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Test Bank for Primary Care: The Art and Science of Advanced Practice Nursing and Interprofessional Approach 6th Edition M Dunphy / 9781719644655 / Chapter 1-88 ,All Chapters with Answers and Rationals .

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test bank for primary care the art and science o
test bank for primary care the art and science
test bank for primary care
primary care the art and science o

Institution Tes- Bank for Primary Care: The Art and Science o
Course Tes- Bank for Primary Care: The Art and Science o

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Test Bank for Primary Care: The Art and Science
of Advanced Practice Nursing and
Interprofessional Approach 6th Edition M Dunphy
/ 9781719644655 / Chapter 1-88 ,All Chapters
with Answers and Rationals .
A 20 y/o female with asthma presents with symptoms requiring use
of albuterol three times a week, but less than once a day. The next
appropriate medication to add to this patient's regimen is..... - ANS-
Inhaled flunisolide (Aerobid)

A 55-year-old man with a *50 pack year history of smoking*
cigarettes has recently experienced an episode of hemoptysis along
with his usual cough. On physical examination he has no abnormal
findings. A sputum for cytology on microscopic examination shows
atypical cells with hyperchromatic nuclei and orange-pink
cytoplasm. Labortory studies show an *elevated serum calcium* of
11.3 mg/dL, with phosphorus 2.1 mg/dL. *Which chest radiographic
finding is this man most likely to have?* - ANS-Large hilar mass

During a cardiac arrest, a 58-year-old man, a non-smoker, receives
cardiopulmonary resuscitative measures and is brought to the
hospital, where he is intubated. *During the intubation procedure he
suffers aspiration of gastric contents.* Over the next 10 days he
develops a non-productive cough along with a fever to 37.9°C. *A
chest radiograph reveals a 4 cm diameter mass with an air-fluid
level* in the right lung. A sputum gram stain reveals mixed flora.
*Which condition is he most likely to have?* - ANS-Lung Abscess

,A 66-year-old man has had increasing dyspnea for the past year. He
is *retired from the construction business.* There are some rales
auscultated in both lungs on physical examination. A chest
radiograph reveals bilateral diaphragmatic *pleural plaques* with
focal calcification as well as diffuse interstitial lung disease. A
sputum cytology shows no atypical cells, only ferruginous bodies.
Pulmonary function studies reveal a low FVC and a normal
FEV1/FVC ratio. *These findings are most likely to suggest prior
exposure to what environmental agent?* - ANS-Asbestos crystals

A 44 y/o male with lung cancer presented with swelling of the neck
and right upper extremity. What is this called? - ANS-Superior Vena
Cava Syndrome

What type of pharmacological agent would be used as a first-line
medication to treat obsessive compulsive disorder?

A. risperidone
B. lonazepam
C. fluoxetine
D. trazadone
E. venlafaxine - ANS-fluoxetine

The risk of extrapyramidal side effects (pseudoparkinsonism) and
tardive dyskinesia is associated with which class of medications? -
ANS-typical (first-generation) antipsychotics

A 24-year-old male has an eight-month history of loose thought
associations, social withdrawal, auditory hallucinations, and
deterioration in his personal appearance and hygiene. Upon
examination, he is noted to have a flat affect, perceptual
distortions, and behaves like he is detached from his own actions.

,*Which of the following medications used in treatment of this
disease has the risk of prolonging the QTc interval?*

Aripiprazole (Abilify)
Chlorpromazine (Thorazine)
Loxapine (Loxitane)
Quetiapine (Seroquel)
Ziprasidone (Geodon) - ANS-Chlorpromazine (Thorazine)

Which of the following psychiatric conditions has the highest
mortality rate? - ANS-anorexia nervosa
(higher than any psych illness, including depression)

A 24-year-old woman comes to your office complaining of anxiety.
The patient had *witnessed a traumatic event 3 days earlier* that
made her feel fearful. She has not been able to tell her family about
this experience. She now feels like she is numb and in a dazed,
dreamlike state with poor concentration, and difficulty sleeping.
She experienced a flashback of the event yesterday. *What is the
most likely diagnosis?* - ANS-acute stress disorder

*Mr. Smith leaves home and does not return* nor does he go to
work. *A friend of Mr. Smith sees him in another state* while on
vacation. When he approaches Mr. Smith, he does not recognize
him and has a total different demeanor. *What type of disorder does
Mr. Smith have?* - ANS-dissociative fugue

Which of the following indicates a poor prognosis for someone
diagnosed with schizophrenia?

A. acute onset
B. co-morbid mood disorder
C. obvious precipitating event

, D. younger age at diagnosis - ANS-younger age at diagnosis

A 16-year-old Caucasian female is brought to your family practice
office by her mother because she has been missing school and her
mother is concerned. The patient has symptoms consistent with
mild to moderate depression. *She has a history of menstrual
migraines* and now has vague constitutional symptoms all the time
and doesn't want to get out of bed in the morning. The patient
confesses that over the past month she has felt that she is not
important to anyone and wonders if the world will be better off
without her. *Of the following, which is your greatest concern when
considering prescribing her a selective serotonin reuptake inhibitor
(SSRI)?*

- compliance to the medication regime
- increased risk of suicide as detailed in black box warnings
- nausea-related side effects as you titrate upwards
- risk of pregnancy when taking psychiatric medications
- risk of serotonin syndrome, should you need to prescribe a tr -
ANS-risk of serotonin syndrome, should you need to prescribe a
triptan for her migraines

A 37-year-old woman under your care is diagnosed with bipolar I
disorder. As part of her drug regimen, you prescribe lithium
carbonate as long-term maintenance therapy. *What lab would be
most appropriate to order prior to the initiation of lithium
carbonate?* - ANS-serum creatinine

A *68-year-old* man is recently *diagnosed with depression*
associated with the loss of his close sister to an automobile
accident. He is currently taking oxybutynin for *overactive bladder
disease* and lisinopril for hypertension. He has no known drug

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Exam (elaborations)

Test Bank for Primary Care: The Art and Science of Advanced Practice Nursing and Interprofessional Approach 6th Edition M Dunphy / 9781719644655 / Chapter 1-88 ,All Chapters with Answers and Rationals .

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