An 80-year-old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low-back pain accompanied by abdominal pain
... [Show More] that is gradually worsening. The patient appears pale and complains that he does not feel well. During the abdominal exam, the nurse practitioner detects a soft pulsatile mass just above the umbilicus as she palpates this area with her hand. Which of the following conditions is most likely?
Abdominal aortic aneurysm
Which of the following laboratory test is sensitive for evaluating the renal function
Estimated glomerular filtration rate (eGFR)
Which of the following groups has been recommended to be screened for thyroid disease?
Women aged 50 years or older
All of the following patients should be screened for diabetes mellitus except:
A 30-year-old White man with hypertension
A 40-year-old White woman with a body mass index (BMI) of 32 complains of colicky pain in the right upper quadrant of her abdomen that gets worse if she eats fried food. During the physical exam, the nurse practitioner presses deeply on the left lower quadrant of the abdomen and the patient complains of pain on the right side of the lower abdomen. What is the name of this finding?
Rovsing's sign
Which of the following symptoms characterize this disorder?
1.Ritualistic behaviors that the patient feels compelled to repeat.
2. increased axiety when attempting to ignore or suppress the repetitive behaviors.
3.frequent intrusive and repetive thoughts and impluses
All the above
Which of the following medications is indicated for the treatment of obsessive-compulsive disorder?
Paroxetine (paxil CR)
Which of the following conditions is most likely?
Injury to the meniscus of the right knee
Which of the following actions is the best course for patient?
Refer him to an orthopedic specialist
The patient's symptoms are highly suggestive of what condition?
A 55-year-old male patient describes an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved immediately when he stopped.
Angina pectoris
A 55-year-old male patient describes an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved immediately when he stopped.
Which of the following would you recommend to this 55-year-old patient?
Consult ith a cardiologist for further evaluation
A faun tail nevus is a sign of which of the following?
Spina bifida
A new mother is planning to breastfeed her newborn infant for at least 6 months. She wants to know whether she should give the infant vitamins. Which of the following vitamin supplements is recommended by the American Academy of Pediatrics (APA) during the first few days of life?
Vit D drops
An asthmatic exacerbation is characterized by all of the following symptoms except:
Chronic coughing
A 76-year-old woman reports that for the previous 4 months, she has noticed severe stiffness and aching in her neck and both shoulders and hips that is worsened by movement. She reports having a difficult time getting out of bed because of the severe stiffness and pain. It is difficult for her to put on a jacket or blouse or to fasten her bra. Along with these symptoms, she also has a low-grade fever, fatigue, loss of appetite, and weight loss. Starting yesterday, the vision in her right eye has progressively worsened. She has annual eye exams and denies that she has glaucoma. Which of the following conditions is most likely?
Polymyalogia rheumatic (PMR)
A 28-year-old woman with a history of hypothyroidism presents to an urgent care clinic complaining of numbness and tingling in the fingertips of both her hands for several hours. On examination, both radial pulses are at +2 and equal bilaterally. The patient reports that over the past few months she has had identical episodes, each lasting several hours. During these episodes, the skin changes color from blue to white, and then to dark red. Eventually, it returns to normal and the tingling and numbness disappear. Which of the following conditions is best described?
Raynaud's phenomenon
A fracture on the navicular area of the wrist is usually caused by falling forward and landing on the hands. The affected wrist is hyperextended to break the fall. The nurse practitioner is aware that all of the following statements are true regarding a fracture of the scaphoid bone of the wrist except:
These fractures always require surgical intervention to stabilize the joint
Glucosamine sulfate is a natural supplement that is used for which of the following conditions?
Osteoarthritis
The best form of aerobic exercise for a patient with severe rheumatoid arthritis is:
Swimming
The nurse practitioner examines a 4-week-old boy whose mother reports that he has cried for at least 3 hours a day at the same time of day since birth. What is the main goal in the clinical evaluation of this infant?
Rule out any physiological cause for the crying spells
A 22-year-old sexually active woman is complaining of amenorrhea and new-onset bloody vaginal spotting. On examination, her left adnexa is tender and cervical motion tenderness is positive. Which test should the nurse practitioner order initially?
Urine pregnancy test
A 44-year-old woman who is undergoing treatment for infertility complains of not having had a menstrual period for a few months. The night before, she started spotting and is now having cramp-like pains in her pelvic area. Her blood pressure (BP) is 160/80 mmHg, pulse is 110 beats/min, and she is afebrile. Her labs reveal mild anemia with mild leukocytosis. On pelvic exam, the uterine fundus is noted to be above the symphysis pubis. The cervical os is dilated at 3 cm. Which of the following is most likely?
Inevitable abortion
The Pap smear result for a 22-year-old sexually active college student whose partner uses condoms inconsistently reveals a large number of white blood cells and blood along with inflammatory changes. During the speculum exam, the cervix bled very easily (friable), and a small amount of purulent discharge was present on the cervical surface. No cervical motion tenderness was noted during the bimanual vaginal exam. What is the next step in the management of this patient?
Advise the patient be tested for chlamydia and gonorrhea
All of the following are infections that affect mostly the labia and vagina except:
Chlamydia trachomatis
Medicare Part B will pay for all of the following services except:
Eyeglasses and routine dental care
Which of the following individuals is more likely to be affected by alpha thalassemia anemia?
25-year-old Chinese patient
A nurse practitioner's right to practice is regulated under:
The board of nursing
A 25-year-old woman's last menstrual period was 6 weeks ago. She is complaining of nausea with vomiting in the morning and fatigue. Her breasts feel bloated. The nurse practitioner suspects that she is pregnant. Her symptoms would be considered:
Presumptive signs of pregnancy
A new patient who is a 40-year-old female postal worker is being evaluated for complaints of a new-onset erythematous rash on both cheeks and the bridge of the nose, accompanied by fatigue. She reports a history of Hashimoto's thyroiditis and is currently being treated with Synthroid 1.25 mg daily. Which of the following conditions is most likely?
Lupus erythematosus
A woman at 32 weeks gestation has a positive throat culture for Streptococcus pyogenes (strep throat). She denies allergies but becomes very nauseated with erythromycin. Which of the following is the best choice for this pregnant patient?
Penicillin (Pen VK)
The treatment plan of patients with AIDS who have CD4 counts of less than 200 cells/mm3 should emphasize:
Preventive therapy for PCP
What type of testing is recommended before starting a patient on a prescription of hydroxychloroquine (Plaquenil)?
Comprehensive eye exam
Pulsus paradoxus is best described as:
A decrease in systolic blood pressure on inspiration
Patients with Down syndrome are at higher risk for all of the following except:
Melanoma [Show Less]