609 FINAL FNP CARE OF ADULTS 2 DUNPHY CHAPTERS 56-
69, 81 with 100% Correct Answers Latest 2024 Version
After 6 months of Synthroid therapy, the clinician should expect which of the following in the repeat
thyroid studies?
a. Elevated TSH
b. Normal TSH
c. Low TSH
d. Undetectable TSH - ✔✔b. Normal TSH
Which of the following laboratory findings should the clinician expect in a patient with untreated Graves'
disease?
a. Elevated TSH
b. Elevated T4
c. Elevated thyrotropin-releasing hormone (TRH)
d. All of the above - ✔✔d. All of the above
The clinician prescribes glipizide (Glucotrol) for a diabetic patient. Which statement made by the patient
would indicate that your teaching has been effective?
a. "I'll take my pill at least 30 minutes before breakfast."
b. "I'll take my Glucotrol before bedtime."
c. "It is important to take my medication right after I eat."
d. "Since I only like to eat two meals a day, I can take the pill between my meals. - ✔✔a. "I'll take my pill
at least 30 minutes before breakfast."
A diabetic patient asks the clinician why he needs to check his blood sugar at home even when he feels
good. Which of the following responses would be most appropriate?
a. "Control of glucose will help postpone or delay complications."
b. "Regularly checking blood sugar will help establish a routine."
c. "Monitoring glucose will promote a sense of control."
,d. All of the above - ✔✔d. All of the above
The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify
this patient?
a. Overweight
b. Mild obesity
c. Moderate obesity
d. Morbid obesity - ✔✔b. Mild obesity
Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The
clinician suspects acute gout. Which of the following should the clinician expect in the initial test results
for this patient?
a. Elevated uric acid level
b. Elevated blood urea nitrogen
c. Decreased urine pH
d. Decreased C-reactive protein - ✔✔a. Elevated uric acid level
Mr. W, 53 years old, is seen in the clinic with concerns about his left foot. He has a 40-year history of
type 1 diabetes with "fairly good" control on twice-daily insulin. He denies injury but states that he
tripped a few months ago and that his foot is sore when he walks. Physical examination reveals an
edematous, erythremic, and warm foot. There is a superficial ulcer on the plantar surface. Which of the
following is the most likely diagnosis?
a. Fallen arch
b. Arthritis
c. Charcot joint
d. Sprained ankle - ✔✔c. Charcot joint
Which of the following tests should you order to confirm Mr. W's diagnosis? a.
Bone scan
b. Computed tomography (CT) scan
c. X-ray of the foot
,d. Culture of the ulcer - ✔✔c. X-ray of the foot
A vegetarian patient with gout asks the clinician about food he should avoid. The clinician should advise
the patient to avoid which of the following foods?
a. Rice
b. Carrots
c. Spinach
d. Potatoes - ✔✔c. Spinach
The clinician should question the patient with suspected gout about use of which of these medications?
a. Low-dose aspirin
b. Thiazide diuretics
c. Ethambutol
d. All of the above - ✔✔d. All of the above
The clinician finds numerous nodules on the thyroid of a 65-year-old woman. The clinician suspects
thyroid cancer. Which of the following data would be most significant for this patient?
a. A history of tonsillectomy in the 1940s
b. Recent exposure to mumps
c. Vegetarian diet
d. Allergy to iodine - ✔✔a. A history of tonsillectomy in the 1940s
hich of the following is essential for diagnosing thyroid cancer?
a. Fine needle aspiration
b. Thyroid ultrasound
c. CT scan
d. Magnetic resonance imaging - ✔✔a. Fine needle aspiration
. Which of the following are common signs of type 2 DM?
, a. Anorexia
b. Recurrent yeast infection
c. Weight gain
d. Elevated HDL cholesterol - ✔✔b. Recurrent yeast infection
Which of the following medications can cause hyperglycemia?
a. Prednisone
b. Metformin
c. Synthroid
d. Cephalexin - ✔✔a. Prednisone
. Which of the following is diagnostic for diabetes mellitus?
a. A1C 7.0 on one occasion
b. Fasting blood sugar (FBS) of 100 mg/dL on two occasions
c. Random glucose of 200 mg/dL on two occasions
d. Two-hour post-load plasma glucose of 300 mg/dL on one occasion - ✔✔c. Random glucose of 200
mg/dL on two occasions
Which of the following medications for type 2 diabetes mellitus should not be prescribed during
pregnancy?
a. Insulin
b. Metformin
c. Glucotrol
d. Precose - ✔✔c. Glucotrol
. A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of diabetes
mellitus. Which of the following should be included in the differential diagnosis? a. Anxiety
disorder
b. Pheochromocytoma
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