A). Right lower lobe crackles correct answer13 yo male diagnosed as bronchitis was treated with fluids
and expectant. He returns with fever 102.8, R. pleuretic pain, and green sputum. which of the following
would be an expected finding?
a) Right lower lobe crackles
B) decreased fremitus
c)bilateral wheezing
d)normal percussion
c) The child quickly begins using arm to pick up toy correct answer3yo diagnosed with radial head
subluxation (nursemaid elbow). After closed manipulation the best indicator of successful procedure is:
a) swelling decreases immediately
b) pulses return
c) the child quickly begins using arm to pick up toy
d) a click is felt while the child is attempting to pick up toy
D)Measles correct answera 11mo old presents with a rash, runny clear nose, and cough. During
assessment you note tiny white papules with erythema on the buccal mucousa. What is this suggestive
of?
a)Scarletina
b)Rubella
c)hand, foot, mouth
d) Measles
A)Augmentin correct answerA 17yo complains of 14 day onset of facial pain in maxillary region with
yellow nasal drainage. what is an appropriate initial pharmacological intervention?
a)Augmentin
b)Ceftriaxone(rocephin)
c)Levaquin
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d)Erythromycin
d)Lung correct answerLeading cause of cancer-related death in women?
a)cervical
b)ovarian
c)breast
d)lung
b) No obvious signs/symptoms correct answera 27yo male uncomplicated chlamydia infection may
exhibit:
a)urticaria
b)no obvious signs or symptoms
c) green mucoid penile drainage
d)penile shaft ulcer
b)start lower dose then taper up correct answercommon practice rule to follow with initiating
medications in the elderly is:
a)prescribe meds to take in am
b)start lower dose then taper up
c)obtain creatinine clearance for baseline data for those over 70
d)give meds with a full glass of water
b) lower the seizure threshold correct answer12 yo with PMI of seizure is reported by mother that cold
symptoms are present. Denies fever. The NP should advise that a fever may:
a)make seizure medication less effective
b)lower the seizure threshold
c)increase the seizure threshold
d) have no effect on the seizure threshold
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c. doxycyline correct answerAccording to the American Thoracic Society/Infectious Disease Society of
American (ATS/IDSA) Consensus guidelines on the Management of Community-Acquired Pneumonia in
Adults, which of the following is the most appropriate antimicrobial for tx of CAP in a:
46 y/o well female with a hx of a bilateral tubal ligation who is macrolide intolerant?
a. clarithromycin
b. amoxicillin
c. doxycyline
d. fosfomycin
c) Doxycycline correct answerafter a 3 wk camping trip, a 11yo presents with a target lesion with central
clearing on the inner left thigh. Chief complaints of headache, fatigue,and generalized muscle pain for
several days. What should NP prescribe?
a)bactrim
b)azithromycin
c) doxycycline
d) metronidazole
b. osteoporosis correct answerDuring development of a treatment plan for a 78 yo with dx
hypothyroidism, the NP needs to be concerned with?
a)renal insufficiency
b)osteoporosis
c)dementia
d)anemia
d)provide reassurance correct answer16 yo currently taking ortho-novum 7/7/7 comes to clinic to report
midcycle spotting. Denies missing doses and is currently not on any other medications. Which is
appropriate?
a)modify usage
b)double her dose x 2 days
c) change to a different medication
d) provide reassuranc