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A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her left wrist. She thought she just bruised it but is worried because it has not improved. She has used Tylenol® and ice at home, and that has helped slightly. You examine her and find she has moderate swelling and ecc...

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Publié le 9 novembre 2024
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nr 511

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NR 511 Final Exam
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it but is worried because it
has not improved. She has used Tylenol® and ice at home, and that has helped slightly.
You examine her and find she has moderate swelling and ecchymosis but no overtly
obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain.
No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill
is less than 2 seconds. What should you do? - ✔️✔️Obtain a wrist x-ray and place her
wrist in a splint or
prescribe a splint

A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer exercise.
Pelvic exam reveals a single, very large mass. Which of the following diagnostic tests
should the clinician order first? - ✔️✔️Transvaginal ultrasound

Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process? - ✔️✔️C-reactive
protein (CRP

Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter? - ✔️✔️Dopamine

Mrs. Thomas was seen in the oﬃce complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a day of
gardening one week ago. A physical finding that diﬀerentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is: - ✔️✔️Pain at the elbow with
resisted movements at the wrist and forearm

The most cost-eﬀective screening test for determining HIV status is which of the
following? - ✔️✔️Enzyme-linked immunosorbent assay

Which of the following statements concerning the
musculoskeletal examination is true? - ✔️✔️The uninvolved side should be examined
initially and then compared to the involved side.

Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain? - ✔️✔️Morning stiﬀness

Which causes the greatest percentage of mammalian bites? - ✔️✔️Dogs

, 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? - ✔️✔️Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
ALL OF THE ABOVE

A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On physical
examination, the clinician notices a sinus bradycardia; muscular stiﬀness; coarse, dry
hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests
should be ordered next? - ✔️✔️TSH

Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy? - ✔️✔️Glucotrol

During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding should make the clinician
suspicious? - ✔️✔️An enlarged rubbery gland

Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your first step? -
✔️✔️Immobilize the insect with 2% lidocaine.

What is the most common cause of microcytic anemia? - ✔️✔️Iron-deficiency anemia

An 82-year-old man is seen in the primary care oﬃce with
complaints of dribbling urine and diﬃculty starting his stream. Which of the following
should be included in the list of diﬀerential diagnoses? - ✔️✔️Benign prostatic
hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove

Early rheumatoid disease is characterized by: - ✔️✔️Joint swelling and immobility on
rising

The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders, 5th edition (text revision) state that excessive worry or apprehension must be
present more days than not for at least: - ✔️✔️6 months

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