Midterm Exam for NURS-6531N-8: Adv. Practice Care of Adults, Exams of Nursing

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• Question 1

0 out of 0 points

When completing this quiz, did you comply with Walden University’s Code of Conduct

including the expectations for academic integrity?

Selected Answer:

Yes

Answers:

Yes No

• Question 2

The most common cancer found on the auricle is:

Selected Answer:

Basal cell carcinoma

Answers: Actinic^ keratosis

Basal cell carcinoma Squamous cell carcinoma Acral-lentiginous melanoma

• Question 3

1 out of 1 points

0 out of 1 points

Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient?

Selected Answer:

Anticholinergics

Answers: Xanthines

Antihistimines Steroids Anticholinergics

• Question 4

0 out of 1 points

A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red rectal

bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner proceed?

Selected Answer:

Instruct the patient on measures to prevent hemorrhoids such as bowel habits and diet.

Answers: Instruct^ the^ patient^ on^ measures^ to^ prevent^ hemorrhoids^ such^ as^ bowel^ habits^ and^ diet.

Order a topical hemorrhoid cream along with a stool softener. Refer the patient for a barium enema and sigmoidoscopy. Refer the patient for a surgical hemorrhoidectomy.

• Question 5

Which of the following patient characteristics are associated with chronic bronchitis?

Selected Answer:

Underweight, pink skin, and increased respiratory rate

Answers:

Overweight, cyanosis, and normal or slightly increased respiratory rate Underweight, pink skin, and increased respiratory rate Overweight, pink skin, and normal or slightly increased respiratory rate Normal weight, cyanosis, and greatly increased respiratory rate

• Question 6

0 out of 1 points

1 out of 1 points

A 65 - year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The most appropriate diagnostic test for this patient at this time is:

Selected Answer:

CT scan

Answers: CBC/diff

Erythrocyte sedimentation rate Abdominal ultrasound CT scan

• Question 7

1 out of 1 points

A patient reports “something flew in my eye” about an hour ago while he was splitting logs. If there were a foreign body in his eye, the nurse practitioner would expect to find all except:

Selected Answer:

Purulent drainage

Answers:

Purulent drainage Tearing Photophobia A positive fluorescein stain

• Question 8

1 out of 1 points

A 21 year old college student presents to the student health center with copious, markedly purulent discharge from her left eye. The nurse practitioner student should suspect:

Selected Answer:

Gonococcal conjunctivitis

Answers: Viral^ conjunctivitis

Common pink eye Gonococcal conjunctivitis Allergic conjunctivitis

• Question 9

0 out of 1 points

A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning, and itching. The nurse practitioner should suspect:

Selected

Answer: A^ complicated^ case^ of^ shingles^ and^ prescribe^ acyclovir,^ an^ analgesic,^ and^ a^ topical

cortisone cream

Answers: A^ common^ case^ of^ shingles^ and^ prescribe^ an^ analgesic^ and^ an^ antiviral^ agent

A complicated case of shingles and prescribe acyclovir, an analgesic, and a topical cortisone cream Herpes zoster and consider that this patient may be immunocompromised

A recurrence of chickenpox and treat the patient’s symptoms

• Question 10

Which type of lung cancer has the poorest prognosis?

Selected Answer:

Adenocarcinoma

Answers: Adenocarcinoma

Epidermoid carcinoma Small cell carcinoma Large cell carcinoma

• Question 11

0 out of 1 points

1 out of 1 points

An 83 - year-old female presents to the office complaining of diarrhea for several days. She explains she has even had fecal incontinence one time. She describes loose stools 3 – 4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has:

Selected Answer:

Chronic diarrhea

Answers: Acute^ diarrhea

Chronic diarrhea Irritable bowel Functional bowel disease

• Question 12

1 out of 1 points

Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly distribution on her face. The rash has red papules and plaques with a fine scale. What do you suspect?

Selected Answer:

Systemic lupus erythematosus

Answers: An^ allergic^ reaction

Relapsing polychondritis Lymphocytoma cutis

Systemic lupus erythematosus

• Question 13

1 out of 1 points

Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?

Selected Answer:

Acute bronchitis

Answers: Chronic^ sinusitis

Acute bronchitis Bacterial pneumonia Acute exacerbation of chronic bronchitis

• Question 14

0 out of 1 points

Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta- 2 agonist daily. Her exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in?

Selected Answer:

Mild persistent

Answers: Mild^ intermittent

Mild persistent Moderate persistent

• Question 15

0 out of 1 points

Which of the following is the most appropriate therapeutic regimen for an adult patient with no known allergies diagnosed with group A B-hemolytic strep?

Selected Answer:

None of the above

Answers:

Penicillin V 500 milligrams PO every 8 hours for 10 days Ampicillin 250 milligrams PO twice a day for 10 days Clarithromycin 500 milligrams po daily for 7 days

None of the above

• Question 16

0 out of 1 points

A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation. She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these problems?

Selected Answer:

Arterial insufficiency

Answers: Congestive^ heart^ failure

Varicose veins Deep vein thrombosis Arterial insufficiency

• Question 17

Which statement below is correct about pertussis?

Selected Answer:

It is also called whooping cough

Answers:

It is also called whooping cough It begins with symptoms like strep throat It lasts about 3 weeks It occurs most commonly in toddlers and young children

• Question 18

1 out of 1 points

0 out of 1 points

Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?

Selected Answer:

Asthma

Answers:

Pneumonia Asthma Sinusitis Pertussis

• Question 19

1 out of 1 points

A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected condition?

Selected Answer:

Diverticulitis

Answers: Diverticulosis

Diverticula Diverticulitis Diverticulum

• Question 20

1 out of 1 points

Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect?

Selected Answer:

Herpes zoster

Answers: Varicella

Herpes zoster Syphilis Rubella

• Question 21

0 out of 1 points

A 33 - year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is:

Selected Answer:

Medications

Answers: Alcohol

Gallstones Medications Pregnancy

• Question 22

1 out of 1 points

When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?

Selected Answer:

Order an abdominal ultrasound

Answers: Order^ abdominal^ x-rays

Order an abdominal ultrasound Refer the patient to a surgeon for evaluation Prescribe pain medication

• Question 23

A false-positive result with the fecal occult blood test can result from:

Selected Answer:

stool that has been stored before testing

Answers: ingestion^ of^ large^ amounts^ of^ vitamin^ C

a high dietary intake of rare cooked beef a colonic neoplasm that is not bleeding stool that has been stored before testing

• Question 24

0 out of 1 points

0 out of 1 points

A 76 - year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic test for this patient is:

Selected Answer:

Colonoscopy

Answers: Colonoscopy

Small bowel follow-through Barium enema CT abdomen

• Question 25

A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The

1 out of 1 points

echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are consistent with:

Selected Answer:

Systolic heart failure

Answers: Mitral^ regurgitation

Systolic heart failure Cardiac myxoma Diastolic heart failure

• Question 26

1 out of 1 points

Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is an indication that she should be hospitalized?

Selected

Answer: Multilobar^ involvement^ on^ chest^ x-ray^ with^ the^ inability^ to^ take^ oral^ medications

Answers:

Multilobar involvement on chest x-ray with the inability to take oral medications Alert and oriented, slightly high but stable vital signs, and no one to take care of her at home Sputum and gram positive organisms A complete blood count showing leukocytosis

• Question 27

0 out of 1 points

A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:

Selected Answer:

“It is the most common cause of death in patients with skin cancer.”

Answers: “It^ is^ the^ most^ common^ cause^ of^ death^ in^ patients^ with^ skin^ cancer.”

“It can be cured with surgical excision or radiation therapy.” “It is a slow growing skin cancer that rarely undergoes malignant changes.”

“It can be cured using 5 - flurouracil cream twice daily for 2 to 4 weeks.”

• Question 28

Expected spirometry readings when the patient has chronic emphysema include:

Selected Answer:

Increased total lung capacity (TLC)

Answers: Decreased^ residual^ volume^ (RV)

Increased vital capacity (VC) Increased forced expiratory volume (FEV-1) Increased total lung capacity (TLC)

• Question 29

1 out of 1 points

1 out of 1 points

An 80 - year-old male admits to difficulty swallowing during the review of systems. The nurse practitioner recognizes the differential diagnosis for this patient’s dysphagia is:

Selected Answer:

A and C

Answers: Esophageal^ cancer

Chest pain GERD A and C All of the above

• Question 30

0 out of 1 points

A 40 year old female with history of frequent sun exposure presents with a multicolored lesion on her back. It has irregular borders and is about 11mm in diameter. What should the nurse practitioner suspect?

Selected Answer:

Basal cell carcinoma

Answers: Squamous^ cell^ carcinoma

Malignant melanoma A common nevus

Basal cell carcinoma

• Question 31

Which of the following is not a goal of treatment for the patient with cystic fibrosis?

Selected Answer:

Replace water-soluble vitamins

Answers: Prevent^ intestinal^ obstruction

Provide adequate nutrition Promote clearance of secretions Replace water-soluble vitamins

• Question 32

1 out of 1 points

1 out of 1 points

The nurse practitioner is performing a physical exam on a middle-aged African-American man. Which of the following areas is a common site for melanomas in African-Americans and other dark-skinned individuals?

Selected Answer:

B and C

Answers: Scalp

Nails Feet B and C All of the above

• Question 33

An adult presents with tinea corporis. Which item below is a risk factor for its development?

1 out of 1 points

Selected Answer:

Topical steroid use

Answers:

Topical steroid use Topical antibiotic use

A recent laceration Cold climates

• Question 34

0 out of 1 points

A patient has experienced nausea and vomiting, headache, malaise, low grade fever, abdominal cramps, and watery diarrhea for 72 hours. His white count is elevated with a shift to the left. He is requesting medication for diarrhea. What is the most appropriate response?

Selected

Answer: Order^ stool^ cultures.

Answers: Prescribe^ loperamide^ (Immodium)^ or^ atropine-diphenoxylate^ (Lomotil)^ and^ a^ clear^ liquid

diet for 24 hours. Prescribe a broad-spectrum antibiotic such as ciprofloxacin (Cipro), and symptom management. Offer an anti-emetic medication such as ondansetron (Zofran) and provide oral fluid and electrolyte replacement instruction. Order stool cultures.

• Question 35

1 out of 1 points

Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order?

Selected Answer:

Antihistamines

Answers: Aspirin

NSAIDs Opioids Antihistamines

• Question 36

0 out of 1 points

Of the following signs and symptoms of congestive heart failure (CHF), the earliest clinical manifestation is:

Selected Answer:

Peripheral edema

Answers: Peripheral^ edema

Weight gain Shortness of breath Nocturnal dyspnea

• Question 37

1 out of 1 points

A 16 year old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechiae. Without a definitive diagnosis for this patient, what drug would be least appropriate to prescribe?

Selected Answer:

Amoxicillin

Answers: Ibuprofen

Erythromycin Amoxicillin Acetaminophen

• Question 38

1 out of 1 points

A 70 year old man who walks 2 miles every day complains of pain in his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 2 mile walk. What question asked during the history, if answered affirmatively, would suggest a diagnosis of arteriosclerosis obliterans?

Selected Answer:

“Is your leg pain relieved by rest?”

Answers: “Are^ you^ wearing^ your^ usual^ shoes?”

“Do you also have chest pain when you have leg pain?” “Is your leg pain relieved by rest?” “Do you ever have the same pain in the other leg?”

• Question 39

Which of the following statements about malignant melanomas is true?

0 out of 1 points

Selected Answer:

They usually occur in older adult males

Answers: They^ usually^ occur^ in^ older^ adult^ males

The patient has no family history of melanoma They are common in blacks

The prognosis is directly related to the thickness of the lesion

• Question 40

1 out of 1 points

Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral edema. What do you suspect?

Selected Answer:

Heart failure

Answers: Asthma

Nocturnal allergies Valvular disease Heart failure

• Question 41

0 out of 1 points

Which antibiotic would be the most effective in treating community acquired pneumonia (CAP) in a young adult without any comorbid conditions?

Selected Answer:

Doxycycline (Vibramycin)

Answers: Erythromycin

Clarithromycin (Biaxin) Doxycycline (Vibramycin) Penicillin

• Question 42

1 out of 1 points

Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction?

Selected Answer:

Powders

Answers:

Powders Gels

Creams Lotion

• Question 43

1 out of 1 points

A 70 year old patient presents with a slightly raised, scaly, erythematous patch on her forehead. She admits to having been a “sun worshiper.” The nurse practitioner suspects actinic keratosis. This lesion is a precursor to:

Selected Answer:

Squamous cell carcinoma

Answers:

Squamous cell carcinoma Basal cell carcinoma Malignant melanoma Acne vulgaris

• Question 44

1 out of 1 points

An elderly patient is being seen in the clinic for complaint of “weak spells” relieved by sitting or lying down. How should the nurse practitioner proceed with the physical examination?

Selected Answer:

Compare the patient’s blood pressure lying first, then sitting, and then standing.

Answers: Assist^ the^ patient^ to^ a^ standing^ position^ and^ take^ her^ blood^ pressure.

Assess the patient’s cranial nerves. Compare the patient’s blood pressure lying first, then sitting, and then standing. Compare the amplitude of the patient’s radial and pedal pulses.

• Question 45

1 out of 1 points

What oral medication might be used to treat chronic cholethiasis in a patient who is a poor candidate for surgery?

Selected Answer:

Ursodiol

Answers:

Ursodiol

Ibuprofen Prednisone Surgery is the only answer

• Question 46

0 out of 1 points

A 46-year-old female with a past medical history of diabetes presents with a swollen, erythematous right auricle and is diagnosed with malignant otitis externa. The nurse practitioner knows that the most likely causative organism for this patient’s problem is:

Selected Answer:

Staphylococcus aureus

Answers: Staphylococcus^ aureus

Group A beta hemolytic streptococcus Haemophilus influenza Pseudomonas aeruginosa

• Question 47

Which of the following is not a symptom of irritable bowel syndrome?

Selected Answer:

Painful diarrhea

Answers: Painful^ diarrhea

Painful constipation Cramping and abdominal pain Weight loss

• Question 48

0 out of 1 points

1 out of 1 points

A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed?

Selected Answer:

Any recent trauma

Answers:

Any recent trauma Difficulty swallowing

Stiffness in the right shoulder Change in sleeping habits

• Question 49

0 out of 1 points

Marvin, age 56, is a smoker with diabetes. He has just been diagnosed as hypertensive. Which of the following drugs has the potential to cause the development of bronchial asthma and inhibit gluconeogenesis?

Selected Answer:

ACE Inhibitor

Answers: ACE^ Inhibitor

Beta Blocker Calcium channel blocker Diuretic

• Question 50

1 out of 1 points

The differential diagnosis for a patient complaining of a sore throat includes which of the following?

Selected Answer:

A, B, and C

Answers: Gonococcal^ infection

Thrush Leukoplakia B only A, B, and C

• Question 51

0 out of 1 points

A patient presents to the primary care provider complaining of a rash on his right forehead that started yesterday and is burning and painful. The physical exam reveals an erythematous, maculopapular rash that extends over the patient’s right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient’s symptoms is:

Selected Answer:

Rhus dermatitis

Answers: Rhus^ dermatitis

Ophthalmic zoster Chemosis Optic neuritis

• Question 52

0 out of 1 points

Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered?

Selected Answer:

Serum cholesterol with HDL and LDL

Answers:

Serologic markers for hepatitis Serum bilirubin Serum cholesterol with HDL and LDL A liver biopsy

• Question 53

1 out of 1 points

A patient with elevated lipids has been started on lovastatin. After 3 weeks of therapy, he calls to report generalized muscle aches. The nurse practitioner should suspect:

Selected Answer:

Rhabdomyolysis

Answers: A^ drug^ interaction

Hepatic dysfunction Hypersensitivity to lovastatin Rhabdomyolysis

• Question 54

Treatment of acute vertigo includes:

1 out of 1 points

Selected Answer:

Bedrest and an antihistamine

Answers:

Bedrest and an antihistamine

Fluids and a decongestant A sedative and decongestant Rest and a low sodium diet

• Question 55

Treatment of H.pylori includes which of the following?

Selected Answer:

A, B, and C

Answers: Proton^ pump^ inhibitor

Antibiotic therapy Bismuth subsalicylate A and B A, B, and C

• Question 56

1 out of 1 points

1 out of 1 points

Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect?

Selected Answer:

Retinal detachment

Answers: Cataracts

Glaucoma Retinal detachment Iritis

• Question 57

In order to decrease deaths from lung cancer:

1 out of 1 points

Selected Answer:

Patients should be counseled to quit smoking

Answers: All^ smokers^ should^ be^ screened^ annually

All patients should be screened annually Only high risk patients should be screened routinely Patients should be counseled to quit smoking

• Question 58

John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia?

Selected Answer:

Every 5 years

Answers:

Every 5 years Every 2 years Every year Whenever blood work is done

• Question 59

1 out of 1 points

1 out of 1 points

Mort is hypertensive. Which of the following factors influenced your choice of using an alpha blocker as the antihypertensive medication?

Selected Answer:

Mort has benign prostatic hyperplasia

Answers: Mort^ is^ black

Mort also has congestive heart failure Mort has benign prostatic hyperplasia Mort has frequent migraine headaches

• Question 60

1 out of 1 points

John, age 59, presents with recurrent, sharply circumscribed red papules and plaques with a powdery white scale on the extensor aspect of his elbows and knees. What do you suspect?

Selected Answer:

Psoriasis

Answers: Actinic^ keratosis

Eczema Psoriasis Seborrheic dermatitis

• Question 61

1 out of 1 points

Harriet, a 79 - year-old woman, comes to your office every 3 months for follow up on her hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At today’s visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to control Harriet’s blood pressure?

Selected

Answer: Add^ a^ thiazide^ diuretic^ to^ the^ Lisinopril^ 5mg^ daily

Answers: Increase^ her^ Lisinopril^ to^ 20mg^ daily

Add a thiazide diuretic to the Lisinopril 5mg daily Discontinue the Lisinopril and start a combination of ACE Inhibitor and calcium channel blocker Discontinue the Lisinopril and start a diuretic

• Question 62

An active 65 - year-old man under your care has known acquired valvular aortic stenosis and mitral

0 out of 1 points

regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs elective replacement of his aortic valve. When he comes into the office you discover that he has 10 remaining teeth in poor repair. Your recommendation would be to:

Selected

Answer: coordinate^ with^ his^ cardiac^ and^ oral^ surgeons^ to^ have^ the^ tooth^ extractions^ and^ valve

replacement done at the same time to reduce the risk of anesthetic complications.

Answers: defer^ any^ further^ dental^ work^ until^ his^ valve^ replacement^ is^ completed

instruct him to have dental extraction done cautiously, having no more than 2 teeth per visit removed. suggest he consult with his oral surgeon about having all the teeth removed at once and receiving appropriate antibiotic prophylaxis coordinate with his cardiac and oral surgeons to have the tooth extractions and valve replacement done at the same time to reduce the risk of anesthetic complications.

• Question 63

0 out of 1 points

Appropriate therapy for peptic ulcer disease (PUD) is:

Selected Answer:

Dependent on cessation of NSAID use

Answers: Primarily^ by^ eradication^ of^ infection

Based on etiology Aimed at diminishing prostaglandin synthesis Dependent on cessation of NSAID use

• Question 64

1 out of 1 points

Shirley, age 58, has been a diabetic for 7 years. Her blood pressure is normal. Other than her diabetes medications, what would you prescribe today during her routine office visit?

Selected Answer:

An ACE Inhibitor

Answers: A^ calcium^ channel^ blocker

A beta blocker An ACE Inhibitor No hypertension medication

• Question 65

1 out of 1 points

Medicare is a federal program administered by the Centers for Medicare and Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and Management coding, which all providers are expected to follow when coding patient visits for reimbursement. Which of the following is an important consideration regarding billing practices?

Selected Answer:

Failing to bill for billable services will lead to unnecessarily low revenues

Answers: It^ is^ important^ to^ “undercode”^ so^ that^ one^ does^ not^ get^ charged^ with^ Medicare^ fraud

The practice of “overcoding” is essential in this age of decreasing reimbursements Failing to bill for billable services will lead to unnecessarily low revenues Time spent with the patient is a very important determinant of billing

• Question 66

1 out of 1 points

A 2 year old presents with a white pupillary reflex. What is the most likely cause of this finding?

Selected Answer:

Retinoblastoma

Answers: Viral^ conjunctivitis

Glaucoma Corneal abrasion Retinoblastoma

• Question 67

0 out of 1 points

Harvey has had Meniere’s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?

Selected Answer:

A labyrinthectomy

Answers: Pharmacological^ therapy

A labyrinthectomy A vestibular neurectomy Wearing an earplug in the ear with the most hearing loss

• Question 68

Which of the following is not a risk factor for coronary arterial insufficiency?

Selected Answer:

Hyperhomocysteinemia

Answers: Hyperhomocysteinemia

Smoking Genetic factors Alcohol ingestion

• Question 69

0 out of 1 points

1 out of 1 points

An 18 - year-old female presents to the urgent care center complaining of severe pruritus in both eyes that started 2 days ago. Associated symptoms include a headache and fatigue. On examination, the nurse practitioner notes some clear discharge from both eyes and some erythema of the eyelids and surrounding skin.

Which of the following is the most likely cause of this patient’s symptoms?

Selected Answer:

Allergic conjunctivitis

Answers:

Allergic conjunctivitis Bacterial conjunctivitis Gonococcal conjunctivitis Viral conjunctivitis

• Question 70

0 out of 1 points

A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free?

Selected Answer:

A long-acting bronchodilator

Answers: A^ long-acting^ bronchodilator

An inhaled corticosteroid and cromolyn Theophylline and a short acting bronchodilator A bronchodilator PRN and an inhaled corticosteroid

• Question 71

Acute rheumatic fever is an inflammatory disease which can follow infection with:

Selected Answer:

Β-hemolytic Streptococcus

Answers:

Group A Streptococcus Staphlococcus areus Β-hemolytic Streptococcus Streptococcus pyogenes

• Question 72

0 out of 1 points

0 out of 1 points

A 60 year old male diabetic patient presents with redness, tenderness, and edema of the left lateral aspect of his face. His left eyelid is grossly edematous. He reports history of a toothache in the past week which “is better.”

His temperature is 100°F and pulse is 102 bpm. The most appropriate initial action is to:

Selected

Answer: Start^ an^ oral^ antibiotic,^ mouth^ swishes^ with^ an^ oral^ anti-infective,^ and^ an^ analgesic

Answers: Start^ an^ oral^ antibiotic,^ refer^ the^ patient^ to^ a^ dentist^ immediately,^ and^ follow^ up^ within

3 days Order mandibular x-rays and question the patient about physical abuse Start an oral antibiotic, mouth swishes with an oral anti-infective, and an analgesic Initiate a parenteral antibiotic and consider hospital admission

• Question 73

If a patient presents with a deep aching, red eye and there is no discharge, you should suspect:

Selected Answer:

Iritis

Answers:

Iritis Allergic conjunctivitis Viral conjunctivitis Bacterial conjunctivitis

• Question 74

1 out of 1 points

1 out of 1 points

The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than:

Selected Answer:

100 mg/dL

Answers: 160 mg/dL

130 mg/dL 100 mg/dL 70 mg/dL

• Question 75

1 out of 1 points

A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life