Quiz Questions

Front 1

WHAT FINDINGS ASSOCIATED WITH CHRONIC GLAUCOMA WOULD BE NOTED ON FUNDOSCOPIC EXAM?

Back 1

INCREASED CUP TO DISC RATIO

Front 2

A SUDDEN, SEVERE, UNILATERAL EYE PAIN MAY BE CAUSED BY WHICH OF THE FOLLOWING:

Back 2

RETINAL DETACHMENT

*ACUTE GLAUCOMA

CORNEAL ULCER

UVEITIS

Front 3

A SUDDEN, PAINLESS UNILATERAL VISION LOSS MAY BE CAUSED BY WHICH OF THE FOLLOWING?

Back 3

*RETINAL DETACHMENT

CORNEAL ULCER

ACUTE GLAUCOMA

UVEITIS

Front 4

PATIENT PRESENTS WITH UNILATERAL HYPEREMIA OF THE CONJUCTIVA, PURULENT DISCHARGE WITH EARLY MORNING EYE LID CRUSTING. THIS TYPE OF CONJUCTIVITIS IS MOST LIKELY:

Back 4

BACTERIAL

Front 5

WHICH OCULAR EXAM TEST WILL HELP DIAGNOSE VISION LOSS DUE TO EARLY CHRONIC GLAUCOMA?

Back 5

VISUAL FIELD BY CONFRONTATION

Front 6

PATIENT WHO IS AN AVID SWIMMER PRESENTS WITH LEFT EAR PAIN AND DRAINAGE. ON EXAMINATION, PATIENT HAS PAIN WHEN EAR TRAGUS IS MANIPULATED. THE CANAL IS NARROWED, ERYTHEMATOUS AND FILLED WITH WHITE DEBRIS. THE REST OF THE EXAM IS NORMAL. WHAT IS THE DIAGNOSIS?

Back 6

OTITIS EXTERNA

Front 7

ACUTE OTITIS MEDIA IS DIAGNOSED WHEN THERE IS:

Back 7

FLUID IN THE MIDDLE EAR ACCOMPANIED BY OTALGIA AND FEVER

Front 8

THE ANTIBIOTIC OF CHOICE FOR BETA-LACTAMSE COVERAGE OF OTITIS MEDIA IS:

Back 8

AMOXICILLIN AND POTASSIUM CLAVULANATE

Front 9

CATARACTS ARE A COMMON DISORDER IN PERSONS OVER 60 YRS OF AGE. YOU COUNSEL YOUR PATIENT THAT THE OPTIMAL CURE FOR CATARACTS IS:

Back 9

LENS EXTRACTION SURGERY

Front 10

WHEN THE WEBER TEST IS PREFORMED WITH A TUNING FORK TO ASSESS HEARING AND THERE IS NO LATERALIZATION, THIS INDICATES:

Back 10

A NORMAL FINDING

Front 11

AGE-RELATED HEARING LOSS USUALLY IS:

Back 11

ASYMMETRICAL

Front 12

A MIDDLE-AGED PATIENT COMPLAINS OF TROUBLE READING ITEMS AND STATES HE CAN SEE PRINT CLEARER IF HE HOLDS THE ITEM WITH EXTEND ARM OR FURTHER AWAY FROM FACE. THE NP RECOGNIZES THIS AS PRESBYOPIA AND TELLS THE PATIENT:

Back 12

THIS IS A NORMAL AGE RELATED CHANGE AND REFERS HIM TO AN OPTOMETRIST FOR CORRECTIVE LENS.

Front 13

THE NP DIAGNOSES A 22 FEMALE WITH ALLERGIC RHINITIS. ON PHYSICAL EXAM OF THE NASAL MUSCOSA, WHAT IS THE MOST LIKELY FINDING?

Back 13

PALE TO BLUISH, BOGGY MUCOSA

Front 14

A MALE WITH CHRONIC HIV PRESENTS WITH COMPLAINT OF SORE MOUTH. THE NP DIAGNOSES THRUSH OR ORAL CANDIDIASIS. WHAT IS THE MOST LIKELY PHYSICAL FINDING SEEN UPON EXAMINATION OF THE THROAT?

Back 14

WHITE PLAQUES

Front 15

THE NP DIAGNOSES A 13 YR OLD WITH TONSILLITIS. WHAT WOULD YOU TYPICALLY EXPECT TO SEE ON PHYSICAL EXAMINATION OF THE OROPHARYNX?

Back 15

EXUDATES ON THE TONSILS

Front 16

A WELL NOURISHED OLDER ADULT STATES SHE RECENTLY HAD TWO NOSEBLEEDS. SHE DOES NOT TAKE ANTICOAGULANTS, AND THE NP HAS RULED OUT COAGULOPATHIES. THE MOST LIKELY CAUSE OF THE NOSEBLEED IS:

Back 16

TRAUMA OR IRRITATED MUCOUS MEMBRANES

Front 17

A 20YR OLD FEMALE PRESENTS WITH A SORE THROAT FOR THE PAST 2 DAYS. ROS REVEALS, SHE HAS CLEAR NASAL DRAINAGE WITH CONGESTION, HOARSENESS, AND COUGH. ON EXAM, SHE HAS TEMPERATURE OF 99.0 F; THREE PLUS BOGGY TONSILS AND MINIMAL PALPABLE CERVICAL LYMPH NODES. WHAT IS MOST LIKELY DIAGNOSIS?

Back 17

VIRAL PHARYNGITIS

Front 18

MALE 18 YR OLD HAS A PERSISTENT SORE THROAT, FEVER, AND MALAISE NOT RELIEVED WITH PENICILLIN THERAPY. WHAT WOULD THE NP ORDER NEXT?

Back 18

A MONOSPOT TEST

Front 19

THE MOST COMMON OFFENDING ALLERGENS CAUSING ALLERGIC RHINITIS ARE:

Back 19

POLLENS OF GRASSES, TREES, AND WEEDS

Front 20

THE FIRST LINE ANTIBIOTIC THERAPY FOR AN ADULT WITH NO KNOWN ALLERGIES AND SUSPECTED GROUP A BETA-HEMOLYTIC STREPTOCOCCAL PHARYNGITIS IS:

Back 20

PENICILLIN

Front 21

FEMALE PRESENTS WITH PAIN AND PRESSURE OVER HER CHEEKS AND DISCOLORED NASAL DISCHARGE. THE NP CANNOT TRANSILLUMINATE THE SINUSES. WHICH COMMON SINUS WOULD YOU SUSPECTED TO BE AFFECTED?

Back 21

MAXILLARY

Front 22

A SEXUAL HISTORY OF ORAL-GENITAL CONTACT IN A PATIENT PRESENTING WITH PHARYNGITIS IS SIGNIFICANT WHEN WHICH OF THE FOLLOWING IS SUSPECTED?

Back 22

NEISSERIA GONORRHOEAE

Front 23

WHICH OF THE FOLLOWING IS NOT A NORMAL SENSORY DEFICIT ASSOCIATED WITH AGING?

Back 23

LOSS OF PERIPHERAL VISION

NORMAL: DECLINE IN SENSE OF PROPRIOCEPTON, SENSE OF TASTE, HEARING LOSS OF HIGH FREQUENCY TONES

Front 24

A FEMALE PRESENTS WITH A SUDDEN ONSET SORE THROAT. EXAM REVEALS TONSILLAR EXUDATE, ANTERIOR CERVICAL ADENOPATHY PRESCENCE OF A FEVER, AND ABSENCE OF A COUGH. THERE IS A HIGH PROBABLITY OF WHICH CAUSATIVE AGENT:

Back 24

GROUP A BETA-HEMOLYTIC STREPTOCOCCUS

Front 25

THE MOST COMMON ETIOLOGY OF ACUTE BRONCHITIS IS:

Back 25

VIRAL

Front 26

WHICH OF THE FOLLOWING BEST DESCRIBES THE PATHOPHYSIOLOGY ASSOCIATED WITH ASTHMA?

Back 26

AIRWAY INFLAMMATION AND BRONCHOCONSTRICTION

Front 27

PERSONS WITH ASTHMA DIAGNOSIS USUALLY DEMONSTRATE THIS FINDING ON SPIROMETER TESTING:

Back 27

INCREASED EXPIRATORY VOLUME

AFTER BRONCHODILATOR ADMINISTRATION

Front 28

WHEN CRACKLES, WHEEZE, OR RHONCHI CLEAR WITH COUGH, WHCH OF THE FOLLOWING IS A LIKELY ETIOLOGY?

Back 28

BRONCHITIS

Front 29

BRONCHITIS PRESENTS MOST OFTEN WITH:

Back 29

PROGRESSIVE COUGH

Front 30

WHICH OF THE FOLLOWING PARAMETERS WOULD INDICATE THE NEED TO OBTAIN CHEST X-RAY IN PATIENT PRESENTING WITH ACUTE COUGH?

Back 30

TACHYCARDIA, HEART RATE >100/MIN

Front 31

CLINICAL FINDINGS CHARACTERISTIC OF ASTHMA INCLUDE ALL OF THE FOLLOWING EXCEPT:

Back 31

A CONGESTED COUGH WORSE DURING THE DAY

Front 32

THE CORNERSTONE OF DRUG THERAPY FOR MODERATE PERSISTENT ASTHMA IS:

Back 32

INHALED CORTICOSTEROIDS

Front 33

ASKING A PATIENT TO REPEAT A WORD OR A NUMBER (I.E. 99) WHILE THE NP AUSCULTATES LUNG IS BRONCHOPHONY. NORMAL VOCAL RESONANCE THROUGH AIR-FILLED LUNG TISSUE IS EXPECTED TO BE HEARD:

Back 33

MUFFLED OR INDISTINCT

Front 34

PROVIDE A SHORT EXPLANATION WHY ANTIBIOTIC RX WILL NOT BENEFIT A PERSON WITH ACUTE VIRAL BRONCHITIS:

Back 34

PT NEEDS TO BE EDUCATED ABOUT THE RISK OF ANTIBIOTIC RESISTANCE. 90% OF ACUTE BRONCHITIS IS VIRAL AND ANTIBIOTICS WILL NOT TREAT RHINOVIRUS, CORONA VIRUS, INFLUENZA VIRUS & SYNCTYIAL VIRUS CAUSING ILLNESS. COUGH WILL NORMALLY RESOLVE IN 6 WK. SYMPTOMATIC APPROACH FAVORABLE.

Front 35

EVIDENCE OF CONSOLIDATION ON LUNG PHYSICAL EXAM SUGGESTING PNEUMONIA INCLUDES ALL OF THE FOLLOWING EXCEPT:

Back 35

RESONANCE

INCLUDE:EGOPHONY, DULLNESS TO PERCUSSION, INCREASED TACTILE FREMITUS

Front 36

THE NP IS EVALUATING A 60 YR OLD MALE WITH DIAGNOSIS OF COPD. WHICH OF THE FOLLOWING FINDINGS ARE LIKELY TO BE NOTED ON PHYSICAL EXAM OF THIS PATIENT?

Back 36

DIMINISHED OR DISTANT LUNG SOUNDS

Front 37

SPIROMETRY IS THE GOLD STANDARD FOR DIAGNOSIS OF COPD. WHICH OF THE FOLLOWING MEASURES OF LUNG FUNCTION CONFIRMS MODERATE STAGE COPD DIAGNOSIS?

Back 37

FEV 1 BETWEEN 50-79% OF PREDICTED

Front 38

A PATIENT WHO IS A CURRENT SMOKER AND WHO HAS COPD DIAGNOSIS ASKS, "WHY SHOULD I QUIT SMOKING NOW, THE DAMAGE IS DONE." WHICH OF THE FOLLOWING IS THE MOST APPROPRIATE RESPONSE BY THE NP PROVIDER?

Back 38

SMOKING CESSATION NOW CAN PREVENT FURTHER LOSS OF LUNG FUNCTION

Front 39

WHAT CRITERIA IS NECESSARY TO DIAGNOSE A PATIENT WITH HEALTH CARE ASSOCIATED PNEUMONIA (HCAP)?

Back 39

HOSPITALIZATION IN AN ACUTE CARE OR LONG TERM CARE FACILITY WITHIN THE LAST 14 DAYS

Front 40

THE NP SUSPECTS DIAGNOSIS OF LOBAR PNEUMONIA IN A PATIENT WHO PRESENTS WITH COUGH AND HIGH FEVER. A SPUTUM ANALYSIS FOR CULTURE AND GRAM STAIN FOR THIS PATIENT:

Back 40

CAN IDENTIFY ONLY 40-70% OF CAUSATIVE ORGANISMS

Front 41

PNEUMONOCOCCAL VACCINE IS RECOMMENDED FOR:

Back 41

PERSONS AGE 65 OR GREATER

Front 42

A COUGH RELATED TO AN ACE INHIBTOR TYPICALLY PRESENTS AS

Back 42

NON-PRODUCTIVE

Front 43

WHICH OF THE FOLLOWING IS APPROPRIATE OUTPATIENT THERAPY FOR COMMUNITY AQUIRED PNEUMONIA (CAP) IN A 40 YR OLD PERSON WITHOUT CO-MORBIDITIES AND WHO HAS NOT BEEN ON ANTIBIOTICS IN THE PAST THREE MONTHS?

Back 43

AZITHROMYCIN

Front 44

THE GOAL OF THERAPY WITH AN ANTITUSSIVE SUCH AS CODEINE IS:

Back 44

PREVENT OR CONTROL COUGH

Front 45

A MALE PATIENT COMES TO THE OFFICE FOR EVALUATION OF PAIN IN HIS LEGS. HE HAS SMOKED TWO PACKS A DAY SINCE AGE OF 16, BUT HE IS OTHERWISE HEALTHY. THE NP IS CONCERNED THAT HE MAY HAVE PERIPHERAL ARTERIAL DISEASE. WHICH OF THE FOLLOWING IS A SYMPTOM OF PERIPHERAL ARTERIAL INSUFFICIENCY?

Back 45

INTERMITTENT CLAUDICATION

Front 46

THE NP IS PREFORMING A ROUTINE EXAM ON AN ELDERLY MALE PATIENT IN THE VASCULAR SURGERY CLINIC. THE NP NOTES THAT HE HAS A HISTORY OF CHRONIC ARTERIAL INSUFFICIENCY. WHICH OF THE FOLLOWING PHYSICAL EXAMINATION FINDINGS IN THE LOWER EXTREMITIES WOULD BE EXPECTED WITH HIS DISEASE?

Back 46

THIN, SHINY, ATROPHIC SKIN

Front 47

WHAT IS THE DURATION OF ANTICOAGULATION THERAPY FOR A CONFIRMED DVT?

Back 47

3-6 MONTHS

Front 48

WHAT IS CONSIDERED A DESIRABLE THERAPEUTIC INR FOR WARFARIN ADMINISTERED FOR DVT?

Back 48

2 TO 3 IU

Front 49

PHYSICAL EXAM FINDINGS IN PATIENTS WITH VITAMIN B12 DEFICIENCY ANEMIA MAY INCLUDE:

Back 49

STOCKING-GLOVE NEUROPATHY

Front 50

WHICH OF THE FOLLOWING MEDICATIONS MAY REDUCE THE ABSORPTION OF VITAMIN B12?

Back 50

RANITIDINE

Front 51

THE MOST COMMON TYPE OF ANEMIA WORLDWIDE IS:

Back 51

IRON DEFICIENCY

Front 52

FERROUS SULFATE IS AN ORAL IRON PREPARATION USED TO TREAT IRON DEFICIENCY ANEMIA. WHAT IS THE BEST ADVICE ON TAKING FERROUS SULFATE TO ENHANCE IRON ABSORPTION?

Back 52

TAKE ON AN EMPTY STOMACH

Front 53

WHICH OF THE FOLLOWING RED BLOOD CELL INDICES CLASSIFIES THE TYPE OF ANEMIA?

Back 53

MEAN CORPUSCULAR VOLUME (MCV)

Front 54

NORMAL RED BLOOD CELL SURVIVAL IS APPROXIMATELY

Back 54

120 DAYS

Front 55

PAIN IN CALF UPON DORSIFLEXION OF THE FOOT IS:

Back 55

NOT A SENSITIVE PHYSICAL EXAM TEST FOR DVT

Front 56

HEALTHY PEOPLE 2020 IS:

Back 56

NATIONAL GUIDELINES TO IMPROVE HEALTH OF ALL PEOPLE IN THE US THROUGH HEALTH PROMOTION AND DISEASE PREVENTION

Front 57

EVIDENCE SHOWS THAT SMOKING CESSATION MEDICATIONS E.G. NICOTINE REPLACEMENT ARE SUCCESSFUL IF:

Back 57

COMBINED WITH A SMOKING CESSATION GROUP

Front 58

MR. R DESCRIBES HIMSELF AS MOTIVATED TO QUIT SMOKING. HE SMOKES 20 CIGARETTES PER DAY. THE NP'S PLAN OF CARE APPROXIMATELY WOULD INCLUDE:

Back 58

ALL OF THE ABOVE

[NICOTINE REPLACEMENT RECOMMENDATION, REFERRAL TO A SMOKING CESSATION GROUP, PRESCRIPTION FOR BUPROPION (ZYBAN)]

Front 59

WHICH OF THE FOLLOWING BODY MASS INDEX (BMI) MEASURES IS CLASSIFIED AS OVERWEIGHT?

Back 59

BETWEEN 25 AND 29.9

Front 60

BMI CALCULATION OF AN OLDER ADULT IS HELPFUL IN SCREENING FOR:

Back 60

UNDER NUTRITION

Front 61

LIFESTYLE ASSESSMENT AND COUNSELING IN PRIMARY CARE IS:

Back 61

USEFUL BECAUSE INDIVIDUAL BEHAVIORS CONTRIBUTE TO MAJORITY OF PREMATURE DEATHS

Front 62

OBESITY IS CONSIDERED A RISK FACTOR FOR WHICH OF THE FOLLOWING:

Back 62

ALL OF THE ABOVE

(DIABETES, HYPERTENSION, BREAST & COLON CANCER)

Front 63

INTRA-ABDOMINAL VISCERAL FAT DEPOSITS ARE:

Back 63

ASSOCIATED WITH MORE SERIOUS HEALTH CONSEQUENCES

Front 64

ONE SIDE EFFECT OF THE OBESITY MANAGEMENT DRUG PHENOTEMINE IS:

Back 64

TACHYCARDIA

Front 65

LIFESTYLE COUNSELING ABOUT EXERCISE OR ACTIVITY ENCOURAGES THAT A MINIMUM PEOPLE SHOULD:

Back 65

WALK 30-60 MINUTES

3 TO 4 TIMES PER WEEK

Front 66

LIST ONE RESPONSE A NP COULD REPLY TO A PATIENT WHO IS A CURRENT SMOKER AND WHO CLAIMS THAT HE OR SHE S NOT INTERESTED IN QUITTING SMOKING CIGARETTES.

Back 66

I UNDERSTAND THAT YOU MAY NOT BE CONSIDERING SMOKING CESSATION AT THIS TIME; HOWEVER, I WISH THAT YOU CONSIDER THE IMPROVEMENT IN YOUR HEALTH AND PREVENTION OF ILLNESS THAT WOULD OCCUR IF YOU DO. ADVICE MAY BE OFFERED TO HELP YOU QUIT, SUPPORT GROUPS EXIST TO HELP, AND MEDICATIONS MAY BE AN OPTION TO HELP YOU STAY AWAY FROM SMOKING ONCE YOU DECIDE TO QUIT. I AM HERE TO GUIDE YOU ALONG THE WAY.

Front 67

A 22 YR OLD FEMALE PRESENTS WITH CHEST DISCOMFORT. SHE APPEARS ANXIOUS. THE NP ASCULTATES HER HEART AND DIAGNOSES MITRAL VALVE PROLAPSE. WHAT DID THE NP HEAR TO MAKE THIS DIAGNOSIS?

Back 67

A MIDSYSTOLIC CLICK

Front 68

AN ELDERLY MALE WITH A HISTORY OF CLASS 3 CONGESTIVE HEART FAILURE PRESENTS FOR A ROUTINE CHECK UP. ON EXAMINATION OF HIS CARDIOVASCULAR SYSTEM, WHAT WOULD HE NP EXPECT TO FIND?

Back 68

PMI IN THE 5TH INTERSPACE, ANTERIOR AXILLARY LINE

Front 69

A MALE PATIENT PRESENTS WITH CHEST PAN THAT HAS BEEN WAXING AND WANING OVER PAST FEW DAYS WITH TRANSIENT ST CHANGES ON HIS EKG WHILE EXPERIENCING THE PAIN. THE NP DIAGNOSES UNSTABLE ANGINA. APPROPRIATE INTERVENTION INCLUDES:

Back 69

HOSPITALIZATION TO OBSERVE FOR FURTHER THERAPY

Front 70

AN ANTERIOR WALL MYOCARDIAL INFARCTION MOST LIKELY OCCURS FROM OCCLUSION OF WHICH CORONARY ARTERY?

Back 70

LEFT ANTERIOR DESCENDING

Front 71

WHICH OF THE FOLLOWING CONDITIONS WARRANT BACTERIAL ENDOCARDITIS PROPHYLAXIS?

Back 71

PROSTHETIC HEART VALVES

Front 72

WHICH OF THE FOLLOWING CAUSES CORONARY VALVE LEAFLETS TO BILLOW INTO THE ATRIUM DURING VENTRICULAR SYSTOLE?

Back 72

MITRAL VALVE PROPLAPSE

Front 73

A 78 YR OLD FEMALE PRESENTS WITH COMPLAINT OF COUGH THAT WAKES HER UP AT NIGHT. ON EXAM THE NP FINDS AN S3 HEART SOUND, PULMONARY CRACKLES (RALES) AND PERIPHERAL EDEMA. WHAT IS SUSPECTED DIAGNOSIS?

Back 73

HEART FAILURE

Front 74

A PATIENT PRESENTS WITH SUBSTERNAL CHEST PAIN THAT IS PROVOKED BY EXERTION AND RELIEVED BY REST AND NITROGLYCERIN. WHAT IS THE SUSPECTED DIAGNOSIS?

Back 74

STABLE ANGINA

Front 75

THE LEADING CAUSE OF DEATH IN WOMEN IN THE UNITED STATES IS:

Back 75

CARDIOVASCULAR DISEASE

Front 76

A PATIENT HAS HAD SEVERAL TRANSIENT ISCHEMIC ATTACKS. AFTER DIAGNOSTIC EVALUATION, WHAT MEDICATION SHOULD BE STARTED?

Back 76

CLOPIDOGREL (PLAVIX)

Front 77

THE CHOLESTEROL COMPONENT(S) CONSIDERED MOST RESPONSIBLE FOR ATHEROSCLEROTIC PLAQUE FORMATION IS (ARE):

Back 77

LOW DENSITY LIPOPROTEIN (LDL) CHOLESTEROL

Front 78

DURING A CARDIOVASCULAR/HYPERTENSION ASSESSMENT WHY IS IT IMPORTANT TO NOTE FUNDUSCOPIC CHANGES?

Back 78

CHANGES MAY SUGGEST POSSIBILITY OF TARGET ORGAN INVOLVEMENT

Front 79

IN CHOOSING COMBINATION THERAPY FOR A NON-BLACK PATIENT WITH BP OF 160/100 (STAGE 2) WITH PMH SIGNIFICANT FOR DM, STAGE 1 DIASTOLIC CHF AND NORMAL SERUM CREATININE, THE BEST INITIAL TREATMENT WOULD INCLUDE:

Back 79

THIAZIDE DIURETIC AND ACE INHIBITOR

Front 80

A BLOOD PRESSURE OF 140/90 MM HG IS CLASSIFIED AS:

Back 80

STAGE 1 HTN

Front 81

WHICH OF THE FOLLOWING IS TRUE OF HYDROXYMETHYLGLUTARYL-COENZYME A REDUCTASE INHIBITORS (STATINS)?

Back 81

MAY CAUSE MYOPATHIES, ESPECIALLY AT HIGHER DOSES

Front 82

YOU ARE SCREENING PEOPLE AT THE MALL AS PART OF A HEALTH FAIE. THE FIRST PERSON WHO COMES FOR SCREENIG HAS A BLOOD PRESSURE OF 132/85. HOW WOULD YOU CATEGORIZE THIS?

Back 82

PRE-HYPERTENSION

Front 83

THE PRIMARY GOAL OF TREATING HYPERTENSION IS TO:

Back 83

PREVENT OR AVOID DISEASE-RELATED TARGET ORGAN DAMAGE

Front 84

THE NP IS EVALUATING A 50 YR OLD WOMAN WITH NO SIGNICANT PMH WHO HAS A LDL-C OF 210 MG/DL. ACCORDING TO THE ACC/AHA GUIDELINES, WHICH THERAPY IS INDICATED FOR THIS PATIENT?

Back 84

HIGH INTENSITY STATIN THERAPY

Front 85

ALTHOUGH INDIVIDUAL RESPONSE TO STATIN THERAPY VARIES, WHAT APPROXIMATE LDL-C REDUCTIONS IS ANTICIPATED FROM HIGH INTENSITY STATIN THERAPY?

Back 85

> 50%

Front 86

THE BLOOD PRESSURE GOAL FOR THE GENERAL POPULATION YOUNGER THAN AGE 60 IS:

Back 86

SYSTOLIC BELOW 140 MM HG

DIASTOLIC BELOW 90 MM HG

Front 87

WHICH OF THE FOLLOWING STATEMENTS IS TRUE ABOUT LISPRO (HUMALOG) INSULIN?

Back 87

IT WORKS FASTER THAN REGULAR INSULIN

Front 88

A PATIENT WITH INSULIN DEPENDEDNT DIABETES REPORTS HYPERGLYCEMIA BEFORE DINNER. A POSSIBLE SOLUTION TO THIS PROBLEM IS TO:

Back 88

ADD PHYSICAL ACTIVITY BETWEEN LUNCH AND DINNER

Front 89

ACE INHIBITORS ARE GIVEN TO PATIENTS WITH DIABETES WHO HAVE:

Back 89

PERSISTENT PROTEINURIA

Front 90

PATIENT WITH DIABETES ON SULFONYLUREA AND METFORMIN WITH HGBA1C OF 6.5 REPORTS EPISODES OF LOW BLOOD SUGAR. WHICH OF THE FOLLOWING CHANGES WOULD BE MOST APPROPRIATE?

Back 90

DECREASE THE SULFONYUREA

Front 91

A NEWLY DIAGNOSED PATIENT WITH DIABETES WHO HAS HGBA1C OF 7.5 IS STARTED ON THERAPEUTIC LIFESTYLE CHANGES (EXERCISE) AND MEDICAL NUTRITIONAL THERAPY (DIET). WHICH ORAL ANTIDIABETIC AGENT IS RECOMMENDED AS MONOTHERAPY?

Back 91

METFORMIN (GLUCOPHAGE)

Front 92

WHICH TYPE OF INSULIN WOULD BE EXPECTED TO HAVE THE EARLIEST ONSET OF ACTION?

Back 92

ASPART (NOVOLOG)

Front 93

THE FASTING BLOOD SUGAR THAT IS CONSIDERED DIAGNOSTIC FOR DIABETES MELLITUS IS EQUAL TO OR GREATER THAN

Back 93

126 MG/DL

Front 94

THE RANDOM PLASMA GLUCOSE THAT IS CONSIDERED DIAGNOSTIC FOR DIABETES MELLITUS IN PATIENTS WITH SYMPTOMS OF HYPERGLYCEMIA IS EQUAL TO OR GREATER THAN

Back 94

200 MG/DL

Front 95

WHICH VALUE IS CONSIDERED A GOAL OF THERAPY FOR DIABETES?

Back 95

A1C <7

Front 96

HGBA1C PROVIDES INFORMATION ON GLUCOSE CONTROL OVER THE PAST

Back 96

8-12 WEEKS

Front 97

WHICH OF THE FOLLOWING IS A SIGN OF HYPOTHYROIDISM?

Back 97

BRITTLE HAIR

Front 98

THE PATIENT HAS A DIAGNOSIS OF HYPOPARATHYROIDISM. WHICH OF THE FOLLOWING WOULD THE NP ASSESS DURING PHYSICAL EXAM AND ASSOCIATE WITH THAT DIAGNOSIS?

Back 98

CHVOSTEK'S SIGN

Front 99

WHICH OF THE FOLLOWING THERAPIES MAY BE USED TO LOWER SERUM CONCENTRATION OF THYROID HORMONES AND REESTABLISH EUMETABOLIC STATE IN THE PATIENT WITH GRAVES' DISEASE?

Back 99

ANTITHYROID DRUGS

Front 100

AN ELDERLY PATIENT PRESENTS WITH PALPITATIONS. WHICH OF THE FOLLOWING LAB TESTS IS IMPORTANT IN FORMING THE DIAGNOSIS?

Back 100

TSH

Front 101

A MAJOR RISK FACTOR FOR DEVELOPMENT OF THYROID CANCER IS

Back 101

EXPOSURE TO RADIATION

Front 102

TROUSSEAU'S SIGN ASSESS FOR

Back 102

HYPOCALCEMIA

Front 103

THE MOST COMMON WORLDWIDE CAUSE OF HYPOTHYROIDISM IS

Back 103

IODINE DEFICIENCY

Front 104

CUSHING'S DISEASE IS CHARACTERIZED AS A PROBLEM OF CIRCULATING CORTISOL DEFICIT

Back 104

FALSE

Front 105

HYPERTHYROIDISM TYPICALLY IS ASSOCIATED WITH A LOW TSH LEVEL

Back 105

TRUE

Front 106

THE NP IS REVIEWING A PATIENTS'S LAB RESULTS AND NOTES AN ELEVATED TSH LEVEL

Back 106

HYPOTHYROIDISM

Front 107

DURING A ROUTINE PHYSICAL EXAM, THE NP NOTES THE PRESENCE OF A THYROID NODULE. THIS IS A NEW FINDING. WHICH OF THE FOLLOWING WOULD THE NP ORDER NEXT TO AID DIAGNOSIS?

Back 107

TSH

&

THYROID ULTRASOUND