Which of the following symptoms suggests a more serious cause of back pain?
· Question 26
Josh, age 22, is a stock boy and has an acute episode of low back pain. You order and NSAID and tell him which of the following?
· Question 27
A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis?
· Question 28
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
· Question 29
Which of the following is the most common cause of low back pain?
A.
Lumbar disc disease
B.
Spinal stenosis
C.
Traumatic fracture
D.
Osteoporosis
· Question 30
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
· Question 45
Which of the following antibiotics should not be prescribed for a pregnant woman in the 3rd trimester?
· Question 46
The physiological explanation of syncope is:
· Question 47
A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis?
· Question 48
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: nclude nitrofurantoin monohydrate/macrocrystals, trimethoprim-sulfamethoxazole (TMP-SMX), or fosfomycin.
· Question 49
Diagnostic radiological studies are indicated for low back pain:
· Question 50
Who is at a higher risk for developing nephrolithiasis?
·
· Question 51
An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects?
A.
Weight gain
B.
Fracture risk
C.
Hypoglycemia
D.
Weight loss
· Question 52
A 28-year-old female presents to the office requesting testing for diagnosis of hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her risk factors. The nurse practitioner explains that:
· Question 53
The diagnosis of human papilloma virus (HPV) infection in males is usually made by:
· Question 54
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
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