NSG 6020 3p mock graded 88 %

3p mock graded 88 % Which medication should not be prescribed during an acute gout flare? Question options: Colchicine Steroids Allopurinol NSAIDs Question 2 1 / 1 point The right lymphatic ducts dra ...

3p mock graded 88 % Which medication should not be prescribed during an acute gout flare? Question options: Colchicine Steroids Allopurinol NSAIDs Question 2 1 / 1 point The right lymphatic ducts drain into what part of the circulatory system? Question options: capillary bed venous arterial arteriovenous Question 3 1 / 1 point Which presentation is most suspicious for penile cancer? Question options: a group of small, scattered vesicles papules with a variety of shapes a chancre a nontender, indurated penile nodule Question 4 1 / 1 point Which cranial nerves are assessed when assessing bilateral eye movement? Question options: II, III, IV II, IV, VI III, IV, VII III, IV, and VI Question 5 1 / 1 point Which type of insulin will help to reduce nocturnal hypoglycemia? Question options: NPH immediate-acting regular long-acting Question 6 1 / 1 point Which area does not drain to the right lymph duct? Question options: the right leg the right arm the right upper thorax the right side of the head Question 7 1 / 1 point What is likely to be elevated in a woman with polycystic ovarian syndrome? Question options: estrogen insulin progesterone renin Question 8 1 / 1 point What is a frequent side effect of SSRIs? Question options: sexual dysfunction anorexia depression delayed response time of 2-3 weeks Question 9 1 / 1 point Which is not a location of pain associated with kidney and ureter disorders? Question options: back suprapubic flank abdominal Question 10 1 / 1 point Which medication targets postprandial glucose by blocking its transport across the intestine into the bloodstream? Question options: metformin (Glucophage) rosiglitazone (Avandia) acarbose (Precose) glipizide (Glucotrol) Question 11 1 / 1 point Jugular venous distention accompanied by chest pain is associated with: Question options: pneumonia asthma heart failure hypertension Question 12 1 / 1 point What suggests hyperandrogenism in an adolescent female? Question options: polycystic ovaries hirsutism obesity high pitched voice Question 13 1 / 1 point A clinical breast exam should include palpation at the tail of Spence. Where is this located? Question options: laterally across the anterior axillary fold lower inner quadrant upper inner quadrant lower outer quadrant Question 14 1 / 1 point What medication is used first line for a patient with benign positional vertigo? Question options: hydrochlorothiazide pseudoephedrine meclizine promethazine Question 15 1 / 1 point How would you describe the lesions of condyloma accuminata in a male patient? Question options: a red, nontender, enlarging nodule with induration a chancre a group of small, scattered vesicles multiple papular lesions with a verrucous appearance Question 16 1 / 1 point Your 62 year old patient has been taking Griseofulvin 500 mg po BID for 3 weeks to treat tinea capitis and has only had marginal improvement. What is your next step? Question options: prescribe a short course or oral steroids have the patient shave his head and warn him that hair regrowth will be slow continue the current therapy for 6-8 weeks Add 2.5% selenium sulfide shampoo twice weekly to the regimen Question 17 1 / 1 point When measuring the fundal height of a pregnant woman at 32 weeks, which measurement would prompt the nurse practitioner to suspect fetal growth restriction? Question options: 29 cm 30 cm 31 cm 32 cm Question 18 1 / 1 point Which is a synovial joint? Question options: pubic symphysis of the pelvis skull vertebral bodies of the spine shoulder Question 19 1 / 1 point What is the most common characteristic among patients with migraine headache? Question options: family history initial onset after age 35 weakness focal deficits Question 20 1 / 1 point A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had reduced from 118/79 to 109/68. What hemodynamic change is responsible for this? Question options: decrease in systemic vascular resistance decrease in stroke volume decrease in cardiac output decrease in preload Question 21 0 / 1 point A 40 year old female patient has breasts with a soft texture, but uneven contour bilaterally. What is the most likely diagnosis? Question options: malignancy fibroadenoma cystic breasts normal finding Question 22 1 / 1 point Which medication is not contraindicated in a patient with sulfa allergy? Question options: sumatriptan (Imitrex) glimepride (Amaryl) celecoxib (Celebrex) silver sulfadiazine (Silvadene) Question 23 1 / 1 point At what point in pregnancy should Rh negative women receive Rhogam (Rho D immune globulin)? Question options: 35 weeks 28 weeks 12 weeks 6 weeks Question 24 1 / 1 point What is the single dose treatment for chlamydia? Question options: Flagyl (metronidazole) 2 g po Rocephin (ceftriaxone) 250 mg IM Vibramycin (doxycycline) 200 mg po Zithromax (azithromycin) 1 g po Question 25 1 / 1 point You might suspect small bowel obstruction in a patient who complains of: Question options: hematemesis and bloody stool indigestion and anorexia nausea and diarrhea vomiting and pain Question 26 0 / 1 point Which medication is contraindicated in a child with acute sinusitis? Question options: decongestants nasal steroids antihistamines expectorants Question 27 1 / 1 point A 62 year old male presents with leg pain and occasional numbness that is worse with ambulation and improved with lumbar flexion. What is the likely diagnosis? Question options: cauda equina syndrome spinal stenosis ankylosing spondylitis bursitis Question 28 0 / 1 point How do 5-alpha reductase inhibitors work to reduce the symptoms of BPH? Question options: increase blood flow to the prostate decrease the size of the prostate relax smooth muscle in the bladder neck relax smooth muscle in the prostate capsule Question 29 1 / 1 point What is the mechanism of action of prostaglandin E1 in a patient with transposition of the great arteries? Question options: to prevent cyanotic episodes by trapping blood in the lower extremities to maintain patency of the great arteries to maintain equal pressure in the ventricles to produce vasodilation and adequate oxygen saturation Question 30 1 / 1 point During abdominal exam, which sound over the bulging area of the abdomen would indicate ascitic fluid? Question options: normal resonance hyperresonance dullness tympany Question 31 1 / 1 point Which condition is associated with chronic, bloody diarrhea? Question options: Hepatitis A Crohn's disease irritable bowel syndrome celiac disease Question 32 1 / 1 point What would you advise for a patient taking an oral glucocorticoid? Question options: crush it in applesauce take it in an empty stomach take it with food chew it prior to a high fat meal Question 33 1 / 1 point Which immunization protects against a virus that is transmitted through blood and body fluids and can lead to chronic liver disease? Question options: Hepatitis A Hepatitis B Hepatitis C Typhoid fever vaccine Question 34 1 / 1 point Which risk factor is not associated with breast cancer? Question options: use of hormone replacement therapy postmenopausal obesity low socioeconomic status personal or family history of breast cancer Question 35 1 / 1 point A pediatric patient has areas of scaling on the scalp with round patches of hair loss. What is the likely diagnosis? Question options: trichotillomania tinea capitis alopecia areata seborrheic dermatitis Question 36 1 / 1 point What finding would be suggestive of osteosarcoma in a pediatric patient? Question options: apophyseal avulsion pathologic fracture pain in the affected bone repeat fracture Question 37 1 / 1 point Your 70 year old patient complains of a sore mouth that prevents her from eating. On exam you note a beefy red, glossy smooth tongue. What do you suspect? Question options: a neurological disorder such as Parkinson's disease secondary hypothyroidism pernicious anemia due to insufficient intrinsic factor cheilosis, a serious disease of the mouth and oropharynx Question 38 1 / 1 point Rapid HIV testing would be most appropriate for a patient with complaints of: Question options: painful bowel movements, anal itching, and abnormal menstrual bleeding or painful and swollen testicles painful urination, lower abdominal pain, and dyspareunia painful urination, dyspareunia, and penile or vaginal discharge fever, headache, and lymphadenopathy Question 39 0 / 1 point Which is a contraindication for menopausal estrogen replacement therapy in a 55 year old woman? Question options: prior breast or uterine carcinoma current or past migraine headaches family history of lung cancer history of phlebitis Question 40 1 / 1 point Which is not a typical symptom of late stage HIV? Question options: night sweats persistent vomiting persistent, unexplained fatigue lymphadenopathy of more than 3 months Question 41 1 / 1 point What historical finding may predispose a patient to testicular cancer? Question options: epididymitis inguinal hernia testicular torsion cryptorchidism Question 42 1 / 1 point A Hispanic woman at 26 weeks of pregnancy tells you that she has been eating ice. What should the NP do? Question options: tell her this is a dangerous cultural practice check the patient for anemia encourage her to eat more at mealtimes check the patient for diabetes Question 43 1 / 1 point What is the term for excess fluid that accumulates in the pleural cavity between the visceral and parietal spaces? Question options: chylothorax pleural effusion pleural empyema pericardial effusion Question 44 1 / 1 point Which pathogen is associated with common UTIs? Question options: Streptococcus Proteus mirabalis E coli Klebsiella Question 45 1 / 1 point You are evaluating an 80 year old patient for recent episodes of incontinence and confusion. His family states that this is unusual for him and he has become increasingly forgetful over the past two weeks. Which medication might be responsible for this? Question options: Altace (ramipril) Tagamet (cimetidine) Coumadin (warfarin) Vitamin B-12 Question 46 1 / 1 point Which is a true statement about varicose veins? Question options: They are more symptomatic during ovulation. They are usually diagnosed on clinical presentation. They are not affected by pregnancy. They are due to congenital valve deformities. Question 47 1 / 1 point What symptoms in a college student living in a dorm would be suspicious for atypical community acquired pneumonia? Question options: low grade fever, malaise, and crackles audible throughout the lung fields temp of 102, dyspnea, and diminished lung sounds on auscultation low grade fever, malaise, and clear lung fields on auscultation temp of 101.2, sore throat, and diminished lung sounds on auscultation Question 48 1 / 1 point Which type of incontinence is most likely in a patient with Alzheimer's disease who cannot reach the toilet in time? Question options: Functional Overflow Urge Stress Question 49 1 / 1 point You are seeing a 63 year old male who has decreased chest expansion, symmetric thorax with moderate kyphosis, and bilateral diaphragm distention of 2 cm. What is the most likely diagnosis? Question options: COPD rib fracture pneumothorax pleural effusion Question 50 1 / 1 point You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood swings, is easily distracted, and constantly corrects his teachers. You would have a high suspicion for bipolar if which symptom was present? Question options: he does not complete tasks he blurts out answers in class inappropriately he is forgetful he sleeps less than 4 hours nightly Question 51 1 / 1 point What is a typical finding in a patient with a meniscal tear? Question options: audible click at the joint line positive McMurray's test positive anterior drawer test fixed patellar subluxation Question 52 1 / 1 point What is important to consider before prescribing metronidazole for giardiasis? Question options: whether the patient is at least 18 years of age whether the patient drinks alcohol presence of a sulfa allergy past medical history of peptic ulcer disease Question 53 1 / 1 point Which headache sign does not warrant an immediate investigation? Question options: new onset after age 50 precipitated by Valsalva maneuver aggravated or relieved by change of position relieved with use of common analgesics Question 54 1 / 1 point What clinical manifestation suggests primary syphilis? Question options: a single painless genital lesion no symptoms poor muscle coordination rash marked by red or reddish-brown penny sized lesions on the palms and soles Question 55 1 / 1 point In which condition would the use of triptans for migraine headaches be contraindicated? Question options: kidney stones osteoarthritis vertigo hypertension Question 56 0 / 1 point Using GTPAL nomenclature, how would you document a patient currently pregnant with a history of an uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective abortion? Question options: G4 T1 P2 A1 L3 G5 T1 P2 A2 L2 G3 T1 P1 A1 L3 G4 T1 P1 A1 L3 Question 57 1 / 1 point What is the most common presenting symptom of a woman with trichomoniasis? Question options: vaginal discharge dyspareunia and abdominal pain fever, papules, and vaginal discharge with burning painless, ulcerated vulvar lesion with vaginal discharge Question 58 1 / 1 point A child with enuresis should be treated with nasal desmopressin (DDAVP) for which symptom? Question options: daytime incontinence nocturnal enuresis secondary enuresis urinary pain Question 59 0 / 1 point What should not be prescribed for migraine prophylaxis in a 42 year old woman? Question options: amitriptyline (Elavil) sumatriptan (Imitrex) metoprolol (Lopressor) verapamil (Verelan) Question 60 1 / 1 point Which medication inhibits blood coagulation by selectively blocking the active site of factor X-a? Question options: Pradaxa (dabigatran) Lovenox (enoxaparin) Coumadin (warfarin) Eliquis (apixaban) Question 61 1 / 1 point Which medication is appropriate for a woman with bladder sphincter dysfunction and stress incontinence? Question options: Minipress (prazosin) Urecholine (bethanechol) pseudoephedrine Urispas (flavoxate) Question 62 1 / 1 point What pathological finding is noted in asthma? Question options: absence of goblet cells necrosis of small airways absence of ciliary regeneration hypertrophy of smooth muscle Question 63 1 / 1 point Which condition is best treated by using alpha adrenergic antagonists? Question options: renal insufficiency functional incontinence overflow incontinence urge incontinence Question 64 0 / 1 point What medication is used to relieve acute wheezing in a patient with asthma? Question options: long acting beta agonist short acting beta agonist oral corticosteroid inhaled corticosteroid Question 65 0 / 1 point How would a 60 year old man typically describe prostate pain? Question options: Located in the suprapubic area Located in the lower back Located in the perineum Located in the glans penis Question 66 1 / 1 point Which symptom is most associated with testicular torsion? Question options: testicular pain erectile dysfunction testicular swelling penile warts Question 67 1 / 1 point A 67 year old woman with atrial fibrillation and an ejection fraction of 48% is on digoxin and has had normal digoxin levels of 0.8- 2 ng/dL for the past 9 months. Today, the level is 0.4 ng/dL. What could account for this change? Question options: increased exercise regular use of an antacid weight loss decreased creatinine clearance Question 68 1 / 1 point What test of renal function is the best measure of renal insufficiency? Question options: BUN serum creatinine 24 hour creatinine clearance serum uric acid Question 69 1 / 1 point Which medication is indicated for patients with Generalized Anxiety Disorder (GAD)? Question options: Buspirone (Buspar) Bupropion (Wellbutrin) Citalopram (Celexa) Imipramine (Tofranil) Question 70 1 / 1 point Which is common among patients with psoriasis? Question options: pruritis, pitted nails, and satellite lesions dermatomal rash and satellite lesions pitted nails and plaques pruritis, positive Auspitz sign, and pitted nails Question 71 1 / 1 point A 26 year old woman with bulimia is likely to be: Question options: not concerned with weight of average weight very overweight very underweight Question 72 0 / 1 point Which patient would be at highest risk for contracting TB? Question options: A person who smoke 2 packs per day A low income immigrant Someone who had recent contact with an infected patient A nursing home resident Question 73 1 / 1 point Which best describes the lower extremity calf pain associated with peripheral artery disease? Question options: pulsating pain electric shock sharp, stabbing pain dull aching or cramping Question 74 1 / 1 point During a migraine, what happens to the cerebral arteries? Question options: they constrict they vibrate they dilate they pulsate Question 75 1 / 1 point What is the most likely presenting symptom in a pediatric patient with croup? Question options: A barking cough nocturnal symptoms shortness of breath sudden onset of symptoms ________________________________________