..A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects mononucleosis. Which of t
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..A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects mononucleosis. Which of the following is the LEAST appropriate intervention? Question: A 32 years old male patient complaint of urinary frequency and burning on urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary tract infections. The initial treatment should be: Question: Which agent is most effective for the treatment of nodulocystic acne? Question: An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructed to use a backup method for the prevention of pregnancy Question: A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5 mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides= 344 mg/dL (8.94 mmol/L). What agent have the greatest effect on improving her lipid profile and reducing morbidity and mortality associates with dyslipidemia? Question: A 30 years old female comes into a clinic with classic signs and symptoms of The NP fails to refer the patient to a surgeon. The appendix ruptures and the woman die. This is an example of Question: A NP has recently been hired to work in a fast track The NP employer asked if she has “a problem prescribing medications for emergency contraception.” The NP replies affirmatively. This is: Question: A patient presents with pruritic lesions on both knees. There are visible silver scales. How Should this condition be managed? Question: Antidepressant discontinuation syndrome is less likely if the patient Question: Patient with benign prostatic hyperplasia (BPH) should be taught to avoid which one of the following drug classes? Question: Which of the following is the best response to a woman who has just admitted she is a victim of spousal abuse? Question: For which patient group does the US Preventive Services Task Force recommend routine screening for asymptomatic bacteriuria Question: What diabetic complications result from hyperglycemia? Question: A 6 y/o presents w/ complaints of sore throat and fever for 2 days. He has multiple vesiculated ulcerations on his tonsils and uvula. There are no other remarkable findings. What is the most likely diagnosis? Question: A patient has Kawasaki syndrome. Which characteristics would be UNUSUAL? Question: According to the JNC 8 guideline hypertension in a 40 y/o can be diagnosed when blood pressure exceeds Question: A 48 y/o female complains of pain and stiffness in her right hip and knee that is mild on awakening in the morning, get worse as the day progresses and is relived with hot baths and ibuprofen. Crepitus is palpated on range of motion of the knee. Signs of inflammation are notably absent. What is the most likely diagnosis? Question: A 7-year old female patient presents with severe injuries that are inconsistent with the explanation given for them. The nurse practitioner questions the mother about abuse. She admits that her husband, the child’s father, beat the child. How should the nurse practitioner proceed? Question: A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up of the legs followed by periods of On physical examination, a “sausage-like” mass in the upper right quadrant of the distended abdomen. Which of the following is the most likely diagnosis? Question: A middle-aged female complains of insomnia, night sweats, feeling intensely hot, emotional lability, extreme nervousness and impatience. The LEAST likely cause of her symptoms is Question: Which of the following indicated need for further evaluation? Question: A young couple is being seen by the NP for preconception They express a wish for pregnancy within the next 3 month and are very eager to know what they can do now to “make the baby as healthy as possible”. Which of the following should the NP encourage to decrease the chance of neural tube defect in the fetus? Question: A patient with a past history of documented coronary arterial blockage less than 70% complains of chest pain several time p…. which is relived with nitroglycerin. Which is the most appropriate initial action for the NP? Question: A 3 y/o has enlarged, warm, tender cervical lymph nodes, indicating: Question: The NP examines a 2-month-old with unequal gluteal and thigh skin folds. What should the NP do next? Question: A very active 35 years old male has painful hemorrhoid, but he does not want hemorrhoidal surgery at this time. His diet has been indiscriminate as his job requires frequent travel. The most appropriate recommendation is for him to select food that are: Question: Correct instructions to give new parent who are transporting their newborn infant is Question: A 13 y/o pt. complains that he fell while running during football practice. Now his knee hurts and sometimes “lucks”. The NP conducts McMurrays test. Which of the following is TRUE about this test? Question: A 20 y/o male patient complains of “scrotal swelling”. He states his scrotum feels heavy but denies pain. On examination, the NP notes transillumination of the scrotum. What is the most likely diagnosis? Question: A 15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of this information, it is essential for the NP to teach him about Question: A pt. present with classic symptoms of gastroesophageal reflux diseases’ (GERD). He is instructed in lifestyle modification, and drug initialed. Two month later, he returns and report that he still has symptoms. The next steps are Question: A 51 –year- old post-menopausal female, request guidance regarding osteoporosis Question: The NP would be correct to recommend all of the following EXCEPT Question: Moderate weight loss, particularly of visceral adipose tissue in patients with type 2 diabetes mellitus may have all of the following beneficial effects EXCEPT: Question: A 12 y/o presents with eat pain or 36 hours The NP diagnoses acute otitis media because the Question: The NP should instruct the mother of an infant with thrush to: Question: A 26 y/o patient, 18 weeks pregnant with twins, has been healthy and has followed recommendations of her nurse midwife. She is in the office to discuss results of her maternal serum alpha-fetoprotein (MSAFP) test. which show elevation in this particular pregnancy? Question: The hallmark of neurofibromatosis (von Recklinghousen disease) present in almost 100% of patients is: Question: The NP correctly teaches an elderly patient with pernicious anemia that food sources of B12 include Question: An 18-year-old female applying for college admission present to the health clinic because evidence of rubella vaccination is required for admission. She says, “don’t remember ever getting that shot” She has negative serologic evidence of rubella antibody. The NP should: Question: A 45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ pain and epigastric “crampy pain”. Symptoms are exacerbated by high-fat meal. What is the most likely diagnosis? Question: A 16 y/o male presents w/ mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechia. With for this patient, what drug would be the LEAST appropriate to prescribe? Question: A characteristic of delirium that is typically absent in dementia is Question: It is impe
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