MN568-Quiz 4
| MN568-Quiz 4 Random Section 1 |
Which of the following is associated with celiac disease (celiac sprue)?
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The nurse practitioner (NP) suspects a patient has a peptic ulcer. Which of the following items on the history would lead the NP to this conclusion?
MN568-Quiz 4Question options:
Which of the following dietary instructions should be given to a patient with GERD?
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| b) |
Drink peppermint tea to relieve stomach distress. |
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| c) |
Recline and rest after meals. |
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| d) |
Limit the amount of antacids. |
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| Question 4 |
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2 / 2 points |
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Which high-density lipoprotein (HDL) level is considered cardioprotective?
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A patient is seen with complaints of diarrhea. Which of the following should be included in the patient’s differential diagnosis?
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| b) |
Inflammatory bowel disease |
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| Question 6 |
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2 / 2 points |
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There are four stages of heart failure, classified as A to D, that describe the evolution and progression of disease. In which stage are patients hospitalized or treated with specialized interventions or hospice care for refractory symptoms of heart failure despite medical therapy?
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A 28-year-old patient is seen in the clinic with colicky abdominal pain particular with meals. She has frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of diverticulitis unlikely?
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| d) |
Colicky abdominal pain |
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| Question 8 |
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0 / 2 points |
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Which ECG change is typical of cardiac ischemia?
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What percentage of patients with angina pectoris will have simultaneous dyspnea, caused by transient increase in pulmonary venous pressures that accompany ventricular stiffening during an episode of myocardial ischemia?
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A patient is diagnosed with GERD, and his endoscopic report reveals the presence of Barrett’s epithelium. Which of the following should the PCP include in the explanation of the pathology report?
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| a) |
This is a premalignant tissue. |
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| b) |
This tissue is resistant to gastric acid. |
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| c) |
This tissue supports healing of the esophagus. |
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| Question 11 |
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0 / 2 points |
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A blood pressure (BP) of 150/90 is considered:
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| c) |
Normal in healthy older adults |
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| d) |
Acceptable if the patient has DM |
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| Question 12 |
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0 / 2 points |
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A 21-year-old student presents with complaints of fatigue, headache, anorexia, and a runny nose, all of which began about 2 weeks ago. She started taking vitamins and over-the-counter cold preparations but feels worse. The smell of food makes her nauseated. Her boyfriend had mononucleosis about a month ago, and she wonders if she might have it also. Examination reveals cervical adenopathy and an enlarged liver and spleen. Which of the following labs would be most helpful in the differential diagnosis at this point?
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| d) |
Thyroid-stimulating hormone test |
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| Question 13 |
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0 / 2 points |
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A 29-year-old Englishman is seen in the office with complaints of pain in his chest and belly. He has been suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer®. The burning pain wakes him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer?
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| c) |
His use of Alka-Seltzer |
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| Question 14 |
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2 / 2 points |
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In the CHADS2 Index for the stroke risk score for AF, the ‘A’ stands for:
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Which test has long been considered the gold standard for a diagnosis of venous thromboembolism?
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| b) |
Magnetic resonance imaging (MRI) |
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| Question 16 |
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2 / 2 points |
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Statins are approved for which age group?
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Children over the age of 2 |
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| b) |
Children over the age of 6 |
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| c) |
Children over the age of 10 |
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| d) |
Only adolescents and adults |
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| Question 17 |
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0 / 2 points |
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George, age 64, has cardiovascular disease (CVD), a total cholesterol of 280 mg/dL, and a systolic BP of 158. He is being treated for hypertension. You are doing a Framingham Risk Assessment on him. Which assessment factor would give him the highest number of points on the scale?
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| d) |
The fact that he is on antihypertensive medication |
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| Question 18 |
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2 / 2 points |
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The American College of Cardiology/American Heart Association states which of the following regarding the use of non-statin lipid-lowering agents?
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Nicotinic acid derivatives are effective for lowering LDL and triglycerides (TGs). |
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| b) |
Bile acid sequestrates increase HDL. |
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Cholesterol absorption inhibitors decrease LDL. |
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There is no sufficient evidence to use non-statin lipid-drugs. |
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| Question 19 |
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2 / 2 points |
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A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following should be included in the history and physical examination?
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When teaching post MI patients about their NTG tablets, the clinician should stress that the tablets should remain in the light-resistant bottle in which they are packaged and should not be put in another pill box or remain in areas that are or could become warm and humid. Once opened, the bottle must be dated and discarded after how many months?
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As long as the tablets are kept in this special bottle, they will last forever. |
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| Question 21 |
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2 / 2 points |
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A patient is diagnosed with giardia after a backpacking trip in the mountains. Which of the following would be an appropriate treatment?
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Which of the following is abundant in the heart and rapidly rises in the bloodstream in the presence of heart failure, making it a good diagnostic test?
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B-type natriuretic peptide |
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Erythrocyte sedimentation rate |
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| Question 23 |
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0 / 2 points |
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In which type of arterioventricular (AV) block does the pulse rate (PR) interval lengthen until a beat is dropped?
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| b) |
Second-degree Mobitz I AV block |
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Second-degree Mobitz II AV block |
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| Question 24 |
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2 / 2 points |
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Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet or one spray should be used under the tongue every 5 minutes for three doses. What should be done if the pain has not been relieved after three doses?
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911 should be called, and the patient should be transported immediately to the emergency department. |
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One more dose of NTG may be tried. |
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The person should be given two aspirin to chew. |
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| d) |
A portable defibrillator should be located to ascertain the cardiac rhythm. |
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| Question 25 |
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0 / 2 points |
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For the best therapeutic effect after a myocardial infarction (MI), thrombolytics should be administered within the first 3 hours (ideally 30 minutes) of symptom onset. Studies have shown, however, that thrombolytic therapy can be of benefit up to how many hours after the initial presentation of MI symptoms?
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A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is often constipated and takes laxatives, which are followed by a couple of days of diarrhea. She temporarily feels better after a bowel movement. She states she is embarrassed by flatulence and has abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for about 6 months. What should the next step be?
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Obtain a complete history. |
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Schedule a Bernstein’s test. |
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Prescribe a trial of antispasmodics. |
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| Question 27 |
MN568-Quiz 4 |
0 / 2 points |
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A patient is seen in the office with complaints of six to seven liquid bowel movements per day. Which of the following assessment findings would lead the NP to a diagnosis of inflammatory bowel disease?
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Intermittent constipation with periods of diarrhea |
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Wakens at night with diarrhea |
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History of international travel |
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| Question 28 |
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2 / 2 points |
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Which type of angina do you suspect in Harvey, who complains of chest pain that occurs during sleep and most often in the early morning hours?
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| c) |
Variant (Prinzmetal’s angina) |
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| d) |
Probably not angina but hiatal hernia |
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| Question 29 |
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0 / 2 points |
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A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis?
MN568-Quiz 4 Question options:
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| b) |
3 to 4 hours after perforation |
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Appendicitis never presents with vague pain. |
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| Question 30 |
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0 / 2 points |
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Which group would most benefit from statins?
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Those with a low density lipoprotein-cholesterol greater than 100 mg/dL |
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Individuals with clinical arteriosclerotic cardiovascular disease |
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Individuals with a 10-year risk greater than 10% |
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Individuals of all ages with diabetes mellitus (DM) |
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| Question 31 |
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0 / 2 points |
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A 46-year-old female patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient?
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Urine human chorionic gonadotropin |
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Computed tomography of the abdomen |
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| Question 32 |
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2 / 2 points |
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The patient with GERD should be instructed to eliminate which of these activities?
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A patient comes to the office complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the constipation?
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Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn for several months and takes Tums® with temporary relief. MN568-Quiz 4. He has been waking during the night with a burning sensation in his chest. Which additional information would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain?
Question options:
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The pain seems better when he smokes to relieve his nerves. |
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Coffee and fried foods don’t bother him, |
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He wakes at night coughing with a bad taste in his mouth. |
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| Question 35 |
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0 / 2 points |
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If chest pain can be alleviated with time, analgesics, and heat applications, what might the differential diagnosis be?
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A 45-year-old patient presents with a chief complaint of generalized abdominal pain. Her physical examination is remarkable for left lower quadrant tenderness. At this time, which of the following should be considered in the differential diagnosis?
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| Question 37 |
MN568-Quiz 4 |
2 / 2 points |
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A patient is seen with dark-colored urine, and the urine dipstick reveals a high level of bilirubin. Which of the following could be a cause of this problem?
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Increased breakdown of red blood cells |
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| b) |
Inadequate hepatocyte function |
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| Question 38 |
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0 / 2 points |
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A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to the history questions would help the primary care physician (PCP) establish the diagnosis of irritable bowel syndrome?
Question options:
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Feels relief after a bowel movement |
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Sometimes is constipated |
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Does not defecate in the middle of the night |
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| Question 39 |
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0 / 2 points |
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On further questioning, the 21-year-old patient with complaints of fatigue, headache, anorexia, and a runny nose explains that she is sexually active only with her boyfriend, does not use injectable drugs, and works as an aide in a day-care center. Which of the following tests would be most helpful in confirming your diagnosis?
Question options:
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Hepatitis A virus (HAV) IgM |
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| Question 40 |
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0 / 2 points |
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A patient has acute pancreatitis with seven of the diagnostic criteria from Ranson’s criteria. In order to plan care, the NP must understand that this criteria score has which of the following meanings?
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| b) |
An increased chance of recurrence |
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A 7% chance of the disease becoming chronic |
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| Question 41 |
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2 / 2 points |
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Sandra has palpitations that occur with muscle twitching, paresthesia, and fatigue. What specific diagnostic test might help determine the cause? MN568-Quiz 4.
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| b) |
Electrocardiogram (ECG) |
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| c) |
Thyroid-stimulating hormone test |
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| d) |
Complete blood cell count |
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| Question 42 |
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2 / 2 points |
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What value on the ankle-brachial index diagnoses peripheral artery disease?
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Which heart sound may be heard with poorly controlled hypertension, angina, and ischemic heart disease?
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A physiologic split S2 |
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| Question 44 |
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2 / 2 points |
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You are assessing Sigred for metabolic syndrome. Which of her parameters is indicative of this syndrome?
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Her waist is 36 inches. |
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Her triglyceride level is 140 mg/dL. |
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Her fasting blood sugar (BS) is 108 mg/dL. |
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| Question 45 |
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0 / 2 points |
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Which of the following statements about dabigatran is true?
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It is difficult to keep the patient in therapeutic range. |
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Anticoagulation cannot be immediately reversed. |
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It allows for the use of tPA if the patient has a stroke despite anticoagulation. |
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None of the statements are true. |
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| Question 46 |
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2 / 2 points |
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Samuel is going to the dentist for some work and must take endocarditis prophylaxis because of his history of:
MN568-Quiz 4 Question options:
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A common valvular lesion |
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| d) |
A prosthetic heart valve |
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| Question 47 |
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2 / 2 points |
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You just started Martha on HTN therapy. The Eighth Joint National Committee recommends that if her goal BP is not reached in what length of time, you should increase the initial drug or add a second drug to it?
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Which of the following is most effective in diagnosing appendicitis?
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| c) |
Kidney, ureter, and bladder x-ray |
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| d) |
Complete blood count (CBC) with differentials |
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| Question 49 |
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0 / 2 points |
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Which pain characteristic is usually indicative of cardiac pathology?
Question options:
Jamie, age 55, has just started on a statin after having his liver function tests (LFTs) come back normal. He now asks you how often he has to have the LFTs repeated. What do you tell him?
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| d) |
It’s no longer necessary for his statin regimen. |
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MN568-Quiz 4
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