a 70 year-old African American male complains of pain in his back and trunk. Cardiovascular
disease is rule out. He has a normocytic normochromic anemia with hypercalcemia. A likely
diagnosis is: CORRECT ANS-Multiple myeloma
Multiple myeloma is a neoplastic proliferation in the bone marrow which results in sketetal
destruction. it is more common in older adult (avg. 66yo)
common clinical findings of Multiple myeloma are CORRECT ANS-pain in the long bones,
especially those of the trunk and back.
accompanying findings are anemia usually normocytic/normochromic, hypercalcemia, and
renal insufficiency.
A patient with testicular torsion will have CORRECT ANS-a negative cremasteric reflex on
the affected site.
testicular swelling and pain.
Contraindication on giving MMR is CORRECT ANS-Encephalopathy within 7 days after
immunization
An elderly adult with an appendicitis is unlikely to exhibit CORRECT ANS-initial WBC
elevation
Very young children and elderly are not likely to have initial WBC elevation.
Consequenlty appendicitis can be easily missed in these populations.
, FNP Exam # 1 Review questions and Answers
which medication listed below could potentially exacerbate CHF in a susceptible individual?
Naproxen
HCTZ
Lovastatin
Loratadine CORRECT ANS-Naproxen
Naproxen is an NSAIDs. NSAIDs cause sodium retention and thus, water retention.
The pneumococcal immunization in infants has CORRECT ANS-shifted the pathogenesis to
fewer cases of S. Pneumoniae
The heptavalent pneumococcal conjugatee vaccine (PCV7), prevnar, potects children from the
seven most common strains of Sreptococcus pneumoniae (S.pneumo) CORRECT ANS-it has
reduce the incidence of ear infections caused by S.pneumo and has reduce the incidence of
ear infection and tube placement by 10-20%.
Hepatitis A: ( -) IgM ( -) IgG what does this mean CORRECT ANS-He has no immunity to
hepatitis A. as evidence by the negative IgG. It is not currently infected as evidence by the
negative IgM.
A male patient has epididymitis. his most likely compalint will be CORRECT ANS-Scrotal
pain
It develops acutely and will be accompaied by fever, chills and very ill appearing patient.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TheeGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.