Which history is commonly found in a patient with glomerulonephritis?
· Question 55
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?
· Question 56
The most common presentation of thyroid cancer is:
· Question 57
The obligatory criteria for diagnosis of muscular dystrophy (MD) are:
· Question 58
The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is:
· Question 59
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?
· Question 60
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. What is the most likely cause of this behavior?
A. Dementia
C. Parkinson’s disease
D. Depression
· Question 61
Which of the following set of symptoms should raise suspicion of a brain tumor?
· Question 62
The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:
· Question 63
Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to:
· Question 64
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 painB. Difficulty sleepingC. DepressionD. Fatigue
· Question 65
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?
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· 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?
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