NRNP 6531 EXAM 2024 | 2 CURRENTLY TESTING REAL EXAM VERSIONS WITH ACCURATE QUESTIONS, Exams of Nursing

Download NRNP 6531 EXAM 2024 | 2 CURRENTLY TESTING REAL EXAM VERSIONS WITH ACCURATE QUESTIONS and more Exams Nursing in PDF only on Docsity! NRNP 6531 EXAM 2024 | 2 CURRENTLY TESTING REAL EXAM VERSIONS WITH ACCURATE QUESTIONS WITH DETAILED ANSWERS | EXPERT VERIFIED FOR GUARANTEED PASS | LATEST UPDATE Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action? A. Prescribe nasal steroids and oral decongestants B. Prescribe antibiotic eardrops C. Prescribe systemic eardrops D. Refer David to an ear, nose, and throat specialistS A. Prescribe nasal steroids and oral decongestants An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects? A. Weight gain B. Fracture risk C. Hypoglycemia D. Weight loss C. Hypoglycemia Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia? A. Musculoskeletal pain B. Difficulty sleeping C. Depression D. Fatigue A. Musculoskeletal pain A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time? A. Prescribe an alpha adrenergic blocker. B. Recommend saw palmetto. C. Prescribe an antibiotic D. Refer the client to urology. A. Prescribe an alpha adrenergic blocker Which of the following is the most common causative organism of nongonococcal urethritis? A. Chlamydia trachomatis B. Ureaplasma urealyticum C. Mycoplasma hominis D. Trichonomas vaginalis A. Chlamydia trachomatis The organism most often associated with prostatitis is: A. Klebsiella B. Neiserria gonorrhoaes C. Chlamydia trachomatis D. Escherichia coli D. Escherichia coli An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment to consider? A. A low-calorie diet and exercise B. Sliding-scale NPH insulin every 12 hours C. A sulfonylurea and/or metformin (Glucophage® -XR) D. Sliding-scale regular insulin every 6 hours C. A sulfonylurea and/or metformin Prolonged PT suggests: A. Platelet abnormality B. Abnormality in intrinsic coagulation pathway C. Abnormality in extrinsic coagulation pathway D. None of the above C. Abnormality in extrinsic coagulation pathway B. Protein C deficiency C. Factor V Leiden D. Antiphospholipid antibodies D. Antiphospholipid antibodies A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains: Primary hyperparathyroidism is treated with Vitamin D restriction Primary hyperparathyroidism is treated with parathyroidectomy Primary hyperparathyroidism is treated with daily magnesium Primary hyperparathyroidism is treated with parenteral parathyroid hormone (PTH) Primary hyperparathyroidism is treated with parathyroidectomy A 25 year old overweight patient presents with a complaint of dull achiness in his groin and history of a palpable lump in his scrotum that "comes and goes". On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis? A. Testicular torsion B. Epididymitis C. Inguinal hernia D. Varicocele C. Inguinal hernia Which of the following is a potential acquired cause of thrombophilia - CORRECT ANSWER Antiphospholipid antibodies Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: - CORRECT ANSWER Carpal tunnel syndrome Which patient would benefit most from screening for type 2 diabetes? - CORRECT ANSWER an obese female with recurrent vaginitis A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis? - CORRECT ANSWER ostheoaethritis A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: - CORRECT ANSWER trimethoprim sulfamethoxazole for 3 dyas A thymectomy is usually recommended in the early treatment of which disease? - CORRECT ANSWER Myasthenia Gravis The diagnosis of human papilloma virus (HPV) infection in males is usually made by - CORRECT ANSWER clinical appearance (examination of the lesison) The most effective intervention(s) to prevent stroke is (are): - CORRECT ANSWER smoking cessation and treatment of hypertension What is the most common cause of Cushing's syndrome? - CORRECT ANSWER Administration of a glucocorticoid or ACTH Which of the following medications may predispose the patient to hypoglycemia? - CORRECT ANSWER Beta-adrenergic blockers Diagnostic radiological studies are indicated for low back pain: - CORRECT ANSWER When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection. After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured? - CORRECT ANSWER A urea breath test Which appropriate test for the initial assessment of Alzheimer's disease provides the performance ratings on 10 complex, higher order activities? - CORRECT ANSWER FAQ - Functional Activities Questionnaire Major depression occurs most often in which of the following conditions? - CORRECT ANSWER stroke Which of the following statements about multiple sclerosis (MS) is correct? - CORRECT ANSWER MS is a chronic, treatable illness with unknown cause and a variable course. Diagnostic evaluation of hypothyroidism reveals: - CORRECT ANSWER Elevated TSH and decreased T4 Risk factors for prostate cancer include all of the following except: - CORRECT ANSWER Benign prostatic hypertrophy What information should patients with diabetes and their families receive about hypoglycemia? - CORRECT ANSWER Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly. Which history is commonly found in a patient with glomerulonephritis? - CORRECT ANSWER Beta-hemolytic streptococcal infection (uri or skin infection caused by these bacteria) Which of the following is characteristic of a manic episode? - CORRECT ANSWER grandiose delusions (A 1 week period of expansive elevated or irritable mood) Central obesity, "moon" face, and dorsocervical fat pad are associated with: - CORRECT ANSWER Cushings syndrome A patient taking levothyroxine is being over-replaced. What condition is he at risk for? - CORRECT ANSWER osteoporosis Diabetes screening recommendations for asymptomatic adults age 45 and over include which of the following: - CORRECT ANSWER HbA1C2-hour 75 gram oral glucose tolerance test Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action? - CORRECT ANSWER Prescribe nasal steroids and oral decongestants Josh, age 22, is a stock boy and has an acute episode of low back pain. You order and NSAID and tell him which of the following? - CORRECT ANSWER Begin lower back strengthening exercises depending on pain tolerance Risk factors for Addison's disease include which of the following? - CORRECT ANSWER all of the above (autoimmune disease, AIDS, and TB) Urine cultures should be obtained for which of the following patients? - CORRECT ANSWER Suspected urinary tract infection in pregnancyFebrile patientsYoung men All of the above Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why. how do you respond? - CORRECT ANSWER A high caffeine intake has a diuretic effect that may cause calcium to be excreted more rapidly." The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is: - CORRECT ANSWER meningitits What conditions must be met for you to bill "incident to" the physician, receiving 100% reimbursement from Medicare? - CORRECT ANSWER The physician must be on-site and engaged in patient care The most commonly recommended method for prostate cancer screening in a 55 year old male is - CORRECT ANSWER Digital rectal examination (DRE) plus prostate specific antigen (PSA) The primary goals of treatment for patients with alcohol abuse disorder are: - CORRECT ANSWER Psychotherapeutic and pharmacological interventions to decrease desire for and effects of alcohol you are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test indicates an injury to the: - CORRECT ANSWER Cruciate ligament Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia - CORRECT ANSWER Musculoskeletal pain Differential diagnosis of proteinuria includes which of the following? - CORRECT ANSWER Orthostatic proteinuria A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as: - CORRECT ANSWER overweight Reed-Sternberg B lymphocytes are associated with which of the following disorders - CORRECT ANSWER Hodgkin's lympoma A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects: - CORRECT ANSWER olecranon bursitis Establishment of a definitive diagnosis of osteomyelitis requires: - CORRECT ANSWER Biopsy of culture of the pathogen from blood or bone aspirate. The most accurate measure of diabetes control is: - CORRECT ANSWER HbA1c has evolved to become the gold standard outcome to measure the efficacy of glucose-lowering medications. A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety disorder? - CORRECT ANSWER The most common presentation of thyroid cancer is: - CORRECT ANSWER A solitary thyroid nodule Which of the following accounts for half of the bladder tumors among men and one-third in women? - CORRECT ANSWER Cigarette smoke, both active and passive inhalation You have a new patient that presents with generalized lymphadenopathy. You know that this is indicative of: - CORRECT ANSWER Cancer of the liver Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to - CORRECT ANSWER try neutral position wrist splinting and order an oral NSAID Which drug category contains the drugs that are the first line Gold standard therapy for COPD? - CORRECT ANSWER Inhaled beta-2 agonist bronchodilators Potential causes of septic arthritis include which of the following? - CORRECT ANSWER A and B A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression, first episode, 2 months ago. She reports considerable improvement in her symptoms and her intention to discontinue the medication. What should be the nurse practitioner's recommendation? - CORRECT ANSWER Recommend that the patient continue the antidepressant medication for at least 4 more months The cardinal sign of infectious arthritis is - CORRECT ANSWER Affected joint is painful at rest, with movement and weight bearing A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse to practice what the treatment for this disorder is. The NP explains: - CORRECT ANSWER Primary hyperparathyroidism is treated with parathyroidectormyparathyroidectomy Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? - CORRECT ANSWER Erythromycin qd who is at a higher risk of developing nephrolithiasis? - CORRECT ANSWER Bill, who runs every day and takes excessive amount of vitamin C Potential side effects of levofloxacin include which of the following? - CORRECT ANSWER All of the above (confusion, hypoglycemia, Achilles tendon rupture) A patient has just been diagnosed with Bell's palsy. He is understandably upset and has questions about the prognosis. you response should be - CORRECT ANSWER The condition is self- limiting and most likely complete recovery will occur a diabetic patient is taking low-dose enalapril for hypertension. a record of the patient's blood pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. how should the NP respond? - CORRECT ANSWER increase the dosage of the current Bp med. what diabetic complications result from hyperglycemia? - CORRECT ANSWER 1,2,3 - Retinopathy - Hypertension resistant to treatment - peripheral neuropathy the best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy: - CORRECT ANSWER An early morning spot urine collection which of the following antibiotics should not be prescribed for a pregnant woman in the 3rd trimester? - CORRECT ANSWER Trimethoprim-sulfamethoxazole Martine, a 58-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 developed decreased sensation in both feet. There are no open areas or signs of infection on his feet. What health teaching should Maritn receive today regarding the care if his feet? - CORRECT ANSWER See a podiatrist yearly, wash your feet daily with warm soap water and towel dry between the toes, inspect your feet daily for lesions, and apply lotion to dry areas. the intervention known to be most effective in the treatment of severe depression, with or without psychosis is - CORRECT ANSWER Electroconvulsive therapy (ECT) The initial clinical sign of Dupuytren's contractures is - CORRECT ANSWER Painless nodule on palmer fascia Which of the following is the most common complication of the myelodysplastic syndromes - CORRECT ANSWER bleeding what information should a 42-year-old patient with diagnosed diabetes receive about exercise? - CORRECT ANSWER snack before exercise what is the most commonly abused substance - CORRECT ANSWER alcohol Sam, age 67 is a diabetic with worsening renal function. he has frequent hypoglycemia episodes which he believes means that his diabetes is getting "better". how do you respond - CORRECT ANSWER "because your kidneys are not functioning well, your insulin is not being metabolized and excreted as it should so you need less of it" A child with type 1 diabetes mellitus has experienced excessive hunger, weight gain and increasing hyperglycemia. The Somogyi effect is suspected. What steps should be taken to diagnose and treat this condition? - CORRECT ANSWER decrease the evening insulin dose and check capillary blood glucose (CBG) at 2;00 am at what age is screening most likely to detect scoliosis - CORRECT ANSWER 12-14 years The most reliable indicator of neurological deficit when assessing a patient with acute low back pain is - CORRECT ANSWER decreased reflexes, strength, and sensation in the lower extremities. a patient who has had a swollen, non-tender scrotum for one week is found to have a mass within the tunica vaginalis that transilluminates readily. the family nurse practitioner suspects. - CORRECT ANSWER a hydrocele a client has excessive blood loss and prolonged hypotension during surgery. his postoperative urine output is sharply decreased, and his urea nitrogen (BUN) is elevated. the most likely cause of the change is acute. - CORRECT ANSWER bladder outlet obstruction Mr. S comes to you with scrotal pain. the examinations of his scrotum penis and rectum are normal. which of the following conditions outside of the scrotum may present as scrotal pain? - CORRECT ANSWER inguinal herniation and peritonitis What act supports patient-centered primary care through the creation of authority for the centers for Medicare and Medicaid services? - CORRECT ANSWER The Patient Protection and Affordible Care Act of 2010 What was the Patient Prevention and Affordable Care act designed to do? - CORRECT ANSWER Develop new models of interdisciplinary team practice, payment, reform and increased use of information technologies OT practitioners need to assess how the profession fits within these new models of care and must study the impact they have on key health care outcomes related to....? - CORRECT ANSWER The "Triple Aim" of lowering costs, improving patient experience, and managing the health of populations What are the elements of PCMH? - CORRECT ANSWER -team based care -information technologies -payment incentives for value-based care What professions are typically the lead care managers in models using the PCMH approach? - CORRECT ANSWER Nurse practitioners and social workers The CMMI is conducting several other primary initiatives, including efforts in collaboration with Federally Qualified Health Centers to provide primary care and Multi-Payer Advanced Primary Care Practice. These and other grants and projects promote what? - CORRECT ANSWER Care coordination, improved access, patient education, and other services to support chronically ill patients and those who have multiple or complex conditions (1/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - CORRECT ANSWER (1/8) Models are patient and family caregiver centered in concept and design that support shared decision-making (2/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - CORRECT ANSWER (2/8) Interprofessional teams match services to patient and family needs to gain the highest value (3/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - CORRECT ANSWER (3/8) Team leadership shifts according to patient and family needs, preferences and expertise of team members (4/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - CORRECT ANSWER (4/8) Existing and new payment mechanisms recognize evidence-based models led by any discipline that are associated with improved quality outcomes and cost reduction (5/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - CORRECT ANSWER (5/8) Explicit and seamless links connect patients, providers and caregivers to community resources (6/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - CORRECT ANSWER (6/8) Teams have high reliance on the expertise, skills and services of registered nurses (7/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - CORRECT ANSWER (7/8) Care coordination and transitional care provides seamless transition experiences (8/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - CORRECT ANSWER (8/8) Ongoing quality measurment and comparative effectiveness research are needed to test these assumptions and define best practices What does OT education focus on? - CORRECT ANSWER - Patient and Caregiver education - pyschological, physcial, cognitive, cultural, and environmental supports of function - quality assessment and improvment - collaboration with other providers When does Interprofessional education (IPE) occur? - CORRECT ANSWER When two or more professions learn about, from and with each other to enable effective collaboration and imporve health outcomes Focus of IPE - CORRECT ANSWER Helping students build a basic value of working within interprofessional teams before they engage in traditional clinical education experiences Interprofessional education is the foundation for ... ? - CORRECT ANSWER Interprofessional collaborative practice - when multiple health workers from different professional backgrounds provide comprehensive services by working with patients, their families, carers, and communities to deliver the highest quality of care across settings What competencies are included for interprofessional practice? - CORRECT ANSWER - values and ethics - roles and responsibilities - communication - teams and team work (1/5) A vision was created for a healthcare system in which learners and practitioners across the profession are working collaboratively with patients, families, and communities, and with each other to accomplish triple aim - this crafted recommendations for immediate action in 5 areas: - CORRECT ANSWER (1/5) Engage patients, families and communities in the design, implementation, improvement, and evaluation of efforts to link interprofessionalism education and collaborative practice (2/5) A vision was created for a healthcare system in which learners and practitioners across the profession are working collaboratively with patients, families, and communities, and with each other to accomplish triple aim - this crafted recommendations for immediate action in 5 areas: - CORRECT ANSWER (2/5) Accelerate the design, implementation, and evaluation of innovative models linking interprofessional education and collaborative practice. (3/5) A vision was created for a healthcare system in which learners and practitioners across the profession are working collaboratively with patients, families, and communities, and with each other to accomplish triple aim - this crafted recommendations for immediate action in 5 areas: - CORRECT ANSWER (3/5) Reform the education and life long career development of health professionals to incorporate interprofessional learning and team-based care. (4/5) A vision was created for a healthcare system in which learners and practitioners across the profession are working collaboratively with patients, families, and communities, and with each other to accomplish triple aim - this crafted recommendations for immediate action in 5 areas: - CORRECT ANSWER (4/5) Revise professional regulatory standards and practices to permit and promote innovation in interprofessional education and collaborative practice. (5/5) A vision was created for a healthcare system in which learners and practitioners across the profession are working collaboratively with patients, families, and communities, and with each other to accomplish triple aim - this crafted recommendations for immediate action in 5 areas: - Other than smoking cessation, which of the following slows the progression of COPD in smokers? - CORRECT ANSWER Engaging in moderate to high levels of physical activity Management of a patient with hypertension and an abdominal aortic aneurysm would include: - CORRECT ANSWER Referral to a cardiologist A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are consistent with: - CORRECT ANSWER Systolic heart failure A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free? - CORRECT ANSWER A bronchodilator PRN and an inhaled corticosteroid A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory? - CORRECT ANSWER Inferior wall Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes? - CORRECT ANSWER Acute bronchitis The most common correlate(s) with chronic bronchitis and emphysema is(are): - CORRECT ANSWER Cigarette smoke inhalation Which of the following is not a goal of treatment for the patient with cystic fibrosis? - CORRECT ANSWER Replacement of water soluble vitamins Which drug category contains the drugs that are the first line Gold standard therapy for COPD? - CORRECT ANSWER Inhaled beta-2 agonist bronchodilators Which of the following patient characteristics are associated with chronic bronchitis? - CORRECT ANSWER Normal weight, cyanosis, and greatly increased RR Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication? - CORRECT ANSWER It is not effective during an acute asthma attack Which of the following is not a risk factor for coronary arterial insufficiency? - CORRECT ANSWER Alcohol ingestion Which type of lung cancer has the poorest prognosis? - CORRECT ANSWER Small cell carcinoma A patient presents to the office with a blood pressure 142/80. This patient is classified as having: - CORRECT ANSWER Stage 1 hypertension In order to decrease deaths from lung cancer: - CORRECT ANSWER Patients should be counseled to quit smoking 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? - CORRECT ANSWER Antihistamines Diagnostic confirmation of acute leukemia is based on: - CORRECT ANSWER Bone marrow aspiration & biopsy Which of the following are classic features of ulcerative colitis? - CORRECT ANSWER Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain, and weight loss Reed-Sternberg B lymphocytes are associated with which of the following disorders: - CORRECT ANSWER Hodgkin's lymphoma Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis? - CORRECT ANSWER Erythromycin daily A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient's TSH? - CORRECT ANSWER 8 weeks After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most effective? - CORRECT ANSWER A low fat, thyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to psychosocial factors What is the most common cause of Cushing's syndrome? - CORRECT ANSWER Administration of a glucocorticoid or ACTH Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? - CORRECT ANSWER Peppermint Microalbuminuria is a measure of: - CORRECT ANSWER Protein lost in the urine A 20 year old male patient complains of "scrotal swelling." He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis? - CORRECT ANSWER Hydrocele Of the following choices, the least likely cause of cough is: - CORRECT ANSWER Acute pharyngitis A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was "fine" as long as he took the medication. The most appropriate next step is: - CORRECT ANSWER Investigation with endoscopy, manometry, and/ or pH testing Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? - CORRECT ANSWER Postprandial hypoglycemia Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you when she can go back to work. What do you tell her? - CORRECT ANSWER Once all the vesicles are crusted over Sarah has allergic rhinitis and is currently being bothered by nasal congestion. Which of the following meds ordered for allergic rhinitis would be most appropriate? - CORRECT ANSWER A decongestant nasal spray 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? - CORRECT ANSWER Failing to bill for billable services will lead to unnecessary low revenues Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by: - CORRECT ANSWER Candidiasis A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: - CORRECT ANSWER It can be cured with surgical excision or radiation therapy If a patient presents with a deep aching, red eye and there is no discharge, you should suspect: - CORRECT ANSWER Iritis Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order? - CORRECT ANSWER Antihistamines The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following? - CORRECT ANSWER Fever history and tender, swollen anterior cervical lymph nodes 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? - CORRECT ANSWER Herpes zoster A 19 year old basketball player complains of itching in the crural folds, buttocks, and upper thighs. The lesions are well demarcated and are half-moon shaped. The area is red, irritated, and there are small breaks in the skin from scratching. What is this patient's diagnosis and how should it be treated? - CORRECT ANSWER Tinea cruris, treat with a topical antifungal Which of the following symptoms suggests a more serious cause of back pain? - CORRECT ANSWER Pain associated with lying down at night Which of the following set of symptoms should raise suspicion of a brain tumor? - CORRECT ANSWER Holocranial headaches present in the morning and accompanied by projective vomiting without nausea The most effective treatment of non-infectious bursitis includes: - CORRECT ANSWER Rest an intra-articular corticosteroid injection and a concomitant oral NSAID A typical description of a tension headache is: - CORRECT ANSWER Bilateral, occipital, or frontal tightening or fullness with waves of aching pain The most effective intervention(s) to prevent stroke is (are): - CORRECT ANSWER Smoking cessation and treatment of HTN The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is: - CORRECT ANSWER Acetaminophen or NSAIDs The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is: - CORRECT ANSWER Meningitis A 26 year old female presents with elbow pain that is described as aching and burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is: - CORRECT ANSWER Lateral epicondylitis Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: - CORRECT ANSWER Carpal tunnel syndrome A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal. Which of the following is the most likely diagnosis? - CORRECT ANSWER Trigeminal neuralgia A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most likely cause of this behavior? - CORRECT ANSWER Delirium The correct treatment for ankle sprain during the first 48 hours after injury includes: - CORRECT ANSWER Rest, elevation, compression, ice and pain The most reliable indicator(s) of neurological deficit when assessing a patient with acute low back pain is(are): - CORRECT ANSWER Patient report of pain with the crossed straight leg raise Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be achieved with: - CORRECT ANSWER Stimulate medication along with behavioral and family intervention The most common symptoms of transient ischemic attack (TIA) include: - CORRECT ANSWER Weakness in an extremity, abruptly slurred speech or partial loss of vision and sudden gait changes A patient taking levothyroxine is being over-replaced. What condition is he at risk for? - CORRECT ANSWER Osteoporosis A positive drawer sign supports a diagnosis of: - CORRECT ANSWER Cruciate ligament injury