The 27 year old patient is experiencing secondary amenorrhea.
At the time of her visit her period is 5 weeks late. she has given
birth twice before and says she does not believe she is
pregnant since she is not experiencing any symptoms of
pregnancy. What is your first step as her nurse practitioner
• Perform a public ultrasound to check her anatomical
abnormalities
• refer the patient to an endocrinologist
• refer the patient to an oncologist
• order a pregnancy test D
,A 50 year old male has weakness in his quadriceps, pain rating
into the medical malleolus comma along with numbness and a
diminished patellar reflex period you suspect an L34 disc
herniation period which screening exam is appropriate to
confirm this diagnosis
• Have the patient walk on heels of feet
• have the patient walk on toes
• have the patient reach upward keeping head forward
• have the patient squat and rise D
A mother of a 15 year old high school student is inquiring about
contraception options for her daughter. She mentions oral
contraceptives but is curious about the disadvantages of this
method. What would be your best response?
• Oral contraceptives though effective in many cases are
considered too expensive for some women can lead to mood
changes offer no protection against HIV and can cause rare
circulatory complications
• oral contraceptives are very cost effective for women and
provide a great choice for protection against HIV. Oral
contraceptives, however, must be taken daily and have possible
side effects such as nausea, headaches, and breakthrough
bleeding.
,• Oral contraceptives are difficult to locate and offer no
protection against HIV. Furthermore, oral contraceptives
increase the risk of rare liver tumors and must be taken daily.
• oral contraceptives provide protection against HIV
infections and are cheap for most women. Oral contraceptives
do, however, increased the risk of rare liver tumors, must be
taken daily, and have possible side effects such as nausea
headaches and breakthrough bleeding.
A
From the following, which is a characteristic of the 2007
National Heart lung and blood Institute or national asthma
education and prevention program guidelines for the diagnosis
and management of asthma?
• If continued controlled asthma is sustained for two months
of treatment, step down treatment may begin
• patients are organized into four distinct age groups based
on current impairment and future risk
• for the treatment of persistent asthma, ICS are typically
contraindicated for patients younger than five years of age
• long acting beta agonists may be combined with inhaled
cortical steroids to act as a step up treatment for persistent
asthma
D
, You are performing a quad screen on a pregnant patient, which
component of the screen is most telling in detecting Down
syndrome?
• Amniotic fluid
• human chorionic gonadotropin
• estriol
• Alpha fetoprotein D
A woman was in a motor vehicle crash in which she states her
abdomen hit the steering wheel. She tells you that as she is
approximately 3 months pregnant. Given your knowledge of
obstetrics, what will you assess?
• Braxton Hicks
• the fundus which should be palpable below the umbilicus
• fetal heart tones
• Leopold maneuvers C
A 24 year old is presented to the urgent care clinic with a
markedly solin scrotum. He admits to being moderately sexually
active with several partners in the past year. He denies any
trauma or injury. He also adds "it hurts when I pee". Based on
your suspected diagnosis which agent would be most
appropriate to order at this time
• Trimethoprim-sulfamethoxazole + ciprofloxacin
• finasteride + oflaxacin
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