Mosby Comprehensive Exam 1 Questions/Answers (Verified)

Mosby Comprehensive Exam 1 Questions/Answers (Verified) Comprehensive Exam Your response has been submitted successfully. Points Awarded 43 Points Missed 107 Percentage 29% 1. The characteristic rash found in Fifth disease is: A. A petechial non-blanching rash B. A lacy rash found on the chest C. A rash occurring after a high fever D. A slapped cheek rash The rash that appears in erythema infectiosum (Fifth disease) is characteristic of a slapped face appearance (Kidd et al, 2003). *Assessment Category Points Earned: 0/1 Correct Answer: D Your Response: A 2. A young man comes in asking to see a male NP because of the nature of his problem. His chief complaint is prolonged ejaculation. What factor in the patient’s history is not implicated as a cause of this diagnosis? A. Obsession with sexually satisfying his partner B. Nerve injury in the sacrum C. A strict religious background, causing the person to view sex as sinful D. Use of Prozac for depression Perceiving sex as sinful, having neurologic problems, or use of Prozac can cause prolonged ejaculation. Other causes include anger toward or lack of attraction for the sexual partner, neurologic disease, and traumatic events related to sex. The inability to ejaculate is not associated with a desire to satisfy the sexual partner. Most men ejaculate within 2 to 4 minutes after onset of active thrusting in intercourse. Men with retarded ejaculation may be entirely unable to ejaculate in some circumstances (for example, during intercourse) or may be able to ejaculate only with great effort and after prolonged intercourse (for example, 30 to 45 minutes). The most common causes are psychological, but physiological factors may also cause the problem (ADAM *Assessment Category Points Earned: 1/1 Correct Answer: A Your Response: A 3. Which of the following issues is not a major factor in falls in the elderly? A. Substance abuse B. More likelihood of severity of injury C. Increased serum concentration and half-life of some drugs D. Increased incidence of syncope All of the choices except substance abuse play a major role in falls in the elderly (Fuller, 2000). *Assessment Category Points Earned: 1/1 Correct Answer: A Your Response: A 4. Which of the following patients needs immediate assessment for hypothyroidism? A. Newly retired woman who is having recent-onset difficulties with memory B. Male who has been on Synthroid for 2 years with good symptom control C. New mother of 5-day-old twins who has been tearful since childbirth D. Adult teacher who has developed a fine tremor in his hands A new mother of 5-day-old twins is likely experiencing normal postpartum blues; a tremor would be a more likely finding in hyperthyroidism rather than hypothyroidism. Older women are a risk for hypothyroidism, in which difficulty with memory is common. Good symptom control on Synthoid would not justify referral (Kutty et al, 2003). *Assessment Category Points Earned: 1/1 Correct Answer: A Your Response: A 5. The NP volunteers 1 day per week in an adolescent-only clinic. What screening in that setting is most likely to yield a positive finding of cancer? A. Palpation of the female breast B. Palpation of the thyroid gland C. Palpation of the testicles D. Palpation of the kidney A common cancer presenting in adolescents is testicular cancer. Consequently, this screening is likely to yield positive findings of a malignancy (Kutty et al, 2003). *Assessment Category Points Earned: 0/1 Correct Answer: C Your Response: A 6. NPs in a large public clinic have been asked to participate in a community drill to assess bioterrorism readiness. The only information provided in advance is that the drill will represent a simulated Category A threat. The NPs can safely assume that the drill will not include simulated patients with: A. Ebola B. Botulism C. Anthrax D. Eastern equine virus Category A agents are high-priority agents with the highest risk to the public and national security and include agents listed in anthrax, botulism, and ebola in addition to other bacteria, viruses, and toxins. Eastern and Category A agents are high-priority agents with the highest risk to the public and national security and include agents such as anthrax, ebola, and botulism, in addition to other bacteria, viruses, and toxins. Eastern and Western equine encephalitis types are category B agents and will be excluded from the drill (Stokes et al, 2004). *Assessment Category Points Earned: 0/1 Correct Answer: D