BARKLEY PRE EXAM AND POST EXAM NEWEST 2024 ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS with rationales ALREADY GRADED A+
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BARKLEY PRE
Institution
BARKLEY PRE
BARKLEY PRE EXAM AND POST EXAM NEWEST
2024 ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS with rationales
ALREADY GRADED A+
NMES is applicable for all of the following clinical interventions EXCEPT:
a. reduce spasm
b. maintain ROM during period of inactivity
c. post-operative acut...
BARKLEY PRE EXAM AND POST EXAM NEWEST
2024 ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS with rationales
ALREADY GRADED A+
NMES is applicable for all of the following clinical interventions EXCEPT:
a. reduce spasm
b. maintain ROM during period of inactivity
c. post-operative acute motor strengthening
d. increased circulation
e. muscle re-education
C
Which of the following clinical scenarios is NOT appropriate for application of NMES?
a. muscle strengthening 1-week post-op ACL reconstruction
b. functional motor strengthening for Guillian-Barre syndrome
c. reduced spasticity prior to functional activity for a person having cerebral palsy
d. edema management after sub-acute ankle sprain
B
The most common electrode configuration for NMES would be:
a. quad polar
b. tri polar
c. bi polar
d. mono polar
D
Optimal FES intervention would include all BUT which of the following:
a. active electrode over the motor point in the agonist muscle/s
b. switch activation timing within normal intended movement pattern
c. electrode straps for moving body segments
d. slow ramp time for smooth motor activity
D
All BUT which of the following would help to reduce motor fatigue?
a. increase in pulse duration
b. increase in on:off ratio
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c. increase pulse frequency
d. none of the above will reduce motor fatigue
D
Which statement is FALSE when comparing voluntary muscle contraction (VMC) and muscle
contraction via NMES (MCNMES)?
a. VMC has graded recruitment
b. MCNMES stimulated Type II fibers
c. MCNMES has asynchronous recruitment
d. VMC has less fatigue
C
True or False: NMES can effectively enhance strengthening in someone with MMT grades 3 & 4
False
A 16-year-old presents with moderate acne consisting of about 25 inflammatory lesions on her
face, neck, and shoulders. First-line treatment can include:
Topical benzoyl peroxide plus topical antimicrobial.
Lisa is a 48-year-old woman who presents with a 5-day history of painful urination and
mucopurulent vaginal discharge. Suspecting chlamydial infection, which of the following findings
would support this diagnosis?
Friable cervix
The NAAT assay is performed for Lisa and chlamydia infection is confirmed. Which of the
following is the most appropriate treatment choice?
Oral azithromycin
Which of the following is recommended prior to Lisa leaving the clinic? Encourage screening for
HIV and other STIs
.
A 27-year-old male is diagnosed with gonorrhea. He is otherwise healthy, has no drug allergies,
and has not been treated with an antimicrobial in the past year. Recommended treatment is:
IM ceftriaxone
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The NP is counseling Rene, a 22-year-old woman, who reports having unprotected intercourse 3
days ago and asks about emergency contraception. She is not currently taking any form of
contraception and her last menses ended 7 days ago. The NP advises:
A prescription is not needed for levonorgestrel emergency contraception.
Rene calls the clinic 4 weeks after taking emergency contraception and reports that she has not
yet started her menses. She is concerned because her cycle is normally predictable. The NP
recommends:
Taking a pregnancy test.
Wellman is a 48-year-old roofer who presents because he is concerned about a painless nodule
that developed on the tip of his nose over the past couple of months. The nodule is about 8 mm
in diameter, opaque, ulcerating, with non-distinct borders. This most likely represents:
Squamous cell carcinoma.
.
The next-best course of action for Wellman is: Schedule a biopsy of the lesion
A 66-year-old woman is newly diagnosed with osteoporosis and will initiate daily oral
bisphosphonate therapy. After counseling the patient on the medication, the NP realizes
additional education is needed when the patient says:
“I should take my medication with the largest meal of the day.”
Which of the following is the preferred treatment option for malignant melanoma of about 2 cm
in diameter at the widest point on the shoulder of a 47-year-old woman?
Mohs micrographic surgery
The NP is reviewing the vaccination history of a 22-year-old woman. The records indicate that
she received the first dose of the 4-valent HPV vaccine 6 years ago but did not complete the
regimen. The NP recommends
: Completing the series with 2 shots of HPV-9 given over 6 months.
Which of the following best describes the Tinel sign used during the evaluation of an individual
with suspected carpal tunnel syndrome?
Lightly tapping over the nerve elicits a tingling sensation
Which of the following is most useful in making the diagnosis of carpal tunnel syndrome?
Electromyography
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.
A 56-year-old woman was diagnosed with carpal tunnel syndrome 2 weeks ago. She was
instructed to use a volar splint at night and to take acetaminophen for pain relief. Today she
reports little improvement in symptoms. The NP recommends: A corticosteroid injection near
the carpal tunnel
Grant is a 70-year-old African American male with a long history of type 2 diabetes mellitus. An
eye examination reveals poor peripheral vision. He denies any eye pain and there is no redness
or any noticeable change in visual acuity since his last exam. The most likely diagnosis is:
Open-angle glaucoma.
Thin, shiny skin
Chronic venous insufficiency is a common complication of DVT and results in decreased venous
return because of vessel damage. The earliest signs include lower leg edema, aching, and
itchiness. The edema progressively worsens over time and results in the development of thin,
shiny skin, often with brown pigmentation
Nancy is a 68-year-old woman with a history of deep vein thrombosis and BMI of 36 kg/m2 who
presents with complaints of pain, itching and swelling of the lower legs that have gotten
progressively worse over the past 8 months. Suspecting chronic venous insufficiency, the NP
would expect which of the following on physical examination?
Prescription compression stockings.
A recommended first-line treatment for chronic venous insufficiency for Nancy would be:
<7.0%.
Doreen is a 52-year-old African American woman with a history of type 2 diabetes mellitus and
hypertension. According to the American Diabetes Association, her A1C goal is:
A GLP-1 receptor agonist
The sulfonylureas are associated with hypoglycemia risk (A) while the thiazolidinediones can be
associated with weight gain (B). The alpha-glucosidase inhibitors are not recommended over
other second-line agents and should only be considered in certain circumstances as other agents
are more effective and better tolerated
Doreen is currently taking metformin and it is decided she needs a second agent to meet her
A1C goal. She expresses some concern with weight gain and has a fear of hypoglycemia. Which
of the following would be the most appropriate treatment choice to add to metformin?
Shortness of breath
The NP is evaluating Claire, a 66-year-old woman, for suspected giant cell arteritis. Which of the
following findings is least supportive of this diagnosis?
Arterial biopsy
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