The cardinal sign of infectious arthritis is:
· Question 66
Diagnostic evaluation for urinary calculi includes:
· Question 67
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. What health teaching should Martin receive today regarding the care if his feet?
See a podiatrist yearly; wash your feet daily withwarm, soapy water and towel dry between thetoes; inspect your feet daily for any lesions; andapply lotion to any dry areas.
· Question 68
Potential causes of septic arthritis include which of the following?
· Question 69
Which of the following is the best response to a woman who has just admitted she is a victim of spousal abuse?
· Question 70
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
· Question 71
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. What 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 antibioticD. Refer the client to urology.
· Question 72
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety disorder?
· Question 73
A positive drawer sign supports a diagnosis of:
· Question 74
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?
·
· Question 75
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. What is the most likely diagnosis?
· Question 76
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 helpful for diagnosis?
· Question 77
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. What should your next action be?
· Question 78
A patient has just been diagnosed with Bell’s palsy. He is understandably upset and has questions about the prognosis. You response should be:
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· Question 79
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:
· Question 80
Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be achieved with:
· Question 81
What diabetic complications result from hyperglycemia?
1.
1.
1. Retinopathy
2. Hypertension resistant to treatment
3. Peripheral neuropathy
4. Accelerated atherogenesis
· Question 82
· Question 83
The most common symptoms of transient ischemic attack (TIA) include:
· Question 84
What is the first step in the treatment of uric acid kidney stones?
· Question 85
Establishment of a definitive diagnosis of osteomyelitis requires:
· Question 86
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
· Question 87
Urine cultures should be obtained for which of the following patients?
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· Question 88
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?
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