SARAH MICHELLE LIVE REVIEW EXAM NEWEST ACTUAL EXAM 700 QUESTIONS AND ANSWERS 2024.
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SARAH MICHELLE
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SARAH MICHELLE
SARAH MICHELLE LIVE REVIEW EXAM NEWEST ACTUAL EXAM 700 QUESTIONS AND ANSWERS 2024.
A child that has a history of mononucleosis is at increased risk for development for what cancer later in life? And why? - ANSWERHodgkin's Lymphoma and Burkitt's Lymphoma, this is due to the exposure of the Epst...
SARAH MICHELLE LIVE REVIEW EXAM NEWEST
ACTUAL EXAM 700 QUESTIONS AND ANSWERS 2024.
A child that has a history of mononucleosis is at increased risk for development for what
cancer later in life? And why? - ANSWERHodgkin's Lymphoma and Burkitt's
Lymphoma, this is due to the exposure of the Epstein-Barr virus
A new graduate nurse practitioner has a patient presents with a hearing complaint. The
patient states that they have had decreased hearing on the right side for the last month
that is continuing to get worse. The NP completes both the Rinne and Weber tests. If
the patient has Ménière's disease, what would be the expected finding on the Weber
test?
1. AC is 2 times longer than BC
2. BC is 2 times longer than AC
3. The tuning fork lateralizes to the right ear
4. The tuning fork lateralizes to the left ear - ANSWER4. The tuning fork lateralizes to
the left ear
A presence of thyroid peroxidase antibodies indicates that? - ANSWERHypothyroidism
is caused by an autoimmune process of some sort
A score of 0-10 on the MMSE indicates what? - ANSWERSevere cognitive impairment
A score of 10-20 on the MMSE indicates what? - ANSWERModerate decline in
cognitive impairment
Antacids are most effective when taken how many minutes before a meal? -
ANSWER30 minutes
Antacids with calcium or aluminum may cause what? - ANSWERConstipation- this is a
consideration especially in the elderly population
Antacids with magnesium may cause what? - ANSWERDiarrhea
Anytime a female of childbearing age is having GU complaints, what should we order? -
ANSWERHcg urine pregnancy test
Are down syndrome patients able to play sports? - ANSWERAs long as they are
cleared prior with a C-Spine XR and it does not show any instability
,Are we able to have collaborative agreements with people other then physicians? -
ANSWERYes, dentists and DO's, NOT chiropractors
At what HgbA1c are we going to initiate insulin? - ANSWER> 9%
Beside thalassemia, what is another condition that can cause you to absorb too much
iron? What is the treatment? - ANSWERHemochromatosis- treatment is regular
phlebotomy
Can bulk laxatives be taken long term? - ANSWERYes, they can be used to treat and
prevent constipation
Colcrys should be prescribed with caution to those with what condition? -
ANSWERRenal impairment
Colcrys should be prescribed with caution to those with what condition? -
ANSWERRenal impairment
Define autonomy - ANSWERThe patient has the ability to make their own decisions.
Define beneficence - ANSWERTo do good- an action that is done for the benefit of
others.
Define fidelity - ANSWERLoyalty
Define justice - ANSWERFair and equal treatment for all
Define non-maleficence - ANSWERTo do no harm
Define paternalism - ANSWERYou are trying to decide what is best for them, because
you disagree with what they chose.
Define veracity - ANSWERTelling the truth
Describe use of Depo-Provera - ANSWERInjection every 12-13 weeks
Describe use of Depo-Provera - ANSWERInjection every 12-13 weeks
Describe use of Ortho-Vera patch - ANSWERApply once a week for 3 weeks and then
take off for one week for period
Describe use of Ortho-Vera patch - ANSWERApply once a week for 3 weeks and then
take off for one week for period
Describe use of the Nuvaring - ANSWERKeep in place for 3 weeks, then remove for
one week
,If it falls out, be sure to reinsert ASAP
Provides low and steady amounts of hormones- less ups and downs
Describe use of the Nuvaring - ANSWERKeep in place for 3 weeks, then remove for
one week
If it falls out, be sure to reinsert ASAP
Provides low and steady amounts of hormones- less ups and downs
Determining which nerve is the root of the patient's sciatica: L4 - ANSWERIf L4 is the
root cause of the sciatica: Squat and rise exam and their knee jerk will be diminished
Determining which nerve is the root of the patient's sciatica: L5 - ANSWERIf L5 is the
root cause of the sciatica: Have patient do heel walking and there will be numbness at
the great toe
Determining which nerve is the root of the patient's sciatica: S1 - ANSWERIf S1 is the
root cause of the sciatica: Have patient walk on their toes and there will be a diminished
or absent ankle jerk
Do type 2 diabetes patients need to take a daily aspirin? - ANSWERNot necessarily, if
they are at increased risk of heart disease then they can take a daily aspirin
Do we treat patients that have a UA + for leukocytes/nitrites but no symptoms? -
ANSWERThe only patient that you would treat this is if they are pregnant- this would a
risk for the baby, all other patient, if asymptomatic there is no need to treat
Do you stop alloipurinol during an acute attack? - ANSWERNo, patient should continue
taking allopurinol during an acute attack
Does Medicaid coverage vary from state to state? - ANSWERYes, because the states
have some control of it.
Does Metformin cause hypoglycemia? - ANSWERNO, Metformin works in the body by
inhibiting glucose production in the liver. Due to that there are no issues with
hypoglycemia
Does SGLT-2 inhibitors cause hypoglycemia? - ANSWERSGLT-2 inhibitors have a
LOW risk for hypoglycemia
DPP-4 inhibitors are contraindicated in patients with a history of what condition? -
ANSWERPancreatitis
DRE- what is the expected assessment of prostate gland of a patient with BPH? -
ANSWERNon tender, enlarged, symmetrical, rubbery prostate
Gastroenteritis- how do we diagnosis it? - ANSWERLook at overall clinical picture:
, Basic lab work: CBC, CMP, UA
Stool studies: Stool culture, occult blood, C Dif, and stool for ova and parasites
Hep A: If BOTH IgM anti-HAV and IgG anti-HAV are negative, what does this mean? -
ANSWERThey are susceptible and need immunization!
Hepatitis D only occurs in what population? - ANSWERThose who are also infected with
Hepatitis B
How are scaphoid fractures most caused? - ANSWERIf patient reports they fell with
their hands braced to catch them
How can osteoporosis be prevented? - ANSWERWeight bearing exercise
Calcium 1200 mg
Vitamin D 800-1000 units
How can you diagnose RA? - ANSWERLab work: ESR, RF
Refer to rheumatology for official diagnosis
How can you diagnose RA? - ANSWERLab work: ESR, RF
Refer to rheumatology for official diagnosis
How do alpha-glucose dose inhibitors work? - ANSWERInhibit glucosidase in the small
intestines
How do anti-diarrheal work? - ANSWERWorks by slowing down how quickly fluid is able
to move through the GI tract.
How do biphosphonates work? - ANSWERInhibits the reabsorption of bone by the
osteoclasts, which in turn increases bone density because it allows the osteoblasts to
build up the bone to work more effectively.
How do biphosphonates work? - ANSWERInhibits the reabsorption of bone by the
osteoclasts, which in turn increases bone density because it allows the osteoblasts to
build up the bone to work more effectively.
How do bulk laxatives work? - ANSWERThey work by absorbing fluid in the intestines,
which creates a jelly-like passable stool. "Bulk up" that bowel movement, so it can pass.
How do NSAIDs work? - ANSWERBlock the COX enzyme, which inhibits the production
of prostaglandins
How do NSAIDs work? - ANSWERBlock the COX enzyme, which inhibits the production
of prostaglandins
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