TEST 3 - FOCUS QUESTIONS Flashcards
ALL OF THE FOLLOWING FINDINGS ARE ASSOCIATED WITH THE SECONDARY STATE OF AN INFECTION BY TREPONEMA PALLIDUM, EXCEPT:
A. LYMPHADENOPATHY
B. CONDYLOMATA ACUMINATA
C. MACULOPAPULAR RASH OF PALMS/SOLES
D. CONDYLOMATA LATA
B. CONDYLOMATA ACUMINATA
PULSUS PARADOXUS IS MORE LIKELY TO BE ASSOCIATED WITH:
A. SACROIDOSIS
B. ACUTE BRONCHITIS
C. BACTERIAL PNM
D. STATUS ASTHMATICUS
D. STATUS ASTHMATICUS
PT NEWLY DX WITH DIABETES HAS SEVERE HIVES AND SWOLLEN LIPS AFTER TAKING BACTRIM FOR A BLADDER INFECTION 2 MONTHS AGO. WHICH OF THE FOLLOWING IS CORRECT?
A. PT CANNOT TAKE ANY PILLS IN THE SULFONYLUREA CLASS
B. PT CAN TAKE SOME PILLS IN THE SULFONYLUREA CLASS
C. PT CAN TAKE ANY PILLS IN THE SULFONYLUREA CLASS
D. NOTA
C. PT CAN TAKE ANY PILLS IN THE SULFONYLUREA CLASS
NP NOTES NORMAL FERRITIN LEVEL, HIGH SERUM IRON, NORMAL TOTAL IRON-BINDING CAPACITY, LOW MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATION, AND ABNORMAL HEMOGLOBIN ELECTROPHORESIS. WHICH DX MOST LIKELY?
A. IRON DEFICIENCY
B. THALASSEMIA
C. SICKLE CELL ANEMIA
D. NORMOCYTIC ANEMIA
B. THALASSEMIA
25 YO MALE WITH SCHIZOPHRENIA COMES IN FOR A PHYSICAL. HE IS A HEAVY SMOKER WITH BMI 28. PT HAS BEEN ON OLANZAPIN (ZYPREXA) FOR 10 YRS. WHAT LAB TEST IS RECOMMENDED FOR MONITORING THE ADVERSE EFFECTS OF ATYPICAL ANTIPSYCHOTICS?
A. LIVER FUNCTION TESTS
B. FASTING BLOOD GLUCOSE AND FASTING LIPID PROFILE
C. URINALYSIS, SERUM CREATININE, 24 HOUR URINE FOR PROTEIN AND CREATININE CLEARANCE
D. COMPLETE BLOOD COUNT WITH DIFFERENTIAL AND LIVER FUNCTION TESTS
B. FASTING BLOOD GLUCOSE AND FASTING LIPID PROFILE
WHICH OF THE FOLLOWING ANTIHYPERTENSIVE MEDS SHOULD THE NP AVOID WHEN TREATING PTS WITH EMPHYSEMA?
A. BETA BLOCKERS
B. CALCIUM CHANNEL BLOCKERS
C. ACE INHIBITORS
D. DIURETICS
A. BETA BLOCKERS
76 YO FEMALE PRESENTS TO THE CLINIC FOR CHECK-UP. NP NOTES HER HEIGHT HAS DECREASED BY ONE INCH IN PAST YEAR AND HER BACK HAS A HUMP-LIKE DEFORMITY. WHO WILL NP DOCUMENT THESE FINDINGS?
A. LORDOSIS
B. SCOLIOSIS
C. KYPHOSIS
D. OSTEOARTHRITIS
C. KYPHOSIS
28 YO MALE EVALUATED FOR FREQUENT EPISODES OF PSYCHOTIC DELUSIONS AND PARANOIA. HE HAS TAKEN RISPERIDONE BUT STATES THE DRUG WAS NOT EFFECTIVE. WHAT MED SHOULD BE PRESCRIBED?
A. LITHIUM CARBONATE (ESKALITH)
B. AMITRIPTYLINE (ELAVIL)
C. CLOZAPINE (VERSACLOZ)
D.
C. CLOZAPINE (VERSACLOZ)
HYPERTENSIVE MIDDLE AGED MALE AMERICAN INDIAN HAS RECENTLY BEEN DIAGNOSED WITH RENAL INSUFFICIENCY. HE HAS BEEN ON LISINOPRIL FOR MANY YEARS. WHICH LAB VALUE SHOULD BE CAREFULLY MONITORED?
A. HEMOGLOBIN, HEMATOCIT, AND MCV
B. AST AND ALT
C. SERUM SODIUM, POTASSIUM, AND MAGNESIUM
D. SERUM CREATININE AND ESTIMATED GFR
D. SERUM CREATININE AND ESTIMATED GFR
WHAT IS MCV
MEAN CORPUSCULAR VOLUME
WHAT IS GFR
GLOMERULAR FILTRATION RATE
WHAT IS ANOTHER NAME FOR LISINOPRIL
ACCUPRIL
65 YO FEMALE WITH SEVERE DEMINERALIZATION OF CORTICAL BONE. THE FOLLOWING PHARMACOLOGIC AGENTS ARE USEFUL TO TX THIS CONDX EXCEPT:
A. CALCIUM WITH VIT D
B. RALOXIFENE (EVISTA)
C. CALCITONIN (MIACALCIN)
D. MEDROXYPROGESTERONE (DEPO PROVERA)
D. MEDROXYPROGESTERONE (DEPO PROVERA)
55 YO MALE WITH SWOLLEN PAINFUL RIGHT TESTICLE AND BURNING ON URINATION. EXAM REVEALS EDEMATOUS SCROTUM WITH TENDERNESS AND A POSITIVE PREHNS SIGN. PT STATES HE IS HETROSEXUAL AND HAS BEEN IN A MONOGAMOUSE RELATIONSHIP FOR 5 YRS. HE DENIES PRACTICING ANAL INTERCOURSE. THE NAAT IS NEGATIVE. WHAT MED SHOULD BE PRESCRIBED?
A. CEFTRIAXONE (ROCEPHIN) 250MG IM
B. LEVOFLOXACIN 500 MG PO
C. DOXYCYCLINE (VIBRAMYCIN) 100 MG PT BID
D. CEFTRIAXONE (ROCEPHIN) 250 MG
B. LEVOFLOXACIN 500 MG PO
LEVOFLAXACIN IS AKA
LEVAQUIN
PT WHO IS JEHOVAH WITNESS REFUSES BLOOD TRANSFUSION. IN WHICH MANNER WOULD NP SUPPORT PT BELIEFS WHILE ENSURING PT UNDERSTANDS THE COMPONENTS OF INFORMED CONSENT?
A. ASK PT AND FAMILY TO EXPLAIN CULTURAL REASONING BEHIND DECISION
B. TELL PT THAT IT IS UNDERSTANDABLE TO STAND BY THEIR BELIEFS. ASL PT TO COMPLETE ADVANCE DIRECTIVE PAPERWORK.
C. CONTACT SOCIAL SERVICES TO PETITION COURT TO OBTAIN TEMP GUARDIANSHIP TO MAKE DECISIONS FOR PT
D. ASK THE HOSPITAL LIAISON FROM THE PTS FAITH THEN COUNSEL THEM ON OPTIONS AND DECISION MAKING
D. ASK HOSPITAL LIAISON FROM THE PTS FAITH THEN COUNSEL THEM ON OPTIONS AND DECISION MAKING
WHICH ANTIBX REGIMENS IS RECOMMENDED AS 1ST LINE TX FOR COMMUNITY ACQ PNM IN PATIENTS WITH NO COMORBIDITY?
A. MOXIFLOXACIN 400 MG PO
B. AMOXICILLIN CLAVULANATE 875/125 MP PO BID
C. CEFPODOXIME 200 MG PO BID PLUS AZITHROMYCIN 500 MG PO
D. DOXYCYCLINE 100 MG PO BOD
D. DOXYCYCLINE 100 MG PO BOD
WHEN EXAMINING 10 YO PT, WHERE DOES NP AUSCULTATE THE POINT OF MAXIMAL IMPULSE (PMI)
A. LEFT 4TH INTERCOSTAL SPACE
B. RIGHT 4TH INTERCOSTAL SPACE
C. RIGHT 5TH INTERCOSTAL SPACE
D. LEFT 5TH INTERCOSTAL SPACE
D. LEFT 5TH INTERCOSTAL SPACE
ALL OF THE FOLLOWING ARE HEMATOLOGIC CHANGES ASSOCIATED WITH PERNICIOUS ANEMIA, EXCEPT:
A. HYPERSEGMENTED GRANULOCYTES
B. MEAN CORPUSCULAR VOLUME OF 120 FL
C. RED CELL DISTRIBUTION WIDTH OF 12.3%
D. SERUM COBALAMIN LEVEL 130 PG/ML
C. RED CELL DISTRIBUTION WIDTH OF 12.3%.(NORMAL IS GREATER THAN 14.5%).
FEMALE PATIENT DX WITH EMPHYSEMA 5 YRS AGO HAS BEEN TAKING BUDESONIDE WITH FORMOTEROL BID. THE NP IS CONCERNED ABOUT PT RISK FOR BONE FRACTURES. ALL OF THE FOLLOWING ASSESSMENT FINDINGS INDICATE PT SHOULD BE PRESCRIBED SUPPLEMENTS, EXCEPT:
A. BONE DENSITY TEST OF -1.6
B. CALCIUM LEVEL OF 8.4 MG/DL
C. VIT D LEVEL OF 26 NG/ML
D. ESTROGEN LEVEL OF 15 PG/ML
C. VIT D LEVEL OF 26 NG/ML. NORMAL VIT D LEVEL IS 20-40 NG/ML. THIS VALUE IS NORMAL AND THEREFORE DOES NOT SUGGEST A VITAMIN SUPPLEMENT IS NEEDED.
65 YO MALE WITH BMI OF 30 AND HX OF ASTHMA HAS HTN THAT HAS BEEN WELL CONTROLLED WITH HYDROCHLOROTHIAZIDE 12.5 MG PO DAILY. TOTAL CHOLESTEROL IS 230 MG/DL. HOW MANY RISK FACTORS FOR CORONARY ARTERY DISEASE DOES HE HAVE?
A. ONE
B. TWO
C. THREE
D. FOUR
FOUR RISK FACTORS