AANP Test 2 for Boards

AANP Test 2 for Boards
A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for
Graves disease. The ANP is counseling her and understands that the mechanism of action of
this treatment therapy is:
alter the thyroid metabolic rate
relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue
reduce production of TSH - ANS-Correct answer:
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is used for
thyroid ablation to destroy the overactive thyroid tissue that causes the thyroid hormone
dysfunction.
A 29-year old woman who is 6 weeks postpartum reports she is having rectal bleeding that she
believes is related to hemorrhoids. The Adult Nurse Practitioner knows that this type of rectal
bleeding is usually described as:
dark brown to black blood color with normal-appearing stool
significant amounts of bright red blood
large blood clots and mucus mixed with stool
streaks of bright red blood on the stool - ANS-The Correct answer is:
streaks of bright red blood on the stool
Choice D is the right answer. The color of blood related to hemorrhoids is described as bright
red, eliminating choice A. Amount of blood with hemorrhoids is usually small or scant,
eliminating choices B and C. Internal hemorrhoids can occur during or after childbirth. With
chronically protruding or prolapsing hemorrhoids, the patient often reports mucous leaking and
staining of the undergarments. Other causes are obesity, constipation, and prolonged sitting.
A 48-year-old male patient complains of a sudden onset of severe "ice pick" pains behind one
eye. He tells you that the headache is accompanied by tearing, a clear runny nasal discharge,
and a drooping eyelid. What type of headache would you diagnose?
muscle tension headache
cluster headache
migraine headache
temporal arteritis - ANS-Correct answer:
cluster headache

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