Leik questions Flashcards
1
Q
17. A 39 year old migrant worker presents to the clinic 2 days after a mantoux test. What minimum size of induration would be considered positive for this patient? A. 3 mm B. 5 mm C. 10 mm D. 15 mm
A
C. 10mm
2
Q
40. Signs and symptoms of depression include all of the following except: A. anhedonia B. low self esteem C. apathy D. apraxia
A
D. apraxia
3
Q
- All of the following patients are at higher risk of suicide except
A. a 66 year old white man whose wife of 40 years recently died
B. a high school student with a history of bipolar disorder
C. a depressed 45 year old woman with family history of suicide
D. a 17 year old teen who has only one close friend in school
A
D. a 17 year old teen who has only one close friend in school
4
Q
- A middle aged woman who works in the housekeeping department of a hospital presents to the employee health clinic with a c/o a needlestick to her left thumb. The needle was in one of the garbage bags from the ED. The patient had a little bleeding that stopped spontaneously. Which of the following is the next step
A. order an ELISA as soon as possible
B. recommend a tetanus booster in 1 week
C. offer the patient hepatitis B immunoglobulin
D. order a chest x ray
A
A. order an ELISA as soon as possible
5
Q
71. A nursing home resident reports to his physician that his previous roommate was recently started on TB treatment. A mantoux test and chest x ray are ordered for the patient. What is the minimum size of induration considered positive for this patient A. 3 mm B. 5 mm C. 10 mm D. 15 mm
A
B. 5 mm
6
Q
72. In small children with AIDS, which of the following vaccines is contraindicated? A. diphtheria and tetanus (Td) B. hepatitis B and mumps C. varicella D. Td and oral polio
A
C. varicella
7
Q
A 40 year old female bank teller has recently been diagnosed with OCD by her therapist
- Which of the following characterize this disorder:
A. ritualistic behavior that the patient feels compelled to repeat
B. increased anxiety when attempting to ignore or suppress the repetitive behaviors
C. frequent intrusive and repetitive thoughts and impulses
D. all of the above
96. Which of the following medications is indicated for the treatment of OCD A. paroxetine (paxil CR) B. haloperidol (Haldol) C. lorazepam (Ativan) D. imipramine (Elavil)
A
- D… all of the above
96. A…. paroxetine (paxil)
8
Q
- A patient is positive for anti-HCV (hepatitis C virus antibody). What is the next step to further evaluate this patient?
A. refer the patient to GI doctor
B. order a hepatitis C RNA test
C. order a hepatitis B comprehensive panel
D. the patient is immune to hepatitis C and no further testing is indicated
A
B. order a hepatitis C RNA test
9
Q
- NPs and clinical nurse specialists derive their legal right to practice from
A. the nurse practice act in the state where they practice
B. the laws of the state where they practice
C. the medicare statute
D. the board of nursing in the state where they practice
A
A. the nurse practice act in the state where they practice
10
Q
- The following children are considered at higher risk for TB except
A. a child who has recently been diagnosed with leukemia
b. an infant whose family is homeless
C. a child who was born in Japan
D. a Hispanic child with asthma who is using a steroid inhaler
A
C. a child who was born in Japan
11
Q
142. All of the following are considered SSRIs except A. imipramine (tofranil) B. fluoxetine (Prozac) C. sertraline (Zoloft) D. paroxetine (paxil)
A
A. imipramine (tofranil)
12
Q
154. The anti-HCV test of a 60 year old female patient is positive. Which test is appropriate for follow up A. HCV RNA B. HCV antibody C. HCV core antibody D. HCV surface antigen
A
A. HCV-RNA
13
Q
- A newborns mother is discovered to be HBsAg (hepatitis B surface antigen) positive. Which of the following would you recommend for this infant?
A. give the infant hepatitis B immunoglobulin
B. give the infant both hepatitis B vaccine and hepatitis B immunoglobulin
C. give the infant hepatitis B vaccine only
D. send the infant home because he is not infected
A
B. give the infant both hepatitis B vaccine and hepatitis B immunoglobulin
14
Q
227. A NPs right to practice is regulated under A. medicare regulations B. the board of medicine C. the federal government D. the board of nursing
A
D. the board of nursing
15
Q
235. Which type of hepatitis virus infection is more likely to result in chronic hepatitis and increased risk of developing hepatocellular carcinoma A. hepatitis A virus B. hepatitis B virus C. hepatitis C virus D. both hepatitis B and C virus
A
D. both hepatitis B and C virus