Practice test Flashcards

1
Q

What is the most common cause of gynecological cancer deaths among women in the U.S.:
​a. breast cancer
b. ovarian cancer
c. endometrial cancer
d. endocervical cancer

A

c. endometrial cancer

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2
Q

The CDC recommends which group should be tested at least once with the Hepatitis C antibody test:
​a. People born from 1945 through 1965
b. People born from 1966 through 1975
c. People born from 1976 through 1985
d. People born from 1986 through 1995

A

​a. People born from 1945 through 1965
People born from 1945 to 1965 belong to the “Baby Boomers” group and the CDC recommends testing them for Hep. C at least once in a lifetime.

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3
Q

A 13 year old female patient who is allergic to erythromycin and sulfa drugs has a positive strep culture. Which of the following pharmacologic agents would you recommend:
​a) clarithromycin (Biaxin) 500mg po BID x 10 days
b) penicillin 250mg po QID x 10 days
c) levofloxacin (Levaquin) 500mg po daily x 7days
d) trimothoprim-sulfamethazole (Bactrim DS) one tablet BID x 10 days

A

b) penicillin 250mg po QID x 10 days

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4
Q

A 35 year old woman has a history of mitral valve prolapse (MVP) and is scheduled for a root canal the next day. She tells the NP that she needs an antibiotic before undergoing the procedure.
Which of the following is the best option for the NP to follow:
​a) Write a script for amoxicillin 2 g before and 1.5 g after the procedure.
b) Write a script for amoxicillin 2 g one hour before the procedure
c) According to the American Heart Association’s latest guidelines, there is no need for prophylaxis before dental procedures if the patient does not have a prosthetic valve or does not have a history of infective endocarditis.
d) Tell the patient that prophylaxis before certain procedures is still recommended.for patients with her diagnosis

A

c) According to the American Heart Association’s latest guidelines, there is no need for prophylaxis before dental procedures if the patient does not have a prosthetic valve or does not have a history of infective endocarditis.

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5
Q

A male with HIV infection has a CD4 count of less than 200 cells/mm3. Which of the following is an appropriate action:
​a. Start patient on Bactrim DS daily
b. Schedule pentamidine nebulizer treatments
c. Recheck CD4 count
d. Recommend vaccination against Herpes zoster.

A

​a. Start patient on Bactrim DS daily

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6
Q

What type of immunity is less active in the elderly:
​a. Cell-mediated immunity
b. Humoral immunity
c. Total immunity
d. Passive immunity

A

​a. Cell-mediated immunity

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7
Q

Patients who are smokers with COPD and CAP are more likely to become infected with which organism:
a. Strep pneumoniae
b. Mycoplasma pneumoniae
c. Pseudomonas aeroginosa
d. Hemophilus influenzae

A

Tip: Answer is d, hemophilus influenzae, a gram-negative bacteria.

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