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Exam (elaborations)

MN551 WEEK 10 FINAL EXAM

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MN551 week 10 final Which of the following sexually active women most likely faces the highest risk of developing an ectopic pregnancy? A 42 yo female patient with a long standing history of chronic nausea and vomiting but a near insatiable appetite has had her symptoms Which of the following individuals demonstrates a health problem with his or her axial skeleton? QUESTION 1. The unique clinical presentation of a three-month-old infant in the emergency department leads the care team to suspect botulism. Which of the following assessment questions posed to the parents is likely to be most useful in the differential diagnosis? (Points : 0.4) “Have you ever given your child any honey or honey-containing products?” Botulism in infants is frequently attributable to honey. Family history is not a relevant consideration given the bacterial etiology, and mold and chemical cleaning products are not known to predispose to botulism toxicity. “Is there any family history of neuromuscular diseases?” “Has your baby ever been directly exposed to any chemical cleaning products?” “Is there any mold in your home that you know of?” Question 2. 2. A nurse practitioner is providing care for a 68-year-old female whose anxiety disorder is significantly decreasing her quality of life. Which of the following pharmacologic therapies is most likely to benefit the woman? (Points : 0.4) A drug that influences gamma-aminobutyric acid (GABA) levels GABA is often implicated in anxiety disorders, and benzodiazepines address this neurotransmitter. An MAO inhibitor increases the concentration of serotonin and norepinephrine. MAO inhibitors are occasionally prescribed for depression not responding to SSRIs and would not be indicated for an anxiety disorder. Calcium channel blockers are good for lowering BP and minimizing arterial spasms but are usually not prescribed for anxiety. A selective serotonin reuptake inhibitor (SSRI) An antipsychotic medication that blocks dopamine receptors An epinephrine and norepinephrine supplement A 60 woman who is 11 years menopausal has presented to the emergency department stating “I haven’t had my period in years, but lately Ive been bleeding again

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