QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS

Exam

SCM 309 MIDTERM :RODRIGUES EXAM(ACTUAL EXAM)

LATEST QUESTIONS WITH CORRECT ANSWERS GRADE

A+

TESTED AND CONFIRMED A+ ANSWERS

-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?-Any recent trauma

-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?-Beta Blocker

-The differential diagnosis for a patient complaining of a sore throat includes which of the following?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: -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?-Serologic markers for hepatitis

Mort is hypertensive. Which of the following factors influenced your choice of using an alpha blocker as the antihypertensive medication?-Mort has benign prostatic hyperplasia

-John, age 59, presents with recurrent, sharply circumscribed red papules and plaques with a powdery white scale on the extensor aspect of his elbows and knees. What do you suspect?-Psoriasis

-Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At today's visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to control Harriet's blood pressure?-Add a thiazide diuretic to the Lisinopril 5mg daily

-An active 65-year-old man under your care has known acquired valvular aortic stenosis and mitral regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs elective replacement of his aortic valve. When he comes into the office you discover

that he has 10 remaining teeth in poor repair. Your recommendation would be to:

defer any further dental work until his valve replacement is completed -suggest he consult with his oral surgeon about having all the teeth removed at once and receiving appropriate antibiotic prophylaxis If you need a professional to complete your college homework at a small fee, then reach out to amazingclasshelp.com

-The most common cancer found on the auricle is:

-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?-Antihistamines

-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?-Refer the patient for a barium enema and sigmoidoscopy.

-Which of the following patient characteristics are associated with chronic bronchitis?-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:

-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: -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: -Gonococcal conjunctivitis

-A 35-year-old man presents with radicular pain followed by the appearance of grouped vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He complains

of pain, burning, and itching. The nurse practitioner should suspect:

-Herpes zoster and consider that this patient may be immunocompromised

-Which type of lung cancer has the poorest prognosis?-Small cell carcinoma

-An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she has even had fecal incontinence one time. She describes loose stools 3-4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests

that the patient has:

-Chronic diarrhea

-Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly distribution on her face. The rash has red papules and plaques with a fine scale. What do you suspect?-Systemic lupus erythematosus

-Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?-Acute bronchitis

-Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in?-Moderate persistent

-Which of the following is the most appropriate therapeutic regimen for an adult patient with no known allergies diagnosed with group A B-hemolytic strep?-Penicillin V 500 milligrams PO every 8 hours for 10 days

-A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation. She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these problems?-Varicose veins

-Which statement below is correct about pertussis?-It is also called whooping cough

-Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?-Pneumonia

-A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected condition?-Diverticulitis

-Sylvia, age 83, presents with a 3-day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect?-Herpes zoster

-A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the

most common cause of pancreatitis is:

-Gallstones

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