AANP Final Exam Newest Actual Exam Test

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AANP Final Exam Newest Actual Exam Test Bank Actual Exam 450 Questions And Correct Detailed Answers (verified Answers) ||Already Graded A+||Brand New Version!!

A 40-year-old woman with type 2 diabetes presents to the clinic with concerns of spiking blood sugar between lunch and dinner.She states she is on a rapid-acting insulin sliding scale and long- acting insulin. Which change should be implemented to help prevent or curb this glycemic spike?

A.Add a dose of mealtime insulin aspart (Novolog) at lunch

B.Add insulin detemir (Levemir) at night

C. 1 / 4

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Increase her insulin glargine (Lantus)

D.Prescribe a dose of neutral protamine Hagedorn insulin with dinner - ANSWER- A. Add a dose of mealtime insulin aspart (Novolog) at lunch

Rationale: Insulin aspart (Novolog) (A) is a rapid acting insulin

that is commonly dosed with meals and as a sliding scale regimen based on a patient's glucose prior to eating (preprandial). It is the appropriate insulin to add as a mealtime dose when patients experience blood glucose spikes between meals because of its short- acting properties. Peak time action of insulin aspart is 2 hours with initial effect within the first 30 minutes, making it an ideal choice to control expected postprandial glycemic spikes

Which of the following conditions is associated with an increased risk for conductive hearing loss?

A.Acoustic neuroma 2 / 4

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B.Ménière disease

C.Otitis media

D.Presbycusis - ANSWER- C. Otitis media

Rationale: Causes of conductive hearing loss are otitis media

(C), otitis externa, foreign objects in the ear canal, impacted ear wax, tumors, congenital anomalies, discontinuity of middle ear bones, cholesteatoma, and tympanic membrane rupture. Sound normally travels down the ear canal to vibrate the eardrum (tympanic membrane). The eardrum is connected to three middle ear bones (malleus, incus, and stapes), which transmit the sound into the inner ear (cochlea). The cochlea is the organ that changes sound vibrations into a nerve signal that travels to the 3 / 4

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brain. The four types of hearing loss are conductive, sensorineural, mixed, and retrocochlear. Conductive hearing loss occurs when sound cannot effectively reach the inner ear due to issue in the outer ear and middle ear.

A 23-year-old patient who is pregnant at 28 weeks gestation presents to the clinic for a routine prenatal checkup. Which fundal height measurement would warrant a more conclusive assessment with an ultrasound?

A.26 cm

B.29 cm

C.30 cm

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