CMN 577 Final Unit 5 exam with complete solutions.
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Course
CMN 577
Institution
CMN 577
A 62-year-old female presents to your clinic with new onset of muscle weakness, muscle cramps, and increased fatigue. The patient states that she also has increased urinary output since she has been prescribed Lasix (furosemide) for a recent diagnosis of CHF. What is the best clinical diagnosis for...
A 62-year-old female presents to your clinic with new onset of muscle weakness,
muscle cramps, and increased fatigue. The patient states that she also has
increased urinary output since she has been prescribed Lasix (furosemide) for a
recent diagnosis of CHF. What is the best clinical diagnosis for this patient
according to her medical history?
A. Hyponatremia
B. Hyperkalemia
C. Hypocalcemia
D. Hypokalemia - ANSWER- D. Hypokalemia
Jan, a 52-year-old female smoker, presents to your clinic for her annual wellness
exam. As the practitioner, you discuss the risks associated with tobacco use. Jan
states she has considering quitting, however she needs some form of nicotine
cessation. After discussing several options with Jan, she agrees to try the
Nicotine patch. Which type of health promotion and disease prevention is this an
example of?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Smoking Cessation - ANSWER- B. Primary prevention
What is the treatment of choice for scabies?
A. Bactrim DS 800/160 BID x 5 days
B. Permethrin 5% topical applied overnight and then repeat in 7 days.
C. Fluconazole 400mg one-time dose.
D. Warm compresses - ANSWER- B. Permethrin 5% topical applied overnight and
then repeat in 7 days.
,A 33-year-old male comes into your office with tender, localized, red swelling to
his upper eye lid for the past two days. What is the most likely causative
organism for hordeolum (stye)?
A. Staphylococcus epidermidis
B. Staphylococcus aureus
C. Gram- negative bacilli
D. Streptococci - ANSWER- B. Staphylococcus aureus
A 3-year-old girl who is starting daycare this fall is at your clinic for her annual
checkup with her mother. Her mother states, "We have always kept up to date
with her immunizations, what immunizations will she be getting today." As a
nurse practitioner, what is the most appropriate response?
A. She does not need to be vaccinated today because she is up to date
B. We will be giving her a fifth dose of DTaP and Flu
C. It is time for her to have her second doses of MMR and Varicella
D. Since she is up to date, she will only be getting her Flu shot - ANSWER- D.
Since she is up to date, she will only be getting her Flu shot
An 8-year-old patient presents to the urgent care clinic complaining of a sore
throat and difficulty swallowing. A rapid strep test is performed and comes back
positive for strep throat. The patient's mother informs the NP that the patient has
a severe penicillin allergy. Which of the following antibiotics is the best choice for
treatment?
A. Cephalexin (Keflex)
B. Levofloxacin (Levaquin)
C. Azithromycin (Zithromax)
D. Cefadroxil (Duricef) - ANSWER- C. Azithromycin (Zithromax)
A 5-week old infant is brought into the clinic by his mother. She is reporting that
the infant is having projectile vomiting after each feeding. She reports that the
infant is exclusively breast fed. The NP notes the abdomen is distended and can
palpate a 10mm olive shaped mass in the right upper abdomen. Based on this
assessment what is the most likely diagnosis?
A. Hiatal Hernia
B. Pyloric Stenosis
C. GERD
D. Duodenal Ulcer - ANSWER- B. Pyloric Stenosis
A 55-year-old male presents to the clinic with fever, maculopapular rash and joint
pain. Urinalysis shows white cells, red cells and white cell casts. Patient has been
, taking allopurinol for gout for the past 3 years. What is the best diagnosis for this
patient?
A. Glomerulonephritis
B. Renal calculi
C. Interstitial nephritis
D. Urinary tract infection - ANSWER- C. Interstitial nephritis
A 65-year-old male presents to the clinic with hypertension, bilateral swelling of
eyes and in the scrotal area. Urinalysis is obtained in clinic and reveals
hematuria, mild proteinuria, and red cell casts. What is the best diagnosis with
these presenting symptoms to clinic?
A. Urinary tract infection
B. Polycystic kidney disease
C. Epididymitis
D. Glomerulonephritis - ANSWER- D. Glomerulonephritis
A 3-year-old child presents to your clinic with a history of bilateral AOM. She was
treated with
Amoxicillin within the past 28 days. The mother states the child is not sleeping at
night and is tugging
at his right ear. On exam you note there is decreased motility with pneumatic
otoscopy to the right
tympanic membrane. There is pus behind the TM, and it is reddened and
retracted. The left TM is pearly
white with a good cone of light. Boney landmarks visible. How would you treat
today?
A. Amoxicillin
B. Augmentin
C. Rocephin
D. Omnicef - ANSWER- B. Augmentin
A high school swimmer comes into your urgent care. On exam you note, the right
external canal is swollen and red. When you pull on the tragus the patient jumps
and states "that was very painful". You are unable to visualize the right TM due to
the external canal being swollen shut. What is your presumptive diagnosis?
A. Acute Otitis Media
B. Furunculosis of the ear canal
C. Otitis Externa
D. Contact dermatitis of the ear canal - ANSWER- C. Otitis Externa
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