3 the degree of the
prostate enlargement is based on the amount of projecting in the prostate into the
rectum
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35. Which of the following individuals should get the shingles vaccine: Joe
who has a stressful job
36. As a primary care provider which of the following topics it's not typically
important for adults age 20 to 40: Focusing on increasing lifespan typically this is
important to patients Greater than 65 years
37. Which of the following statements defines Health literacy: The level to which
a patient can understand gain access to and make proper medical decisions
38. Between ages seven and 18 both boys and girls are immuno Nast against
the following diseases: Tetanus diphtheria pertussis meningitis and HPV
39. The old charts on that location duration character aggravating alleviating
factors radiation timing and severity pneumonic is best used in which part of
your chart note: History of present illness the old charts pneumonic is best used
to describe the patient symptoms in the history of the present illness
40. Eileen a 42-year-old woman comes to your office with a chief complaint
of fatigue weight loss and blurred vision Eileen has a past medical history
that is negative for any chronic medical problems you obtain a fast and Kim
mystery panel lipid profile CBC A-1 C the result of the bloodwork show Eileen's
blood sugar is 356 cholesterol is 255 HDL 28 and LDL is 167 her triglycerides
are 333 her A1c is 12 unquestioning Eileen further you discover that both
her grandmothers had adult diabetes and you diagnosed her with type two
diabetes your treatment plan should include a cholesterol lowering agent an
agent that lowers blood sugar and which other class of medication: An Angeo
contents and converting enzyme or an ace inhibitor studies have shown that ace
in Hibbett her's and clients with diabetes with or without hypertension has slow the
progression of neuropathy you must monitor the clients creatinine and potassium
levels routinely if the clients renal function does decrease elevated potassium levels
may occur some clinicians disagree on this approach and recommend waiting until
the micro albumin is present before initiating ace in Hibbett her other clinicians field
at the A1c indicates that she has been a diabetic for probably 10 years and would
benefit from this approach
41. If Margaret 829 is of medium build and 5 foot for your estimate that she
should weigh about: 120 to 8 estimate a client's audio way use the following
formula for women older than 25 allow 100 pounds for the first 5 foot then add 5
pounds for each inch There after for men allow 106 pounds for the first buffet then 6
pounds for each inch there after multiply the number by 110% for a client with large
frame and 90% for a client with small frame
42. Susie of H5 comes to the clinic for a well visit she has not sent seen since
she was two. Her immunizations are up-to-date what immunizations would
you give her today: Diphtheria tetanus and pertussis inactivated polio vaccine and
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measles mumps and rubella because Susie has not been in for several years one
cannot assume she will come in next year to get immunizations that are due between
the ages of four and six therefore this opportunity to give her needed immunizations
cannot be missed between the ages of 46 a child is due for DTaP IPV an MMR if all
other immunizations are met
43. Mimi 850 to ask washes she perform a monthly breast self exam when she
has her mammogram on schedule you respond more: More than 90% of all
breast abnormalities are first detected by self examination
44. Marion's husband's due age 72 has temporal arteries she tells you that his
physician wants to perform a biopsy of the temporal artery she asked if there
is a less invasive diagnostic test what do you tell her is less invasive: Color
duplex Ultrasonography a Babcia the temporal artery is usually required to confirm
the diagnosis of temporal arteritis however a color duplex ultra sonograph he a
combination of ultrasonic Raffey and the flow velocity determination of a Doppler
system has been shown to examine even small vessels such as superficial temporal
artery and show a halo around the inflamed arteries one temporal arteritis is present
therefore it is less is much less invasive procedure than the biopsy
45. Which of the following refers to an aspect of the patient's health that can
be changed or affected by health intervention: Modifiable risk factor a modifiable
risk factor is an aspect of the patient's health they can be changed or affected by
health intervention
46. An 81-year-old patient presents for a physical she recently had a fall and
now has problems walking upstairs the only restroom in the house is on
the second floor she also has a flight of stairs outside her house she has a
navigate in order to reach the first level and this is difficult for her what does
this information belong in your chart note: Functional health Patterns the patient
is having problem with her normal daily routine of life due to her recent fall so this
information belongs here
47. Telehealth has shown a drastic increase in hallucination by patients in
which of the following field of medicine: Psychology and psychiatry
48. Mark a 56-year-old man comes to your practice seeking help quitting
smoking you prescribe Varina clean or Chantix a prescription medication to
aid in his attempt what instructions do you give Mark regarding how to stop
smoking with Chantix: Start the Chantix today according to the dosing schedule
and then pick a date to stop smoking about seven days after starting the Chantix
Chantix has been shown to be more effective in helping smokers quit then Zyban
another non-nicotine prescription medicine for smoking sensation
49. Joseph a 55-year-old male with diabetes is at your office for his diabetes
follow up on examining his feet with monofilament you discover that he has
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developed decreasing station in both ate there are no open areas or signs of
infection on his feet what health teaching should you were Joseph received
today regarding the care of his feet: See a podiatrist every Yearly wash your feet
daily with warm soapy water and towel dry between the toes inspect your feet daily
for any lotions and apply lotion to any dry areas
50. Marvin is a gay man who is ready to come out what is the last step in the
process of coming out: Identity integration and self-disclosure the last step in the
process of a gay man or lesbian coming out of that is identity integration and self
closing disclosure the process of discovering in revealing one sexual orientation
can occur at any age is known as coming out stage theories for coming out have
been summarized as a four step process awareness of homosexual feelings testing
and exploration identity acceptance and identity integration and self disclosure if the
ultimate cost of self disclosure or felt to be too hard and invent the door may become
socially isolated or deny gay or lesbian identity
51. I love value that is commonly decreased in older adults is: Creatinine
clearance the creatinine clearance value is commonly decreased in older adults
because of impaired renal function
52. MARTHA H 82 has asymptomatic carotid bruit on the left side what do
you recommend: No treatment at this time clients with a symptomatic carotid bruits
have a 2% incident of a CVA accident also known as a stroke or brain attack per
year although I said a lytic acid or aspirin anticoagulants and surgery are frequently
ordered they are not sufficient data to prove these treatments reduce the risk of
CVA in clients with ACE and Matt symptomatic carotid bruits a carotid ultrasound
show the percentage of any blockage but at age 82 with no symptoms this is not
necessary
53. Which of the following is not a Modifiable risk factor: Race
54. Which of the following is not one of the generalized patterns of nursing
care included in the circle of caring model: Intelligence
55. Which of the following statements does not belong in the past medical history portion of your chart note: Your patient had lab work at their last appointment
that was negative this belongs in the history of present illness or diagnostic test
portions of your note
56. You have a patient who presents with ankle pain which of the following
factors or observation does not belong in the physical exam portion of your
note: The patient's pain started after a fall office skateboard this belongs in the
history of present illness
57. Harry is taking his entire family to Central America and is wondering about
protection against bots from malaria causing mosquitoes what advice do you
give him: Use an insect repellent with D for adults and permethrin for children and
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stay inside from dust to dawn insect repellents with high concentrations greater
than 35% update or effective in preventing mosquito bites however date is not
recommended for application to the hands our faces of young children permethrin
is effective as escape aside and as a pediculicide it is very effective at low concentrations against malaria carrying mosquitoes in a safe for all ages other preventative
measures including remaining in a while screened or indoor areas from dust to dawn
including mosquito nets and wearing clothing that covers most of the body
58. Is Mairie a 70 year old woman with diabetes is at your office for three
months diabetic check up Mairie's list of medication includes Met Forman or
Glucophage Exar 1000 mg and angiotensin converting enzyme inhibitor daily
and one baby aspirin Mary's bloodwork showed a fasting glucose of 112 and
an A1c of 6.5 you tell Mairie that her blood work shows that her dad: That
her diabetes is under control and she should remain on the same medication for
optimal control a person with type two diabetes should have an A1c of 6.5 or less
and a fasting glucose less than 130 because the clients lab results fall into those
categories she is under good control and her medication should stay the same
59. Send a 68-year-old woman presents to your office for screening for osteoporosis she states that her grandmother and mother both lost inches in their
old age she has been postmenopausal for the past 15 years and never took
any hormone replacements she is Caucasian weighs 180 pounds and is 5 foot
one on today's measurements when do women lose the greatest amounts of
bone city: The first 10 years after menopause bone loss begins at a rate of 0.5 a
year and a women's middle to late 40s the right then increases up to 7% of the year
for the first decade after menopause this increase in the rate of bone loss is directly
related to a decrease in a woman's estrogen bone loss then decreases 0.5% to 1%
a year until death the patient should be encouraged to do weight-bearing exercises
and have adequate calcium intake of 1000 to 1500 milligrams with sufficient amounts
of vitamin D
60. If a screening test use on 100 individuals known to be free of breast cancer
identified 80 individuals who did not have breast cancer while missing 20% of
the individuals the specificity Would be: 80% specificity Measures of screening
test ability to recognize individuals who are non-disease or those with negative
reactions true negatives it can be represented by a ratio of tested negative to the
total numbers of known or true negatives in this case the number of negative that
test recognized was 80
61. Julia age 18 ask you how many calories of fat she is eating when one
serving has 30 g of fat you tell her: 27 cal a grandma fat contains 9 cal where
is a gram of either carbohydrates or proteins contains 4 cal in this case Julia was
eating 3 g or 27 cal of fat 9 cal per gram of fat times 3 g of fat equals 27 cal
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62. In relation to riding a patient encounter note the acronyms soap stands for
which of the following words: Subjective objective assessment plan
63. Which of the following demonstrates a subject finding: Pain level
64. Which of the following statements about health promotion is false: Health
promotion is a benefit to add to your practice if you have time Health promotions
is an important aspect of clinical practice and not usually if it is convenient to the
practitioner
65. What intervention would not be included in the definition of a secondary
prevention: Routine immunizations this is a primary
66. As a nurse practitioner which of the following would not be an example of
primary health promotion: Posting articles on your social media account
67. Which of the following patients is health literate: A 62-year-old female who
speaks the language of her provider has Medicare for insurance I can drive this
patient has access to transportation and health insurance and has the ability to
communicate with her provider
68. The study of the way diseases are spread through groups in what causes
and help spread the disease is called: Epidemiology
69. How often should you receive a T dap booster with no injury history is
present: Every 10 years you need to receive this vaccine if you suffer an injury
between five and 10 years after receiving your last vaccine some for providers will
go ahead and give you a booster
70. How do you respond with your age 40 to ask you how long she should work
out each week: Exercise for at least 30 minutes five days per week
71. Sandra a 27-year-old nurse states that she does not want to get hepatitis
B virus vaccine because if it's adverse effects you tell her that the most
common adverse effect is: Pain at the injection site the most common reaction
of the hepatitis B virus vaccine as paint the injection site
72. Harvey age 55 times to the office with a blood pressure of 144/96 he states
that he did not know if it was ever elevator before when you retake his blood
pressure at the end of the examination a remains 144/96 what should your
next action be: Try nonpharmacological methods and have him to monitor his blood
pressure at home before drug therapy for hypertension is instituted unless the baby
is extremely elevated nonpharmacological methods such as salt restrictions white
reduction in biofeedback an exercise it should be treated
73. For which patient should you administer the HPV vaccine: Janice age 17
who had a baby six months ago and is breast-feeding women who are lactating or
immunocompromise are eligible to receive the vaccine it is also recommended for
females aged 9 to 25 regardless if they have ever had sex yet and even if the women
already had a history of genital warts
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74. Which of the following is not a subject of finding: Respiratory rate
75. Which of the Following does not fall under the umbrella of health promotion as a nurse practitioner: Information about online dating this doesn't promote
health of your patient although he or she may consider it extremely important
76. Which of the following refers to an aspect of a patient's health that cannot
change or affected by health intervention: A non-modifiable risk a non-modifiable
risk is an aspect of a patient's health that cannot be changed or affected by hep
intervention
77. A nurse practitioners practicing based on the rule based actions he was
taught in school and doesn't understand when we're these rules maybe Apple
inappropriate which following statement describes the skill level: Novice
78. Mildred an independent 92-year-old woman is moving into her daughters
home her daughter comes to see you seeking information to help keep her
mother from falling which of the interventions would you suggest you do to
help prevent Mildred from falling: Remove all those rose from the floor and install
hand grass in the bathtubs and near Tolles the correct answer allow Mildred her and
opinions but provide a safe environment by removing a loose rugs that she could
easily trip over and installing handrails by the toilet and in the bathtub
79. Dennis age 62 has been on prostate hyperplasia BPH he tells you that he
boys at least four times a night and then he has read about preventing drug
called Terezin Hydro chloride or Hattrick it might help him what do you tell
him: It's not a permanent address but it relaxes a smooth muscle in the prostate and
bladder neck hi Trent is an apple 189 add your dinner blocker it is not a preventative
drug but it does really smooth muscle in the prostate and bladder neck and allows
complete evening at the bat bladder relieving frequent nocturnal urination Terazosin
Is begun at 1 mg at bedtime initially and then titrated airport to 10 mg once a day
80. Jan's mother has Alzheimer's disease Jan tells you that her mother's
recent memory is poor and that she's easily disorienting correctly identifies
people and it's lethargic Jan ask you is it is this is bad as it gets you tell her
that her mother is in which stage of the disease: Stage three families of persons
with AJ do you need to know the 80 is a progressive disorder of the brain affect
memory thought and language although the progression of the stages as individual
and changes may correctly you're slowly of the course of several years knowing
what stage of family members and helps the family members and planning and
knowing what to expect and stage three personality changes a smart and depression
make her directions must be specific and repeated for safety recent memory is
bore disorientation occurs easily and people are in correctly identified in the person
maybe lethargic
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81. When performing a sports physical exam on Kevin a healthy 16 year old
boy which question in the history is important to ask Kevin or his guardian
did: Did anyone in your family ever have sudden cardiac death
82. The agency for healthcare research and body was established for: To
promote evidence based practice
83. 54. You have seen a client who has tested positive forsyphilis. You have
treated the client; tested the client for other potential sexually transmitted diseases, including human immunodeficiency virus (HIV); counseled the client
a bout sa fe sexualpractices; and scheduled the client to retum at 3 and 6
months for repeat serologic testing. The tests at those times demonstrated
that no further syphilis was present. Should you have taken any other action?: Yes you must report the case to the local health department. Syphlis is reportsble
and easily treatable
84. Which of the following is the best method for evaluating the efficiency of
a new clinical trial: A randomized controlled town
85. What is the predominant legal theory of malpractice liability negligence
includes: They are to give necessary care failure to get necessary careful Yoda boil
a failure failure to prefer a necessary and failure to disclose necessary information
to patients are all examples of negligence
86. Counseling Mr. Brown a patient newly diagnosed with diabetes advance
practice registered nurse handsome a pamphlet on poop care she notices that
he put it away saying he will read it later what matters behavior: Having a low
literacy level
87. If conflict arises from the job negotiation you should consider: Separating
the issue from the person
88. You're advantages to owning your own practice however there's also barriers to the ability to do this these barriers include which of the following: Getting
a keeping a flaborated position if for fire by law getting out managed care panels and
getting privileges at hospitals
89. Which of the following statements related to statistical techniques and
their uses in research is true: To determine appropriate testicle test do you
consider sample size level of measurement and data tab
90. Prescriptive authority for dance practice registered nurses: Varies by state
91. Mr. Griffin at age 85 has been given a diagnosis of bowel cancer in surgery
is indicated he is mentally alert however he is refusing to give consent for
the procedure you respond: Reciting his wishes perspective appliance wishes is
the best correct response to the situation you may want to consider a psychological
over later just depression and be sure this is not driving component of the clients
behavior
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92. When caring for a client who speaks the language different from yours ideal strategy yesterday: Review the case is first with an interpreter before beginning
the clinic is it
93. The term collaboration is best defined as: Cooperation with another to
achieve me to go so I'm not losing side of one's own interest
94. You were interviewing a client who becomes tearful an appropriate responses to: Say quietly with a client an offer a tissue
95. Best way you as an individual advance practice registered nurse to make
a different or real impact is two: Writing letters to the editor supporting APR ends
96. You are saying your client for the first time and he says I like that your
position's assistant you tell him that you are nurse practitioner and he ask
you how to two or different your best answer is physicians assistance or
healthcare professionals who are authorized by the state practice medicine
under the last position where as nurse practitioners have an independent
basic knowledge advanced nursing knowledge and independent licensed
to practice according to the website national commissioner certification of
physicians assistant position assistant or health care for fishnets: PAs are
under practice medicine under the position where MPs are under
97. It is important to prepare you for your interview as an opinion you should
be prepared answer which of the following: Why you should be hard how many
clients per day you will see what you can bring to the bright as you're willing to work
weekends or evenings and takeoff and how you are independent in your practice
98. When caring for a client from a different culture which of the following is
an important piece of assessment data: Determining the ultimate decision maker
port pieces of assessment and a dad including ultimate decision maker
99. Mr. Jones age 44 is admitted to the emergency department complaining of
chest pain which of the following actions would be the best way to establish
therapeutic relationship with Mr. Jones: Asking open ended questions to elicit
pertinent clinical data
100. Certain characteristics differentiate research from quality improvement
which of the following is an example of research: A new in original been implemented and compared with cart practice to determine which is better
101. Which of the following statements about Medicaid is true: Medicaid is a
program for the indigent federal and state
102. APR ends are affected by laws and rules although these very best day
which of the following is affected by state laws and regulations: Delegation of
authority by physicians
103. What must you do as an APR in the for billing for visits: A tiny provider
number and familiar that is your cell wooh rules and policies of the third-party biller
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104. Because of the potential for exploitation for older adults a geriatric population is designated a borrow one when it comes to pertaining informed
consent for serving as a resource subject safeguarding shit adhere to when
conducting research on a geriatric population include which of the following: Assessing the population of the individual before obtaining consent
105. Relapse is a common phenomenon scene when behave if your real
changes useful strategies for the healthcare provider to institute to a declined
in a relaxed situation: Tell him the client that the relapse is a learning opportunity
in preparation for the next action stage
106. Mr. Smith age 85 lost her husband six months ago since that time she has
been overwhelmed as it has had difficulty coping today she is in your office
tearful week and discouraged her mobility is also becoming increasingly
limited because of her need for a hip replacement she is indecisive express
his fear about the surgery and tells you if she does not want the surgery
dress your best action is to: Trade the car lots psychological problems and provide
support
107. And emancipated Mount who is a client who is younger than 18 but is
considered a competent adult With authority to except or if used medical treatment how do you determine if a 16 year old you're saying is an emancipated
minor: Although definitions very amongst that is the term usually implies that the
minor has entered into a valid marriage is a member of the military or has been
granted the status back ward to treat this client as an emancipated minor you need
some proof of marriage at minute military status or papers from a quart attesting to
the minor status emancipated
108. And effective method processing a child retention and understanding of
educational materials is: Asking the client to restate that you have reviewed
109. When counseling on health behavior change the APR in Boutte which of
the following: What are your thoughts about quitting smoking at this town
110. The purpose of a block grant is two: Allowed states to have a greater
flexibility in providing services to the power
111. Mr. Brielle 850 is a house painter who spoke to three packs of cigarettes
per day since he was 20 he comes into the clinic complaining of a chronic
cry when you discuss his milky behavior he states that I need to stop but I'm
under too much stress right now: The contemplative stage
112. Which of the following describes a situation in which the medical information may be passed on without clients consent: When the client has a gun
wound
113. The term credentialing means that: The practitioners meds from cartoon
through licensure certification and education
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114. Three search function of the APR and maybe operationalized as about
consumer research findings and researcher: Reading literature analyzing it's
clinical applicability and you to sing new research
115. Your client is convinced her illness has been caused by the ill will have a
family member her description of her illness is an example of her: Explanatory
reasoning
116. Isn't it events practice registered nurse she begin a new job and a small
practice with two other positions you have been hired to be a partner in the
pregnant but the eldest proctory hell just partner is reluctant to allow you to
take on new clients this an example: Role conflict
117. Certain characteristics differentiate were research from quality improvement which of the following is an example of research: A new intervention being
implemented and compared with current practice to determine which is better
118. The primary purpose of an institutional review board is two: Protect human
subjects
119. The term indemnity insurance refers to ensure: That pays for the medical
care of the insured
120. Most health maintenance organization use a reimbursed mechanism
called Captain Tatian this means that there: HMO reimburses the provider a
predetermined fee per client permit based on the client age and sex
121. Mrs. Smith age 85 lost her husband six months ago since that time
she has been overwhelmed and has had difficulty coping today she is in
your office here for a week and discourage her mobility is also becoming
increasingly limited because we need for a replacement she is indecisive
expresses fear about the surgery and tells you you do not want her to have
surgery your best action is to: Treat this child client psychological problems and
provide support
122. The affordable care act passed in to 2010 has a number of provisions
including establishment of health exchange is the purposes of the health
insurance exchange is two: Create an online marketplace for sale and purchase
of health insurance for consumers
123. It is important to do which of the following before negotiating contract: Do
your homework
124. Mrs. Hernandez age 79 is insisting on a discharge from skilled nursing
facility where she is receiving a rehabilitation after her left hip placement has
very little support you do not think she's ready Mrs. Hernandez insistent on
discharge is an example of your client exercising her right to: Self-determination Mrs. Hernandez assistance on discharges example of her exercise in her right
to self-determination or autonomy
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125. Techniques used to enhance a clients adherence to treatment plan include: Giving clear written instructions and simplifying the drug regimen
126. Help behaviors can be difficult to change which of the following is the
most important influencing behavioral change: Motivation
127. Sally and a PRN sees Mr. Bill who is separate from CHF she increases is
diarrhetic that makes no point of his potassium and orders now placement
of Tassy Mr. Bell returns a week later for routine lab has potassium level is
found to be low however Mr. Bell has no complaints Sally orders of potassium
supplement begin immediately as a follow-up potassium level measurement
is Sally guilty of malpractice: No because no harm came to the client Shelley is
not guilty about practice because no harm came to Mr. Bell is a result fractions for
malpractice the provider must've have a duty to the client centered care should've
been breached
128. You were working in an emergency department as an APR in an adolescent boys Roddy an unconscious with a head injury after Easter a car he has
no identification and there is no parent with him what do you do: Provide the
appropriate medical treatment even if it involves surgery
129. You are attempting to elicitor history for Mr. Barnes his first visit to your
office he becomes increasingly angry and belligerent he says can't you hurry
at Dr. Smith never text Son where all the Christiansen necessary you respond: You seem very upset Mr. Barnes could you share with me what is bothering you
130. Which of the following strategies can help foster compliance: Provide
positive feedback and reinforcement
131. Which of the following nonverbal communication techniques is important
and establishment of rapport with client: Making direct eye contact with a client
with periodic breaks to take her check notes
132. Denial of Prater status is something that seriously impedes nurse practitioners ability to practice aesthetic are some steps: Writing letters to an organizations president and CEO activating others to lobby on your behalf and reapply
after six months.
133. When teaching you're flying about medication your prescribing the most
important points discussion initially are: What is four how much to take and went
to take it
134. Which of the following statements about case management is true: Case
management is an organized around a system of interdisciplinary resources advances
135. Elder abuse and the Glatt are increasing concerns and it is estimated
about four and 10% of older Americans are Busey what is the legal responsibility of healthcare provider and reporting elder abuse in a quart: The healthcare
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provider must report this act suspected abuse or neglect to the appropriate state
protective agency
136. Which of the following statements best describes the patient term patient
engagement: There are shared responsibility and accountability is between the
provider and the patient
137. In the outpatient office setting the most common reason for malpractice
suit is failure to: Diagnose correctly in a timely fashion in the outpatient office
setting the most common malpractice is failure to diagnose in a timely fashion
138. Jill a 34-year-old bank teller presents with symptoms of hayfever she
complains of nasal congestion runny nose with clear mucus and itchy nose
and eyes on physical exam user observed that she has a pale nasal terminates
what is your diagnosis: Allergic rhinitis
139. A 75-year-old African-American male presents to your family practice
office complaining of visual impairment he has worn corrective lenses for
many years but has noticed that his vision has gotten progressively worse
the past six months he denies pain he states that his vision is worse in both
eyes in the peripheral aspect of his visual field he also has trouble driving at
night and halos around street lights at night. You test his interocular pressure
and it is 23 mmHg what is his most likely diagnosis: Open angle glaucoma
140. Which of the following is not a cause of conductive hearing loss: presbycusis
141. Which of the following is not a complication of untreated group a streptococcal pharyngitis: Hemolytic anemia
142. Alexandria 834 W. traded with oral antibiotics two weeks ago for a urinary
track infection she seen in the office today for a follow up visit on physical
examination the nurse practitioner notices that she has some painless white
slightly race patches in her mouth this is probably caused by: Candidiasis
143. Maddie 864 presents with blurred vision in one eye and states that it felt
like a curtain came down Overmyer she doesn't have any pain or redness what
do you suspect: Retinal detachment
144. While doing a face had an examination on a 16-year-old patient you note
that the palpable fishers are abnormally narrow what are you examining: The
openings between the margins of the upper and lower Eyelids
145. When the weber test is performed with a tuning fork to assess hearing and
there is no lateralization the nurse practitioner should document desponding
as: Normal
146. What significant finding in a three-year-old with otitis media with effusion
and would prompt a more aggressive treatment and referral: There's a change
in the child hearing thresh roll to a greater than 25 DB
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147. A 25-year-old client who plays in the band complains that he finds it
difficult to understand his fellow musicians that end of a nap performing a
problem that is compounded by the noisy environment of a club the symptoms
are most characteristics of which of the following: Sensorineural loss
148. A 65-year-old obese woman comes in complaining of difficulty swallowing for the past three weeks she states That some food gets stuck and she
has been having heartburn at night when she lies down especially if she has
had a heavy meal occasionally she lays awake at night coughing Sheena nice
weight gain and or weight loss vomiting or change in bowel movements or
color of stools she denies alcohol and tobacco use there is no partner family
history or findings of a review of systems physical examination is normal with
no abdominal tenderness or stew is a colt blood negative what is the most
likely diagnosis: GERD
149. Marsha age for is brought into the office by her mother she has a
sore throat difficulty swallowing copious oral secretions respiratory difficulty
Straughter and a temperature of 102 but no pharyngeal erythema or cough
what do you suspect: Epiglottitis a symptom cluster of severe throat pain with
difficulty swallowing copious oral secretions and respiratory difficulty stridor and a
fever but without pharyngeal erythema or cough is indicated of Apple watches
150. An 80 year old woman comes into the office with complaints of a rash
on the left side of her face that is blistered and painful and accompanied by
left-sided I paint the rash broke out two days ago and she remembers being
very tired and feeling feverish for a week before the rash appeared on exam
the rash follows that trigeminal nerve of him the left and she has some soup
Clairo injection and tearing you suspect herpes zoster ophthalmologist based
on what do you know to be complications of this disease you explain to her
that she needs: Ophthalmology call consultation
151. You are assessing a first grader and find that the tonsils are touching the
uvula you would how would you grade this finding: Grade 3
152. Nystatin or Mycostatin is ordered for Michael 50 sexual banker who is in
the world fungal infection what instructions for taking the medication do you
give Michael: Swish and swallow the medication
153. April 50 year old presents with soft Rachel pack plaques on her hours at
the inner Canada she's concerned that there may be cancerous skin lesions
you tell her that they are probably: Xanthelasmas
154. Cynthia a 31-year-old woman with a history of depression as seen in the
office today for complaints of headaches she was recently promoted at her job
and this is cost increase stressed she describes a headache as tightening or
bass like feeling in the temporal and nuclear areas the pain is bilateral intends
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to wax and wane it start at approximately two days ago and it still present what
kind of headache as she describing: Tension headache
155. In a young child unilateral purulent rhinitis is often caused by: Foreign
body
156. Kevin H 26 has aids and presents to the clinic with complaints of a
painful town covered with what looks like creamy white card like patches
overlying erythema does mucus you were able to scrape off these cards with a
tongue depressor which assist you and making the following diagnosis: Oral
candidiasis
157. You diagnosis 46 year old mabel With viral conjunctivitis your treatment
should include: Supportive measures and lubricating drops
158. The anabiotic of choice for recurrent acute otitis media or treatment
failure in children is: Augmentin
159. Kevin a 56-year-old lawyer has a throbbing pain in the left are an irregular
people shape mart photophobia and redness around the iris what is your initial
diagnosis: iritis immediately refer
160. Mallorie brings her four week old infant to the office because she noticed
small yellow white listening bumps on her infants comes she says they look
like to eat but she's worried they might be cancer you diagnose the box
is: Epstein pearls
161. 1944 was given a diagnosis of blue one day ago and wants to start the
new flea medicine right away what do you tell her: I'll start you on the Tamiflu
today it may shorten the course of the disease and perhaps lessen the severity of
your symptoms
162. Sally age 19 presents with pain and pressure over her cheeks and discolored nasal discharge you cannot transilluminate the sinuses uses back which
sinuses to be affective: Maxillary sinuses the maxillary sinus is the largest of the
paranasal sinuses in the most commonly affected sinuses there's usually pain and
pressure of the cheek then inability to transilluminate the cavity usually indicates a
cavity filled with purulent material
163. A 10 year old male in the fifth grade presents to the pediatric office with
his mother complaining of itchy and red hots for one day the patient complains
of water drainage in both eyes associated with repetitive itching physical exam
he has no fever or constitutional symptoms his vision vision is normal with no
decrease in extraocular movements the patient has a Sim blame it just started
daycare he also has bilateral preauricular lymph nodes that are inflamed what
is the patient's diagnosis: Viral conjunctivitis
164. 75-year-old female presence to office complaining of dizziness and herring loss The patient states that she woke yesterday with dizziness what she
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described as feeling the room spinning she also notes in a minute ringing in
her ears and physical exam the patient has lateralization of hearing loss due
to the artifact ear Rontae shows air condition last longer than Bell connection
what is the next step and helping this patient symptoms: Start the patient on
low salt low café dad and give her meclizine for vertigo attack
165. A six-year-old female presents to your pediatric office with her mother
combining a brat you're paying for three days this pain resolved with Tallent
all the patient had also noted beavers of 101.3 over the last two nights the
patient has nonproductive cough for seven days prior to that your paint and
physical exam the patient has tenderness with tugging at the oracle of the
ear the tympanic membrane is not mobile with pneumatic otoscope and is
erythematous in for the patient has no drainage from here and no mastoid
tenderness what is the next step: Amoxicillin 80 to 90 mg per kilogram per day
166. You prescribe Levaquin persevere sinus infection what is not possible
adverse reaction to this: Stevens-Johnson syndrome
167. A 20-year-old male presents for your primary care clinic but this patient
is a student he complains of fatigue sore throat and low-grade fever for three
days on physical exam he has a temperature of 100.7 his ear exam is normal
his nose and throat exam shows mild erythema of a nasal mucosa entertainment is enlarged heart cells by lottery with everything of the pharyngeal
wall and tonsillar exudate he has a plane posterior cervical lymph nodes he
has mild nonproductive cough and clear long exam what is his most likely
diagnosis: Mono
168. Which of the following is not recommended for hoarseness: Oral steroids
169. Marlene 57 year old cashier comes to the clinic because she is unable
to differentiate between sharpened of stimulation both sides of her face you
suspect: A lesion affecting the trigeminal nerve
170. Sharon a 47-year-old bank teller is seen by the nurse practitioner in office
for redeye you're trying to differentiate between that conjunctivitis and a retard
is what distinguishing characteristics between the two is: Axillary flesh and
trying to decide between diagnosis of conjunctivitis and irritated when distinguishing
characteristic is a celery flash present in irritate us
171. Susan is a 19-year-old college student an avid swimmer she frequently
gets swimmers ear and asked if there's anything she can do to help prevent
it other than wearing earplugs which really do not work for her what do you
siuggest: Use airdrop may have a solution of equal parts alcohol and vinegar and
each year after swimming
172. Which of the following conditions produce a shark piercing facial pain
that last for a few seconds to minutes: Trigeminal neuralgia
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173. Mary H 82 presents with several other problems she states that her eyes
are always draw it looks like it and what do you suspect: Normal eye changes
age related
174. Marjorie age 37 has asthma and has been till she has a nasal polyps what
do you tell her about them: Nasal polyps are benign growth
175. Erica age 39 has a sudden onset of shivering sweating headache aching
in orbit in general boys and misery her temperature is 102.4 into diagnosed
her with Louis what is your next course of action: Prescribe rest fluids Tylenol
and possibly a decongestant and an anti-Tussive
176. Samantha H $.12 with airplane when you begin to assess her ear you
check on her normal Oracle eliciting severe pain this lead you to suspect: Otitis
externa
177. Which manifestation is noted with carbon monoxide poisoning: Cherry
red lips
178. Kathleen H 54 has persistent Paradis of external auditory canal sternal
otitis and dermatological it conditions such as seborrhea dermatitis answer
us have been ruled out what can you advise her to do: Apply mineral oil to
counter act the dryness
179. The most common cause of white people leukorrhea or leukorrhea in a
newborn is: Congenital cataract
180. Elena 56 year old social worker seen by the nurse practitioner for complaints of fever left-sided facial pain moderate amounts of purulent malodorous nasal discharge in pain and headache when bending forward the symptoms have been occurring for a proximately six days on physical assessment
there's mart redness and swelling of the nasal passages and tenderness in
pain on palpation of the cheekbones the nurse practitioner should suspect: Acute rhinosinusitis
181. Which of the following statements about macular detergenation is not
true: Macular degeneration is characterized by gradual loss of peripheral vision this
is how open angle glaucoma is characterize macular degeneration is gradual loss
of central vision
182. What is the most common bacterial pathogen associated with a cute otitis
media: Streptococcus pneumonia
183. You're an NP caring for MARTHA at 47 your old account you have made a
diagnosis of acute sinusitis based on MARTHA's history and the fact that she
complains of pain behind her off which sinuses are affected: Ethmoid
184. Jonathan age 19 has been given a diagnosis of mono which of the
following statements is true: Jonathan should avoid contact sports and heavy
lifting
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185. A 65-year-old man presents with complaining of left sided deep throbbing
headache and mouth fatigue on exam the client has a tender torturous temporal artery you can expect giant cell arthritis GCA or temporal arthritis what
is the least invasive procedure to help her diagnosis: An ESR because it yes or
anywhere from 3200 mm for H may be seen in giant cell arthritis however the ESR
I also be normal
186. When you are assessing the internal structure of the eye of your
59-year-old patient the absence of a red reflex may indicate: A cataract or
hemorrhage into the vitreous humor
187. Me a 27-year-old school teacher has a to the history of severe left ear pain
that began after one week of a URL on physical exam you find that she has
acute otitis media she has a severe allergy to penicillin the most appropriate
antimicrobial option for this patient is: Zithromax
188. Mr. Johnson age 69 has had Minier disease for several years he has had
some hearing loss but now has persistent vertigo what treatment might be
instituted to relieve the vertigo: A vestibular neurectomy
189. Mr. Clark 878 is being treated with Timolol maleate (timoptic) drops For
his chronic open angle glaucoma while performing a new client history and
physical you know that he is taking other medication which medication would
you be most concerned about: Atenolol or Tenormin it's a beta blocker for high
blood pressure this can cause worst thing congestive heart failure or reactive airway
disease as well as a cute delirium
190. Mario 17 year old high school student came to the office for evaluation
he's complaining of persistent sore throat fever malaise that is not really proud
of penicillin therapy recently prescribed at the urgent care center as an MP
what would you order next: A mono spot test
191. Regular ocular pressure Testing as indicated for older adults taking: How
does inhaled glucocorticoids
192. A 25-year-old male presents with bleeding in my offer one day he woke
up this morning with a dark area of redness in his eye he had no visual loss
or changes he didn't ask constitutional symptoms Piratas drainage or recent
trauma the redness presidents on a physical exam as a dark area and the
patients clear at the right I only and takes up less than 50% of the other patients
remaining sclera is clear and white he also knows he was drinking alcohol
last night in vomited what's the best treatment: Reassurance that this lesion will
resolve without any treatment and 2 to 4 weeks
193. What is the most common cause of epistasis: Digital trauma or picking a
Videos
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194. Aaron H4 is brought to the clinic by his father his Is Tim panic membrane
is perforated from otitis media his father ask about repair of the eardrum how
do you respond: The eardrum in most cases heels within several weeks
195. Martin age 24 presents to the office with erythematous ear canal and pain
or manipulation of the article he's on vacation and has been swimming daily
at the resort what is your diagnosis: External otitis
196. A 44-year-old banker come to your office for evaluation of pulsating
headache over the left temporal region and he raise the pain is an eight out
of 1 to 10 the pain has been costume for the past several hours and his
company by nausea and sensitivity to light he said frequent the less severe
headaches for many years and they are usually relieved by over-the-counter
meds he's unclear as to precipitating what event but knows that he has had
visual disturbance before it headache and has been under a lot of stress on
his job based on this description what is the most likely diagnosis of this
headache: Migraines
197. Max age 35 thinks he has an ear infection because he just lay back from a
business trip until than usual pressure in his ear your diagnosis is barotrauma
what is your next action: Prescribe nasal steroids an oral decongestant
198. Your client 872 smoker at 50 years is at the office today for routine physical Junior inspection of the Orem a case that you discover AWOLNATION on
the lateral surface of the tongue that you suspect be cancerous you document
your findings as: A white painless firm ulcerated lesion with indurated borders
199. At the clinic your assessing call a form of the baby for the first time and
noticed that both eyes are turning inward what is this called: ESO tropia
200. You diagnose a cute epiglottitis in Sally 85 and immediately send her to
the local emergency room which of the following symptoms would indicate
that an airway obstruction is immediate: Strider
201. Mrs. Johnson a 54-year-old accountant presents to the office with a
painful read out without discharge you should suspect: Irititis
202. Cataracts are a common occurrence in patients over 60 you cancel your
patient is the best cure for cataract is: Corrective lens surgery
203. A 62-year-old woman presents to your clinic with a sudden right side of
headache that is worse in her right eye she says that her vision seems blur and
her right people is dilated and slow to react the right conjunctive is marketedly
in ja in the eyeballs firm you see her vision and what and find that she has 2030
OS and 2030 Audi she isn't like most likely has: Angle closure glaucoma
204. How would you describe the cervical lymphadenopathy associated with
asymptomatic HIV infection: Nontender mobile and firm but not hard lymph nodes
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205. Treatment for achalasia may include: Balloon dilation of the lower
esophageal sphincter
206. Sheena just had a hemorrhoid ectomy you know she has not understand
you're teaching when she tells you she will: Decrease her dietary fabric for one
month
207. Staci nursing student is taking her series of heavy vaccines to test her
for serological marker and there's also hepatitis B surface antibody you tell
Staci that she: Is permanently immune to hepatitis B
208. Margie 852 has an extremely stressful job I was just given the diagnosis
of a gastric ulcer she tells you she is sure it's going to be malignant how do
you respond: About 95% of gastric ulcers are benign
209. Susan age 59 has no specific complaints when she comes in for her
annual exam she does however have tattoo diabetes heart hypertension dyslipidemia and central obesity how would you diagnose her: Is having metabolic
syndrome
210. Tom has just been diagnosed with celiac's disease which of the following
that you tell: A strict gluten-free diet is the only treatment for celiac disease
211. Matt age 26 recently returned from a camping trip and has gastroenteritis
he says that he has been eating only canned food which of the following
pathogens do you suspect: Clostridium botulinum
212. Ruby has a colostomy and complains that her stools are too loose what
foods do you suggest to help thicken the stools: Cheese chees Bread pasta
Ross pretzels and yogurt
213. Ants and tells you he thinks his antacid are causing his diarrhea you
respond: Antacids may contain magnesium which decreases bile transit time and
may contain poorly absorb cells that draw fluid into the bell
214. Sydney has been given a diagnosis of ascariasis. What symptoms would
you expect to see: Low-grade fever productive cough with blood tinged sputum
wheezing and dyspnea this is the most common intestinal worms it's a parasitic
worm it causes pulmonary manifestation such a low grade fever productive cough
with blood tinged sputum
215. Rosa client with the guard has many other concurrent conditions in
teaching rose about medication's to avoid what do you were frame heard from
using: NSAIDs
216. Lucy H 49 has pain in the both left and right lower quadrant what do you
suspect: Pelvic inflammatory disease
217. Shelby has recently been diagnosed with pancreatitis of the following
objective findings that can result from the pancreatic inflammatory process
which is known as gray Turner sign: Bluish discoloration over the flanks
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218. A mother brings in her four-year-old child who said she states has acute
abdominal pain and a rash which of the following do you initially rule out: Appendicitis
219. Hurry just came back from Mexico which pathogen do you suspect is
responsible for her diarrhea: E. coli
220. Marian age 52 is obese she complains of a rapid onset of severe right
upper quadrant abdominal cramping pain nausea and vomiting your differential diagnosis Might be: Cholecystitis a rapid onset of severe right upper quadrant
abdominal cramping pain with nausea and vomiting is a classic presentation of a
cute so cholecystitis
221. Which of the following is not true regarding hepatitis C: If hepatitis is
asymptomatic it doesn't cause cirrhosis or liver cancer this is untrue the reason may
many people end up with cirrhosis or liver cancer is because the disease can often
be asymptomatic
222. A 75-year-old male presents for a routine physical he is obese and has no
abdominal pain or recent injuries or problems he has no complaint he is loss
upon for his abdominal exam he is not enter to palpation and has a normal
exam when he sits up you see a large mass protrude from his abdomen it is
central to the abdomen and inferior to his rib cage it disappears when he is
sitting up fully what is the patient's diagnosis: Federal epigastric hernia this is
the hernia describe in the question most of these hernias are asymptomatic
223. What is the best diagnostic test to confirm the diagnosis of celiac disease: Anti-tTG IgA
224. A 50-year-old female presents to the urgent care clinic complaining of left
lower quadrant pain she has associated nausea and vomiting and her vital
signs are as follows the temperature 102.5 parts 110 blood pressure 150 over
not a pulse ox 99 on room air what is the best test to evaluate this patient: CT
scan with oral contrast this is the best diagnostic choice wild diverticulitis is most
likely the cause of this patient symptoms a CT scan of the abdomen with you if the
patient has any gynecological ideology search is ovarian cyst or tumor
225. Which oral medication might be used to treat a client with chronic
cholelithiasis Who has a poor candidate for surgery: urodiol (actigall) is an oral
File that is all Skal stones for disillusion 8 to 10 mg per kilogram per day is given in
2 to 3 divided doses for prevention 300 mg twice a day is given
226. You ask Julie is adamant in here peritoneal friction rub. Which condition
do you rule out: Irritable bowel syndrome
227. Nauseous difficult to discern in a young child what question do you ask
to determine if a child has nausea: Are you hungry
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228. Your counseling Lillian who is lactose intolerant about foods to avoid you
know she misunderstand the teaching when she tells you she can have: Foods
containing way advice sponsor lactose intolerant to avoid foods containing way way
is a lactose rich ingredient food found in some foods
229. Martina age 34 has aids in currently suffers from diarrhea that she has
which protozoal infection of the bowel: Cryptosporidiosis
230. Tina has a chronic hepatitis C infection she asked you how to prevent is
transmission: Abstain from sex during your period
231. Sandy 882 presents with jaundice dark urine and light colored so stating
that she slightly improved over last week symptoms which date of viral
hepatitis do you suspect: Icteric
232. This is fake appendicitis and Andrew who is 18 with his right hip Any
flexed you slowly rotate his right leg internally to stretch a muscle he says that
it is painful over his right lower quadrant what side did you elicit: Obturator sign
233. In a two month old with vomiting and diarrhea the most effective way of
determining a fluid deficit is two: Decreased peripheral perfusion
234. All of it has a acute exacerbation of chronic disease which laboratory test
how you would you expect to be decreased: Vitamin A, B complex and C levels
235. Dottie brings in her infant who has GERD what do you tell her about
positioning here infant: Always position infant on back
236. A 45-year-old homeless man presents to urgent care clinic for evaluation
his chief complaint is diarrhea the patient states he started have diarrhea 2
to 3 days ago and it's getting worse he also does nausea without vomiting
dry mouth and double vision exam you notice is pupillary reflex is absent the
patient states he lives on the street and it's mostly canned foods that he's
cabbages from the grocery store temperature what is the most likely cause of
the patient symptoms: Botulism
237. What is the most common bacterial cause of travelers diarrhea: E. coli
238. 54-year-old female presents to Primerica office for routing reevaluation of
GERD she has been treated with that modifications in six weeks of omeprazole
without improvement of her symptoms what is the next step in the management of his patients GERD: Order an endoscopy
239. A 25-year-old male presents complaining of hematochezia the patient
states that he has noticed this for two days he states that there is a streak
of bright red blood long is till every time he has about the patient has no pain
with his bowel movement he admits to eating a poor dad the patient has no
abdominal pain nausea vomiting and physical exam the patient has a positive
fecal occult blood stool test but has no noticeable rectal bleeding or lesions
what is the likely diagnosis: Internal hemorrhoid
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240. What would you expect to see on an abdominal series that would lead for
the diagnosis of small bowel obstruction: Air fluid levels
241. Which gastrointestinal disease below theologically be completely eradicated with a total colectomy: Ulcerative colitis
242. Is greeting guidelines for colon cancer recommend which of the following
for general population: Colonoscopy starting at age 50
243. All of the following medications are used for the control of nausea and
vomiting which medication bout works by affecting the chemoreceptor trigger
zone therefore stimulating upper G.I. motility and increasing lower esophageal
sphincter pressure: Anti-dopaminergic and cholinergic agents such as Reglan
244. Which is the most common presenting symptoms of gastric cancer: Weight loss
245. The metabolism of which drug is not affected in Marsha age 74: Alcohol
246. Marcia just returned from Central America with travelers diarrhea which
is the best treatment: Supportive care
247. Your clients two month old daughter is admitted with gastroenteritis in
dehydration after two days of vomiting and diarrhea with a father ask you
what's causing the child's diarrhea what do you respond: The infectious agent
and they did the stomach lining and it's affecting the balance of water and nutrients
248. When Sammy ask you what he can do to help his wife who is has dumping
syndrome what do you suggest he encourage her to do: Eat foods with a
moderate fat and protein content
249. You a list it Costco vertebral Angleton orness and Gordon age 20×29
which condition do you suspect: Inflammation of the kidney
250. You were trying to differentiate between functional constipation in
Hirschsprung disease in a neonate distinguishing picture of Hirschsprung
disease include which of the following: Small ribbon likes tools in Hirschsprung
disease is common in mail infants small red light stores usually have no a company
abdominal pain unless there is obstruction and may be accompanying failure to
thrive
251. You are doing routine teaching with a patient who has a family history of
color rectal cancer you know she misunderstands the teaching when she tells
you she will: Increase fluid intake
252. Bobby H6 has caused it. Umbilical pain shifting to the right lower court
quadrant vomiting a small volume of diarrhea absence of a headache amount
elevation of WBC count with the early left shift and white blood cells in the
urine you suspect: Appendicitis
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253. Melvin age 63 presents with acute exacerbation of pancreatitis and you
were going to admit her to the hospital which is the most effective important
factor in determining a negative long-term outcome for her: Infection
254. To differentiate among the different diagnosis of inflammatory bow disease you look at the clients historical cultural and radiological features Mary
has a transmerral inflammation granuomas vocal involvement of the colon as
and skip areas and sparing of the rectal mucosa what do you suspect: Crohn's
disease
255. You suspect that Nikki has a gastroduodenal ulcer caused by H. pylori
and plan to treat her empirically what medication should you order: A proton
pump inhibitor such as omeprazole tetracycline or amoxicillin and Flagyl
256. Which of the following medication for drugs are not known to cause
heartburn or dyspnea: Tylenol
257. Seven-year-old male presents with his mother to the urgent care clinic
complaining of abdominal pain he started to complain of pain prior to going
to bed however gotten progressively worse and his nappers keeping him from
sleeping he is nauseous but hasn't vomited Oort and didn't eat dinner due to
the pain the patient appears pale and is complaining of right sided abdominal
pain his bottles are as follows blood pressure 130/85+120 temp 100.5 pulse
ox 98 on physical exam he is tinder in the right lower quadrant is ABC shows
white blood cells of 17 what is the patient's likely diagnosis: Appendicitis
258. Hepatitis D is an RNA virus that requires a code infection with which of
the following strains of hepatitis in order to replicate: Hepatitis B
259. Which of the following is the most common cause of acute pancreatitis: Call Stone obstruction of the pancreatic duct and alcoholism
260. Patient asked how to avoid contracting pharyngitis and tonsillitis which
piece of advice is not appropriate for this patient: Take antibiotics when will to
avoid future infections
261. Salmon age 72 states that he is worried because he has a bowel movement only every third day you respond: There is no such thing as a normal pattern
of defecation
262. Timothy age 68 complains of an abrupt change in his defecation pattern
you evaluate him for: Colorectal cancer
263. Ellie age 42 has a seize disorder And has been taking Phenytoin (Dilantin)
for years which supplement should she also be taking if no other problems
exist: Folick acid
264. Marvin a known alcoholic with cirrhosis is food frequently admitted for
coagulopathy's and occasionally receives blood transfusion his wife ask you
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why he has bleeding problems how do you respond: There is an interruption of
normal clotting mechanisms
265. Icterus do the hyperbilrubinemia It's name of the serum level of Billy
Rubin is greater than: 2.5
266. Samantha 828 is 100 pounds overweight and wants to have gastroplasty
perform in discussing this with her you explain it by having this procedure
she may: Develop diarrhea
267. You suspect that Harry has a peptic ulcer and tell him that it has been
found it to be strongly associated with: Infection by H. pylori
268. What is the recommended treatment to eradicate H. pylori infection: Amoxicillin clarithromycin and omeprazole for two weeks
269. Which of the following is not a risk factor for cholecystitis: Younger age
270. A 22-year-old African-American female presents to your family practice
office complaining of progressive skin discoloration she is adopted and has
no family history of skin problems the patient notes non-palpable patches
of skin loss and blanching on her for head in both hands and feet it has
developed over a period of six months and appears to have stopped it is
non-pruritic and there is no erythema or sign of infectious ideology what is
the most likely diagnosis: Vitiligo
271. Which presentation is the most concerning for skin cancer: Dark pigmentation of one solitary nail that has developed quickly and without trauma this is
concerning for acral melanoma
272. A four-year-old male presents to your pediatric clinic with his mother
complaining of an itchy rash mostly between his fingers this is been going
on for multiple days and has been getting worse the patient recently started
a new daycare on physical exam the patient is afebrile and a small multiple
want to 2 mm read papules inserts at three located in the web spaces between
his fingers he also has signs of excoriation what is the treatment for this
problem: Permethrin lotion
273. Is it which of the following patients would not be at risk of candida
infection: A patient with a history of CAD
274. A three-year-old patient presents to your pediatric office with her mother
she has recently been started in daycare her mother noticed a slot erythema
on the right side of the patient's mouth prior to the bed last night the patient
at work today with three small superficial honey colored vesicles where the
erythema was last night the patient has no surrounding erythema she had no
difficulty eating this morning and is active and energetic and doesn't appear
lethargic or fatigued she is also a febrile how would you trade this child: Local
debridement and mupirocin for 5 days
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275. A 22-year-old college student presents to your urgent care clinic complaining of a rash she was recently on spring break and spent every night
in the hot tub at her hotel on physical exam she has multiple small areas
of 1 to 2 erythematous pustules that present mostly wear her bathing suit
covered her buttocks what is the most likely pathogen causing these lesions: Pseudomonas Aeruginosa
276. Which HPV virus stereotypes most commonly cause cancer: Serotypes 16
and 18
277. A 27-year-old female comes into your primary care office complaining of
a periorial rash of the patient notice burning around her lives a couple of days
ago that quickly went away she woke from her sleep yesterday and noticed a
group of vegetcles with irritated his faces where the board burning had been
before there is no burning today she is a few brawl and has no difficult to
eating or swallowing what test would you confirm her diagnosis: Tzanck smear
278. Which condition is not included in the a topic triad: Aspirin sensitivity
279. A 16-year-old female presist to your office he was sent by an orthopedist
he had recently had surgical fixation of a humorous fracture the patient has
been going to physical therapy and has been developing a rash on his arm
after therapy that disappears shortly after returning home he does not have
the rash prior to therapy the patient denies fever chills and his decision as well
he with with no signs of infection of know the patient has been experiencing
more hand edema than the average patient and has had a deem wraps used
at the end of therapy to help with the swe the wraps are made of a synthetic
plarial the the that gets a he is and not raised upper extremity what is the most
likely diagnosis: Contact dermatitis
280. Which of the following statements about psoriasis is not true: Psoriatic
lesions Often occur in the folds of the elbows and behind the knees this is untrue
relationships like her on the front of the knees the posterior aspect of all the elbows
and the scalp
281. Which of the following has or have not been linked to the use of
isotretinoin: Pancreatitis
282. A 55-year-old landscaper present it's your primary care office complaining of a small skin leash on his face the patient stays at the lesion causes no
pain or other symptoms on the physical exam you notice a small three MM
popular that is flesh colored and irregular to palpation illusion feels hard and
like some paper what type of malignancy is this patient at rest for given the
appearance at this lesion: Squamous cell carcinoma
283. Eczematous skin reaction may result from: Penicillin
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284. Sophie brings in her husband Nathan H and 72 who is in a wheelchair
area he has a deep crater with full thickness skin lost subcutaneous tissue is
it all but metal down or not which pressure ulcer stage is this: Stage three
285. The Gram stain of a lesion reveals large square and gram-positive rods
that grow easily on blood agar which diagnosis does this finding confirm: Anthrax
286. The ABCDEs of melanoma Identification include which of the following: Asymmetry 1/2 does not match the other half is for asymmetry 1/2 does not match
the other pass one of the warning signs of cancer is a lesion that does not heal or
Annette area that changes an appearance
287. Sandra age 32 cups in the clinic she has painful joints in a distinctive rash
in a butterfly distribution on her face the rash has red fabulous and plaques
for the barn sale what: Lupus
288. Your 24-year-old client whose varicella rash just arrived yesterday ask
when she can go back to work what do you just tell her: Once all the vesicles
are crusted over
289. Client teaching is an Intercal part of successfully treating particulosis
which of the following statements would you incorporated in your teaching
plan: Itching may continue for up to a week after successful treatment
290. Tom 850 is complaining of an itchy rash that occurred about a half an hour
after putting on his leather jacket he recalls having a slightly similar rash last
year when he wore his jacket the annular lesions are on his neck in both arms
they were erythematous sharp latest circumscribed and both flat and elevated
his voice seems a little raspy although he stated that his breathing is normal
what is your first action: Determine the need for 0.5 ML one to 1000 Eppinette
friend subcutaneously
291. When palpating the skin over the clavicle Norman age 84 you notice
tinting which is: Common and fan older dolls tinting which occurs when the paint
scan remains pinch for a few moments before resuming to its normal position
292. The NP tell Samantha age 52 that she has acrochordon On her neck what
is the MP referring to: A skin tag
293. Marianne H 28 presents to the clinic because of a rapid onset of patchy
hair loss the skin with your nasal patches of hair loss is very smooth type of
tires that resemble! Are staying at the margin of the patch of hair loss based
on the spot and then she suspects Marianne has: Alopecia areata
294. Roy age 13 was recently diagnosed with epilepsy and prescribed carbamazepine For control of his seizures he has developed erythematous papules
dusky appearing vesicles her progress and target locations that have a
ruptured rapidly and are more centrally juice tribute on the face he has he
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Muretic crest of his lips he tells you that his skin feels tender and Burns
additionally he has developed exudative contact these findings are indicative
of: Stevens-Johnson syndrome
295. Eric 852 has gout what do you suggest: Limiting consumption of purine rich
food
296. March 8 36 is planning to go skiing with her fiancé he has warned her
about frostbite and she is wondering what to do frostbite occurs you know
she misunderstood the directions when she tells you which of the following: I
should rub the area with snow
297. Hey 70-year-old client with herpes Oster has a vesicle on the tip of the
nose this may indicate: Ophthalmic zoster she should be referred to an ophthalmologist to preserve the eyesight
298. Bitch disease usually starts on the cheeks and spreads to the arms and
trunk: Erythema infectiosum or fifths disease
299. Jennifer age 32 is pregnant and has genital warts or condyloma and
would like to have been treated what do you order: Trichloroacetic acid
300. Which treatment is considered the gold standard and tissue conserving
skin cancer remover: Mohs micro graphic surgery
301. A dark field microscopic examination is used to diagnose: Syphilis
302. Lewis age 52 presents with Paradis with no rash present he has hypertension diabetes in an stage renal disease which of the following would be
included in the differential diagnosis: Uremia from chronic renal disease
303. Susan states that her fiancé has been frostbitten avenues for skiing and
is fearful that it will happen to her again what do you tell her: Infarction and
necrosis of the affected tissue can happen with repeated frostbite
304. Which skin cancer that arises from skin cells Characteristically occurs on
body Aries exposed to the sun most commonly presents as a pearly nodule
with fine telangiectasias over the surface and a border that appears rolled and
is the most common skin cancer: Basel cell carcinoma
305. What is the most important thing a person can do to maintain healthy skin
and hopefully reduce wrinkles: Avoid smoking
306. You suspect a platelet abnormality in a 40-year-old woman who presents
to your clinic with: Read Platte non-blanchable petechiae
307. Which of the following should be used with all acne medication's: Sunscreen
308. You are teaching Harvey age 55 about the warts on his hands what is
included about your teaching: Warts are caused by the human papillomavirus
309. Which of the following statements about malignant Melanoma Are true: The prognosis is directly related to the thickness of the Legion
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310. Leah brings her 13-year-old son to your clinic he has been complaining of
a rash on the bed ex anterior thighs and Posterior lateral aspect of his upper
arms he tells you where is molly paretic and looks like go/on examination the
rash appears a small pinpoint follicular papules on a mildly erythematous face
explain to leave at the banana condition is likely to result by the time her sun
reaches adulthood and is known as: Keratosis Pilaris
311. Jim 859 with presents with recurrent sharply circumscribe read papules
and flex with powdery white Scale on extensor aspects of his elbows and
knees what do you suspect: Psoriasis
312. Thomas H 35 uses a half potency corticosteroid steroid cream for a
dermatosis he is also Currently has tinea corporis you tell him the following
regarding the cream: It may exacerbate your current tinea corporis
313. Jill H 29 has numerous transient lesions that come and go and she was
diagnosed with you to Caria what do you do: Antihistamines
314. You are examining Barbara H 27 who presents with multiple dry dusky
read well localize plaques with a stuck on appearance they are 520 MM in
diameter and located on her face scalp and external ears you know there is
a trophy telangiectasia, depigmentation, and follicular plugging Present on
examination of the scout there are areas of total hair loss there was a date
people Tatian scarring of the Kokia of the ear you're most likely diagnosis
is: Discoid lupus erythematosus
315. Mildred 872 presents to the clinic with a blistering rash that is generalized
but located mostly in the skin folds in on the flex rule areas she describes the
course of the rash as beginning with paretic you to Curiel popular sick last
Interplex that turned dark red in about two weeks followed by the development
of vesicles and Bella she tells you that the lesions or moderate to severely
paretic during the exam you determine that the blotter very tense and do not
write Sherwin pressure applied her daily medicines include an ace inhibitor a
loop diuretic and a nonsteroidal anti-inflammatory drug what is your diagnosis: Bullous pemphigoid
316. In a burn trauma which blood pressurement rises as a secondary result
of hemor concentration when fluid Shift from the int vascular compartment: Hematocrit
317. Ashley 6 month has a candidate it infection in the diaper area what do you
suggest to parent: Keep the area dry
318. Sandra age 69 is complaining of dry skin. What do you advise?: Bathe or
shower with luke warm water and mild soap
319. Michael a 25 year military reserve presents to your clinic for a rash that
begin on his chest and it sense developed into smaller relations that are more
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concentrated on the lower abdomen and pubic area and obtaining a history of
the present illness he reports that he had an epirest tortur one month before
the rash develop he tells you it stated with one large oval shaped lesion on his
left chest and why did he wake slider hate about can you were small relations
in the lower admin and Grant growing it has been two weeks since the small
relations developed and he tells you that he is concerned that the rash is not
improving as examine the patient you know that elations or salmon colored
and have 10 Colorado of the scale within them the original Asian is still present
you suspect Michael has: Pityriasis rosea
320. Caroline his 13-year-old daughter who has had to recent infestations of
lies she asked you what she can do to prevent this: Don't let her see your hats
Combs are brushes with anyone
321. Just an Anubis 42 year-old cut his right leg three days ago while climbing
a ladder today his right lower leg is warm rent and painful without a sharply
demarcated border what do you suspect: Cellulitis
322. Danny H 18 percents with a periodic rash on his Evertrunk and shoulders
you observe flat to slightly elevated brown Papules and flat scale when they
arrived you also note areas of hypo pigmentation what is your initial diagnosis: Tinea versa color
323. Show me age 14 has a blister on her on that is filled with clear fluid it is
a result of a contact for the hot iron how do you document this: Bulla
324. A mother complains that her newborn infant while lying on his side
appears red on the dependent side of the body and pel and upper side when
she picks the baby up this coloring disappears you explain to her about which
of the following: Harlequins sign
325. Candidiasis May occur in many parts of the body James age 29 has it on
the glands of his penis what is your diagnosis: Balanitis
326. Day and age 57 has just been given a diagnosis of herpes zoster he ask
you about exposure to others you tell him: He should stay away from children
and pregnant women who have not had chickenpox
327. Mr. Swanson age 67 presents to the clinic for his annual health exam he
ask you if there's anything he can do to prevent the painful blistering sores
that develop on his lips in the summertime when he's got you explain to Mr.
Swanson lesions is two: Potato is from sun exposure with a blocking agents such
a sink oxide or lip balm that contains a broad-spectrum sunscreen
328. Elizabeth 883 presents with a two day history of pain and burning and I
left for head this morning she noticed a rash with erythematous papules at
that sad what do you suspect: Herpes zoster
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329. A biopsy of a small yellow orange Papulonodule on the eyelid will probably show: lipid-laden cells
330. Diana age 6 was bitten by friends dog her mother asked you if the child's
needs anti-rabies treatment you tell her: If a dog is a domestic pets it has been
vaccinated the word should be cleaned and irrigated
331. During a camping trip Jim H 35 a probably developed a fever headache
enjoy paint a few days after the inside of the fever a blanchable macular
rash began on his wrist and ankles and quickly spread to the palms and
soles before becoming generalized the rash is now petechial you suspect Jim
has: Rocky mountain spotted fever
332. Buddy age 13 presents with Angela relations with scaly borders and
central clearing on his truck what do you suspect: Tinea corporis
333. Sandy asked what she can do for Dolores her 90-year-old mother who
takes a bath every day and who has extremely dry skin to ask you you
respond: Your mother does not need a bath every day
334. You're teaching Mitch 818 about his tinea pedis you know he doesn't
understand your directions when he tells you which of the following: I should
wear rubber shoes in the shower to prevent transmission to others
335. Martin age 13 just started taking amoxicillin for his otitis media his mother
said that he woke up this morning with a rash on his trunk what is your first
action: Stop taking amoxicillin
336. Helen age 39 comes to your clinic for generalize joint pain especially in
the knees and hands she tells you the pain is moderate spreading answer
my phone she reports having had a sore throat and low-grade fever for a few
days and then developed a rash describe is warm erythema of the cheeks
which lasted four days before disappearing you ask her if the rash on the
cheeks included the Necio label files or Circle moral of the skin she tells you
that it did not cover these areas two days later she developed a non-specific
macular irruption that preceded the joint pain harass faded within two weeks
but she tells you that it comes and goes if she base in hot water or spend time
in the sunlight your patient symptoms are most consistent with a diagnosis
of: Erythema infectiosum and women are more likely to have a result of joint pain
with this infection
337. 75-year-old African-American male presents your family practice complaining of visual impairment he has worn corrective lenses for many years but
has noticed that his vision has gotten progressively worse over the six months
he denies pain he states his vision is worse in both eyes in the peripheral
aspect of his visual field he also knows trouble driving at night and halos
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around street lights at night you test is intraocular pressure and it's 23 mmHg
what is his most likely diagnosis: Open angle glaucoma
338. Marie age 64 presents with blurred vision in one hour and states that it felt
like a curtain came down over matter no pain or redness: Retinal detachment
339. Well doing a face head and neck exam on a 16-year-old you note that
the palpebral fissures Are abnormally narrow what are you examining: The
openings between the margins of the upper and lower eyelids
340. An 80 year old woman comes in the office with complaints of a rash on the
left side of her face that is blistered and painful and a company by left sided
are paying the rash broke out two days ago and she remembers being very
tired and feeling feverish for a week before the rash appear on exam the rash
all of the trigeminal nerve on the left and she has some scleral roll injection
into hearing you suspect herpes Oster ophthalmic is based on what you know
about complications of this disease you explain to her that she needs: Referred
to ophthalmology
341. April 8 50% so soft rains yellow Plex on her all it's at the inner camper she
is concerned that they may cancerous lesions you tell her that she probably
has: Xanthelasmas
342. You diagnose 46-year-old male with viral conjunctivitis your treatment
should include: Supportive measures and lubricating drops
343. Kevin a 56-year-old lawyer has throbbing pain in the left are in a regular
people shape March photo phobia and redness around the iris what is your
initial diagnosis: Iritis
344. A 10-year-old male in the fifth grade percent to a pediatric office with his
mother complaining of itchy and red eye for one day the patient complains
of water re-drainage and both eyes associated with repetitive itching on
physical exam he has no fever or constitutional symptoms his vision is formal
with no decrease an extra-ocular movement as the patient has a sibling that
just started daycare he also has bilateral preauricular lymph nodes that are
inflamed was the patient's diagnosis: Viral conjunctivitis
345. Shear and a 47-year-old bank teller is seen by the nurse practitioner in the
office for Rita you're trying to decide between a diagnosis of conjunctivitis an
hour tats why distinguishing characteristics between the two is: A ciliary flush
346. Marie age 82 presents with several other problems she states that her
eyes are always draw in the sunken in what do you suspect: Normal age related
problems
347. The most common cause of white people leukocoria or leukocoria in a
newborn is: A congenital cataracts
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348. Which of the following statements about macular degeneration is not
true: Macular degeneration is characterized by gradual loss of peripheral vision
349. A 62-year-old woman presents to your clinic with a sudden right sided
headache that is worse in Harada she states that her vision sings flirt and
her right people is dilated and slow to react the rat conjunctiva is markedly
injected an eyeball is Farm you screen her vision and find that she is 2030 OS
in 2030 OD she most likely has: Angle closure glaucoma
350. A 25-year-old male presents with leading in my eye for one day he woke
this morning with a dark area bread that's in his ass he has no visual also
changes he denies constitutional symptoms Piratas drainage or recent trauma the redness presents on physical exam as a dark red area in the patient's
clear at the right off only and takes up less than 50% of the earth the patient's
remaining sclera is clear and white he also knows that drinking alcohol last
night and vomited afterwards what's the best treatment: Reassurance that this
lesion resolved without treatment in 2 to 4 weeks
351. At the clinic you are assessing Carla four month old baby for the first time
I noticed that both eyes are turning inward what is this called: ESO tropia
352. Mrs. Johnson a 54-year-old accountant presents to the office with painful
red eye without discharge you should suspect: Iritis
353. Cataracts are common occurrence in patients over 60 you cancel your
patients at the best cure for cataracts is: Corrective surgery
354. Regular ocular pressure testing is indicated for older adults taking: How
does inhaled Glucocorticoid
355. When you are assessing the internal structure of the eye of your 15 annual
patients the absence of a red in reflex: A cataract or hemorrhage into the vitreous
humor
356. Mr. Clark, age 78, is being treated with timolol maleate (Timoptic) drops
for his chronic open-angle glaucoma. While performing a new client history
and physical, you note that he is taking other medications. Which medication
would you be most concerned about?
1.Aspirin therapy as prophylaxis for heart attack.
2.Ranitidine (Zantac) for gastroesophageal reflux disease.
3.Alprazolam (Xanax), an anxiolytic.
4.Atenolol (Tenormin), a beta blocker for high blood pressure: Atenolol
(Tenormin), a beta blocker for high blood pressure
rationale: If a client is taking timolol maleate (Timoptic) drops for chronic open-angle glaucoma, you should be most concerned if the client is also taking atenolol
(Tenormin), a beta blocker, for high blood pressure. Because timolol maleate drops
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are beta-adrenergic blockers, additional beta blockers can cause worsening of
congestive heart failure or reactive airway disease, as well as acute delirium.
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