Final Diagnostic:
Sprained ankle
1-1 What is the most common presentation of a client with a sprained ankle?
A. Point tenderness over a ligament,
... [Show More] ecchymoses, edema, and pain
B. General achiness, reddened skin, and no edema
C. Bony deformity, no edema, and cool skin
D. Crepitus, ecchymoses, severe pain, and no point Tenderness
Testicular torsion
1-3 Which of the following is a urological emergency?
A. Testicular torsion
B. Epididymitis C. Varicocele D. Hydrocele
14-28 Tommy, age 15, comes to the clinic in acute distress with “belly pain.” When obtaining his history, you find that he fell off his bike this morning and has vomited. Upon closer examination, you determine the belly pain to be left-sided groin pain, or pain in his left testicle. He is afebrile and reports no dysuria. You suspect
A. testicular torsion.
B. epididymitis. C. a hydrocele. D. a varicocele.
14-71 Jordan appears with a rapid onset of unilateral scrotal pain radiating up to the groin
and flank. You are trying to differentiate between epididymitis and testicular torsion. Which test to determine whether swelling is in the testis or the epididymis should be your first choice?
A. X-ray
B. Ultrasound
C. Technetium scan
D. Physical examination
14-84 Which of the following scrotal disorders is most common in adolescents?
A. Acute epididymitis
B. Testicular torsion
C. Atrophic testes D. Scrotal edema
Dementia
1-5 Your client Mrs. Jones, age 78, is brought to your primary care office by her son, James. He is describing recent changes in Mrs. Jones’s behavior and affect. You are trying to differentiate between depression and dementia. You know that
A. the person with dementia usually tries to conceal memory problems.
B. the person with depression has wide mood swings. C. dementia has a sudden onset.
D. agitation always accompanies depression.
Mr. Boyd, age 84, has dementia and is in a long-term care facility. His daughter and son-in-law are visiting. As they get ready to leave and begin to say good-bye, Mr. Boyd grabs his daughter’s arm and begins to cry, saying “Don’t leave me here. I will die in this place.” As she leaves the room, his daughter is visibly upset and asks you if she should
visit again soon because it has so upset her father. The best reply for you to make is
A. “You might try telephoning next time instead of visiting. Your father will know that you are
thinking of him then.”
B. “I will give you the number of the social worker. She will be able to arrange a team conference and family meeting.”
D. “He needs time to adjust to this new setting. Perhaps it might be easier on you all if you just
didn’t visit for a few days.”
1-58 What is the most common cause of progressive dementia in persons older than 55?
A. Alzheimer ’ s disease
B. Vascular disease
C. Huntington ’ s disease D. Parkinson ’ s disease
3-66 Jan’s mother has Alzheimer’s disease. She tells you that her mother’s recent memory is
poor and that she is easily disoriented, incorrectly identifies people, and is lethargic. Jan asks you, “Is this as bad as it gets?” You tell her that her mother is in which stage of the disease?
A. Stage 1 B. Stage 2 C. Stage 3
C. “This is a very upsetting time for all of you. However, it is important that you
continue to visit regularly. For now, I will go in and sit with your father for a little
while.”
D. Stage 4
7-23 Which medication should be avoided in clients with Alzheimer ’ s disease who have
concurrent vascular dementia or vascular risk factors?
A. Acetycholinesterase inhibitors like donepezil
(Aricept)
B. N -methyl-d-aspartate (NMDA) receptor antagonists
C. Anxiolytics like bupirone (Buspar)
D. Atypical antipsychotics like risperidone (Risperdal) [Show Less]