NR511 midterm exam 2018
Women are at the highest risk for developing postpartum
depression for up to how long after childbirth? (Points : 2)
2 weeks
1 month
3 months
6 months
2. CPT coding offers
the uniformed language used for reporting medical services and procedures
performed by physician and nonphysician practitioners. Clinicians are paid
based on calculated resource costs that are calculated based on practice
components. Which of the following are part of the components used to calculate
the per CPT code payment rate? (Points : 2)
Clinician
education loans
Clinician
practice liability and malpractice epense
Clinician
reported cost reduction efforts
Clinician volume of patients treated
Question 3. 3. Janet
is a 30-year-old woman who has been recently diagnosed with a herniated disc at
the level of L5-S1. She is currently in the emergency room with suspicion of
cauda equina compression. Which of the following is a sign or symptom of cauda
equina compression? (Points : 2)
Gastrocnemius
weakness
A reduced or
absent ankle refle
Numbness in
the lateral foot
Paresthesia of
the perineum and buttocks
4. A 58-year-old
woman who had a total abdominal hysterectomy at the age of 45 is diagnosed with
atrophic vaginitis. Which of the following is the most appropriate treatment?
(Points : 2)
Conjugated
estrogen 0.625 mg/day oral
Estradiol 7.5
mcg/24 hr vaginal ring
Medroyprogesterone
10 mg/day oral
Conjugated estrogen
0.3 mg + medroyprogesterone 1.5 mg/day oral
. 5. Which of the
following is a specific test for multiple sclerosis (MS)? (Points : 2)
Magnetic resonance imaging (MRI)
Computed
tomography (CT) scan
A lumbar
puncture
There is no
specific test.
. 6. Most adult
poisonings are: (Points : 2)
intentional and
self-inflicted.
accidental.
caused by
someone wishing to do harm to the person.
not attributed
to any reason.
7. A 60-year-old man presents with an enlarged
scrotum. The clinician uses a penlight to transilluminate the scrotum. In a
patient with a hydrocele, what would the clinician epect to find? (Points :
2)
The scrotum will
be dark.
The scrotum will
appear light pink or yellow.
The scrotum
will appear milky white.
The internal
structures will be clearly visible.
. 8. Which clinical
feature is the first to be affected in increased intracranial pressure (ICP)?
(Points : 2)
Decrease in level
of consciousness (LOC)
Headache
Nausea
Widening pulse
pressure
. 9. Mr. S presents
in the clinic with pain, tenderness, erythema, and swelling of his left great
toe. The clinician suspects acute gout. Which of the following should the
clinician suspect in the initial test results for this patient? (Points :
2)
Elevated uric acid level
Elevated blood
urea nitrogen (BUN)
Decreased
urine pH
Decreased
C-reactive protein (CRP)
10. Which solution
should be used when irrigating lacerated tissue over a wound on the arm?
(Points : 2)
Dilute povidone-iodine
solution
Hydrogen peroide
(H2O2)
Saline
solution infused with an antibiotic
Saline
irrigation or soapy water
11. Which ethical principle reflects respect for
all persons and their self-determination? (Points : 2)
Autonomy
Beneficence
Justice
Veracity
12. During a digital
rectal eam (DRE) on a 75-year-old man, the clinician suspects the patient has
prostate cancer. What physical finding should make the clinician suspicious?
(Points : 2)
An enlarged
rubbery gland
A hard irregular
gland
A tender gland
A boggy gland
13. How often should
the clinician eamine the feet of a person with diabetes? (Points : 2)
Once a year
Every 6 months
Every 3 months
Every visit
14. Which of the
following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain? (Points : 2)
Decreased
C-reactive protein
Hyperalbuminemia
Morning
stiffness
Weight gain
15. Which of the following medications is the
treatment of choice for trichomonas? (Points: 2)
Metronidazole
Ceftriaone
Diflucan
Doycycline
16. Immunizations are an eample of which type of
prevention? (Points: 2)
Primary
Secondary
Tertiary
17. What is the treatment of choice for a patient
diagnosed with testicular cancer? (Points : 2)
Radical
orchidectomy
Lumpectomy
Radiation
implants
All of the above
18. George, aged 59,
complains of a flulike illness, including fever, chills, and myalgia after
returning from visiting his grandchildren in New England. He reports having
discovered a rash or red spot that grew in size on his right leg. What disease
are you considering? (Points : 2)
A viral syndromes
Lyme disease
Rocky Mountain
spotted fever
Relapsing
fever
19. A 24-year-old
woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent
vaginal discharge. Her boyfriend was recently treated for nongonococcal
urethritis. What seually transmitted disease (STD) has she most probably been eposed
to? (Points : 2)
Gonorrhea
Human
papillomavirus (HPV)
Chlamydia
Trichomonas
20. What is usually
the first sign or symptom that a patient would present with that would make you
suspect herpes zoster? (Points : 2)
A stabbing
type of pain on one small area of the body
A vesicular skin
lesion on one side of the body
A pain that is
worse upon awakening
A lesion on
the eterior ear canal
21. Which drug commonly prescribed for burns is
active against a wide spectrum of microbial pathogens and is the most
frequently used agent for partial- and full-thickness thermal injuries? (Points
: 2)
Clotrimazole
cream (Lotrimen)
Mafenide
acetate (Sulfamylon)
Silver nitrate
Silver sulfadiazine
(Silvadene)
22. Which of the
following is a role of the advanced practice nurse in palliative cancer care?
(Points : 2)
Detecting
cancer in asymptomatic patients or those with specific symptoms
Arranging for
follow-up care, including psychosocial and spiritual support
Identifying
and managing complications of care
All of the above
23. Which type of
burn injury results in destruction of epidermis with most of the dermis, yet
the epidermal cells lining hair follicles and sweat glands remain intact?
(Points : 2)
Superficial
burns
Superficial partial-thickness
burns
Deep
partial-thickness burns
Full-thickness
burns
24. The criteria for
diagnosing generalized aniety disorder in the American Psychiatric
Association’s Diagnostic and Statistical Manual of Mental Disorders (tet revision)
(DSM-IV-TR) state that ecessive worry or apprehension must be present more days
than not for at least: (Points : 2)
1 month.
3 months.
6 months.
12 months.
25. In the United
States, what is the second most common connective tissue disease and the most
destructive to the joints? (Points : 2)
Osteoarthritis
Systemic lupus
erythematosus (SLE)
Rheumatoid
arthritis (RA)
Sjogren’s syndrome
26. A sunscreen with
a sun-protection factor (SPF) of at least what number will block most harmful
ultraviolet (UV) radiation? (Points : 2)
4
8
10
15
27. The hallmark of
an absence seizure is: (Points : 2)
No activity at all.
A blank stare.
Urine is
usually voided involuntarily.
The attack
usually lasts several minutes.
28. The effectiveness
of benzodiazepines in treating aniety disorders suggests that which of the
following neurotransmitters plays a role in aniety? (Points : 2)
Acetylcholine
Gamma-aminobutyric
acid (GABA)
Dopamine
Serotonin
29. Which characteristic of delirium helps to
distinguish delirium from dementia? (Points : 2)
Abrupt onset
Impaired
attention
Affective
changes
Delusions
30. A 26-year-old woman is seen with complaints
of irregular vaginal bleeding. Which of the following tests should be the first
priority? (Points : 2)
Pregnancy test
Pelvic
ultrasound
Endometrial
biopsy
Platelet count
31. The clinician should question the patient
with suspected gout about use of which of these medications that may be a risk
factor? (Points : 2)
Low-dose
aspirin
Thiazide
diuretics
Ethambutol
All of the above
32. A bulla is: (Points : 2)
A vesicle larger
than 1 cm in diameter.
An elevated
solid mass with a hard teture, and the shape and borders can be regular or
irregular.
A superficial
elevated lesion filled with purulent fluid.
Thinning of the skin
(epidermis and dermis) that appears white or translucent.
33. Sam is a 25-year-old man who has been
diagnosed with low back strain based on his history of localized low back pain
and muscle spasm along with a normal neurological eamination. As the clinician,
you eplain to Sam that low back pain is a diagnosis of eclusion. Which of the
following symptoms would alert the clinician to the more serious finding of a herniated
nucleus pulposus or ruptured disc? (Points: 2)
Morning
stiffness and limited mobility of the lumbar spine
Unilateral
radicular pain symptoms that etend below the knee and are equal to or greater
than the back pain
Fever, chills,
and elevated erythrocyte sedimentation rate
Pathologic
fractures, severe night pain, weight loss, and fatigue
34. Which of the following statements is true
concerning the musculoskeletal eam? (Points : 2)
The uninvolved
side should be eamined initially and compared to the involved side.
The part of
the body that is causing the patient pain should be eamined first.
The patient should
not be asked to perform active range-of-motion (ROM) eercises whenever possible
to avoid causing pain.
Radiographs
should always be obtained prior to eamination so as not to cause further injury
to the patient.
35. The current goal
of treatment for a patient with HIV infection is which of the following?
(Points : 2)
Viral suppression
of HIV to undetectable levels in the peripheral blood
Compete
eradication of the virus
Encouraging the
person to have no contact with uninfected individuals
Complete
abstinence
36. Which of the following classes of drugs
should be used as first-line therapy for treatment of delirium? (Points :
2)
Benzodiazepines
Antipsychotic
Anticonvulsants
Antidepressants
37. After removing a tack from a type 2
diabetic’s heel and evaluating the site for infection, what is the best plan
for this patient? (Points : 2)
Suggest she use
a heating pad to improve circulation
Refer to a podiatrist
for a foot care treatment plan
Send her for
acupuncture treatments
All of the
above
38. Which of the following statements is true
concerning the management of the client with a herniated disc? (Points :
2)
Muscle relaants
and narcotics can be used to control moderate pain but should be discontinued
after 3 weeks of use.
An epidural
injection is helpful in reducing leg pain that has persisted for at least 3
weeks after the herniation occurred.
Intolerable
pain for more than a 3-month period is an indication for surgical intervention.
All of the
above
39. Which patient is
more likely to have a cluster headache? (Points : 2)
A female in
her reproductive years
A 40-year-old
African American male
A 55-year-old
female who drinks 10 cups of coffee daily
A 45-year-old
male awakened at night
40. The main mechanism for avoiding a lawsuit
involves: (Points : 2)
Good liability
insurance
A collaborating
physician
Good
documentation
Open communication
skills
41. A 45-year-old woman is seen in the clinic
with complaints of a vaginal discharge. The clinician identifies clue cells on
the vaginal smear. Which of the following diagnoses is associated with this
finding? (Points : 2)
Trichomonas
Bacterial vaginosis
Human
papillomavirus (HPV)
Herpes simple
virus (HSV)
42. Which of the following laboratory findings
should the clinician epect in a patient with untreated Graves’ disease? (Points
: 2)
Elevated
thyroid-stimulating hormone (TSH)
Elevated T4
Elevated TRH
All of the above
43. A 23-year-old seually active woman presents
for her first Pap smear. Her history includes nulligravida, age at first
intercourse 14, and more than 10 seual partners. Which of the following
conditions should the clinician be particularly alert for during her eam?
(Points : 2)
Human
papillomavirus (HPV)
Endometrial
hyperplasia
Vagismus
Polycystic
ovarian syndrome
44. When may
confidentiality be overridden? (Points :
2)
When personal
information is available on the computer
When a
clinician needs to share information with a billing company
When an insurance company wants to know
the results of a breast cancer gene test
When a patient has a
communicable disease
45. A patient is
diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG)
changes should the clinician epect as a manifestation of the disease? (Points :
2)
Sinus
bradycardia
Atrial
fibrillation
Supraventricular tachycardia
U waves
46. The most cost-effective screening test to
determine HIV status is which of the following? (Points : 2)
Western Blot
Enzyme-linked
immunosorbent assay (ELISA)
Venereal
Disease Research Laboratory (VDRL) test
Viral load
47. After 6 months of
synthroid therapy, the clinician should epect which of the following in the
repeat thyroid studies? (Points : 2)
Elevated
thyroid-stimulating hormone (TSH)
Normal TSH
Low TSH
Undetectable
TSH
48. The vegetarian patient with gout asks the
clinician about food that he should avoid. The clinician should advise the
patient to avoid which of the following foods? (Points : 2)
Rice
Carrots
Spinach
Potatoes
49. A 64-year-old man
with type 2 diabetes presents to the clinic with the complaint of “my feet
feel like they are on fire.” He has a loss of vibratory sense, +1 Achilles
refle, and a tack embedded in his left heel. Which of the following would be an
appropriate treatment? (Points : 2)
Tricyclic
antidepressants
Capsacin cream
Vitamin B12
injections
Insulin
50. In the consensus model for Advanced Practice
Registered Nurse (APRN) regulation, the “C” of LACE represents?
(Points : 2)
Commitment
Consensus
Certification
Collaboration
In an outpatient setting, what is the most common reason for
a malpractice suit? (Points : 2)
Failure to
treat a condition
Failure to diagnose
correctly
Ordering the
wrong medication
Failure to
manage care
Question 2. 2. How
often should the clinician eamine the feet of a person with diabetes? (Points : 2)
Once a year
Every 6 months
Every 3 months
Every visit
Question 3. 3. Which
drug for Alzheimer’s disease should be administered beginning at the time of
diagnosis? (Points : 2)
Cholinesterase
inhibitors
Aniolytics
Antidepressants
Atypical antipsychotics
Question 4. 4. Which
of the following medications is the treatment of choice for trichomonas?
(Points : 2)
Metranidazole
Ceftriaone
Diflucan
Doycycline
Question 5. 5. Most
adult poisonings are: (Points : 2)
intentional and self-inflicted.
accidental.
caused by someone wishing to do harm to the person.
not attributed to any reason.
Question 6. 6. A
58-year-old woman presents with a breast mass. Which of the following responses
by the clinician would be most appropriate? (Points : 2)
“It is
probably just a cyst, because that is the most common breast mass.”
“We will
order a mammogram and ultrasound to help establish a diagnosis.”
“We will go
ahead and schedule you for a biopsy because that is the only way to know for
sure.”
“Because
your lump is painful, it is most likely not cancer.”
Question 7. 7. Which
of the following is a specific test for multiple sclerosis (MS)? (Points :
2)
Magnetic
resonance imaging (MRI)
Computed
tomography (CT) scan
A lumbar
puncture
There is no
specific test.
Question 8. 8. After
removing a tack from a type 2 diabetic’s heel and evaluating the site for
infection, what is the best plan for this patient? (Points : 2)
Suggest she use
a heating pad to improve circulation
Refer to a
podiatrist for a foot care treatment plan
Send her for
acupuncture treatments
All of the
above
Question 9. 9. Which
characteristic of delirium helps to distinguish delirium from dementia? (Points
: 2)
Abrupt onset
Impaired
attention
Affective
changes
Delusions
Question 10. 10.
Which clinical feature is the first to be affected in increased
intracranial pressure (ICP)? (Points : 2)
Decrease in
level of consciousness (LOC)
Headache
Nausea
Widening pulse
pressure
Question 11. 11.
Jennifer is an 18-year-old girl who comes to the emergency room after a
fall during a soccer game. Jennifer eplains that she fell on her left side and
kept her arm out straight to break her fall. She has been eperiencing severe
pain and limited range of motion in her left shoulder. The clinician has
diagnosed Jennifer with a dislocated shoulder. Which of the following
statements are true concerning shoulder dislocation? (Points : 2)
Posterior
dislocations are more common than anterior dislocations.
There is a
risk of neurovascular and neurosensory trauma, so the clinician should check
for distal pulses.
Recurrent
dislocations are uncommon and would require a greater force to result in
injury.
Surgery is
most commonly the treatment of choice.
Question 12. 12. In
the consensus model for Advanced Practice Registered Nurse (APRN) regulation,
the “C” of LACE represents? (Points : 2)
Commitment
Consensus
Certification
Collaboration
Question 13. 13.
Which of the following signs or symptoms indicate an inflammatory
etiology to musculoskeletal pain? (Points : 2)
Decreased
C-reactive protein
Hyperalbuminemia
Morning
stiffness
Weight gain
Question 14. 14.
Which of the following statements is true concerning the musculoskeletal
eam? (Points : 2)
The uninvolved
side should be eamined initially and compared to the involved side.
The part of
the body that is causing the patient pain should be eamined first.
The patient should
not be asked to perform active range-of-motion (ROM) eercises whenever possible
to avoid causing pain.
Radiographs
should always be obtained prior to eamination so as not to cause further injury
to the patient.
Question 15. 15. The
clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would
the clinician classify this patient? (Points : 2)
z Overweight
Mild obesity
Moderate
obesity
Morbid obesity
Question 16. 16. Mr.
S presents in the clinic with pain, tenderness, erythema, and swelling of his
left great toe. The clinician suspects acute gout. Which of the following
should the clinician suspect in the initial test results for this patient? (Points
: 2)
Elevated uric
acid level
Elevated blood
urea nitrogen (BUN)
Decreased
urine pH
Decreased
C-reactive protein (CRP)
Question 17. 17.
Which of the following statements is true regarding the treatment of
carpal tunnel syndrome? (Points : 2)
The goal of
treatment is to prevent fleion and etension movements of the wrist.
Splints are
used in carpal tunnel syndrome because they allow for free movement of the
fingers and thumb while maintaining the wrist in a neutral position.
Corticosteroid
injections are discouraged in the treatment of carpal tunnel syndrome because
of the risks for median nerve damage, scarring, and infection.
All of the
above
Question 18. 18. The
vegetarian patient with gout asks the clinician about food that he should
avoid. The clinician should advise the patient to avoid which of the following
foods? (Points : 2)
Rice
Carrots
Spinach
Potatoes
Question 19. 19. A
23-year-old seually active woman presents for her first Pap smear. Her history
includes nulligravida, age at first intercourse 14, and more than 10 seual
partners. Which of the following conditions should the clinician be
particularly alert for during her eam? (Points : 2)
Human
papillomavirus (HPV)
Endometrial
hyperplasia
Vagismus
Polycystic
ovarian syndrome
Question 20. 20.
Which patient is more likely to have a cluster headache? (Points :
2)
A female in
her reproductive years
A 40-year-old
African American male
A 55-year-old
female who drinks 10 cups of coffee daily
A 45-year-old
male awakened at night
Question 21. 21. A
sunscreen with a sun-protection factor (SPF) of at least what number will block
most harmful ultraviolet (UV) radiation? (Points : 2)
4
8
10
15
Question 22. 22.
Which of the following classes of drugs should be used as first-line
therapy for treatment of delirium? (Points : 2)
Benzodiazepines
Antipsychotic
Anticonvulsants
Antidepressants
Question 23. 23. What
is the treatment of choice for a patient diagnosed with testicular cancer?
(Points : 2)
Radical
orchidectomy
Lumpectomy
Radiation
implants
All of the above
Question 24. 24. Sam,
aged 65, is started on L-dopa for his Parkinson’s disease (PD). He asks why
this is necessary. You tell him: (Points : 2)
“L-dopa is
neuroprotective.”
“The primary
goal of therapy is to replace depleted stores of dopamine.”
“This is
the only drug that can provide symptomatic benefit.”
“This is
the initial monotherapy drug.”
Question 25. 25. A
60-year-old man presents with an enlarged scrotum. The clinician uses a
penlight to transilluminate the scrotum. In a patient with a hydrocele, what
would the clinician epect to find? (Points : 2)
The scrotum
will be dark.
The scrotum will
appear light pink or yellow.
The scrotum
will appear milky white.
The internal
structures will be clearly visible.
Question 26. 26. A
24-year-old woman presents to the clinic with dysuria, dyspareunia, and a
mucopurulent vaginal discharge. Her boyfriend was recently treated for
nongonococcal urethritis. What seually transmitted disease (STD) has she most
probably been eposed to? (Points : 2)
z Gonorrhea
Human
papillomavirus (HPV)
Chlamydia
Trichomonas
Question 27. 27. A
58-year-old woman who had a total abdominal hysterectomy at the age of 45 is
diagnosed with atrophic vaginitis. Which of the following is the most
appropriate treatment? (Points : 2)
Conjugated
estrogen 0.625 mg/day oral
Estradiol 7.5
mcg/24 hr vaginal ring
Medroyprogesterone 10 mg/day oral
Conjugated
estrogen 0.3 mg + medroyprogesterone 1.5 mg/day oral
Question 28. 28. When
looking under the microscope to diagnose an intravaginal infection, you see a
cluster of small and oval to round shapes. What do you suspect they are?
(Points : 2)
Spores
Leukocytes
zPseudohyphae
Epithelial
cells
Question 29. 29. A
22-year-old male is seen in the clinic because he found a hard lump in his
testicle when performing testicular self-eamination (TSE). Which of the
following should be included in the list of differential diagnoses? (Points :
2)
Testicular
cancer
Inguinal
hernia
Varicocele
All of the above
Question 30. 30. The
clinician should question the patient with suspected gout about use of which of
these medications that may be a risk factor?
(Points : 2)
Low-dose
aspirin
Thiazide
diuretics
Ethambutol
All of the above
Question 31. 31. What
is usually the first sign or symptom that a patient would present with that
would make you suspect herpes zoster? (Points : 2)
A stabbing
type of pain on one small area of the body
A vesicular skin
lesion on one side of the body
A pain that is
worse upon awakening
A lesion on
the eterior ear canal
Question 32. 32.
Which ethical principle reflects respect for all persons and their
self-determination? (Points : 2)
Autonomy
Beneficence
Justice
Veracity
Question 33. 33.
Patients with a spontaneous pneumothora should be counseled that up to
what percentage may eperience a reoccurrence at some point? (Points : 2)
10%
20%
30%
50%
Question 34. 34. John
is a 16-year-old boy who presents to the emergency room after hurting his knee
in a football game. He described twisting his knee and then being unable to etend
it completely. John tells the clinician that he heard a pop when the injury
occurred and has been eperiencing localized pain. The clinician suspects a
meniscal tear. Which test would be most appropriate to assess for the presence
of a meniscal tear? (Points : 2)
Valgus stress test
McMurray
circumduction test
Lachman test
Varus stress test
Question 35. 35.
Which of the following laboratory findings should the clinician epect in
a patient with untreated Graves’ disease? (Points : 2)
Elevated
thyroid-stimulating hormone (TSH)
Elevated T4
Elevated TRH
All of the above
Question 36. 36.
Which drug commonly prescribed for burns is active against a wide
spectrum of microbial pathogens and is the most frequently used agent for
partial- and full-thickness thermal injuries? (Points : 2)
Clotrimazole cream (Lotrimen)
Mafenide acetate (Sulfamylon)
Silver nitrate
Silver
sulfadiazine (Silvadene)
Question 37. 37.
During a digital rectal eam (DRE) on a 75-year-old man, the clinician
suspects the patient has prostate cancer. What physical finding should make the
clinician suspicious? (Points : 2)
An enlarged
rubbery gland
A hard
irregular gland
A tender gland
A boggy gland
Question 38. 38.
Janet is a 30-year-old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency room
with suspicion of cauda equina compression. Which of the following is a sign or
symptom of cauda equina compression? (Points : 2)
Gastrocnemius
weakness
A reduced or absent
ankle refle
Numbness in the
lateral foot
Paresthesia of
the perineum and buttocks
Question 39. 39. The
criteria for diagnosing generalized aniety disorder in the American Psychiatric
Association’s Diagnostic and Statistical Manual of Mental Disorders (tet
revision) (DSM-IV-TR) state that ecessive worry or apprehension must be present
more days than not for at least: (Points : 2)
1 month.
3 months.
6 months.
12 months.
Question 40. 40. The
clinician has instructed Sam, a 25-year-old patient with low back strain, to
use NSAIDs to manage his symptoms of pain and discomfort. Which of the
following statements would be most appropriate when teaching Sam about the use
of NSAIDs to manage his pain? (Points : 2)
You should start
with the lowest dose that is effective in managing your pain, because long-term
use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and
hemorrhage.
You should
start with the lowest dose that is effective in managing your pain in order to
avoid developing tolerance to the medication.
You should
take the maimum recommended dose of NSAIDs so that you will not need to take
narcotics to control your pain.
It is important
to take NSAIDs on an empty stomach in order to increase absorption.
Question 41. 41. A
patient is diagnosed with hypothyroidism. Which of the following
electrocardiogram (ECG) changes should the clinician epect as a manifestation
of the disease? (Points : 2)
Sinus
bradycardia
Atrial
fibrillation
Supraventricular tachycardia
U waves
42. Sam is a 25-year-old man who has been
diagnosed with low back strain based on his history of localized low back pain
and muscle spasm along with a normal neurological eamination. As the clinician,
you eplain to Sam that low back pain is a diagnosis of eclusion. Which of the
following symptoms would alert the clinician to the more serious finding of a
herniated nucleus pulposus or ruptured disc? (Points : 2)
Morning
stiffness and limited mobility of the lumbar spine
Unilateral
radicular pain symptoms that etend below the knee and are equal to or greater
than the back pain
Fever, chills,
and elevated erythrocyte sedimentation rate
Pathologic
fractures, severe night pain, weight loss, and fatigue
Question 43. 43.
Which type of burn injury results in destruction of epidermis with most
of the dermis, yet the epidermal cells lining hair follicles and sweat glands
remain intact? (Points : 2)
Superficial
burns
c Superficial
partial-thickness burns
Deep partial-thickness burns
Full-thickness
burns
Question 44. 44.
Immunizations are an eample of which type of prevention? (Points :
2)
Primary
Secondary
Tertiary
Question 45. 45. If a
previously frostbitten area becomes frostbitten again after it has healed, what
might occur? (Points : 2)
Permanent
tissue damage may occur, resulting in necrosis to that body part.
The area will
be super sensitive.
The area is prone
to a repeat frostbite.
The area is as
susceptible as any other area.
Question 46. 46. In
the United States, what is the second most common connective tissue disease and
the most destructive to the joints? (Points : 2)
Osteoarthritis
Systemic lupus
erythematosus (SLE)
Rheumatoid arthritis (RA)
Sjogren’s syndrome
Question 47. 47. A
26-year-old woman is seen with complaints of irregular vaginal bleeding. Which
of the following tests should be the first priority? (Points : 2)
Pregnancy test
Pelvic
ultrasound
Endometrial
biopsy
Platelet count
Question 48. 48. A
45-year-old woman is seen in the clinic with complaints of a vaginal discharge.
The clinician identifies clue cells on the vaginal smear. Which of the
following diagnoses is associated with this finding? (Points : 2)
Trichomonas
Bacterial vaginosis
Human
papillomavirus (HPV)
Herpes simple
virus (HSV)
Question 49. 49.
Julie, aged 50, has migraine headaches, frequent asthma attacks,
coronary artery disease, and hypertension. Which of the following prophylactic
medications would you order for her migraines? (Points : 2)
Propranolol
Timolol
Ergotamine
Topiramate
Question 50. 50. A
64-year-old man with type 2 diabetes presents to the clinic with the complaint
of “my feet feel like they are on fire.” He has a loss of vibratory
sense, +1 Achilles refle, and a tack embedded in his left heel. Which of the
following would be an appropriate treatment? (Points : 2)
Tricyclic
antidepressants
Capsacin cream
Vitamin B12
injections
Insulin