2024|25 NSG6440 FINAL EXAM PREDICTOR QUESTIONS WITH ANSWERS | GRADED A+
1) A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects mononucleosis. Which of ...
1) A 15 years old high school student with a mild sore throat and low-grade fever that has
persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP
suspects mononucleosis. Which of the following is the LEAST appropriate intervention?
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtain a CBC, throat culture, and heterophil antibody test.
d. Obtain an urinalyses and serum for LFTs and amylase
Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar virus.
Common is people 15-24 years of age. Common signs and symptoms following incubation
period (1-2 months) include fatigue, chills, malaise, anorexia, white tonsillar exudates and
lymphadenopathy or posterior cervical region. Splenomegaly can be present. A maculopapular or
occasionally a petechial rash occurs in less than 15% of patients. A diagnosis is usually made
using the Monospot. In addition, neutropenia and lymphocytosis are usually detected in the CBC.
2) A 32 years old male patient complaint of urinary frequency and burning on urination for 3
days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary tract
infections. The initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose
Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate medication to
treat urinary tract infections in most patients. In the case of community resistance to TMPS
>20%^, another medication should be substituted. In men, the appropriate length of time is 7-10
days. Women may be treated for 3 days for uncomplicated UTI
3) Which agent is most effective for the treatment of nodulocystic acne?
a. Benzoyl peroxide (Benzac)
b. Retinoic acid (Retin A)
c. Topical tetracycline
d. Isotretinoin)
Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with severe
inflammatory acne. Guidelines for its use must be clearly understood by the patient. A woman of
childbearing age must use an effective method of contraception because isotretinoin is
teratogenic. There are many restrictions in prescribing this medication because of the teratogenic
effects is given during pregnancy. Therefore, it is a pregnancy category X.
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,4) An n18 ny/o nwoman nis ntaking na ncombined nhormonal noral ncontraceptive. nShe nshould
nbe ninstructed nto nuse na nbackup nmethod nfor nthe nprevention nof npregnancy
a. Throughout nthe nweek nof nplacebo npills
b. If nprescribed ntopiramate n(Topamax) nfor nthe ntreatment nof nmigraines.
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,c. If nprescribed namoxicillin/clavulanate n(Augmentin) nfor na nsinus ninfection
d. if nshe nforgets nto ntake na nsingle ndose nof nthe ncontraceptive
9) Antidepressant ndiscontinuation nsyndrome nis nless nlikely nif nthe npatient
a. Is nmale
b. Is nless nthan n35 ny/o
c. Has ntaken nan nSSRI nwith na nshort nhalf nlife
d. Gradually ntapers nSSRI nuse
a. Alpha nadrenergic nantagonist
b. Anti-androgen nagents
c. Tricyclic nantidepressant n(TCA)
d. Sulfonamides
Explanation: ntricyclic nantidepressant nshould nnot nbe nused nby nmen nwith nbenign nprostatic
nhyperplasia nbecause nof nthe nincreased nrisk nof nurinary nretention nsecondary nto nthe nanticholigergic
neffects nof nTCAs.
11) Which nof nthe nfollowing nis nthe nbest nresponse nto na nwoman nwho nhas njust nadmitted nshe nis
na nvictim nof nspousal nabuse?
a. What nwas nif nyou ndid nto nmake nhim nangry?
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