Questions Flashcards
A 16-year-old Nigerian boy somatic symptoms after moving 3 months ago.
What is this considered?
What treatment would you recommend?
a. This is cultural bound syndrome.
b. Treatment is brief supportive therapy
A patient came in for appointment and verbalize to the NP that they feel terrible and believes the group home where they live is trying to poison their food. So they are thinking about the setting the house on fire while everyone’s sleep at night. How would the NP respond?
Call the group home staff and notify law enforcement about his homicidal thoughts
A 3 year is brought in because her parent think she is “over-sexed” she is preoccupied with the woman’s breast and has been masturbating. What do you tell the parents?
This is normal
12 year old that cries, isolates, has no friends, and is not doing well in school. According to Erickson, which stage has he not resolved?
Identity vs role confusion
What CN deal with mastication (Chewing, biting down)?
CN-V trigeminal
What CN is responsible for puffing out cheeks?
CN VII facial
What CN is asking to stick your tongue out and say ahh?
CN XII hypoglossal use for checking TD
Fungus to toenail. What is the first priority?
Scrape area and send to the lab prior to initiating treatment
This means they have a B12 deficiency, check for b12. Vitamin b12 and folate deficiencies must be ruled out
Microcystic anemia
Man working at the gym and his urine is cherry color
Order myoglobinuria
Adolescent with substance abuse and working out has muscle aches. Urine is red colored hematuria
Concerned for rhabdomyolysis – need to check CK-MB
Dark brown urine (patient with Depakote) = liver damage/problem with liver function.
Check LFTs
Erythromycin increases level of carbamazepine (Tegretol) = Agranulocytosis. What should you do?
Decrease Tegretol medication to avoid toxicity
The patient is on oral antipsychotic meds then develop infection and are prescribed with 14 days antibiotics. What should the np do?
Decrease the antipsychotic medication
A patient has been stabilized on Zyprexa or Seroquel and is also a long time smoker. He is now involved in a smoking cessation program. How will you need to adjust his medication after he stop smoking
Decrease his dosage of Zyprexa
A patient takes Flonase daily for asthma. He was dx with bipolar and needs to be started on a mood stabilizer, what mood stabilizer DECREASES the effectiveness of Flonase
TEGRETOL (carbamazepine)
Patient is taking lithium developed severe back pain and reports this complaint to the pcp. Motrin 400 mg tid was prescribed. You know that the patient developed lithium toxicity if the patient displays what?
COARSE hand tremors, slurred speech, confusion, severe GI problem, metallic taste
Patient present with lithium 1.4, what does that mean?
Monitor for lithium toxicity signs and symptoms
A patient having a performance anxiety and taking albuterol. What medication would be prescribed for maintenance therapy
SSRI
Patient on interferon, Wellbutrin, and taking Lexapro and has complaints that symptoms are the same. What should you do?
Increase lexapro
Patient on Accutane and taking Wellbutrin and has complaints of no change in symptoms. What should you do?
Increase Wellbutrin
When a patient is on 21. Disulfiram (Antabuse), what should you educate him on?
a. Safety first.
b. Alcohol use stay away from alcohol due to severe side effects.
c. 12 hours from the time of the last drink.
d. Wait 2 weeks, mouth wash, shaving cream or any content that contains alcohol.
Patient has weight loss drug due to binge eating d/o for 2 days, BMI 27, and asked for medication.
Continue their Vyvanse.
(Not enough info)
Patient is anxious before going on stage. What would you give?
Propranolol (beta blocker end lol)