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primary care 6531.
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Exam of 18 pages for the course NR 509 Final Exam at NR 509 Final Exam (primary care 6531.)
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primary care 6531The most common symptoms of transient ischemic attack (TIA) include: - ANS-lower
limb weakness, slur speech, partial vision loss, gait change
Central obesity, "moon" face, and dorsocervical fat pad are associated with: -
ANS-Cushing's Syndrome
Diagnostic evaluation for urinary calculi includes:
A.Urinalysis and culture
B. Non contrast CT
C. Serum calcium
D. All of the above - ANS-D. All of the above
A 72-year-old female patient reports a 6-month history of gradually progressive swollen
and painful distal interphalangeal (DIP) joints of one hand. She has no systemic
symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA),
and
rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Infection
D. Lupus - ANS-B. Osteoarthritis
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: - ANS-Carpal
tunnel syndrome
Who is at a higher risk for developing nephrolithiasis? - ANS-Caucasian males
A patient complains of
generalized joint pain and stiffness associated
with activity and
relieved with rest. This patient history is consistent with which of the
following disorders? - ANS-Osteoarthritis
Which of the following is NOT true about Carpal Tunnel Syndrome?
A. Symptoms present in the first 3 fingers of the affected hand.
B. Symptoms are absent in the 5th finger.
,C. Median nerve compression can result in decreased strength and impaired fine motor
coordination.
D. Phalen's and Tinel's signs are negative. - ANS-D.
Positive Tinel's sign over median nerve. Positive phalen's test Weakness with manual
muscle test of abductor pollicis brevis is Carpel Tunnel syndrome.
What diabetic complications result
from hyperglycemia? - ANS-A.Retinopathy
B.Hypertension resistant to
treatment
C. Peripheral neuropathy
D. Accelerated atherogenesis
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but
the patient returns 6 weeks later with the same symptoms of hyperpigmentation,
weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse
practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
B. Perform a diet history and check CBC and FBS.
C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration - ANS-A. Obtain a thorough
history and physical, and check serum cortisol and ACTH levels.
An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three
days later, he returns to the office complaining of left great toe pain. On exam, the nurse
practitioner notes an edematous, erythematous tender left great toe. The likely
precipitant of this patient's pain is: - ANS-hydrochlorhiazide
Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping
problems, flashbacks, and depression. What is your initial diagnosis? - ANS-PTSD
Martin is complaining of erectile dysfunction. He also has a condition that has reduced
arterial blood flow to his penis. The most common cause of this condition is:
1. Epilepsy.
2. Multiple sclerosis.
, 3. Diabetes mellitus.
4. Parkinson disease. - ANS-Diabetes mellitus
A patient has a prolonged PT. Which deficiency can you infer from this result? -
ANS-Coagulation factors of the extrinsic pathway
The most effective treatment of non-infectious bursitis includes: - ANS-Conservative
treatment includes rest, cold and heat treatments, elevation, administration of
nonsteroidal anti-inflammatory drugs (NSAIDs), bursal aspiration, and intrabursal
steroid injections
Which of the following is not a common early sign of benign prostatic hyperplasia
(BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void - ANS-C. Strong urinary stream flow
You are assessing a patient after a sports injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus
D. collateral ligament. - ANS-B. cruciate ligament
Reed-Sternberg B lymphocytes are associated with which of the following disorders:
A. Aplastic anemia
B. Hodgkin's lymphoma
C. Non Hodgkin's lymphoma
D. Myelodysplastic syndromes - ANS-B. Hodgkin's Lymphoma
Which of the following is a potential acquired cause of thrombophilia?
A. Homocysteinuria
B. Protein C deficiency
C. Factor V Leiden
D. Antiphospholipid antibodies - ANS-D. Antiphospholipid antibodies
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse
practitioner what the treatment for this disorder is. The nurse practitioner explains:
A. Primary hyperparathyroidism is treated with Vitamin D restriction
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