SM 3

Question 1

CN 1

Answer 1

olfactory

Question 2

CN x

Answer 2

vagus nerve

Question 3

CN IV

Answer 3

trochlear nerve

Question 4

which heart valve is most likely to be affected by. IV drug abuse

Answer 4

tricuspid

Question 5

What are the lung cancer screening guidelines:

Answer 5

Adults 50 to 80 years who have a history of 20 packs per year AND currently a smoker OR quit in the past 15 years

Question 6

the patient is having hearing loss in the right ear. The patient has Meniere’s disease…what would be found on the weber test?

Answer 6

tuning fork lateralized to the left ear

in sensorineural hearing loss, the sound lateralizes to the unaffected ear

Question 7

What does the Watson test test?

Answer 7

wrist instability near the scaphoid bone

Question 8

Allopurinol has a black box warning for….
what should you also monitor?

Answer 8

bone marrow suppression

monitor:
cbc
renal
liver

Question 9

What is outpatient treatment for pyelonephritis?/

Answer 9

fluoroquinolone

Question 10

what drug class is chlorthalidone?

Answer 10

thiazide diuretic

Question 11

What are the 4 main risk factors for cholecystitis?

Answer 11

-female
->40 years
-overweight
-fertile

Question 12

/What are risk factors for preterm birth?

Answer 12

<18 years
>35 years
alcohol
history of premature birth
placenta previa
current multiparous pregnancy
shortened cervix
being african american

Question 13

Grade I sprain
Grade 2
Grade 3

Answer 13

1: microscopic tear that resolve with rest
2: larger through ligament
3: complete tear of ligament and needs referral….BEING UNABLE TO BEAR WEIGHT IS GRADE 3

Question 14

Describe and essential tremor
what makes it worse
what makes it better

Answer 14

tremor with intention; improves with rest

Helps: regular physical activity, betablockers, ETOH

Worsens: caffeine, stress, sexual excitement

Question 15

A 23 y/o F pt presents to the clinic for continued issues with depression. She has been taking escitalopram (Lexapro) for the last 6 months with only marginal relief of symptoms. Her PMH includes: migraine with aura & tonic clonic seizures. Which med option for depression would be least appropriate?

a. zoloft
b. venlafaxine (Effexor)
c. Citalopram (Celexa)
d. Wellbutrin (Bupropion)

Answer 15

Wellbutrin increases the likelihood of seizures

Question 16

Ephelides vs Lentigines

Answer 16

Ephelides: freckles

Lengtigines: sun exposed areas; tan flat macules with moth eaten borders

Question 17

What supplement should be avoided in patient’s with asthma?

Answer 17

echinacea

Question 18

For males, what tanner stage does a growth spurt occur?

Answer 18

tanner stage 3

Question 19

What age do infants develop hand dominance?

Answer 19

11 months

Question 20

Thalassemia leads to a potential excess of ____ in the blood

Answer 20

iron

d/t amount of transfusions required in crease intestinal absorption of iron

Question 21

A 57 year old male patient is currently being treated for heart failure, diabetes mellitus and hypertension. Recently, he has been having new issues with blurred vision and frequent headaches. His blood pressure at today’s visit is 154/78, and he is currently taking Enalapril (Vasotec), Furosemide (Lasix) and Metoprolol (Lopressor). Which of the following medications would be the most inappropriate to add to this patient’s current regimen?

a. Amlodipine (Norvasc)
b. Hydrochlorothiazide (Microzide)
c. Increased Furosemide (Lasix) dosing
d. Hydralazine

Answer 21

amlodipine (Norvasc)

contraindicated in heart failure

Question 22

A 45 year old female returns to the clinic for a follow up on the clusters of erythematous, warm to the touch pustules. They are tender to palpation on her arm and her trunk. She declined oral antibiotics at the last visit and has been utilizing mupirocin (bactroban) without improvement. Which of the following would be the most appropriate medication for the nurse practitioner to prescribe today?

a. Sulfamethoxazole-Trimethoprim (Bactrim)
b. Cephalexin (Keflex)
c. Clindamycin (Cleocin)
d. Rifampin (Rifadin)

Answer 22

Cephalexin (Keflex)

pt has persistent folliculitis; can use oral abx if Bactroban isn’t working

Question 23

What can be protective against ovarian cancer?

Answer 23

oral contraceptives for 5+ years
tubal ligation/hysterectomy
breastfeeding for more than 1 year

(these women ovulate less)

Question 24

What can 6 months old infants be expected to do?

Answer 24

double birth weight
roll in both directions
lose palmar grasp
Play peek a boo

Question 25

when does stranger anxiety appear?

Answer 25

9 months

Question 26

when does a baby triple their birth weight?

Answer 26

12 months

Question 27

when does hand dominance develop?

Answer 27

10 to 11 months

Question 28

Who has a <5mm TB cut off?

Answer 28

immunocompromised (eg renal failure, chemo..)
HIV
those in contact with someone with TB

Question 29

who has a <10mm cutoff for TB?

Answer 29

homeless
immigrants
healthcare workers