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BARKLEY 3P EXAM ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ Assuming these do not present with symptoms other than those stated, antibiotic use is most likely to be appropriate $28.49
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BARKLEY 3P EXAM ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ Assuming these do not present with symptoms other than those stated, antibiotic use is most likely to be appropriate
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Course
BARKLEY 3P
Institution
BARKLEY 3P
BARKLEY 3P EXAM ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
Assuming these do not present with symptoms other than those stated, antibiotic use is most likely to be appropriate for which of the following patients?
BARKLEY 3P...
BARKLEY 3P EXAM 2024-2025 ACTUAL EXAM 100
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
Assuming these do not present with symptoms other than those stated, antibiotic use is most likely to be
appropriate for which of the following patients?
a. The 2-year-old with onset of mucopurulent rhinitis two days ago
b. The 10-year-old with dry cough lasting 7 days
c. The 60-year-old with clear rhinorrhea for 3 weeks.
d. The 5-year-old with cough and mucopurulent rhinitis for 3 weeks - ANSWER-d. The 5-year-old with
cough and mucopurulent rhinitis for 3 weeks
Azole antifungals are most likely to cause torsades de pointes in which patient population?
Patients taking isoproterenol
a. African- Americans
b. Females
c. Adults over the age of 65 - ANSWER-c. Females- Azole can cause in Men and women, but 2-3x more
common in Women. Prolonged QT interval is 10 microseconds longer in women= more recorded
dysrhythmias. Isoproterenol is beta agonist used in tx of torsades & no significant interaction w/
azoles. African Americans less susceptible to torsades than Caucasians, & most common ages 35-50.
Benjamin, age 22, comes into your practice complaining of extreme pain in his lower abdomen. You use a
stethoscope to listen to his bowel sounds and hear nothing. Which of the following is not a cause of
hypoactive bowel sounds?
Peritonitis
a. Constipation
b. Paralytic ileus
c. Norovirus - ANSWER-d. Norovirus
Beta blockers are not used for which of the following conditions?
Performance anxiety
,a. Migraine prophylaxis
b. Reduction of perioperative mortality
c. Insulin induced hypoglycemia - ANSWER-d. Insulin induced hypoglycemia.-
will not aid, more likely to retard recovery. Low dose can be used for performance enhancement, treat
migraines, and decrease perioperative mortality of cardiac Pts.
Cecilia, age 56, comes into the clinic with severe abdominal cramping. During the physical exam, you ask
her to lie on her back, and you press into her abdomen about 2-3 inches to determine the skin surface
and musculature. Which test are you performing?
Deep Palpation
a. Blumberg's sign
b. Light palpation
c. Voluntary guarding - ANSWER-a. Deep Palpation-
checks for abdominal muscles, Blumberg's slowly push in and rapid pull back, light palpation is 1 cm,
guarding judges rigidity of muscles d/t involuntarily movement.
Early detection of acute leukemia would include which of the following symptoms?
a. Dizziness, dehydration, palpitations, hypotension
b. Dyspnea, paresthesia, malaise
c. Bradycardia, abdominal pain, fever
d. Bruising, fatigue, bone pain, anorexia. - ANSWER-d. Bruising, fatigue, bone pain, anorexia.
Endometriosis is most likely caused by which of the following?
Obstruction within the fallopian tubes prevents the endometrial tissue from adhering to the lining of the
uterus
a. Endometrial tissue passes through the fallopian tubes and into the peritoneal cavity and remains
responsive to hormones.
b. Inflammation of the endometrial tissue develops after recurrent sexually transmitted diseases.
c. Endometrial tissue lies dormant in the uterus until the ovaries produce sufficient hormone to
stimulate it's growth - ANSWER-b. Endometrial tissue passes through the fallopian tubes and into the
peritoneal cavity and remains responsive to hormones.
, For managing breakthrough pain in the opioid tolerant cancer patient already receiving around the clock
opioids:
Transmucosal fentanyl (Actiq) or immediate release oral morphine would be considered first choice
medications.
a. Based on the equianalgesic table, the dosage of opioid to manage this pain should be half the total
daily opioid dose
b. Dosing of the breakthrough pain medication should be repeated every 6 hours on a fixed schedule.
c. Breakthrough pain should be managed with nonpharmacologic means or acetaminophen. - ANSWER-
a. Transmucosal fentanyl (Actiq) or immediate release oral morphine would be considered first choice
medications.
For the treatment of relapsing-remitting multiple sclerosis, the nurse practitioner knows that:
a. First-line therapy typically involves an immunomodulator
b. Natalizumab is one of the safest drugs to use as initial therapy
c. A patient using interferon-beta products would have to have renal function monitored.
d. Fingolimod is given intravenously for patients with resistant remitting-relapsing multiple sclerosis. -
ANSWER-a. First-line therapy typically involves an immune modulator
therapy begins with interferon-beta products (fingolimod, glatiramer, natalizumab) which are immune
modulator. Natalizumab limited (assoc w/ infections in brain) are used if others don't work. Meds are
hepatotoxic and need liver function monitoring. Fingolimod is 1st ORAL disease modifying med approved
for MS.
he main reason for discontinuance of implanted etonogestrel (Nexplanon) is: a. Weight gain
b. Pregnancy
c. Breast tenderness
d. Irregular bleeding - ANSWER-d. Irregular bleeding
If a patient's abdomen is protuberant but soft and non-distended, what is the most likely diagnosis?
A hernia
a. Enlarged liver
b. Enlarged spleen
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