Central obesity, “moon” face, and dorsocervical fat pad are associated with:
An elderly man is started on lisinopril and hydrochlorhiazide for
... [Show More] hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is:
The most effective treatment of non-infectious bursitis includes: Conservative treatment
drugs (NSAIDs), bursal aspiration, and intrabursal steroid injections
What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
Selected
Answer: The physician must be on-site and engaged in patient care
Answers: You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient care
You must be employed as an independent contractor
You must be the main health care provider who sees the patient
Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?
The metabolic syndrome refers to the co-occurrence of several known cardiovascular risk factors, including insulin resistance, obesity, atherogenic dyslipidemia and hypertension.
Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to
reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?
Food that is very hot or very cold Fatty or fried foods
Peppermint or spearmint, including flavoring Coffee, tea, and soft drinks that contain caffeine Spicy, highly seasoned foods
Fried food DT caffeine, chocolate and anticholinergics
Which drug category contains the drugs that are the first line Gold standard therapy for COPD?
Beta antagonist
The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is:
Nsaid
Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
Erythromycin
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
B. Perform a diet history and check CBC and FBS.
C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration
You are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test indicates an injury to the: he
A. lateral meniscus B. cruciate ligament
C. medial meniscus
D. collateral ligament.
A 32 year old female patient presents with fever, chills, right flank pain, right costovertebral angle tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse practitioner diagnoses pyelonephritis. The most appropriate management is:
Include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of extended-release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin (Levaquin) once per day for five days.
A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is: epicondylitis
The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy
s to measure albumin in a spot urine sample, collected either as the first urine in the morning or at random, for example, at the medical visit. This method is accurate,:Early morning
What is the first symptom seen in the majority of patients with Parkinson’s disease?
Tremor at rest
The most commonly recommended method for prostate cancer screening in a 55 year old male is:
digital rectal exams,
Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect?
Otitis externa/ swimmer’s ear
Which of the following symptoms suggests a more serious cause of back pain?
Pain associated with lying down at night
A patient taking levothyroxine is being over-replaced. What condition is he at risk for? osteoporosis
Which of the following is the most common cause of low back pain?
Which is the most common cause of end-stage renal disease in the United States?
Diabetes
A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects:
A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal.
Which of the following is the most likely diagnosis? A. fibromyligia or neuro something
Beth, age 49, comes in with low back pain. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further?
Arthritis, C
• Question 34
• D
1 out of 1 points
A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis?
high fever (102 to 104 degrees F), irregular pulse, accelerated heartbeat (tachycardia), increased rate of respiration (tachypnea), muscle rigidity, altered mental status, autonomic nervous system dysfunction resulting in high or low blood pressure, profuse perspiration, and excessive sweating. called Malignant Hyperthermia” OR Neuroleptic malignant syndrome hallucinations.
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
carpal tunnel syndrome
The most common cause of elevated liver function tests is: alcohol
Reed-Sternberg B lymphocytes are associated with which of the following disorders:
A Aplastic anemia
.
B Hodgkin’s lymphoma
.
C Non Hodgkin’s
. lymphoma
D Myelodysplastic
. syndromes
Which of the following is a potential acquired cause of thrombophilia?
A Homocysteinuria
.
B Protein C deficiency
.
C Factor V Leiden
.
D Antiphospholipid
. antibodies
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains:
A 25 year old overweight patient presents with a complaint of dull achiness in his groin
and history of a palpable lump in his scrotum that “comes and goes”. On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis?
A. Testicular torsion
B. Epididymitis
C. Inguinal hernia
D. Varicocele
Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?
A. Prescribe nasal steroids and oral decongestants
B. Prescribe antibiotic eardrops
C. Prescribe systemic eardrops
D. Refer David to an ear, nose, and throat specialist
A. Prescribe
The physiological explanation of syncope is:
Syncope is a transient loss of consciousness (TLOC) due to global cerebral hypoperfusion characterized by rapid onset, short duration and spontaneous complete recovery.
A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis? hydrocele
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: nclude nitrofurantoin monohydrate/macrocrystals, trimethoprim-sulfamethoxazole (TMP-SMX), or fosfomycin. trimethoprim and sulfamethoxazole
Diagnostic radiological studies are indicated for low back pain:
Diagnostic imaging is indicated for patients with low back pain only if they have severe progressive neurologic deficits or signs or symptoms that suggest a serious or specific underlying condition. In other patients, evidence indicates that routine imaging is not associated with clinically meaningful benefits but can lead to harms.
An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects? [Show Less]