a. Palpate hthe hlymph hnodes hand hspleen
b. Examine hthe hposterior horopharynx hfor hpetechiae
c. Obtain ha hCBC, hthroat hculture, hand hheterophil hantibody htest.
d. Obtain han hurinalyses hand hserum hfor hLFTs hand hamylase
Explanation: hmononucleosis his ha hsymptomatic hinfection hcaused hby hthe hEpstein-Bar hvirus.
hCommon his hpeople h15-24 h years hof hage. h Common hsigns hand hsymptoms hfollowing hincubation
a. trimethoprim-sulfamethoxazole h(Bactrim, hSulfatrim) hfor h7-10 hday
b. ciprofloxacin h(Cipro) hfor h3-5 hdays
c. Trimethoprim-Sulfamethoxazole hfor h3 hdays
d. 750 hmg hciprofloxacin has ha hone-time hdose
Explanation: htrimethoprim-sulfamethoxazole h(TMPS) his husuallyhn happropriate hmedication hto
htreat hurinary htract hinfections hin hmost hpatients. h In hthe hcase hof hcommunity hresistance hto hTMPS
3) Which hagent his hmost heffective hfor hthe htreatment hof hnodulocystic hacne?
a. Benzoyl hperoxide h(Benzac)
b. Retinoic hacid h(Retin hA)
c. Topical htetracycline
d. Isotretinoin)
Explanation: hIsotretinoin h(Accutane) his ha hsystemic hagent hindicated hfor htreatment hwith hsevere
hinflammatory hacne. hGuidelines hfor hits huse hmust hbe hclearly hunderstood hby hthe hpatient. hA hwoman
hof hchildbearing hage hmust huse han heffective hmethod hof hcontraception hbecause hisotretinoin his
hteratogenic. hThere hare hmany hrestrictions hin hprescribing hthis hmedication hbecause hof hthe
hteratogenic heffects his hgiven hduring hpregnancy. hTherefore, hit his ha hpregnancy hcategory hX.
4) An h18 hy/o hwoman his htaking ha hcombined hhormonal horal hcontraceptive. hShe hshould
hbe hinstructed hto huse ha hbackup hmethod hfor hthe hprevention hof hpregnancy
1
,a. Throughout hthe hweek hof hplacebo hpills
b. If hprescribed htopiramate h(Topamax) hfor hthe htreatment hof hmigraines.
2
,c. If hprescribed hamoxicillin/clavulanate h(Augmentin) hfor ha hsinus hinfection
d. if hshe hforgets hto htake ha hsingle hdose hof hthe hcontraceptive
hand hreducing hmorbidity hand hmortality hassociates hwith hdyslipidemia?
a. Niacin h(Niaspan)
b. Atorvastatin
c. Omega h3 hfatty hacids
d. Fenofibrates
Explanation: hFirst hand hforemost, hit his hessential hto heducate hindividuals hon ha hheart-healthy
hlifestyle. hLDL-C his hone hof hthe hmajor hculprits hin hthe hdevelopment hof hatherosclerotic hheart
hdisease. hThe htarget hlevel hof hLDL-C his hbetween h50 hto h70mg/dl hto hprevent hplaque hformation hin
6) A h30 hyears hold hfemale hcomes hinto ha hclinic hwith hclassic hsigns hand hsymptoms hof
happendicitis. hThe hNP hfails hto hrefer hthe hpatient hto ha hsurgeon. hThe happendix hruptures hand hthe
hwoman hdie. hThis his han hexample hof
a. Failure hof hdiligence
b. Professional hliability
c. Negligence
d. Malpractice
Explanation: hmalpractice, ha hnegligence htort, hoccurs hwhen ha hhealth hcare hprofessional’s hactions
hfall hbellow hthe happropriate hstandard hof hcare hand hhurts hthe hpatient. hIn hthis hcase hthe hpatient hcame
hwith hsings hand hsymptoms hindicating happendicitis hand hthe hNP hfailed hto hrefer hthe hpatient..
7) A hNP hhas hrecently hbeen hhired hto hwork hin ha hfast htrack hfacility. hThe hNP hemployer hasked
hif hshe hhas h―a hproblem hprescribing hmedications hfor hemergency hcontraception.‖ hThe hNP
hreplies haffirmatively. hThis his:
a. Grounds hfor hdismissal
b. An hethical hdilemma hfor hthe hNP
3
, c. Illegal haccording hto hthe hstandards hof hnursing
d. Patient habandonment.
Explanation: hin hthis hinstance, hthe hNP hhas ha hdifference hof hopinion hwith hher hemployer hbased hon
hher hreligious hor hmoral hbelief habout hproviding hemergency hcontraception. hThis hsituation his han
hexample hof han hethical hdilemma. hFailure hto hparticipate hin hthe hprovision hof hcare hto hthe hpatient
hbased hon hthe hNP’s hbeliefs his hneither hagainst hthe hlaw hnor ha hviolation hof hthe hstandards hof hpractice
8) A hpatient hpresents hwith hpruritic hlesions hon hboth hknees. hThere hare hvisible hsilver hscales.
hHow hShould hthis hcondition hbe hmanaged?
a. Topical hantifungal hcream hor hointment
b. Oral hantibiotics
c. Topical hcorticosteroids hcream
d. Topical hanti-fungal/ hsteroid hcream
Explanation: hPsoriasis his hcharacterized hby herythematous hpapules, has hwell has hitchy, hred, hprecisely
hdefined hplaques hwith hsilvery hscales. hAuspitz hsings his hanother hcommon hfinding. hTopical hagents
hcontaining htar hand hsalicylic hacid hmay hbe hused. hTopical hsteroids, hsuch has hbetamethasone, hmay
halso hbe hordered.
9) Antidepressant hdiscontinuation hsyndrome his hless hlikely hif hthe hpatient
a. Is hmale
b. Is hless hthan h35 hy/o
c. Has htaken han hSSRI hwith ha hshort hhalf hlife
d. Gradually htapers hSSRI huse
Explanation: hAntidepressant hdiscontinuation hsyndrome his hmost hoften hseen hin hthe hprimary hcare
hoffice hin hassociation hwith hSSRI hdiscontinuation, hbecause hSSRIs hare hthe hmost hcommonly
depressant hmedication his hsometimes hassociated hwith han hantidepressant hdiscontinuation
hsyndrome; hin hearly hreports hit hwas hreferred hto has ha h―withdrawal hreaction. hSymptoms hof
a. Alpha hadrenergic hantagonist
b. Anti-androgen hagents
c. Tricyclic hantidepressant h(TCA)
d. Sulfonamides
Explanation: htricyclic hantidepressant hshould hnot hbe hused hby hmen hwith hbenign hprostatic
hhyperplasia hbecause hof hthe hincreased hrisk hof hurinary hretention hsecondary hto hthe hanticholigergic
heffects hof hTCAs.
11) Which hof hthe hfollowing his hthe hbest hresponse hto ha hwoman hwho hhas hjust hadmitted hshe his
ha hvictim hof hspousal habuse?
a. What hwas hif hyou hdid hto hmake hhim hangry?
4
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