MN568 MIDTERM EXAM. 200 ACTUAL EXAM QUESTIONS WITH
100% VERIFIED ANSWERS. LATEST 2024. ALREADY GRADED A+
1. A 60-year-old male presents to your primary care office after being dis- charged
from the hospital. He was at a Christmas work party and started to notice heart
palpitations. He was drinking alcohol at the party. He went to the emergency
department, where he was admitted. His electrocardiogram (EKG) showed tachycardia,
with a normal ST segment, and he did not have any obvious P waves. The patient has
not felt any palpitations since that one incident, which was 2 weeks ago. If he were
sent home on Coumadin for blood thinning, at what level should you try to keep his
international normalized ratio (INR)?: 2.0-3.0
2. When a client is getting ready for a cardiac catheterization, which question is
essential to ask?: "Are you allergic to shellfish?"
3. A 70-year-old patient presents to your office following an acute hospital stay
for atrial fibrillation. The patient has the following past medical and surgical history:
diabetes, hypertension, gout, rheumatoid arthritis, hyperlipi- demia, and multiple joint
replacements. Which of the following medications i
appropriate for their outpatient deep venous thrombosis (DVT) prophylaxis?-
: Coumadin 5 mg daily
4. George, a 59-year-old African American man, has just been diagnosed with
hypertension (HTN). His A1C is 5.8%. Which of the following classifica- tions of
medications would you start him on?: Calcium channel blocker (CCB) with a thiazide-
type diuretic
5. Harry, age 54, comes to your office with waxing and waning ischemic
symptoms over a period of days and weeks, an increase in angina while at rest, and
transient ST changes on his electrocardiogram. This presentation leads you to
believe that he is experiencing:: Unstable angina
6. Jamie, age 49, who has a history of hyperlipidemia, has symptoms that lead
you to suspect unstable angina. Her electrocardiogram (ECG) shows some changes.
Your next action would be to:: Hospitalize the client in a monitored setting with
pharmacological control of ischemia, arrhythmias, and thrombosis as appropriate
7. Clients with Prinzmetal angina frequently have a history of Raynaud
disease and which other disorder?: Migraine headaches
8. You are doing a cerumen extraction and touch the external meatus of your pt's
ear. He winces and starts coughing. What is the name of this reflex?: - Arnold Reflex
9. Sam, age 78, presents to the clinic w/respiratory symptoms. His PFTs are as
follows: normal total lung capacity, decreased PaO2, increased PaCO2. On assessment,
you auscultate course crackles and forced expiratory wheezes. What is your dx?:
Chronic Bronchitis
10. George has COPD and an 80% forced expiratory volume in 1 second. How
,would you classify the severity of his COPD?: Stage 1 mild COPD
11. African American pt's seems to have a negative reaction to which of the
following asthma meds?: Long-term beta-agonist bronchodilators
12. You are using the CURB-65 clinical prediction tool to decide whether Ma- bel,
whom you have diagnosed with community-acquired pneumonia (CAP), should be
hospitalized or treated at home. Her score is 3. What should you do?: Hospitalize and
consider admitting her to the ICU
13. Why do you suspect that your pt may have a decreased response to the TB
test?: She has been on long-term corticosteroid therapy
14. Marci has been started on a TB regimen. Because isoniazid (INH) may cause
peripheral neuropathy, you consider ordering which of the following drugs
prophilactically?: Pyroxidine
15. Jolene has breast cancer that has been staged as T1, N0, M0. What might
this mean?
A. The tumor size cannot be evaluated; the cancer has not spread to the lymph
nodes; and the distant spread cannot be evaluated.
B. The cancer is in situ; it is spreading into the lymph nodes but the spread
cannot be evaluated otherwise.
C. The cancer is less than 3 cm in size and has not spread to the lymph nodes or
other parts of the body.
D. The cancer is about 5 cm in size; nearby lymph nodes cannot be evaluated; and
there is no evidence of distant spreading
16. Nathan, a 32yo policeman, has a 15-pack-year history of smoking and
continues to smoke heavily. During every visit, he gets irate when you try to talk to
him about quitting. What should you do?: Continue to ask him at every visit if he is
ready to quit
17. Your pt has decided to try to quit smoking with Chantix.You are discussing his
quit date and he will begin taking the med tomorrow. When should he plan to quit
smoking?: His quit date should be in 1 week
, 18. Which info should be included when you are teaching your pt about the use of
nicotine gum?: The gum must be correctly chewed to a softened state and then placed in
the buccal mucosa
19. Cydney presents with a h/o asthma. She has not been treated for a while. She
c/o daily but not continual symptoms, greater than 1 week and at night- time. She has
been using her rescue inhaler. Her FEV1 is 60-80% predicted. How would you classify
her asthma severity?: Moderate persistent
20. Joyce is taking a long-acting beta agonist for her asthma. What additional med
should she be taking?: Inhaled corticosteroid
21. Your pt is on theophylline (Therabid) for his asthma. You want to maintain his
serum levels between:: 5-15mcg/mL
22. Which of the following statements regarding TST is true?: The size of the TST
reaction has nothing to do with erythema but is based solely on induration
23. Which obstructive lung disease is classified as reversible?: asthma
24. You have taught Jennifer, age 15, about using a flow meter to assess how to
manage her asthma exacerbations. She calls you today because her peak expiratory
flow rate is 65%. What would you tell her?: Use your rescue inhaler, begin the Rx of PO
glucocorticoids you have, and call back tomorrow."
25. Which statement about adenocarcinoma of the lung is accurate?: It is the most
prevalent carcinoma of the lungs in both sexes and in nonsmokers, represent- ing 35-
40% of all tumors
26. Jason, age 62, has obstructive sleep apnea. What do you think is one of his
contributing factors?: His collar size is 17in
27. The forced vital capacity is decreased in:
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. Restrictive disease:
28. The most common cause of CAP is:: Streptococcus pneumoniae
29. Which of the following pt's would you expect to have a decreased response to
TST?: Sandy, a 40yo pt who recently survived a fire that left 40% of her total body surface
covered in burns
30. Which of the following is a possible consequence of sleep apnea?
a. Asthma
b. Increased WBC
c. Insulin resistance
d. Hyperactivity:
, 31. Which of the following conditions is associated with cigarette smoking?
a. Glaucoma
b. Increased sperm quality
c. Bladder cancer
d. Eczema: Bladder cancer
32. Marta is taking TB drugs prophylactically. How do you instruct her to take
them?: Take them on an empty stomach to facilitate absorption
33. Which of the following statements regarding pulmonary function is true?
a. Cigarette smoking accelerates the decline in pulmonary function tenfold
b. Smoking cessation can reverse most pathological changes
c. Cigarette smoking decreases mucus production
d. There is a normal age-related decline in pulmonary function: There is a normal
age-related decline in pulmonary function
34. Supplemental oxygen for how many hours per day has been shown to
improve the mortality associated with COPD?: 15-18 hours
35. The barrel chest characteristic of emphysema is a result of:: hyperinflation
36. Which ethnic group has the highest lung cancer incidence and mortality
rates?: African American men
37. A pt is 66in in height, weighing 200lbs, and newly diagnosed with T2DM. Her
fasting plasma glucose level is 215mg/dL. What is the best initial treat- ment?: Diet
and exercise for 6 week trial
38. The clinician suspects that a client seen in the office has hyperthyroidism.
Which of the following tests should the clinician order on the initial visit?
-High sensitivity thyroid-stimulating hormone (TSH) and free T4
-Free T4 and serum calcium
-Free T3 and T4
-TSH and thyroxin antibodies: High sensitivity thyroid-stimulating hormone (TSH) and free T4
39. A pt whit T2DM asks the clinician why she needs to exercise. In order to
answer her, the clinician must understand that exercise has what effect on the pt with
T2DM?
-Reduces postprandial blood glucose
-Reduces triglycerides and increases HDL
-Reduces total cholesterol-
All of the above: All of the above
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