N675 Week 15 Final Exam 2021 Graded A

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N675 Week 15 Final Exam 1. CNS stimulants cause increase alertness, excitation, and sometime euphoria. Stimulant drugs include the following: a. Cocaine, Amphetamine and Ecstasy 2. A college stude... nt is brought to the emergency department by a roommate who is concerned about symptoms of extreme restlessness, nausea, and vomiting. The provider notes elevations of the pulse and blood pressure and pupillary dilation, along with hyperactive bowel sounds. The provider suspects withdrawal from which substance? a. Opioids 3. A patient reports symptoms of restlessness, fatigue, and difficulty concentrating. The provider determines that these symptoms occur in relation to many events and concerns. What other things will the provider question this patient about? a. Headaches and bowel habits 4. A patient is coming to your clinic and you suspect opiate withdrawal. You know the most common signs of opiate withdrawal include: a. Dysphoric mood, piloerection, insomnia, weakness 5. You are seeing a 22 year old patient in your primary care clinic. The patient complains of abdominal. You do a urine pregnancy test and it is positive. You referred the patient to an obstetrician who will see the patient in 4 weeks. You note that the patient also takes sertraline for depression. How should the sertraline be managed? a. Let the obstetricians and patient make a decision about continuing sertraline (Sertraline is one of the best studied selective serotonin reuptake inhibitors in pregnancy and lactation. While the health care provider would rather this patient not taking medication while she is pregnant, consideration must be given the severity of her depression and her response to treatment. The risk of exposure to medication must always be weighed against the risk of not treating this patient. All psychotropic medications cross the placenta and so developing fetuses are exposed to these medications.) 6. You are seeing a patient and considering serotonin syndrome as a potential differential diagnosis. The patient is taking an SSRI. Which of the other medications the patient is taking may cause serotonin syndrome? a. Dextromethorphan (Necessary rind dextromethorphan can cause serotonin syndrome. This is a potentially life-threatening condition.) 7. What characteristic is true of tension headaches, but not of cluster headaches? a. Tension headaches are always bilateral (Cluster headaches are always unilateral) This study source was downloaded by 100000831988016 from CourseHero.com on 05-18-2022 13:44:35 GMT -05:00 https://www.coursehero.com/file/47152281/N675-Week-15-Final-Examdocx/ 8. A 50-year-old man complains of marked scalp tenderness accompanied by a bad headache at his left temple. He reports a sudden loss of vision in the left eye for the past several hours. The neurological exam is normal except for the loss of vision in the left eye. Which of the following conditions is most likely? a. Giant cell arteritis 9. You are examining a patient who has just been diagnosed with Bell's palsy. Bells's palsy is characterized by all of the following except: a. Inability to swallow 10.A patient is in the emergency department after sustaining a blow to the head in a motor vehicle accident. The patient’s Glasgow Coma score is 14 and the patient is drowsy. The patient has a small amount of blood in one external auditory canal. Which is a priority in diagnosing the extent of injury in this patient? a. Non-enhanced computed tomography of the head 11.An 80-year-old patient becomes apathetic, with decreased alertness and a slowing of speech several days after hip replacement surgery alternating with long periods of lucidity. What is the most likely cause of these symptoms? a. Delirium 12.An elderly patient is brought to the emergency department after being found on the floor after a fall. The patient has unilateral sagging of the face, marked slurring of the speech, and paralysis on one side of the body. The patient’s blood pressure is 220/190 mm Hg. What is the likely treatment for this patient? a. Neurosurgical consultation 13.When examining a patient’s skin, a practitioner uses dermoscopy in order to (Select all that apply.) a. determine whether lesion borders are regular or irregular. b. assess changes in pigmentation throughout various lesions. c. visualize skin fissures, hair follicles, and pores in lesions. d. accentuate changes in color of pathologic lesions by fluorescence. e. differentiate fluid masses from cystic masses in the epidermis. 14.When collecting a specimen to determine a diagnosis of tinea corporis, the provider will scrape which portion of the lesion? a. The active, leading border 15.A 15-month-old who is eating and behaving normally is found to have a high fever. After a few days, the fever resolves and the child breaks out in a maculopapular rash. This is a description of which with the following conditions: This study source was downloaded by 100000831988016 from CourseHero.com on 05-18-2022 13:44:35 GMT -05:00 https://www.coursehero.com/file/47152281/N675-Week-15-Final-Examdocx/ a. Roseola infantum (Roseola is caused by herpes virus 6. Signs and symptoms including high fever for a few days with a maculopapular rash occurring after the fever breaks.) 16.The patient has been in the sun for the past few weeks and has developed darkened skin and numerous 3-6 mm light colored, flat lesions on his s trunk. What is the likely etiology? a. Tinea versicolor (Tinea versicolor typically visualized during the spring and summer months when the patient has become darkened after sun exposure. The areas that are infected did not tan and so become very noticeable.) 17.A 7-year-old presents with encopresis. The NP might suspect: a. Constipation (The underlying cause of encopresis, repetitive soiling of stool by child was 4 years of age or older who should be potty train, is usually chronic constipation.) 18.A 12-year-old with hip pain presents to the NP clinic. Hip pain has occurred with activity for the past 4-6 weeks, but his pain is worse and now involves the knee. There is no history of trauma. How should the workup be initiated? a. Perform Trendelenburg's test in the office (There are several diagnoses in the differential. The assessment of this child's pain should begin in the office. Asking the child to stand on the affected leg to perform the Trendelenburg test. If there are weak adductor muscles in the affected hip, a pelvic tilt will be visible in the affected hip. After assessment of the hip, knee, and gait in the office, a hip x-ray to include AP and lateral should be ordered.) 19.A 3-year-old has been recently treated for an upper respiratory infection but drainage from the right nostril persists. What should the NP suspect? a. Presence of foreign body (To clinical clue should make the examiner suspect a foreign body. First, the patient has continued drainage despite treatment. Second, the drainage is unilateral.) 20.A 8-year-old boy with type 1 diabetes is being seen for 3 day history of urinary frequency and nocturia. He denies flank pain and is afebrile. The urinalysis results is negative for blood and nitrates but is positive for large amount of leukocytes and ketones. He has a trace amount of protein. Which is the following is best test to order initially? a. A urine culture and sensitivity (In 8-year-old male patient with diagnosis of diabetes has a high risk of UTIs. Urinalysis is showing possible UTI. The urine culture would be ordered because he has high risk of infection.) 21.A 16-year-old complains that his knee hurts. his mother states that he has complained of knee pain for the past 2 weeks. He has a prominent tibial tubercle. Which should be part of the differential diagnosis? a. Osgood-Schlatter disease (Osgood Slater disease is in osteochondritis of the tibial tubercle that can produce pain in the knees of adolescence. pain gradually increases) over time and can become [Show More]

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