Practice 3 Flashcards

1
Q

a patient presents with pain, warm, and swelling at tattoo site that was applied 48 hours ago - NP should

A

obtain culture and start pt on oral antibiotic

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2
Q

which of the following statements is true about female condom

A

female condoms do not protect against STIs

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3
Q

a patient presents to the NP with copious, markedly purulent discharge from left eye - which type of conjunctivitis

A

gonococcal

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4
Q

at what age does vision become 20/20

A

6 years

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5
Q

a patient presents with a diffuse, symmetric maculopapular eruption involving trunk and extremities; multiple sex partners

A

secondary syphilis

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6
Q

mild to mod systolic murmur ULSB

A

pulmonary stenosis

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7
Q

cafe au lait spots - more lesions now, do what

A

refer to ped geneticist

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8
Q

routine monitoring for patient receiving isotretinoin does not include

A

CBC

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9
Q

a 37 year old patient has a negative rubella titer - how long after immunization should the patient avoid pregnancy

A

28 days

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10
Q

the NP receives culture results for a patient with PID; results are positive for gonorrhea infection; she was empirically treated at last visit - the next step

A

perform a test for cure at 3 months

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11
Q

a patient complains of intermittent “stomach pains” for the past month. when distinguishing between a gastric ulcer and a duodenal ulcer, what questions is LEAST important to ask

A

does your abd pain radiate to your shoulder blade

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12
Q

waking frequently each night with sensation of bladder fullness but being unable to make it to the bathroom without voiding

A

urge incontinence

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13
Q

adult powerlifter shows elevated CK and myoglobin lvl; urine dipstick is positive for blood but negative for RBCs - most likely dx

A

rhabdo

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14
Q

NP services are filed with medicare for reimbursement

A

and paid for by medicare part B

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15
Q

thalasesemia may present with

A

jaundice

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16
Q

which class of drugs increases a patient’s risk for developing rhabdo

A

hmg-coa reductase inhibitors/statins

17
Q

when providing anticipatory guidance to adolescents 15-19 the topic that has the most potential to decrease mortality rate is

A

safety precautions to prevent accidents

18
Q

smoking during pregnancy

A

low birth weight

19
Q

tinea pedis tx

A

antifungal/steroid combo cream

20
Q

a patient just tested positive for gonorrhea; which sexual partners should be tested

A

all in the last 60 days preceding symptom onset

21
Q

ALL is made based on

A

bone marrow biopsy

22
Q

sudden onset of lethargy

A

delirium

23
Q

HMOs provide

A

coverage specific to wellness and preventive care

24
Q

prophylactic med for migraines

A

BB

25
Q

which is not an appropriate tx for chronic bacterial prostatitis

A

nitrofurantoin/Macrobid

26
Q

an adult pt with diabetes reports bilateral pain in lower legs while walking, pain disappears at rest, on PE what would you expect

A

diminished pulses, cool, dry skin, atrophied calf muscles

27
Q

preferred therapeutic regimen for a pregnant patient dx with chlamydia trachomatis infection

A

a single dose of azithromycin 1 gram orally

28
Q

which would not be considered a long term complication of untreated BPH

A

prostate cancer

29
Q

IDA starting on iron - f/u when

A

1 month for CBC

30
Q

an early indication of diabetic nephropathy is elevated

A

urinary microalbumin

31
Q

the NP is performing an assessment on a 45 year old patient who exhibits malignant HTN, the most likely assessment finding is

A

retinal hemorrhage

32
Q

treatment of choice for all stages of syphilis is

A

parenterally delivered penicillin G

33
Q

a patient complains of fever and throat pain. bilateral exudate is present on tonsils. the patient describes having an anaphylactic reaction to PNC in the past - which abx choice now

A

erythromycin

34
Q

cat scratch disease tx

A

prescribe a 5 day course of azithromycin

35
Q

frequency cause of death in patients with anorexia

A

suicide

36
Q

which of the following symptoms would be an unusual clinical presentation in a patient with catarcts

A

scotoma

37
Q

a 72 year old patient reports 6 month history of swelling and pain in DIP joints on right hand, no systemic symptoms, ESR slightly elevated - most likely

A

OA

38
Q

croup - at home measure

A

cool and warm mist