88 yo Mrs. Anderson's b/p is 100/60 in a seated position. Her
b/p was taken again with her lying down and was 102/60. You
let her rest for 10 mins then have the her stand up. Upon
standing her b/p is 80/40. Which of the following statements are
true? Check all that apply. Correct Answers She has orthostatic
hypotension because her systolic reading drops by more than
20mmHg; The there is any dizziness with standing the patient
should lie down immediately.
A 57 year old post-menopausal woman presents with increasing
frequency of epistaxis and bleeding gums. Which of the
following medications might be contributing directly to her
symptoms? Correct Answers anticoagulants like Coumadin or
warfarin
A 7 month old baby boy presents for evaluation for a possible
ear infection. You note that he is not able to sit very well
without support. Which of the following is the most accurate
statement? Correct Answers by 6 months of age a child should
be able to sit without support
A hernia is incarcerated when Correct Answers its contents
cannot be returned to the abdominal cavity
A patient complains of pain in his right great toe that started
suddenly last night. On exam you note the large
metatarsophalangeal joint is hot to touch, swollen, and very
tender. Which of the following is your top differential? Correct
Answers acute gouty arthritis
,A patient presents to you with complaints of sudden an painful
loss of vision in their left eye. Which of the conditions below
would you suspect based on this description? Correct Answers
uveitis or corneal ulcer
A patient presents with acute pelvic pain with no itching or
discharge. Which of the following would you include in your
differential?Select all that apply. Correct Answers ectopic
pregnancy; appendicitis; pelvic inflammatory disease; ruptured
ovarian cyst
a positive Murphy's sign includes... Correct Answers sudden
stop in inspiratory effort
An adult female patient presents for a chief complaint of
frequent sunburns and recent development of sores in the mouth.
She denies any recent changes to outdoor activities or skin
protection practices, and note she never used to get sunburns. On
exam, in addition to several oral ulcers, you note a malar rash.
Based on this constellation of symptoms, you suspect Correct
Answers lupus
Andrea is 35 weeks pregnant and fractured her wrist over the
weekend. She is anxious to be out of her cast by the time she
delivers her baby. Which of the following would the APN be
able to tell her at this time? Correct Answers due to the
inflammatory state of pregnancy, it may take longer for her wrist
to heal
, Andrew is a 36 yo male with a history of depression. He has
been out of his medication and returns for a check up and refill
of his medication for depression. Andrew states "I don't want to
live anymore". Which is the most appropriate response? Correct
Answers ask Andrew if he has thoughts of harming or killing
himself
Anisocytosis is the medical term for which of the following?
Correct Answers unequal sized RBCs
anxiety patient presentation Correct Answers 19 year old
afebrile female, presenting for chief complaint of shortness of
breath before exams at school, denies cough, wheeze, heartburn
AUDIT acronym Correct Answers alcohol use disorders
identification test
cardinal techniques of physical examination Correct Answers
inspection, auscultation, palpation, percussion
characteristics of skin lesions associated with melanoma
Correct Answers ABCDEs
change in size, inconsistent color patterns, blurred borders,
irregular shapes
chronic bronchitis patient presentation Correct Answers A 75
year old smoker, presenting for a productive cough for 6 months
and dyspnea when walking up stairs that seems to be getting
worse, denies fever, chills, weight loss or chest pain
clubbing of nails indicates... Correct Answers COPD