· When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? · A patient complains of

· When   completing this quiz, did you comply with Walden University’s Code of Conduct   including the expectations for academic integrity? · A   patient complains of generalized joint pain and stiffness associated with   activity and relieved with rest. This patient history is consistent with   which of the following disorders? ·   diabetic complications result from hyperglycemia? 1. 1. 1.  Retinopathy 2.  Hypertension resistant to treatment 3. Peripheral neuropathy 4.  Accelerated atherogenesis · Which   factors are associated with high risk for foot complications in a patient   with diabetes mellitus? 1. Obesity 2. Abnormal nails 3. Abnormal gait 4. Poorly controlled lipids · Which of the following is not a   common early sign of benign prostatic hyperplasia (BPH)? A. Nocturia B. Urgency incontinence C. Strong urinary stream flow D. Straining to void · A 63-year-old man presents to the   office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE)   reveals a moderately enlarged prostate that is smooth. The PSA is 1.2.   is the most appropriate management strategy for you to follow at this time? A.   Prescribe an alpha adrenergic blocker. B. Recommend saw palmetto. C. Prescribe an antibiotic D. Refer the client to urology. · A 30 year old female patient   presents to the clinic with heat intolerance, tremors, nervousness, and   weight loss inconsistent with increased appetite. Which test would be most   likely to confirm the suspected diagnosis? · Which   history is commonly found in a patient with glomerulonephritis? Ask about recent infections (skin or upper   respiratory); recent travel (possible exposure to viruses,   bacteria, fungi, or parasites); recent illnesses, surgery, or invasive procedures (possible   infection); any systemic diseases (Systemic Lupus   Erythematosus -SLE) · A   60 year old male patient with multiple health problems presents with a   complaint of erectile dysfunction (ED). Of the following, which medication is   most likely to be causing the problem? · Which   of the following is not a characteristic of type 2 diabetes mellitus? · A   patient has been diagnosed with hypothyroidism and thyroid hormone   replacement therapy is prescribed. How long should the nurse practitioner   wait before checking the patient’s TSH? · A   patient has been diagnosed with generalized anxiety disorder (GAD). Which of   the following medications may be used to treat generalized anxiety disorder? ·   is the most common cause of Cushing’s syndrome? · Which   of the following is the most cause of   low back pain? · Warfarin   (Coumadin) is prescribed for a frail, elderly male with new onset atrial   fibrillation. The goal INR for this patient should be: · A 72   year old patient exhibits sudden onset of fluctuating restlessness,   agitation, confusion, and impaired attention. This is accompanied by visual   hallucinations and sleep disturbance. is the most likely cause of this   behavior? · Which   of the following is the most common causative organism of nongonococcal   urethritis? which of the following does not cause   nongonococcal urethritis a chlamydia – most common b. mycoplasma d. ureaplasma · Which   appropriate test for the initial assessment of Alzheimer’s disease provides   the performance ratings on 10 complex, higher order activities? ·   conditions must be met for you to bill “incident to” the physician, receiving   100% reimbursement from Medicare? · Diagnostic   evaluation for urinary calculi includes: A. Urinalysis     and culture B. Non     contrast CT C. Serum     calcium D. All     of the above · Reed-Sternberg   B lymphocytes are associated with which of the following disorders: · Marsha   presents with symptoms resembling both fibromyalgia and chronic fatigue   syndrome, which have many similarities. Which of the following is more   characteristic of fibromyalgia? A.   Musculosckeletal pain B. Difficulty sleeping C. Depression D. Fatigue · Beth,   age 49, comes in with low back pain. An x-ray of the lumbosacral spine is   within normal limits. Which of the following diagnoses do you explore   further? · Steve,   age 69, has gastroesophageal reflux disease (GERD). When teaching him how to   reduce his lower esophageal sphincter pressure, which substances do you   recommend that he avoid? · The   cornerstone of treatment for stress fracture of the femur or metatarsal stress   fracture is: Rest the affected part of the body – Once pain free, the person can gradually begin the   sporting activity again – Air splinting can reduce pain and decrease the time   until return to full participation or intensity of exercise. – NSAIDs to reduce pain and inflammation · Which   of the following is not a risk factor associated with the development of   syndrome X and type 2 diabetes mellitus? · A   thymectomy is usually recommended in the early treatment of which disease? · The   most common cause of elevated liver function tests is: · A 14   year old female cheerleader reports gradual and progressive dull anterior   knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and   point tenderness at the tibial tuberosity. X-ray is negative. is the   most likely diagnosis? · Which   of the following is a contraindication for metformin therapy? Creatinine > 1.5 · dysfunction. · needing   drug treatment. · to metformin. · Acute   or chronic metabolic acidosis. · Impaired function. · The   best test to determine microalbuminuria to assist in the diagnosis of   diabetic neuropathy: · Which   is the most common cause of end-stage renal disease in the United States? · A   middle-aged female presents complaining of recent weight loss. The physical   exam reveals an enlarged painless cervical lymph node. The differential   diagnosis for this patient’s problem includes: · Risk factors for prostate cancer include all of the   following except: · Phalen’s   test, 90°wrist flexion for 60 seconds, reproduces symptoms of: · The most effective   intervention(s) to prevent stroke is (are): · A   diabetic patient is taking low-dose enalapril for hypertension. A record of   the patient’s blood pressure over 4 weeks ranges from 130 to 142 mmHg   systolic and 75 to 85 mmHg diastolic. How should the nurse practitioner   respond? · Microalbuminuria is a measure of: · Martin,   age 24, presents with an erythematous ear canal, pain, and a recent history   of swimming. do you suspect? · A   32 year old male patient complains of urinary frequency   and burning on urination for 3 days. Urinalysis reveals bacteriuria. He   denies any past history of urinary tract infection. The initial treatment   should be: · A   21-year-old female presents to the office complaining of urinary frequency   and urinary burning. The nurse practitioner suspects a urinary tract   infection when the urinalysis reveals · Which   of the following medications increase the risk for metabolic syndrome? · The   most accurate measure of diabetes control is: · The 4 classic features of Parkinson’s disease are: · A child   with type 1 diabetes mellitus has experienced excessive hunger, weight gain   and increasing hyperglycemia. The effect is suspected. steps should be taken to diagnose and treat this   condition? · A   patient presents with dehydration, hypotension, and fever. Laboratory testing   reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are   corrected, but the patient returns 6 weeks later with the same symptoms of   hyperpigmentation, weakness, anorexia, fatigue, and weight loss.   action(s) should the nurse practitioner take? · Other than smoking cessation, which of the following   slows the progression of COPD in smokers? · A 75-year-old   female is diagnosed with primary hyperparathyroidism and asks the nurse   practitioner what the treatment for this disorder is. The nurse practitioner   explains: · The   hallmark of neurofibromatosis (von Recklinghausen’s disease) present in   almost 100% of patients is: · A   patient has HIV infection and is having a problem with massive diarrhea. You   suspect the cause is:. · How do   you respond when Jessica, age 42, asks you what constitutes a good minimum   cardiovascular workout? · The   treatment of choice for chronic bacterial prostatitis (CBP) is: · Sally, a computer programmer, has just been given a new   diagnosis of carpal tunnel syndrome. Your next step is to: · Urine cultures should be obtained for which of the   following patients? · Which   of the following is the best response to a woman who has just admitted she is   a victim of spousal abuse? · The   diagnosis which must be considered in a patient who presents with a severe   headache of sudden onset, with neck stiffness and fever, is: · An 81-year-old   female is diagnosed with type 2 diabetes. When considering drug therapy for   this patient, the nurse practitioner is most concerned with which of the   following side effects? · Which patient would benefit most from screening for   type 2 diabetes? · The intervention known to be most effective in the   treatment of severe depression, with or without psychosis, is: · Jennifer   says that she has heard that caffeine can cause osteoporosis and asks you   why. How do you respond? · Which   of the following patients most warrants screening for hypothyroidism? · Successful   management of a patient with attention deficit hyperactivity disorder (ADHD)   may be achieved with: · Diabetes   screening recommendations for asymptomatic adults age 45 and over include   which of the following: A. HbA1C B. 2-hour 75 gram oral glucose tolerance test C. C-peptide level D. A and B E. All of the above · Prolonged PT suggests: · Diagnostic confirmation of acute leukemia is based on: · Which   of the following is not appropriate suppression therapy for chronic bacterial   prostatitis? · The most effective treatment of non-infectious bursitis   includes: · Differential   diagnosis of proteinuria includes which of the following? A. Orthostatic     proteinuria B. Nephrotic     syndrome C. Infection D. Trauma E. A     and B · You are   assessing a patient after a sports injury to his right knee. You elicit a positive   anterior/posterior drawer sign. This test indicates an injury to the: · A   positive drawer sign supports a diagnosis of: · A   patient presenting for an annual physical exam has a BMI of 25 kg/m2 This   patient would be classified as: · A   patient has been taking fluoxetine (Prozac) since being diagnosed with major   depression, first episode, 2 months ago. She reports considerable improvement   in her symptoms and her intention to discontinue the medication. should   be the nurse practitioner’s recommendation? · Diagnostic   radiological studies are indicated for low back pain: · A 32   year old female patient presents with fever, chills, right flank pain, right   costovertebral angle tenderness, and hematuria. Her urinalysis is positive   for leukocytes and red blood cells. The nurse practitioner diagnoses   pyelonephritis. The most appropriate management is: · Which   of the following symptoms suggests a more serious cause of back pain? · is the first step in the treatment of uric acid   kidney stones? · A 20 year old male patient complains of “scrotal   swelling.” He states his scrotum feels heavy, but denies pain. On   examination, the nurse practitioner notes transillumination of the scrotum.    is the most likely diagnosis? · is the first symptom seen in the majority of   patients with Parkinson’s disease? · A 60   year old female patient complains of sudden onset unilateral, stabbing,   surface pain in the lower part of her face lasting a few minutes, subsiding,   and then returning. The pain is triggered by touch or temperature extremes.   Physical examination is normal. Which of the following is the most likely   diagnosis? · Which of the following set of symptoms should raise   suspicion of a brain tumor? · The most reliable indicator(s) of neurological deficit   when assessing a patient with acute low back pain is(are): · A   25 year old overweight patient presents with a complaint of dull achiness in   his groin and history of a palpable lump in his scrotum that “comes and   goes”. On physical examination, the nurse practitioner does not detect a   scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the   scrotum does not transilluminate. is the most likely diagnosis? · Which   of the following characteristics are associated with prepatellar bursitis? · Which   drug category contains the drugs that are the first line Gold standard   therapy for COPD? · Which of the following physical modalities recommended   for treatment of rheumatoid arthritis provides the most effective long term pain   relief? · Which   of the following accounts for half of the bladder tumors among men and   one-third in women? · A 35 year old male presents with a complaint of   low pelvic pain, dysuria, hesitancy, urgency, and reduced force of stream.   The nurse practitioner suspects acute bacterial prostatitis. Which of the   following specimens would be least ful for diagnosis? · In which of the following presentations is further   diagnostic testing not warranted? · Martin   is complaining of erectile dysfunction. He also has a condition that has   reduced arterial blood flow to his penis. The most common cause of this   condition is: · Which of the following is the   most common complication of the myelodysplastic syndromes? · . You   know that this is indicative of: A. Infection B. Malignancy C. Inflammation D. Drug E. Endocrine B. A. Infection – Viral: infectious mononucleosis (CMV, EBP),   HIV – Bacterial: skin infection, TB – Fungal: cryptococcal B. Malignancy – Hematological: lymphoma, leukemia – Solid tumour LN met C. Inflammatory – Castleman ds – Kimura ds – Kikuchi ds – SLE, RA – Amyloidosis, sarcoidosis D. Drug – Phenytoin (anti-seizure) – Hydralazine (HF) E. Endocrine [rare] – Addison’s disease – Hypothyroidism · A 15   year-old female patient is 5 feet tall and weighs 85 pounds. You suspect   anorexia and know that the best initial approach is to: · A   patient taking levothyroxine is being over-replaced. condition is he at   risk for? · A nurse   practitioner diagnoses a 60 year old male with balanitis. Which disease is   commonly associated with balanitis? · The   diagnosis of human papilloma virus (HPV) infection in males is usually made   by: · Martin,   a 58 year old male with diabetes, is at your office for his PRO follow up. On   examining his feet with monofilament, you discover that he has developed   decreased sensation in both feet. There are no open areas or signs of   infection on his feet. health teaching should Martin receive today regarding   the care if his feet? · Which   of the following is a potential acquired cause of thrombophilia? · Deficiency   of which nutritional source usually presents with an insidious onset of   paresthesias of the hands and feet that are usually painful? · information should patients with diabetes and   their families receive about hypoglycemia? · Josh,   age 22, is a stock boy and has an acute episode of low back pain. You order   and NSAID and tell him which of the following? · A 28-year-old female presents to the office requesting testing for diagnosis of hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her risk factors. The nurse practitioner explains that: A. The patient should start   anticoagulant therapy immediately. B. Hereditary thrombophilia does not   always require anticoagulation therapy. C. Women of childbearing age cannot   take anticoagulant therapy. D. Genetic and risk management   counseling are recommended. E. B and D · When   completing this quiz, did you comply with Walden University’s Code of Conduct   including the expectations for academic integrity? · Central obesity, “moon” face, and dorsocervical fat pad   are associated with: A. Metabolic     syndrome B. Unilateral     pheochromocytoma C. Cushing’s     syndrome D. None     of the above · An elderly man is started on lisinopril and   hydrochlorhiazide for hypertension. Three days later, he returns to the   office complaining of left great toe pain. On exam, the nurse practitioner   notes an edematous, erythematous tender left great toe. The likely   precipitant of this patient’s pain is: A. Trauma B. Tight     shoes C. Arthritis     flare D. Hydrochlorothiazide · The most effective treatment of non-infectious bursitis   includes: · conditions must be met for you to bill “incident to”   the physician, receiving 100% reimbursement from Medicare? Answers: You must initiate the plan     of care for the patient The physician must be     on-site and engaged in patient care You must be employed as an     independent contractor You must be the main health     care provider who sees the patient · Which of the following is not a risk factor associated   with the development of syndrome X and type 2 diabetes mellitus? · Which of the following is not a common early sign of   benign prostatic hyperplasia (BPH)? A.   Nocturia B. Urgency incontinence C. Strong urinary stream flow D. Straining to void · Steve, age 69, has gastroesophageal reflux disease (GERD).   When teaching him how to reduce his lower esophageal sphincter pressure,   which substances do you recommend that he avoid? § Food that is very hot or very cold § Fatty or fried foods § Peppermint or spearmint, including flavoring § Coffee, tea, and soft drinks that contain caffeine § Spicy, highly seasoned foods § Fried foodDT caffeine, chocolate and anticholinergics · Which drug category contains the drugs that are the first   line Gold standard therapy for COPD? · The most commonly recommended pharmacological treatment   regimen for low back pain (LBP) is: · Which of the following is not appropriate suppression   therapy for chronic bacterial prostatitis? · A patient presents with dehydration, hypotension, and   fever. Laboratory testing reveals hyponatremia, hyperkalemia, and   hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks   later with the same symptoms of hyperpigmentation, weakness, anorexia,   fatigue, and weight loss. action(s) should the nurse practitioner take? .A Obtain a   thorough history and physical, and check serum cortisol and ACTH levels. B. Perform a diet history and check CBC and FBS. C. Provide nutritional guidance and have the patient return in one month. D. Consult home health for intravenous administration · The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is: · How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout? · The intervention known to be most effective in the   treatment of severe depression, with or without psychosis, is: · You are assessing a patient after a sports injury to his   right knee. You elicit a positive anterior/posterior drawer sign. This test   indicates an injury to the: he A. lateral meniscus B. cruciate ligament C. medial meniscus D. collateral ligament. · A 32 year old female patient presents with fever, chills,   right flank pain, right costovertebral angle tenderness, and hematuria. Her   urinalysis is positive for leukocytes and red blood cells. The nurse   practitioner diagnoses pyelonephritis. The most appropriate management is: · A 21-year-old female presents to the office   complaining of urinary frequency and urinary burning. The nurse practitioner   suspects a urinary tract infection when the urinalysis reveals · A middle-aged man presents to urgent care complaining of   pain of the medial condyle of the lower humerus. The man works as a carpenter   and describes a gradual onset of pain. On exam, the medial epicondyle is   tender and pain is increased with flexion and pronation. Range of motion is   full The most likely cause of this patient’s pain is: · The initial clinical sign of Dupuytren’s contracture is: · · The best test to determine microalbuminuria to assist in   the diagnosis of diabetic neuropathy · is the first symptom seen in the majority of patients   with Parkinson’s disease? · The most commonly recommended method for prostate cancer   screening in a 55 year old male is: · Martin, age 24, presents with an erythematous ear canal,   pain, and a recent history of swimming. do you suspect? · Which of   the following symptoms suggests a more serious cause of back pain? · Josh, age 22, is a stock boy and has an acute episode of   low back pain. You order and NSAID and tell him which of the following? · A 72 year old female patient reports a 6 month   history of gradually progressive swollen and painful distal interphalangeal   (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte   sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor   (RF) are all minimally elevated. is the most likely diagnosis? · A patient taking levothyroxine is being   over-replaced. condition is he at risk for? · Which of the following is the most common cause of low   back pain? A. Lumbar     disc disease B. Spinal     stenosis C. Traumatic     fracture D. Osteoporosis · Which is the most common cause of end-stage renal disease   in the United States? · A 77-year-old female presents to the office complaining a   sudden swelling on her right elbow. She denies fever, chills, trauma, or   pain. The physical exam reveals a non-tender area of swelling over the   extensor surface over the right elbow with evidence of trauma or irritation.   The nurse practitioner suspects: A. Arthritis B. Ulnar     neuritis C. Septic     arthritis D. Olecranon     bursitis · A 60 year old female patient complains of sudden onset   unilateral, stabbing, surface pain in the lower part of her face lasting a   few minutes, subsiding, and then returning. The pain is triggered by touch or   temperature extremes. Physical examination is normal. Which of the following   is the most likely diagnosis? · Beth, age 49, comes in with low back pain. An x-ray of the   lumbosacral spine is within normal limits. Which of the following diagnoses   do you explore further? · A patient exhibits extrapyramidal side effects of   antipsychotic medications. Which of the following symptoms would lead you to   look for another diagnosis? · Phalen’s test, 90°wrist flexion for 60 seconds, reproduces   symptoms of: · Jennifer says that she has heard that caffeine can cause   osteoporosis and asks you why. How do you respond? · The most common cause of elevated liver function tests is: · Reed-Sternberg B lymphocytes are associated with which of   the following disorders: A. Aplastic anemia B. Hodgkin’s lymphoma C. Non Hodgkin’s lymphoma D. Myelodysplastic syndromes · Which of the following is a potential acquired cause of   thrombophilia? A. Homocysteinuria B. Protein C deficiency C. Factor V Leiden D. Antiphospholipid antibodies · A 75-year-old female is diagnosed with primary   hyperparathyroidism and asks the nurse practitioner what the treatment for   this disorder is. The nurse practitioner explains: Primary     hyperparathyroidism is treated with Vitamin D restriction Primary     hyperparathyroidism is treated with parathyroidectomy Primary     hyperparathyroidism is treated with daily magnesium Primary     hyperparathyroidism is treated with parenteral parathyroid hormone (PTH) · Diagnostic confirmation of acute leukemia is based on: · · A 25 year old overweight patient presents with a   complaint of dull achiness in his groin and history of a palpable lump in his   scrotum that “comes and goes”. On physical examination, the nurse   practitioner does not detect a scrotal mass. There is no tenderness, edema,   or erythema of the scrotum, the scrotum does not transilluminate. is the   most likely diagnosis? A. Testicular   torsion B. Epididymitis C. Inguinal hernia D. Varicocele · Dave, age 38, states that he thinks he has an ear   infection because he just flew back from a business trip and feels unusual   pressure in his ear. You diagnose barotrauma. is your next action? A. Prescribe nasal steroids and oral decongestants B. Prescribe antibiotic eardrops C. Prescribe systemic eardrops D. Refer David to an ear, nose, and throat specialist · Which of the following antibiotics should not be   prescribed for a pregnant woman in the 3rd trimester? · The physiological explanation of syncope is: · A 20 year old male patient complains of “scrotal   swelling.” He states his scrotum feels heavy, but denies pain. On   examination, the nurse practitioner notes transillumination of the scrotum.    is the most likely diagnosis? · A 32 year old male patient complains of urinary   frequency and burning on urination for 3 days. Urinalysis reveals   bacteriuria. He denies any past history of urinary tract infection. The   initial treatment should be: nclude nitrofurantoin monohydrate/macrocrystals,   trimethoprim-sulfamethoxazole (TMP-SMX), or fosfomycin. · Diagnostic radiological studies are indicated for low back   pain: · Who is at a higher risk for developing nephrolithiasis? · · An 81-year-old female is diagnosed with type 2 diabetes.   When considering drug therapy for this patient, the nurse practitioner is   most concerned with which of the following side effects? A. Weight     gain B. Fracture     risk C. Hypoglycemia D. Weight     loss · A 28-year-old female presents to the office requesting   testing for diagnosis of hereditary thrombophilia. Her father recently had a   deep vein thrombosis and she is concerned about her risk factors. The nurse   practitioner explains that: · The diagnosis of human papilloma virus (HPV) infection in   males is usually made by: · Which history is commonly found in a patient with   glomerulonephritis? · A   patient complains of generalized joint pain and stiffness associated with   activity and relieved with rest. This patient history is consistent with   which of the following disorders? · The most common presentation of thyroid cancer is: · The obligatory criteria for diagnosis of muscular   dystrophy (MD) are: · The diagnosis which must be considered in a patient who   presents with a severe headache of sudden onset, with neck stiffness and   fever, is: · A 60 year old male patient with multiple health   problems presents with a complaint of erectile dysfunction (ED). Of the   following, which medication is most likely to be causing the problem? · A 72 year old patient exhibits sudden onset of fluctuating   restlessness, agitation, confusion, and impaired attention. This is   accompanied by visual hallucinations and sleep disturbance. is the most   likely cause of this behavior? A. Dementia C. Parkinson’s disease D. Depression · Which of the following set of symptoms should raise   suspicion of a brain tumor? · The cornerstone of treatment for   stress fracture of the femur or metatarsal stress fracture is: · Sally, a computer programmer, has just been given a new diagnosis   of carpal tunnel syndrome. Your next step is to: · Marsha presents with symptoms resembling both fibromyalgia   and chronic fatigue syndrome, which have many similarities. Which of the   following is more characteristic of fibromyalgia? A.   Musculosckeletal pain B. Difficulty sleeping C. Depression D. Fatigue · The cardinal sign of infectious arthritis is: · Diagnostic evaluation for urinary calculi includes: · Martin, a 58 year old male with diabetes, is at your   office for his diabetes follow up. On examining his feet with monofilament,   you discover that he has developed decreased sensation in both feet. There are   no open areas or signs of infection on his feet. health teaching should   Martin receive today regarding the care if his feet? See a   podiatrist yearly; wash your feet daily with warm, soapy water and towel dry between the toes; inspect your feet daily for any lesions; and apply lotion to any dry areas. · Potential causes of septic   arthritis include which of the following? · Which of the following is the best response to a woman who   has just admitted she is a victim of spousal abuse? · A 15 year-old female patient is 5 feet tall and weighs 85   pounds. You suspect anorexia and know that the best initial approach is to: Having   the client in view of staff for 90 minutes after each meal · A 63-year-old man presents to the office with hematuria,   hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately   enlarged prostate that is smooth. The PSA is 1.2. is the most   appropriate management strategy for you to follow at this time? A. Prescribe   an alpha adrenergic blocker. B. Recommend saw palmetto. C. Prescribe an antibiotic D. Refer the client to urology. · A patient has been diagnosed with generalized anxiety disorder   (GAD). Which of the following medications may be used to treat generalized   anxiety disorder? · A positive drawer sign supports a diagnosis of: · Sam, age 67, is a diabetic with worsening renal function.   He has frequent hypoglycemic episodes, which he believes means that his   diabetes is getting “better.” How do you respond? · · A 14 year old female cheerleader reports gradual and   progressive dull anterior knee pain, exacerbated by kneeling. The nurse   practitioner notes swelling and point tenderness at the tibial tuberosity.   X-ray is negative. is the most likely diagnosis? · A 35 year old male presents with a complaint of low   pelvic pain, dysuria, hesitancy, urgency, and reduced force of stream. The   nurse practitioner suspects acute bacterial prostatitis. Which of the   following specimens would be least ful for diagnosis? · Jack, age 55, comes to the office with a blood pressure of   144/98 mm Hg. He states that he did not know if it was ever elevated before.   When you retake his blood pressure at the end of the exam, it remains at   144/98. should your next action be? · A patient has just been diagnosed with Bell’s palsy. He is   understandably upset and has questions about the prognosis. You response   should be: · · Martin is complaining of erectile dysfunction. He also has   a condition that has reduced arterial blood flow to his penis. The most   common cause of this condition is: · Successful management of a patient with attention deficit hyperactivity   disorder (ADHD) may be achieved with: · diabetic complications result from hyperglycemia? 1. 1. 1.  Retinopathy 2.  Hypertension   resistant to treatment 3. Peripheral   neuropathy 4.  Accelerated   atherogenesis · · The most common symptoms of transient ischemic attack   (TIA) include: · is the first step in the treatment of uric acid   kidney stones? · Establishment of a definitive diagnosis of osteomyelitis   requires: · Which of the following is the most common causative   organism of nongonococcal urethritis? A. Chlamydia     trachomatis B. Ureaplasma     urealyticum C. Mycoplasma     hominis D. Trichonomas     vaginalis · Urine cultures should be obtained for which of the   following patients? · · A 30 year old female patient presents to the clinic with   heat intolerance, tremors, nervousness, and weight loss inconsistent with   increased appetite. Which test would be most likely to confirm the suspected   diagnosis? · A patient has been diagnosed with   hypothyroidism and thyroid hormone replacement therapy is prescribed. How   long should the nurse practitioner wait before checking the patient’s TSH? · Potential causes of hypocalcemia include which of the   following? · Which of the following patients most warrants screening   for hypothyroidism? · Which of the following is a contraindication for metformin   therapy? · The organism most often associated with prostatitis is: A. Klebsiella B. Neiserria     gonorrhoaes C. Chlamydia     trachomatis D. Escherichia     coli · The most effective intervention(s)   to prevent stroke is (are): · is the most commonly abused substance? · The hallmark of neurofibromatosis (von Recklinghausen’s   disease) present in almost 100% of patients is: · Diagnostic evaluation of   hypothyroidism reveals: · An obese hyperlipidemic patient, newly diagnosed with type   2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. is the   most appropriate initial treatment to consider? A. A   low-calorie diet and exercise B. Sliding-scale NPH insulin every 12 hours C. A sulfonylurea and/or metformin (Glucophage® -XR) D. Sliding-scale regular insulin every 6 hours · The correct treatment for ankle sprain during the first 48   hours after injury includes: · Prolonged PT suggests: A. Platelet abnormality B. Abnormality in intrinsic     coagulation pathway C. Abnormality in extrinsic     coagulation pathway D. None of the above · A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as: · The most reliable indicator(s) of neurological deficit   when assessing a patient with acute low back pain is(are): · Risk factors for Addison’s disease   include which of the following? · Major depression occurs most often   in which of the following conditions? · Which of the following medications increase the risk for   metabolic syndrome? · A 27 year old female patient with epilepsy is well   controlled with phenytoin (Dilantin). She requests information about   contraception. The nurse practitioner should instruct her that while taking   phenytoin: · Risk factors for prostate cancer include all of the   following except: · Maria, age 17, was raped when she was 13 year old. She is   now experiencing sleeping problems, flashbacks, and depression. is your   initial diagnosis?Post-traumatic stress disorder

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