Week 10 Final Guide 1

lOMoARcPSD| Week 10 Final Guide 1. It is important to not dilate the eye if is suspected. Cataract Macular degeneration Acute closed-angle glaucoma Chronic open-angle glaucoma Question 2. 2. An 18-year-old female patient presents with repeated urinary tract infections. She has no risk factors in her history, and her physical examination is unremarkable. She also has a normal pelvic exam. Which of the following should be obtained if anatomic abnormalities are suspected? Ultrasound of the kidneys Intravenous pyelogram Cystoscopy Transvaginal ultrasound of the bladder Question 3. 3. The pathophysiological hallmark of ACD is: Depleted iron stores Impaired ability to use iron stores Chronic uncorrectable bleeding Reduced intestinal absorption of iron Question 4. 4. Which of the following is the most important question to ask during cardiovascular health history? Number of offspring Last physical exam Sudden death of a family member Use of caffeine lOMoARcPSD| Question 5. 5. A 26-year-old, non-smoker, male presented to your clinic with SOB with exertion. This could be due to: Exercise-induced cough Bronchiectasis Alpha-1 deficiency Pericarditis Question 6. 6. Which of the following dermatological conditions results from reactivation of the dormant varicella virus? Tinea versicolor Seborrheic keratosis Verruca Herpes zoster Question 7. 7. Mr. Jones is a 68-year-old retired Air Force pilot that has been diagnosed with prostate cancer in the past week. He has never had a surgical procedure in his life and seeks clarification on the availability of treatments for prostate cancer. He asks the nurse practitioner to tell him the side effects of a radical prostatectomy. Which of the following is not a potential side effect of this procedure? Urinary incontinence Impotence Dribbling urine Selected low back pain Question 8. 8. Presbycusis is the hearing impairment that is associated with: Physiologic aging Ménière’s disease Cerumen impaction lOMoARcPSD| Herpes zoster Question 9. 9. Asymptomatic 1+ bacteriuria is found in a nursing home resident with an indwelling catheter. The nurse practitioner’s initial intervention includes: Assessing resident’s cognitive status and last change of the catheter/bag Prescribing prophylactic Bactrim 1 tablet at bedtime Ordering a urine culture and sensitivity and prescribing empiric treatment until results obtained Ordering an X-ray of the kidney, urine, and bladder Question 10. 10. A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of the eyes. The symptoms occur intermittently throughout the year and he has associated clear nasal discharge. Which of the following is most likely because of the inflammation? Bacterium Allergen Virus Fungi Question 11. 11. The nurse practitioner is examining a 62-year-old female who has been complaining of lower abdominal pain. Upon auscultation, bowel sounds are high pitched and tinkling. Which of the following terms describes this finding? Succession splash Borborygmi Tenesmus Puddle sign Question 12. 12. Which ethnic group has the highest incidence of prostate cancer? Asians lOMoARcPSD| Hispanics African Americans American Indians Question 13. 13. A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalents are important because: Women with ischemic heart disease many times do not present with chest pain Some patients may have no symptoms or atypical symptoms; diagnosis may only be made at the time of an actual myocardial infarction Elderly patients have the most severe symptoms A & B only