Which headache sign does not warrant an immediate investigation - CORRECT ANSWER Relieved with use of common analgesics
During a migraine what
... [Show More] happens to the cerebral arteries? - CORRECT ANSWER they dilate
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood swings, is easily distracted, and constantly corrects his teachers. You would have a high suspicion for bipolar if which symptom was present? - CORRECT ANSWER he sleeps less than 4 hours nightly
Which risk factor is not associated with breast cancer? - CORRECT ANSWER low socioeconomic status
A 26 year old woman with bulimia is likely to be: - CORRECT ANSWER of average weight
What medication is used to relieve acute wheezing in a patient with asthma? - CORRECT ANSWER short acting beta agonist
You are evaluating an 80 year old patient for recent episodes of incontinence and confusion. His family states that this is unusual for him and he has become increasingly forgetful over the past two weeks. Which medication might be responsible for this? - CORRECT ANSWER Tagamet (cimetidine)
What suggests hyperandrogenism in an adolescent female? - CORRECT ANSWER hirsutism
Which is a synovial joint? - CORRECT ANSWER shoulder
A 67 year old woman with atrial fibrillation and an ejection fraction of 48% is on digoxin and has had normal digoxin levels of 0.8 to 2 ng/dL for the past 9 months. Today, the level is 0.4 ng/dL. What could account for this change? - CORRECT ANSWER regular use of an antacid
Which medication is contraindicated in a child with acute sinusitis? - CORRECT ANSWER nasal steroids
Which best describes the lower extremity calf pain associated with peripheral artery disease? - CORRECT ANSWER dull aching or cramping
Jugular venous distention accompanied by chest pain is associated with: - CORRECT ANSWER heart failure
Which immunization protects against a virus that is transmitted through blood and body fluids and can lead to chronic liver disease? - CORRECT ANSWER Hepatitis C
A pediatric patient has areas of scaling on the scalp with round patches of hair loss. What is the likely diagnosis? - CORRECT ANSWER tinea capitis
Your 70 year old patient complains of a sore mouth that prevents her from eating. On exam you note a beefy red, glossy smooth tongue. What do you suspect? - CORRECT ANSWER pernicious anemia due to insufficient intrinsic factor
A 62 year old male presents with leg pain and occasional numbness that is worse with ambulation and improved with lumbar flexion. What is the likely diagnosis? - CORRECT ANSWER spinal stenosis
Which is not a typical symptom of late stage HIV? - CORRECT ANSWER persistent vomiting
A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had reduced from 118/79 to 109/68. Whathemodynamic change is responsible for this? - CORRECT ANSWER decrease in systemic vascular resistance
Your 62 year old patient has been taking Griseofulvin 500 mg po BID for 3 weeks to treat tinea capitis and has only had marginal improvement. What is your next step? - CORRECT ANSWER continue the current therapy for 6-8 weeks
Rapid HIV testing would be most appropriate for a patient with complaints of: - CORRECT ANSWER painful urination, dyspareunia, and penile or vaginal discharge
What is a frequent side effect of SSRIs? - CORRECT ANSWER sexual dysfunction
You might suspect small bowel obstruction in a patient who complains of: - CORRECT ANSWER vomiting and pain
What finding would be suggestive of osteosarcoma in a pediatric patient? - CORRECT ANSWER pain in the affected bone
What clinical manifestation suggests primary syphilis? - CORRECT ANSWER Chancre
What medication is used first line for a patient with benign positional vertigo? - CORRECT ANSWER meclizine
Which symptom is most associated with testicular torsion? - CORRECT ANSWER testicular pain
A clinical breast exam should include palpation at the tail of Spence. Where is this located? - CORRECT ANSWER laterally across the anterior axillary fold
Which area does not drain to the right lymph duct? - CORRECT ANSWER the right leg
Which presentation is most suspicious for penile cancer? - CORRECT ANSWER a nontender, indurated penile nodule
What is important to consider before prescribing metronidazole for giardiasis? - CORRECT ANSWER whether the patient drinks alcohol
In which condition would the use of triptans for migraine headaches be contraindicated? - CORRECT ANSWER hypertension
Which is a true statement about varicose veins? - CORRECT ANSWER They are more symptomatic during ovulation.
When measuring the fundal height of a pregnant woman at 32 weeks, which measurement would prompt the nurse practitioner to suspect fetal growth restriction? - CORRECT ANSWER 29 cm
What is the term for excess fluid that accumulates in the pleural cavity between the visceral and parietal spaces? - CORRECT ANSWER pleural effusion
Which pathogen is associated with common UTIs? - CORRECT ANSWER E coli
Which medication inhibits blood coagulation by selectively blocking the active site of factor X - CORRECT ANSWER Eliquis (apixaban)
Which is a contraindication for menopausal estrogen replacement therapy in a 55 year old woman? - CORRECT ANSWER prior breast or uterine carcinoma
During abdominal exam, which sound over the bulging area of the abdomen would indicate ascitic fluid? - CORRECT ANSWER dullness
What is a typical finding in a patient with a meniscal tear? - CORRECT ANS [Show Less]