Which is the most common cause of end-stage renal disease in the United States?
· Question 31
A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects:
A.
Arthritis
B.
Ulnar neuritis
C.
Septic arthritis
D.
Olecranon bursitis
· Question 32
A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal. Which of the following is the most likely diagnosis?
· Question 33
Beth, age 49, comes in with low back pain. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further?
· Question 34
A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis?
· Question 35
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
· Question 36
Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why. How do you respond?
· Question 37
The most common cause of elevated liver function tests is:
· Question 38
Reed-Sternberg B lymphocytes are associated with which of the following disorders:
A.
Aplastic anemia
B.
Hodgkin’s lymphoma
C.
Non Hodgkin’s lymphoma
D.
Myelodysplastic syndromes
· Question 39
Which of the following is a potential acquired cause of thrombophilia?
A.
Homocysteinuria
B.
Protein C deficiency
C.
Factor V Leiden
D.
Antiphospholipid antibodies
· Question 41
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains:
Primary hyperparathyroidism is treated with Vitamin D restriction
Primary hyperparathyroidism is treated with parathyroidectomy
Primary hyperparathyroidism is treated with daily magnesium
Primary hyperparathyroidism is treated with parenteral parathyroid hormone (PTH)
· Question 42
Diagnostic confirmation of acute leukemia is based on:
·
· Question 43
A 25 year old overweight patient presents with a complaint of dull achiness in his groin and history of a palpable lump in his scrotum that “comes and goes”. On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis?
A. Testicular torsion
B. Epididymitis
C. Inguinal hernia
D. Varicocele
· Question 44
Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?
A. Prescribe nasal steroids and oral decongestantsB. Prescribe antibiotic eardropsC. Prescribe systemic eardropsD. Refer David to an ear, nose, and throat specialist
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