NR 511 MIDTERM EXAM (VERSION 1), ALL CORRECT AND VERIFIED ANSWERS

QuestionI1.QuestionI: WhichIofItheIfollowingIisIaIcrucial IelementIofIdevelopingIa

guideline?

StudentIAnswer: CreatingIaIphysicianIexpertIpanel

ReviewingItheIliteratureIwithIratingsIofIavailableIevidence

IConductingIanIexternal IreviewIofIaIguideline

DevelopingIevidence-basedItables

IPointsIReceived: 2IofI2

Comments:

QuestionI2.QuestionI: AfricanIAmericanIpatientsIseemItoIhaveIaInegativeIreaction

toIwhichIofItheIfollowingIasthmaImedications?

StudentIAnswer: InhaledIcorticosteroids

Long-termIbeta-agonistIbronchodilators

ILeukotrieneIreceptorIagonists

Oral Icorticosteroids

IPointsIReceived: 2IofI2

Comments:

QuestionI3.QuestionI:IJoleneIhasIbreastIcancerIthatIhasIbeenIstagedIasIT1,IN0,

M0.IWhatImightIthisImean?

StudentIAnswer: The Itumor Isize Icannot Ibe Ievaluated; Ithe Icancer Ihas Inot

Ispread Ito Ithe Ilymph Inodes; Iand Ithe Idistant Ispread Icannot

IbeIevaluated.

TheIcancerIisIinIsitu;IitIisIspreadingIintoItheIlymphInodes,

butItheIspreadIcannotIbeIevaluatedIotherwise.

IITheIcancerIisIlessIthanI2IcmIinIsizeIandIhasInotIspreadIto

ItheIlymphInodesIorIotherIpartsIofItheIbody.

IITheIcancerIisIaboutI5IcmIinIsize;InearbyIlymphInodes

IcannotIbeIevaluated;IandIthereIisInoIevidenceIofIdistant

Ispreading.

PointsIReceived: 2IofI2

Comments:

QuestionI4.QuestionI: Sondra'sIperipheralIvestibularIdiseaseIcausesIdizzinessIand

vertigo.IWhichIofItheIfollowingImedicationsIwill IhelpIto

IdecreaseIedemaIinItheIlabyrinthIofItheIear?

StudentIAnswer: Meclizine

IDiphenhydramine

Diamox

IPromethazine

PointsIReceived: 0IofI2

Comments:

QuestionI5.QuestionI: MandyIpresentsIwithIaIcauliflower-likeIwartIinIherIanogenital

region.IYouIsuspectIitIwasIsexuallyItransmittedIand

IdocumentIthisIasIa:

StudentIAnswer: Filiform/digitateIwart

DysplasticIcervical Ilesion

ICondylomaIacuminata

IKoilocytosis

PointsIReceived: 2IofI2

Comments:

QuestionI6.QuestionI:IInattentionIandIaIsleep-wakeIcycleIdisturbanceIareIthe

hallmarkIsymptomsIof?

StudentIAnswer:I I I I I I I I IIDementia

I IAlzheimer's

I disease I

IParkinson'sIdisease I

IDelirium

PointsIReceived: 2IofI2

Comments:

QuestionI7.QuestionI: YouIhaveItaughtIJennifer,IageI15,IaboutIusingIaIflowImeter

toIassessIhowItoImanageIherIasthmaIexacerbations.IShe

IcallsIyouItodayIbecauseIherIpeakIexpiratoryIflowIrateIis

I65%.IWhatIwouldIyouItellIher?

StudentIAnswer: I"TakeIyourIshort-actingIbeta-2Iagonist,IremainIquiet,Iand

Icall IbackItomorrow."

"UseIyourIrescueIinhaler,IbeginItheIprescriptionIofIoral

IglucocorticoidsIyouIhave,IandIcall IbackItomorrow."

"DriveItoItheIemergencyIroomInow."

"Call I911."

PointsIReceived: 2IofI2

Comments:

QuestionI8.QuestionI:IAIpatientIisIseenIinItheIclinicIwithIhematuriaIconfirmedIon

microscopic Iexamination. IThe Iclinician Ishould Iinquire Iabout

Ithe Iingestion Iof Iwhich Iof Ithese Isubstances Ithat Imight Ibe Ithe

IcauseIofIhematuria?

StudentIAnswer:

IINSAIDs

Beets

IVitaminIA

IRedImeat

PointsIReceived: 2IofI2

Comments:

QuestionI9.QuestionI: WhichIofItheIfollowingIisIanIexampleIofItertiaryIpreventionIinIa

IpatientIwithIchronicIrenalIfailure?

StudentIAnswer: FluidIrestriction

IHemodialysisI4IdaysIaIweek

IHigh-proteinIdiet

MaintenanceIofIbloodIpressureIatI120/80

IPointsIReceived: 2IofI2

Comments:

QuestionI10.QuestionI: WhichIofItheIfollowingIconditionsIisIassociatedIwith

cigaretteIsmoking?

StudentIAnswer: IGlaucoma

IIIncreasedIspermIqualityI

IBladderIcancer

IIEczema

IPoints IReceived: 0IofI2

IComments:

QuestionI11.QuestionI: AIchronicIcoughIlastsIlongerIthan:

IStudentIAnswer: 3Iweeks

1Imonth

6Imonths

1Iyear

PointsIReceived: 0IofI2

Comments:

QuestionI12.QuestionI: TheI'freezingIphenomenon' IisIaIcardinal IfeatureIof?

StudentIAnswer: Parkinson'sIdisease

Alzheimer'sIdisease

IAICVA

Bell'sIpalsy

IPointsIReceived: 0IofI2

IComments:

QuestionI13.QuestionI: WhenIadministeredIatItheIbeginningIofIanIattack,Ioxygen

therapyImayIhelpIthisIkindIofIheadache?

StudentIAnswer: ITension

IMigraine

ICluster

IStress

PointsIReceived: 0IofI2

Comments:

QuestionI14.QuestionI: WhichIethnicIgroupIhasItheIhighestIlungIcancerIincidence

andImortalityIrates?

StudentIAnswer: AfricanIAmericanImen

ScandinavianImenIandIwomen

ICaucasianIwomen

AsianImen

IPoints IReceived: 0IofI2

IComments:

QuestionI15.QuestionI: TheImostIsignificantIprecipitatingIeventIleadingItoIotitis

mediaIwithIeffusionIis:

StudentIAnswer: Pharyngitis

IAllergies

ViralIupperIrespiratoryIinfectionI(URI)

IPerforationIofItheIeardrum

PointsIReceived: 2IofI