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6531 midterm ACTUAL EXAM 220 QUESTIONS AND

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GRADED A+

The most common cancer found on the auricle is: - ANSWER-Basal cell carcinoma

Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient? - ANSWER- Antihistimines

A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red rectal bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner proceed? - ANSWER-Refer the patient for a barium enema and sigmoidoscopy.

Which of the following patient characteristics are associated with chronic bronchitis? - ANSWER- Overweight, cyanosis, and normal or slightly increased respiratory rate

A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The most appropriate diagnostic test for this patient at this

time is: - ANSWER-CT scan

A patient reports "something flew in my eye" about an hour ago while he was splitting logs. If there were a foreign body in his eye, the nurse practitioner would expect to find all except: - ANSWER- Purulent drainage

A 21 year old college student presents to the student health center with copious, markedly purulent discharge from her left eye. The nurse practitioner student should suspect: - ANSWER-Gonococcal conjunctivitis

A 70 year old man who walks 2 miles every day complains of pain in his left calf when he is walking.The problem has gotten gradually worse and now he is unable to complete his 2 mile walk. What question asked during the history, if ANSWERed affirmatively, would suggest a diagnosis of arteriosclerosis obliterans? - ANSWER-"Is your leg pain relieved by rest?" 1 / 3

Which of the following statements about malignant melanomas is true? - ANSWER-The prognosis is directly related to the thickness of the lesion

Sheila, age 78, presents with a chief complaint of waking up during the night coughing. You examine her and find an S3 heart sound, pulmonary crackles that do not clear with coughing, and peripheral edema. What do you suspect? - ANSWER-Heart failure

Which antibiotic would be the most effective in treating community acquired pneumonia (CAP) in a young adult without any comorbid conditions? - ANSWER-Clarithromycin (Biaxin)

Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction? - ANSWER-Powders

A 70 year old patient presents with a slightly raised, scaly, erythematous patch on her forehead. She admits to having been a "sun worshiper." The nurse practitioner suspects actinic keratosis. This lesion

is a precursor to: - ANSWER-Squamous cell carcinoma

An elderly patient is being seen in the clinic for complaint of "weak spells" relieved by sitting or lying down. How should the nurse practitioner proceed with the physical examination? - ANSWER- Compare the patient's blood pressure lying first, then sitting, and then standing.

What oral medication might be used to treat chronic cholethiasis in a patient who is a poor candidate for surgery? - ANSWER-Ursodiol

A 46-year-old female with a past medical history of diabetes presents with a swollen, erythematous right auricle and is diagnosed with malignant otitis externa. The nurse practitioner knows that the most likely causative organism for this patient's problem is: - ANSWER-Pseudomonas aeruginosa

Which of the following is not a symptom of irritable bowel syndrome? - ANSWER-Weight loss

A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed? - ANSWER-Any recent trauma

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Marvin, age 56, is a smoker with diabetes. He has just been diagnosed as hypertensive. Which of the following drugs has the potential to cause the development of bronchial asthma and inhibit gluconeogenesis? - ANSWER-Beta Blocker

The differential diagnosis for a patient complaining of a sore throat includes which of the following? - ANSWER-A, B, and C (Gonococcal infection, thrush, leukoplakia)

A patient presents to the primary care provider complaining of a rash on his right forehead that started yesterday and is burning and painful. The physical exam reveals an erythematous, maculopapular rash that extends over the patient's right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient's symptoms is: - ANSWER- Ophthalmic zoster

Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient's aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered? - ANSWER-Serologic markers for hepatitis

A patient with elevated lipids has been started on lovastatin. After 3 weeks of therapy, he calls to report generalized muscle aches. The nurse practitioner should suspect: - ANSWER- Rhabdomyolysis

Treatment of acute vertigo includes: - ANSWER-Bedrest and an antihistamine

Treatment of H.pylori includes which of the following? - ANSWER-A, B, and C (Proton pump inhibitor, antibiotic therapy, bismuth subsalicylate)

Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is "like looking through a veil." He also sees floaters and flashing lights but is not having any pain. What do you suspect? - ANSWER-Retinal detachment

In order to decrease deaths from lung cancer: - ANSWER-Patients should be counseled to quit smoking

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