bonus 4

Question 1

When counseling a patient about lifestyle modifications to prevent migraines, the NP recommends:

Using tinted glasses to minimize glare and bright lights.
Substituting artificial sweeteners for cane sugar.
Avoiding regular exercise for at least one week after each migraine episode.
Moving to a high-altitude environment

Answer 1

Using tinted glasses to minimize glare and bright lights.

Question 2

Which of the following agents can be considered for migraine controller therapy in a 54-year-old with a history of hypertension?

Sumatriptan
Topiramate
NSAIDs
Ergotamine

Answer 2

topiramate

Question 3

Reasonable goals for using headache prophylactic therapy include all of the following except:

Reduce the frequency of headaches.
Reduce the severity of headaches.
Eliminate the incidence of headaches.
Allow headache medications to work more effectively

Answer 3

Eliminate the incidence of headaches

Question 4

The NP considers that which of the following dietary components is the least likely to trigger migraine.

Sourdough bread
Cheddar cheese
Pickled herring
Ricotta cheese

Answer 4

Ricotta cheese

Question 5

Which of the following WBC response would be most consistently noted in an adult with acute appendicitis?

Correct WBC 5000/mm3, neutrophils 32%, bands 4% WBC 17,500/mm3, neutrophils 72%, bands 10% WBC 14,000/mm3, neutrophils 24%, bands 3% WBC <1000/mm3, neutrophils 52%, bands 6%

Answer 5

WBC 17,500/mm3, neutrophils 72%, bands 10%

Question 6

Appropriate outpatient treatment for a 62-year-old woman with mild diverticulitis who is without vomiting and suitable for outpatient therapy is:

Correct Oral or IV linezolid (Zyvox®). Oral metronidazole (Flagyl®). Oral levofloxacin (Levaquin®) plus oral metronidazole (Flagyl®). IV daptomycin (Cubicin®) plus oral clindamycin (Cleocin®

Answer 6

Oral levofloxacin (Levaquin®) plus oral metronidazole (Flagyl®).

Question 7

Risk factors for pancreatic cancer include all of the following except:

	Correct
Hypertension.
History of chronic pancreatitis.
Tobacco use.
Diabetes mellitus

Answer 7

Hypertension

Question 8

All of the following are characteristics of long-acting muscarinic antagonists (LAMA) when used in the management of COPD except:

	Correct
Provide relief of acute bronchospasm.
Offer a protracted duration of bronchodilation.
Minimize the risk of COPD exacerbation.
Are usually used on a daily set schedule

Answer 8

Provide relief of acute bronchospasm.

Question 9

Which of the following classes of agents used in the management of COPD best provides a protracted duration of bronchodilation?

	Correct
Short-acting beta2-agonists (SABA)
Inhaled corticosteroids
PDE-4 inhibitor
Long-acting beta2-agonists (LABA)

Answer 9

Long-acting beta2-agonists (LABA)

Question 10

Which of the following agents/drug classes used in the management of COPD provides one of the first-line drug therapies used to minimize the risk of exacerbation
Oral xanthine (e.g., theophylline [Theolair®])
Inhaled long-acting muscarinic antagonists (LAMA) (e.g., tiotropium bromide [Spiriva®])
Inhaled short-acting beta2-agonist (SABA) (e.g., albuterol [ProAir®])
Oral PDE-4 inhibitor (e.g., roflumilast [Daliresp®])

Answer 10

Inhaled long-acting muscarinic antagonists (LAMA) (e.g., tiotropium bromide [Spiriva®])

Question 11

With an 8:00 AM dose of the following insulins, followed by inadequate dietary intake/excessive energy utilization, at what time would hypoglycemia occur?

Select the time of onset of hypoglycemia medication:

Lispro (Humalog®)

Regular insulin (Humulin R®)

NPH (Novolin N®, Humulin N®)

Answer 11

Lispro (Humalog®) 8:30-10:30

Regular insulin (Humulin R®) 
10-11

NPH (Novolin N®, Humulin N®) 2p-10p