NR 667 APEA cards Questions With Complete Solutions
A 3 day old infant has a bilirubin level of 16mg/dl. what should
be done? Correct Answer Initiate phototherapy. This level is
considered high intermediate; because it is expected the bilirubin
level will rise in the next few days, phototherapy is most
appropriate.
a 38 yo m presents to the clinic for prmary care. BG is 242,
second check is 288. which is least helpful in initial evaluation
of the patient?
A) BP
B) nonfasting lipids
c)albumin
d) all of the above Correct Answer non- fasting lipids are of no
help in initial evaluation. Triglycerides are especially sensitive
to nonfasting states;
a 4 mos. old is suspected of having developmental dysplasia of
the hip. what test would best assess for this? Correct Answer
Galeazzi and Klisic: limited abduction and apparent thigh length
discrepency is a better indicator of DDH than is instability after
3 months of age, Barlow and Ortolani maneuvers are tests used
to test hip instability in newborns until approx. 3 months old.
Trendelenburg pelvic test is to test for walking age children to
test for hip weakness and is characterized by unilateral hip
dyspleasia.
A 50 yo M c/o scrotal heaviness, Reports sensation is worst at
the end of the day., denies pain, what is the likely etiology?
a)epididymitis
, b)hydrocele
c)inguininal hernia
d)testicular torsion Correct Answer Inguinal hernia; these are
common in males and the common symtom is scrotal heaviness,
especially tpwards teh end of the day. It can usually be relieved
by lying down; excessive pain may indicate strangulation of the
hernia.
a 60 yo patient has anosmia, which cranial nerve must be
assessed? Correct Answer CN I is responsible for anosmia
(olfactory nerve). A common scent like peppermint is used, and
the patient is asked to ID
a M patient takes HCTZ for HTN. He develops severe pain in
his great toe yesterday, what medication would be
contraindicated at this time? Correct Answer Allopurinol. It
has no role in the treatmen of gout because it plays no role in
inflammation. It is a BP medicaiton. if a patient on BP
medication develops gout, their meds should not be stopped.
A patient states that her knee "locks" and feels as though it will
"give out" . She denies injury, She has no complaints of her
other knee, What is her likely problem? Correct Answer
Meniscal tear; Knee locking is a classic complaint of a Meniscal
tear; sometimes loss of ROM secondary to pain is observed.
Clinical exam and MRI are usual diagnosing methods.
The McMurray test is commonly used to assess joint movement
and meniscal injuiry. A positive sign is a painful "click" during
early or mid extension of the knee. pain felt along the midline of
the knee.
A 3 day old infant has a bilirubin level of 16mg/dl. what should
be done? Correct Answer Initiate phototherapy. This level is
considered high intermediate; because it is expected the bilirubin
level will rise in the next few days, phototherapy is most
appropriate.
a 38 yo m presents to the clinic for prmary care. BG is 242,
second check is 288. which is least helpful in initial evaluation
of the patient?
A) BP
B) nonfasting lipids
c)albumin
d) all of the above Correct Answer non- fasting lipids are of no
help in initial evaluation. Triglycerides are especially sensitive
to nonfasting states;
a 4 mos. old is suspected of having developmental dysplasia of
the hip. what test would best assess for this? Correct Answer
Galeazzi and Klisic: limited abduction and apparent thigh length
discrepency is a better indicator of DDH than is instability after
3 months of age, Barlow and Ortolani maneuvers are tests used
to test hip instability in newborns until approx. 3 months old.
Trendelenburg pelvic test is to test for walking age children to
test for hip weakness and is characterized by unilateral hip
dyspleasia.
A 50 yo M c/o scrotal heaviness, Reports sensation is worst at
the end of the day., denies pain, what is the likely etiology?
a)epididymitis
, b)hydrocele
c)inguininal hernia
d)testicular torsion Correct Answer Inguinal hernia; these are
common in males and the common symtom is scrotal heaviness,
especially tpwards teh end of the day. It can usually be relieved
by lying down; excessive pain may indicate strangulation of the
hernia.
a 60 yo patient has anosmia, which cranial nerve must be
assessed? Correct Answer CN I is responsible for anosmia
(olfactory nerve). A common scent like peppermint is used, and
the patient is asked to ID
a M patient takes HCTZ for HTN. He develops severe pain in
his great toe yesterday, what medication would be
contraindicated at this time? Correct Answer Allopurinol. It
has no role in the treatmen of gout because it plays no role in
inflammation. It is a BP medicaiton. if a patient on BP
medication develops gout, their meds should not be stopped.
A patient states that her knee "locks" and feels as though it will
"give out" . She denies injury, She has no complaints of her
other knee, What is her likely problem? Correct Answer
Meniscal tear; Knee locking is a classic complaint of a Meniscal
tear; sometimes loss of ROM secondary to pain is observed.
Clinical exam and MRI are usual diagnosing methods.
The McMurray test is commonly used to assess joint movement
and meniscal injuiry. A positive sign is a painful "click" during
early or mid extension of the knee. pain felt along the midline of
the knee.
