BARKLEY PRE TEST - - |ALREADY GRADED A+ 1. The 27 year old patient i...

BARKLEY PRE TEST -

CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)

|ALREADY GRADED A+

• The 27 year old patient is experiencing secondary amenorrhea. At the time of her

visit her period is 5 weeks late. she has given birth twice before and says she does not believe she is pregnant since she is not experiencing any symptoms of pregnancy. What is your first step as her nurse practitioner

a) Perform a public ultrasound to check her anatomical abnormalities

• refer the patient to an endocrinologist
• refer the patient to an oncologist
• order a pregnancy test

D

• a 50 year old male has weakness in his quadriceps, pain rating into the medical

malleolus comma along with numbness and a diminished patellar reflex period you suspect an L34 disc herniation period which screening exam is appropriate to confirm this diagnosis

a) Have the patient walk on heels of feet

• have the patient walk on toes
• have the patient reach upward keeping head forward
• have the patient squat and rise

D

• A mother of a 15 year old high school student is inquiring about contraception

options for her daughter. She mentions oral contraceptives but is curious about the disadvantages of this method. What would be your best response?

a) Oral contraceptives though effective in many cases are considered too

expensive for some women can lead to mood changes offer no protection against HIV and can cause rare circulatory complications

• oral contraceptives are very cost effective for women and provide a great

choice for protection against HIV. Oral contraceptives, however, must be taken daily and have possible side effects such as nausea, headaches, and breakthrough bleeding. c) Oral contraceptives are difficult to locate and offer no protection against HIV. Furthermore, oral contraceptives increase the risk of rare liver tumors and must be taken daily.

• oral contraceptives provide protection against HIV infections and are cheap for

most women. Oral contraceptives do, however, increased the risk of rare liver tumors, must be taken daily, and have possible side effects such as nausea headaches and breakthrough bleeding.

A

• From the following, which is a characteristic of the 2007 National Heart lung

and blood Institute or national asthma education and prevention program guidelines for the diagnosis and management of asthma?

a) If continued controlled asthma is sustained for two months of treatment,

step down treatment may begin

• patients are organized into four distinct age groups based on current

impairment and future risk

• for the treatment of persistent asthma, ICS are typically contraindicated for

patients younger than five years of age

• long acting beta agonists may be combined with inhaled cortical steroids to

act as a step up treatment for persistent asthma D

• You are performing a quad screen on a pregnant patient, which component of

the screen is most telling in detecting Down syndrome? a) Amniotic fluid

• human chorionic gonadotropin
• estriol

d) Alpha fetoprotein

D

• A woman was in a motor vehicle crash in which she states her abdomen hit the

steering wheel. She tells you that as she is approximately 3 months pregnant.Given your knowledge of obstetrics, what will you assess? a) Braxton Hicks

• the fundus which should be palpable below the umbilicus
• fetal heart tones

d) Leopold maneuvers

C

• A 24 year old is presented to the urgent care clinic with a markedly solin

scrotum. He admits to being moderately sexually active with several partners in the past year. He denies any trauma or injury. He also adds "it hurts when I pee".Based on your suspected diagnosis which agent would be most appropriate to order at this time

a) Trimethoprim-sulfamethoxazole + ciprofloxacin

• finasteride + oflaxacin

c) Trimethoprim-sulfamethoxazole + ceftriaxone

d) Ceftriaxone + doxycycline

D

• After insistence from his girlfriend, 18 year old Tim is seeing you regarding

persistent headaches that have occurred since high school. While interviewing Tim, who is overweight, you learn that his symptoms have a slow onset and sometimes he sees stars when the symptoms are at their worst. He also reports that his headaches, which usually occur during the afternoon, can last for up to several hours. Which of the following is the most likely diagnosis a) migraine headaches

• headaches due to severe hypertension
• tension headaches
• cluster headaches

A

• A 32 year old patient reports to the emergency room with severe pain in his

right lower quadrant and nausea. While performing a physical exam of the patient, you find that he clutches his right lower quadrant upon contact and complains of pain when he extends his right thigh. What is the most likely diagnosis? a) Appendicitis

• gastroenteritis
• diverticulitis
• colon cancer

A

• A 9 year old preparing to enter elementary school in the US for the first time

comes to your office accompanied by her mother. When asked about past vaccinations, her mother tells you the child has received one or two vaccines, but she did not keep up with the scheduled routine vaccination visits and does not have an immunization record. After consulting the common immunization chart and prior to the immunization update, which of the following should not be included?

a) Diptheria, tetanus and pertussis vaccine

• tetanus diphtheria and acellular pertussis vaccine

• hepatitis B vaccine

• measles mumps and rubella vaccine

A

• A mother is curious as to the best method of feeding an infant. She has heard of

pros and cons concerning both natural breastfeeding and bottle feeding. She shares

what she has heard with you, and asked for your professional input. Which of the following is not true regarding natural breastfeeding in comparison to feeding a child through a bottle?

a) Breastfeeding can occasionally lead the child to obesity

• breastfeeding decreases illnesses in the infant

• breastfeeding is more affordable than feeding a child through a bottle

breastfeeding decreases allergies in the infant

A

• A patient presents to your office concerned about a Gray arc visible above and

below the outer parts of his cornea. upon exam, you diagnose the patient with Arcus senilis. You should further work up the patient for which of the following underlying medical conditions?

a) Presbyopia

• ketonemia
• hyperlipidemia
• hypoglycemia

C

• Which statement is true regarding the difference between licensure and

certification?

a) Certification signifies that a person is qualified to perform a particular role and

is granted by a governmental agency

• certification signifies mastery of specialized knowledge and is granted by a non

governmental agency

• licensure signifies that a person is qualified to perform a particular role an is

granted by a non governmental agency

• licensure signifies mastery of specialized knowledge and is granted by a

governmental agency B