{"id":253,"date":"2018-11-09T17:44:08","date_gmt":"2018-11-09T14:44:08","guid":{"rendered":"https:\/\/homeworknest.com\/blog\/?p=253"},"modified":"2018-11-13T18:00:22","modified_gmt":"2018-11-13T15:00:22","slug":"homeworknest-com-is-offering-best-fall-finals-exam-solutions-to-all-college-students-get-fall-finals-help-at-homeworknest-com-today-hurry-and-ace-that-class","status":"publish","type":"post","link":"https:\/\/www.homeworknest.com\/blog\/homeworknest-com-is-offering-best-fall-finals-exam-solutions-to-all-college-students-get-fall-finals-help-at-homeworknest-com-today-hurry-and-ace-that-class\/","title":{"rendered":"Homeworknest.com is offering best fall finals exam solutions to all college students. Get Fall Finals Help at HomeworkNest.com today! Hurry and Ace That Class!"},"content":{"rendered":"

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NR511 Midterm Exam 2018<\/span><\/p>\n

Question<\/span><\/span><\/strong><\/span><\/p>\n

Question 1.Question : Which of the following is a crucial element of developing a guideline?<\/span><\/span><\/strong><\/span><\/p>\n

Creating a physician expert panel<\/span><\/span><\/strong><\/span><\/p>\n

Reviewing the literature with ratings of available evidence<\/span><\/span><\/strong><\/span><\/p>\n

Conducting an external review of a guideline<\/span><\/span><\/strong><\/span><\/p>\n

Developing evidence-based tables<\/span><\/span><\/strong><\/span><\/p>\n

Question 2.Question : African American patients seem to have a negative reaction to which of the following asthma medications?<\/span><\/span><\/strong><\/span><\/p>\n

Inhaled corticosteroids<\/span><\/span><\/strong><\/span><\/p>\n

Long-term beta-agonist bronchodilators<\/span><\/span><\/strong><\/span><\/p>\n

Leukotriene receptor agonists<\/span><\/span><\/strong><\/span><\/p>\n

Oral corticosteroids<\/span><\/span><\/strong><\/span><\/p>\n

Question 3.Question : Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean?<\/span><\/span><\/strong><\/span><\/p>\n

The tumor size cannot be evaluated; the cancer has not spread to the lymph nodes; and the distant spread cannot be evaluated.<\/span><\/span><\/strong><\/span><\/p>\n

The cancer is in situ; it is spreading into the lymph nodes, but the spread cannot be evaluated otherwise.<\/span><\/span><\/strong><\/span><\/p>\n

The cancer is less than 2 cm in size and has not spread to the lymph nodes or other parts of the body.<\/span><\/span><\/strong><\/span><\/p>\n

The cancer is about 5 cm in size; nearby lymph nodes cannot be evaluated; and there is no evidence of distant spreading.<\/span><\/span><\/strong><\/span><\/p>\n

Question 4.Question : Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear?<\/span><\/span><\/strong><\/span><\/p>\n

Meclizine<\/span><\/span><\/strong><\/span><\/p>\n

Diphenhydramine<\/span><\/span><\/strong><\/span><\/p>\n

Diamox<\/span><\/span><\/strong><\/span><\/p>\n

Diamox<\/span><\/span><\/strong><\/span><\/p>\n

Promethazine<\/span><\/span><\/strong><\/span><\/p>\n

Question 5.Question : Mandy presents with a cauliflower-like wart in her anogenital region. You suspect it was sexually transmitted and document this as a:<\/span><\/span><\/strong><\/span><\/p>\n

Filiform\/digitate wart<\/span><\/span><\/strong><\/span><\/p>\n

Dysplastic cervical lesion<\/span><\/span><\/strong><\/span><\/p>\n

Condyloma acuminata<\/span><\/span><\/strong><\/span><\/p>\n

Koilocytosis<\/span><\/span><\/strong><\/span><\/p>\n

Question 6.Question : Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of?<\/span><\/span><\/strong><\/span><\/p>\n

Dementia<\/span><\/span><\/strong><\/span><\/p>\n

Alzheimer’s disease<\/span><\/span><\/strong><\/span><\/p>\n

Parkinson’s disease<\/span><\/span><\/strong><\/span><\/p>\n

Delirium<\/span><\/span><\/strong><\/span><\/p>\n

Question 7.Question : You have taught Jennifer, age 15, about using a flow meter to assess how to manage her asthma exacerbations. She calls you today because her peak expiratory flow rate is 65%. What would you tell her?<\/span><\/span><\/strong><\/span><\/p>\n

“Take your short-acting beta-2 agonist, remain quiet, and call back tomorrow.”<\/span><\/span><\/strong><\/span><\/p>\n

“Use your rescue inhaler, begin the prescription of oral glucocorticoids you have, and call back tomorrow.”<\/span><\/span><\/strong><\/span><\/p>\n

“Drive to the emergency room now.”<\/span><\/span><\/strong><\/span><\/p>\n

“Call 911.”<\/span><\/span><\/strong><\/span><\/p>\n

Question 8.Question : A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that might be the cause of hematuria?<\/span><\/span><\/strong><\/span><\/p>\n

NSAIDs<\/span><\/span><\/strong><\/span><\/p>\n

Beets<\/span><\/span><\/strong><\/span><\/p>\n

Vitamin A<\/span><\/span><\/strong><\/span><\/p>\n

Red meat<\/span><\/span><\/strong><\/span><\/p>\n

<\/p>\n

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Need homework help? Click Here!<\/a><\/figcaption><\/figure>\n

Question 9.Question : Which of the following is an example of tertiary prevention in a patient with chronic renal failure?<\/span><\/span><\/strong><\/span><\/p>\n

Fluid restriction<\/span><\/span><\/strong><\/span><\/p>\n

Hemodialysis 4 days a week<\/span><\/span><\/strong><\/span><\/p>\n

High-protein diet<\/span><\/span><\/strong><\/span><\/p>\n

Maintenance of blood pressure at 120\/80<\/span><\/span><\/strong><\/span><\/p>\n

Question 10.Question : Which of the following conditions is associated with cigarette smoking?<\/span><\/span><\/strong><\/span><\/p>\n

Glaucoma<\/span><\/span><\/strong><\/span><\/p>\n

Increased sperm quality<\/span><\/span><\/strong><\/span><\/p>\n

Bladder cancer<\/span><\/span><\/strong><\/span><\/p>\n

Eczema<\/span><\/span><\/strong><\/span><\/p>\n

Question 11.Question : A chronic cough lasts longer than:<\/span><\/span><\/strong><\/span><\/p>\n

3 weeks<\/span><\/span><\/strong><\/span><\/p>\n

1 month<\/span><\/span><\/strong><\/span><\/p>\n

6 months<\/span><\/span><\/strong><\/span><\/p>\n

1 year<\/span><\/span><\/strong><\/span><\/p>\n

Question 12.Question : The ‘freezing phenomenon’ is a cardinal feature of?<\/span><\/span><\/strong><\/span><\/p>\n

Parkinson’s disease<\/span><\/span><\/strong><\/span><\/p>\n

Alzheimer’s disease<\/span><\/span><\/strong><\/span><\/p>\n

A CVA<\/span><\/span><\/strong><\/span><\/p>\n

Bell’s palsy<\/span><\/span><\/strong><\/span><\/p>\n

Question 13.Question : When administered at the beginning of an attack, oxygen therapy may help this kind of headache?<\/span><\/span><\/strong><\/span><\/p>\n

Tension<\/span><\/span><\/strong><\/span><\/p>\n

Migraine<\/span><\/span><\/strong><\/span><\/p>\n

Cluster<\/span><\/span><\/strong><\/span><\/p>\n

Stress<\/span><\/span><\/strong><\/span><\/p>\n

Question 14.Question : Which ethnic group has the highest lung cancer incidence and mortality rates?<\/span><\/span><\/strong><\/span><\/p>\n

African American men<\/span><\/span><\/strong><\/span><\/p>\n

Scandinavian men and women<\/span><\/span><\/strong><\/span><\/p>\n

Caucasian women<\/span><\/span><\/strong><\/span><\/p>\n

Asian men<\/span><\/span><\/strong><\/span><\/p>\n

Question 15.Question : The most significant precipitating event leading to otitis media with effusion is:<\/span><\/span><\/strong><\/span><\/p>\n

Pharyngitis<\/span><\/span><\/strong><\/span><\/p>\n

Allergies<\/span><\/span><\/strong><\/span><\/p>\n

Viral upper respiratory infection (URI)<\/span><\/span><\/strong><\/span><\/p>\n

Perforation of the eardrum<\/span><\/span><\/strong><\/span><\/p>\n

Question 16.Question : Samuel is going to the dentist for some work and must take endocarditis prophylaxis because of his history of:<\/span><\/span><\/strong><\/span><\/p>\n

Severe asthma<\/span><\/span><\/strong><\/span><\/p>\n

A common valvular lesion<\/span><\/span><\/strong><\/span><\/p>\n

Severe hypertension<\/span><\/span><\/strong><\/span><\/p>\n

A prosthetic heart valve<\/span><\/span><\/strong><\/span><\/p>\n

Question 17.Question : A 34-year-old patient was treated for a UTI and has not responded to antibiotic therapy. Which of the following actions should be taken next?<\/span><\/span><\/strong><\/span><\/p>\n

Send a urine specimen for microscopy and evaluate for fungal colonies.<\/span><\/span><\/strong><\/span><\/p>\n

Increase the dose of antibiotic.<\/span><\/span><\/strong><\/span><\/p>\n

Order a cytoscopy.<\/span><\/span><\/strong><\/span><\/p>\n

Order a different antibiotic.<\/span><\/span><\/strong><\/span><\/p>\n

Question 18.Question : Which statement best describes a carotid bruit?<\/span><\/span><\/strong><\/span><\/p>\n

It is felt with the middle three fingers over the carotid artery.<\/span><\/span><\/strong><\/span><\/p>\n

A bruit becomes audible when the lumen is narrowed to 1 mm or less.<\/span><\/span><\/strong><\/span><\/p>\n

A low-pitched bruit is a medical emergency.<\/span><\/span><\/strong><\/span><\/p>\n

The higher the pitch of the bruit, the higher the degree of stenosis.<\/span><\/span><\/strong><\/span><\/p>\n

Question 19.Question : Which statement is true regarding chloasma, the ‘mask of pregnancy’?<\/span><\/span><\/strong><\/span><\/p>\n

It is caused by a decrease in the melanocyte-stimulating hormone during pregnancy.<\/span><\/span><\/strong><\/span><\/p>\n

This condition only occurs on the face.<\/span><\/span><\/strong><\/span><\/p>\n

Exposure to sunlight will even out the discoloration.<\/span><\/span><\/strong><\/span><\/p>\n

It is caused by increased levels of estrogen and progesterone.<\/span><\/span><\/strong><\/span><\/p>\n

Question 20.Question : Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause?<\/span><\/span><\/strong><\/span><\/p>\n

“You must be under a lot of stress lately.”<\/span><\/span><\/strong><\/span><\/p>\n

“It is hereditary. Did your father experience this also?”<\/span><\/span><\/strong><\/span><\/p>\n

“The cause is unknown, but we suspect it is due to an immunologic mechanism.”<\/span><\/span><\/strong><\/span><\/p>\n

“We’ll have to do some tests.”<\/span><\/span><\/strong><\/span><\/p>\n

Question 21.Question : A blood pressure (BP) of 150\/90 is considered:<\/span><\/span><\/strong><\/span><\/p>\n

Stage 2 hypertension<\/span><\/span><\/strong><\/span><\/p>\n

Hypertensive<\/span><\/span><\/strong><\/span><\/p>\n

Normal in healthy older adults<\/span><\/span><\/strong><\/span><\/p>\n

Acceptable if the patient has DM<\/span><\/span><\/strong><\/span><\/p>\n

Question 22.Question : 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?<\/span><\/span><\/strong><\/span><\/p>\n

1 month<\/span><\/span><\/strong><\/span><\/p>\n

3 months<\/span><\/span><\/strong><\/span><\/p>\n

6 months<\/span><\/span><\/strong><\/span><\/p>\n

As long as the tablets are kept in this special bottle, they will last forever.<\/span><\/span><\/strong><\/span><\/p>\n

Question 23.Question : Your patient has decided to try to quit smoking with Chantix. You are discussing his quit date, and he will begin taking the medicine tomorrow. When should he plan to quit smoking?<\/span><\/span><\/strong><\/span><\/p>\n

He should stop smoking today.<\/span><\/span><\/strong><\/span><\/p>\n

He should stop smoking tomorrow.<\/span><\/span><\/strong><\/span><\/p>\n

His quit date should be in 1 week.<\/span><\/span><\/strong><\/span><\/p>\n

He will be ready to quit after the first 30 days.<\/span><\/span><\/strong><\/span><\/p>\n

Question 24.Question : When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are?<\/span><\/span><\/strong><\/span><\/p>\n

Spores<\/span><\/span><\/strong><\/span><\/p>\n

Leukocytes<\/span><\/span><\/strong><\/span><\/p>\n

Pseudohyphae<\/span><\/span><\/strong><\/span><\/p>\n

Epithelial cells<\/span><\/span><\/strong><\/span><\/p>\n

Question 25.Question : The hallmark of an absence seizure is:<\/span><\/span><\/strong><\/span><\/p>\n

No activity at all<\/span><\/span><\/strong><\/span><\/p>\n

A blank stare<\/span><\/span><\/strong><\/span><\/p>\n

Urine is usually voided involuntarily<\/span><\/span><\/strong><\/span><\/p>\n

The attack usually lasts several minutes<\/span><\/span><\/strong><\/span><\/p>\n

Question 26.Question : Which medication used for scabies is safe for children 2 months and older?<\/span><\/span><\/strong><\/span><\/p>\n

Permethrin cream<\/span><\/span><\/strong><\/span><\/p>\n

Lindane<\/span><\/span><\/strong><\/span><\/p>\n

Crotamiton lotion and cream<\/span><\/span><\/strong><\/span><\/p>\n

Ivermectin<\/span><\/span><\/strong><\/span><\/p>\n

Question 27.Question : The clinician is seeing a patient complaining of red eye. The clinician suspects conjunctivitis. The presence of mucopurulent discharge suggests which type of conjunctivitis?<\/span><\/span><\/strong><\/span><\/p>\n

Viral conjunctivitis<\/span><\/span><\/strong><\/span><\/p>\n

Keratoconjunctivitis<\/span><\/span><\/strong><\/span><\/p>\n

Bacterial conjunctivitis<\/span><\/span><\/strong><\/span><\/p>\n

Allergic conjunctivitis<\/span><\/span><\/strong><\/span><\/p>\n

Question 28.Question : Gabby, aged 22, has Bell’s palsy on the right side of her face. Her mouth is distorted, and she is concerned about permanent paralysis and pain. What do you tell her?<\/span><\/span><\/strong><\/span><\/p>\n

“Most patients have complete recovery in 3 to 6 months.”<\/span><\/span><\/strong><\/span><\/p>\n

“Unfortunately, you’ll probably have a small amount of residual damage.”<\/span><\/span><\/strong><\/span><\/p>\n

“Don’t worry, I’ll take care of everything.”<\/span><\/span><\/strong><\/span><\/p>\n

“You may have a few more episodes over the course of your lifetime but no permanent damage.”<\/span><\/span><\/strong><\/span><\/p>\n

Question 29.Question : How often should drug levels be monitored when a seizure medication has controlled the seizures, and the drug level is adequate?<\/span><\/span><\/strong><\/span><\/p>\n

Every 3 months<\/span><\/span><\/strong><\/span><\/p>\n

Every 6 months<\/span><\/span><\/strong><\/span><\/p>\n

Annually<\/span><\/span><\/strong><\/span><\/p>\n

Whenever there is a problem<\/span><\/span><\/strong><\/span><\/p>\n

Question 30.Question : Immunizations are an example of which type of prevention?<\/span><\/span><\/strong><\/span><\/p>\n

Primary<\/span><\/span><\/strong><\/span><\/p>\n

Secondary<\/span><\/span><\/strong><\/span><\/p>\n

Tertiary<\/span><\/span><\/strong><\/span><\/p>\n

Question 31.Question : The result of the patient’s 24-hour urine for protein was 4.2 g\/day. The clinician should take which of the following actions?<\/span><\/span><\/strong><\/span><\/p>\n

Repeat the test.<\/span><\/span><\/strong><\/span><\/p>\n

Refer to a nephrologist.<\/span><\/span><\/strong><\/span><\/p>\n

Measure the serum protein.<\/span><\/span><\/strong><\/span><\/p>\n

Obtain a blood urea nitrogen (BUN) and creatinine.<\/span><\/span><\/strong><\/span><\/p>\n

Question 32.Question : Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing?<\/span><\/span><\/strong><\/span><\/p>\n

CN V<\/span><\/span><\/strong><\/span><\/p>\n

CN VII<\/span><\/span><\/strong><\/span><\/p>\n

CN IX<\/span><\/span><\/strong><\/span><\/p>\n

CN X<\/span><\/span><\/strong><\/span><\/p>\n

Question 33.Question : Which of the following diagnostic tests should be ordered for a patient suspected of having bladder cancer?<\/span><\/span><\/strong><\/span><\/p>\n

Kidneys, ureter, bladder x-ray<\/span><\/span><\/strong><\/span><\/p>\n

Cystoscopy with biopsy<\/span><\/span><\/strong><\/span><\/p>\n

Magnetic resonance imaging<\/span><\/span><\/strong><\/span><\/p>\n

Urine tumor marker (NMP22)<\/span><\/span><\/strong><\/span><\/p>\n

Question 34.Question : The “B” in the ABCDEs of assessing skin cancer represents:<\/span><\/span><\/strong><\/span><\/p>\n

Biopsy<\/span><\/span><\/strong><\/span><\/p>\n

Best practice<\/span><\/span><\/strong><\/span><\/p>\n

Boundary<\/span><\/span><\/strong><\/span><\/p>\n

Border irregularity<\/span><\/span><\/strong><\/span><\/p>\n

Question 35.Question : Which statement is true regarding driving and patients with a seizure disorder?<\/span><\/span><\/strong><\/span><\/p>\n

Once diagnosed with a seizure disorder, patients must never drive again.<\/span><\/span><\/strong><\/span><\/p>\n

After being seizure free for 6 months, patients may drive.<\/span><\/span><\/strong><\/span><\/p>\n

Each state has different laws governing driving for individuals with a seizure disorder.<\/span><\/span><\/strong><\/span><\/p>\n

These persons may drive but never alone.<\/span><\/span><\/strong><\/span><\/p>\n

Question 36.Question : Which high-density lipoprotein (HDL) level is considered cardioprotective?<\/span><\/span><\/strong><\/span><\/p>\n

Greater than 30<\/span><\/span><\/strong><\/span><\/p>\n

Greater than 40<\/span><\/span><\/strong><\/span><\/p>\n

Greater than 50<\/span><\/span><\/strong><\/span><\/p>\n

Greater than 60<\/span><\/span><\/strong><\/span><\/p>\n

Question 37.Question : The most common cause of CAP is?<\/span><\/span><\/strong><\/span><\/p>\n

Streptococcus pneumoniae<\/span><\/span><\/strong><\/span><\/p>\n

Klebsiella pneumoniae<\/span><\/span><\/strong><\/span><\/p>\n

Legionella pneumoniae<\/span><\/span><\/strong><\/span><\/p>\n

Pseudomonas aeruginosa<\/span><\/span><\/strong><\/span><\/p>\n

Question 38.Question : Sandra has palpitations that occur with muscle twitching, paresthesia, and fatigue. What specific diagnostic test might help determine the cause?<\/span><\/span><\/strong><\/span><\/p>\n

Serum calcium<\/span><\/span><\/strong><\/span><\/p>\n

Electrocardiogram (ECG)<\/span><\/span><\/strong><\/span><\/p>\n

Thyroid-stimulating hormone test<\/span><\/span><\/strong><\/span><\/p>\n

Complete blood cell count<\/span><\/span><\/strong><\/span><\/p>\n

Question 39.Question : A patient presents to the clinician with a sore throat, fever of 100.7?F, and tender anterior cervical lymphadenopathy. The clinician suspects strep throat and performs a rapid strep test that is negative. What would the next step be?<\/span><\/span><\/strong><\/span><\/p>\n

The patient should be instructed to rest and increase fluid intake as the infection is most likely viral and will resolve without antibiotic treatment.<\/span><\/span><\/strong><\/span><\/p>\n

Because the patient does not have strep throat, the clinician should start broad spectrum antibiotics in order to cover the offending pathogen.<\/span><\/span><\/strong><\/span><\/p>\n

A throat culture should be performed to confirm the results of the rapid strep test.<\/span><\/span><\/strong><\/span><\/p>\n

The patient should be treated with antibiotics for strep throat as the rapid strep test is not very sensitive.<\/span><\/span><\/strong><\/span><\/p>\n

Question 40.Question : Patients with acute otitis media should be referred to a specialist in which of the following situations?<\/span><\/span><\/strong><\/span><\/p>\n

Concurrent vertigo or ataxia<\/span><\/span><\/strong><\/span><\/p>\n

Failed closure of a ruptured tympanic membrane<\/span><\/span><\/strong><\/span><\/p>\n

If symptoms worsen after 3 or 4 days of treatment<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 41.Question : Which of the following tests is most useful in determining renal function in a patient suspected of CRF?<\/span><\/span><\/strong><\/span><\/p>\n

BUN and creatinine<\/span><\/span><\/strong><\/span><\/p>\n

Electrolytes<\/span><\/span><\/strong><\/span><\/p>\n

Creatinine clearance<\/span><\/span><\/strong><\/span><\/p>\n

Urinalysis<\/span><\/span><\/strong><\/span><\/p>\n

Question 42.Question : Marci has a wart on her hand. She says she heard something about “silver duct tape therapy.” What do you tell her about his?<\/span><\/span><\/strong><\/span><\/p>\n

It is an old wives’ tale.<\/span><\/span><\/strong><\/span><\/p>\n

It is used as a last resort.<\/span><\/span><\/strong><\/span><\/p>\n

Salicylic acid is more effective.<\/span><\/span><\/strong><\/span><\/p>\n

It is a simple treatment that should be tried first.<\/span><\/span><\/strong><\/span><\/p>\n

Question 43.Question : What is the first-line recommended treatment against Group A b-hemolytic streptococci (GABHS), the most common cause of bacterial pharyngitis?<\/span><\/span><\/strong><\/span><\/p>\n

Penicillin<\/span><\/span><\/strong><\/span><\/p>\n

Quinolone<\/span><\/span><\/strong><\/span><\/p>\n

Cephalosporin<\/span><\/span><\/strong><\/span><\/p>\n

Macrolide<\/span><\/span><\/strong><\/span><\/p>\n

Question 44.Question : Which of the following is an example of sensorineural hearing loss?<\/span><\/span><\/strong><\/span><\/p>\n

Perforation of the tympanic membrane<\/span><\/span><\/strong><\/span><\/p>\n

Otosclerosis<\/span><\/span><\/strong><\/span><\/p>\n

Cholesteatoma<\/span><\/span><\/strong><\/span><\/p>\n

Presbycusis<\/span><\/span><\/strong><\/span><\/p>\n

Question 45.Question : Which of the following is “a linear crack extending from the epidermis to the dermis?”<\/span><\/span><\/strong><\/span><\/p>\n

An ulcer<\/span><\/span><\/strong><\/span><\/p>\n

A fissure<\/span><\/span><\/strong><\/span><\/p>\n

Lichenification<\/span><\/span><\/strong><\/span><\/p>\n

An excoriation<\/span><\/span><\/strong><\/span><\/p>\n

Question 46.Question : A 65-year-old man presents to the clinician with complaints of increasing bilateral peripheral vision loss, poor night vision, and frequent prescription changes that started 6 months previously. Recently, he has also been seeing halos around lights. The clinician suspects chronic open-angle glaucoma. Which of the following statements is true concerning the diagnosis of chronic open-angle glaucoma?<\/span><\/span><\/strong><\/span><\/p>\n

The presence of increased intraocular pressure measured by tonometry is definitive for the diagnosis of open-angle glaucoma.<\/span><\/span><\/strong><\/span><\/p>\n

The clinician can definitively diagnosis open-angle glaucoma based on the subjective complaints of the patient.<\/span><\/span><\/strong><\/span><\/p>\n

Physical diagnosis relies on gonioscopic evaluation of the angle by an ophthalmologist.<\/span><\/span><\/strong><\/span><\/p>\n

Early diagnosis is essential in order to reverse any damage that has occurred to the optic nerve.<\/span><\/span><\/strong><\/span><\/p>\n

Question 47.Question : The majority of HSV-1 and HSV-2 infections are asymptomatic so that only which elevated antibody titer shows evidence of previous infection?<\/span><\/span><\/strong><\/span><\/p>\n

IgA<\/span><\/span><\/strong><\/span><\/p>\n

IgE<\/span><\/span><\/strong><\/span><\/p>\n

IgG<\/span><\/span><\/strong><\/span><\/p>\n

IgM<\/span><\/span><\/strong><\/span><\/p>\n

Question 48.Question : A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting, and diaphoresis. In addition to nephrolithiasis, which of the following should be added to the list of differential diagnoses?<\/span><\/span><\/strong><\/span><\/p>\n

Pancreatitis<\/span><\/span><\/strong><\/span><\/p>\n

Peptic ulcer disease<\/span><\/span><\/strong><\/span><\/p>\n

Diverticulitis<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

<\/p>\n

<\/strong><\/p>\n

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Need homework help? Click Here!<\/a><\/figcaption><\/figure>\n

Question 49.Question : 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?<\/span><\/span><\/strong><\/span><\/p>\n

B-type natriuretic peptide<\/span><\/span><\/strong><\/span><\/p>\n

C-reactive protein<\/span><\/span><\/strong><\/span><\/p>\n

Serum albumin<\/span><\/span><\/strong><\/span><\/p>\n

Erythrocyte sedimentation rate<\/span><\/span><\/strong><\/span><\/p>\n

Question 50.Question : You are doing a cerumen extraction and touch the external meatus of your patient’s ear. He winces and starts coughing. What is the name of this reflex?<\/span><\/span><\/strong><\/span><\/p>\n

Baker phenomenon<\/span><\/span><\/strong><\/span><\/p>\n

Arnold reflex<\/span><\/span><\/strong><\/span><\/p>\n

Cough reflex<\/span><\/span><\/strong><\/span><\/p>\n

Tragus reflex<\/span><\/span><\/strong><\/span><\/p>\n

\u00a0<\/span><\/span><\/strong><\/span><\/p>\n

Question 1: The most cost-effective screening test for determining HIV status is which of the following?<\/span><\/span><\/strong><\/span><\/p>\n

Western blot<\/span><\/span><\/strong><\/span><\/p>\n

Enzyme-linked immunosorbent assay<\/span><\/span><\/strong><\/span><\/p>\n

Venereal Disease Research Laboratory test<\/span><\/span><\/strong><\/span><\/p>\n

Viral load<\/span><\/span><\/strong><\/span><\/p>\n

Question 2.Question : Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process?<\/span><\/span><\/strong><\/span><\/p>\n

Erythrocyte sedimentation rate<\/span><\/span><\/strong><\/span><\/p>\n

White blood cell count<\/span><\/span><\/strong><\/span><\/p>\n

Polymorphonuclear cells<\/span><\/span><\/strong><\/span><\/p>\n

C-reactive protein (CRP)<\/span><\/span><\/strong><\/span><\/p>\n

Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter?<\/span><\/span><\/strong><\/span><\/p>\n

GABA<\/span><\/span><\/strong><\/span><\/p>\n

Acetylcholine<\/span><\/span><\/strong><\/span><\/p>\n

Dopamine<\/span><\/span><\/strong><\/span><\/p>\n

Serotonin<\/span><\/span><\/strong><\/span><\/p>\n

Question 4.Question : Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow. The pain has increased following a day of gardening one week ago. A physical finding that differentiates the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is:<\/span><\/span><\/strong><\/span><\/p>\n

Ecchymosis, edema, and erythema over the lateral epicondyle<\/span><\/span><\/strong><\/span><\/p>\n

Pain at the elbow with resisted movements at the wrist and forearm<\/span><\/span><\/strong><\/span><\/p>\n

Inability to supinate and pronate the arm<\/span><\/span><\/strong><\/span><\/p>\n

Inability to flex or extend the elbow against resistance<\/span><\/span><\/strong><\/span><\/p>\n

Question 5.Question : Which of the following statements concerning the musculoskeletal examination is true?<\/span><\/span><\/strong><\/span><\/p>\n

The uninvolved side should be examined initially and then compared to the involved side.<\/span><\/span><\/strong><\/span><\/p>\n

The part of the body that is causing the patient pain should be examined first.<\/span><\/span><\/strong><\/span><\/p>\n

When possible, the patient should not be asked to perform active range-of-motion (ROM) exercises to avoid causing pain.<\/span><\/span><\/strong><\/span><\/p>\n

Radiographs should always be obtained prior to examination so as not to cause further injury to the patient.<\/span><\/span><\/strong><\/span><\/p>\n

<\/p>\n

<\/strong><\/p>\n

\"\"<\/a>
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Question 6.Question : Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?<\/span><\/span><\/strong><\/span><\/p>\n

Decreased C-reactive protein<\/span><\/span><\/strong><\/span><\/p>\n

Hyperalbuminemia<\/span><\/span><\/strong><\/span><\/p>\n

Morning stiffness<\/span><\/span><\/strong><\/span><\/p>\n

Weight gain<\/span><\/span><\/strong><\/span><\/p>\n

Question 7.Question : Which causes the greatest percentage of mammalian bites?<\/span><\/span><\/strong><\/span><\/p>\n

Dogs<\/span><\/span><\/strong><\/span><\/p>\n

Cats<\/span><\/span><\/strong><\/span><\/p>\n

Humans<\/span><\/span><\/strong><\/span><\/p>\n

Rodents<\/span><\/span><\/strong><\/span><\/p>\n

Question 8.Question : A 48-year-old woman is seen in the clinic with complaints of prolonged heavy menstrual periods. She is pale and states\u00a0 she can no longer exercise. Pelvic exam reveals a single, very large mass. Which of the following diagnostic tests should the clinician order first?<\/span><\/span><\/strong><\/span><\/p>\n

Transvaginal ultrasound<\/span><\/span><\/strong><\/span><\/p>\n

Endometrial biopsy<\/span><\/span><\/strong><\/span><\/p>\n

MRI<\/span><\/span><\/strong><\/span><\/p>\n

Abdominal computed tomography scan<\/span><\/span><\/strong><\/span><\/p>\n

Question 9.Question : A diabetic patient asks the clinician why he needs to check his blood sugar at home even when he feels good. Which of the following responses would be most appropriate?<\/span><\/span><\/strong><\/span><\/p>\n

“Control of glucose will help postpone or delay complications.”<\/span><\/span><\/strong><\/span><\/p>\n

“Regularly checking blood sugar will help establish a routine.”<\/span><\/span><\/strong><\/span><\/p>\n

“Monitoring glucose will promote a sense of control.”<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 10.Question : A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3\u00a0 months. On physical examination, the clinician notices a sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests should be ordered next?<\/span><\/span><\/strong><\/span><\/p>\n

Serum calcium<\/span><\/span><\/strong><\/span><\/p>\n

TSH<\/span><\/span><\/strong><\/span><\/p>\n

Electrolytes<\/span><\/span><\/strong><\/span><\/p>\n

Urine specific gravity<\/span><\/span><\/strong><\/span><\/p>\n

Question 11.Question : Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy?<\/span><\/span><\/strong><\/span><\/p>\n

Insulin<\/span><\/span><\/strong><\/span><\/p>\n

Metformin<\/span><\/span><\/strong><\/span><\/p>\n

Glucotrol<\/span><\/span><\/strong><\/span><\/p>\n

Precose<\/span><\/span><\/strong><\/span><\/p>\n

Question 12.Question : During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?<\/span><\/span><\/strong><\/span><\/p>\n

An enlarged rubbery gland<\/span><\/span><\/strong><\/span><\/p>\n

A hard irregular gland<\/span><\/span><\/strong><\/span><\/p>\n

A tender gland<\/span><\/span><\/strong><\/span><\/p>\n

A boggy gland<\/span><\/span><\/strong><\/span><\/p>\n

Question 13.Question : Eddie, age 4, presents to the ED with a live insect trapped in his ear canal causing a lot of distress. What should be your first step?<\/span><\/span><\/strong><\/span><\/p>\n

Remove the insect with tweezers.<\/span><\/span><\/strong><\/span><\/p>\n

Immobilize the insect with 2% lidocaine.<\/span><\/span><\/strong><\/span><\/p>\n

Sedate Eddie with diazepam.<\/span><\/span><\/strong><\/span><\/p>\n

Shine a light in the ear for the insect to “find its way out.”<\/span><\/span><\/strong><\/span><\/p>\n

Question 14.Question : What is the most common cause of microcytic anemia?<\/span><\/span><\/strong><\/span><\/p>\n

Anemia of chronic disease<\/span><\/span><\/strong><\/span><\/p>\n

Sideroblastic anemia<\/span><\/span><\/strong><\/span><\/p>\n

Iron-deficiency anemia<\/span><\/span><\/strong><\/span><\/p>\n

Thalassemia<\/span><\/span><\/strong><\/span><\/p>\n

Question 15.Question : An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses?<\/span><\/span><\/strong><\/span><\/p>\n

Benign prostatic hyperplasia (BPH)<\/span><\/span><\/strong><\/span><\/p>\n

Parkinson’s disease<\/span><\/span><\/strong><\/span><\/p>\n

Prostate cancer<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 16.Question : Early rheumatoid disease is characterized by:<\/span><\/span><\/strong><\/span><\/p>\n

Pain and swelling in both small and large peripheral joints<\/span><\/span><\/strong><\/span><\/p>\n

Rigid joints with diminished range of motion<\/span><\/span><\/strong><\/span><\/p>\n

Joint swelling and immobility on rising<\/span><\/span><\/strong><\/span><\/p>\n

A cardiac rub or pulmonary friction rub<\/span><\/span><\/strong><\/span><\/p>\n

Question 17.Question : A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her left wrist. She thought she just bruised it but is worried because it has not improved. She has used Tylenol\u00ae and ice at home, and that has helped slightly. You examine her and find she has moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds. What should you do?<\/span><\/span><\/strong><\/span><\/p>\n

Make an immediate referral for an orthopedic evaluation without further assessment.<\/span><\/span><\/strong><\/span><\/p>\n

Tell her that it takes time for these bruises to improve, so she should be patient.<\/span><\/span><\/strong><\/span><\/p>\n

Obtain a wrist x-ray and place her wrist in a splint or\u00a0 prescribe a splint.<\/span><\/span><\/strong><\/span><\/p>\n

Send her to the emergency room for reduction of this obvious wrist fracture.<\/span><\/span><\/strong><\/span><\/p>\n

Question 18.Question : The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least:<\/span><\/span><\/strong><\/span><\/p>\n

1 month<\/span><\/span><\/strong><\/span><\/p>\n

3 months<\/span><\/span><\/strong><\/span><\/p>\n

6 months<\/span><\/span><\/strong><\/span><\/p>\n

12 months<\/span><\/span><\/strong><\/span><\/p>\n

Question 19.Question : A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?<\/span><\/span><\/strong><\/span><\/p>\n

The scrotum will be dark.<\/span><\/span><\/strong><\/span><\/p>\n

The scrotum will appear light pink or yellow.<\/span><\/span><\/strong><\/span><\/p>\n

The scrotum will appear milky white.<\/span><\/span><\/strong><\/span><\/p>\n

The internal structures will be clearly visible.<\/span><\/span><\/strong><\/span><\/p>\n

Question 20.Question : According to K\u00fcbler-Ross, the stages of grief occur in which order?<\/span><\/span><\/strong><\/span><\/p>\n

Anger, denial, depression, bargaining, acceptance<\/span><\/span><\/strong><\/span><\/p>\n

Anger, denial, bargaining, acceptance, depression<\/span><\/span><\/strong><\/span><\/p>\n

Denial, anger, depression, bargaining, acceptance<\/span><\/span><\/strong><\/span><\/p>\n

Denial, anger, bargaining, depression, acceptance<\/span><\/span><\/strong><\/span><\/p>\n

Question 21.Question : Reuben, age 24, has HIV and just had a routine viral load test done. The results show a falling viral load. What does this indicate?<\/span><\/span><\/strong><\/span><\/p>\n

A favorable prognostic trend<\/span><\/span><\/strong><\/span><\/p>\n

Disease progression<\/span><\/span><\/strong><\/span><\/p>\n

The need to be more aggressive with Reuben’s<\/span><\/span><\/strong><\/span><\/p>\n

medications<\/span><\/span><\/strong><\/span><\/p>\n

The eradication of the HIV<\/span><\/span><\/strong><\/span><\/p>\n

Question 22.Question : The exanthem of Lyme disease is:<\/span><\/span><\/strong><\/span><\/p>\n

Erythema infectiosum<\/span><\/span><\/strong><\/span><\/p>\n

<\/strong><\/p>\n

\"\"<\/a>
Need homework help? Click Here!<\/a><\/figcaption><\/figure>\n

Laterothoracic exanthem<\/span><\/span><\/strong><\/span><\/p>\n

Erythema migrans<\/span><\/span><\/strong><\/span><\/p>\n

Morbilli exanthem<\/span><\/span><\/strong><\/span><\/p>\n

Question 23.Question : You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is:<\/span><\/span><\/strong><\/span><\/p>\n

Articular<\/span><\/span><\/strong><\/span><\/p>\n

Inflammatory<\/span><\/span><\/strong><\/span><\/p>\n

Nonarticular<\/span><\/span><\/strong><\/span><\/p>\n

A and B<\/span><\/span><\/strong><\/span><\/p>\n

Question 24.Question : What is the recommended daily calcium intake for adults over the age of 50 with low bone mass?<\/span><\/span><\/strong><\/span><\/p>\n

1,200 mg\/day<\/span><\/span><\/strong><\/span><\/p>\n

1,000 mg\/day<\/span><\/span><\/strong><\/span><\/p>\n

1,300 mg\/day<\/span><\/span><\/strong><\/span><\/p>\n

1,500 mg\/day<\/span><\/span><\/strong><\/span><\/p>\n

Question 25.Question : When assessing a woman for infertility, which of the following tests should be done first?<\/span><\/span><\/strong><\/span><\/p>\n

Analysis of partner’s sperm<\/span><\/span><\/strong><\/span><\/p>\n

Magnetic resonance imaging (MRI)<\/span><\/span><\/strong><\/span><\/p>\n

Hysterosalpingogram<\/span><\/span><\/strong><\/span><\/p>\n

Estrogen level<\/span><\/span><\/strong><\/span><\/p>\n

Question 26.Question : Which type of burn injury results in destruction of the epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?<\/span><\/span><\/strong><\/span><\/p>\n

Superficial burns<\/span><\/span><\/strong><\/span><\/p>\n

Superficial partial-thickness burns<\/span><\/span><\/strong><\/span><\/p>\n

Deep partial-thickness burns<\/span><\/span><\/strong><\/span><\/p>\n

Full-thickness burns<\/span><\/span><\/strong><\/span><\/p>\n

Question 27.Question : A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her examination?<\/span><\/span><\/strong><\/span><\/p>\n

Human papillomavirus (HPV)<\/span><\/span><\/strong><\/span><\/p>\n

Endometrial hyperplasia<\/span><\/span><\/strong><\/span><\/p>\n

Vagismus<\/span><\/span><\/strong><\/span><\/p>\n

Polycystic ovarian syndrome<\/span><\/span><\/strong><\/span><\/p>\n

Question 28.Question : As a rule of thumb, the estimated level of hematocrit is how many times the value of the hemoglobin?<\/span><\/span><\/strong><\/span><\/p>\n

Two<\/span><\/span><\/strong><\/span><\/p>\n

Three<\/span><\/span><\/strong><\/span><\/p>\n

Four<\/span><\/span><\/strong><\/span><\/p>\n

Five<\/span><\/span><\/strong><\/span><\/p>\n

Question 29.Question : Sam is a 25-year-old who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?<\/span><\/span><\/strong><\/span><\/p>\n

Morning stiffness and limited mobility of the lumbar spine<\/span><\/span><\/strong><\/span><\/p>\n

Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain<\/span><\/span><\/strong><\/span><\/p>\n

Fever, chills, and elevated erythrocyte sedimentation rate<\/span><\/span><\/strong><\/span><\/p>\n

Pathologic fractures, severe night pain, weight loss, and fatigue<\/span><\/span><\/strong><\/span><\/p>\n

Question 30.Question : A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis?<\/span><\/span><\/strong><\/span><\/p>\n

Testosterone level<\/span><\/span><\/strong><\/span><\/p>\n

Prostate-specific antigen<\/span><\/span><\/strong><\/span><\/p>\n

Nocturnal penile tumescence and rigidity<\/span><\/span><\/strong><\/span><\/p>\n

Prolactin level<\/span><\/span><\/strong><\/span><\/p>\n

Question 31.Question : The clinician prescribes glipizide (Glucotrol) for a diabetic patient. Which statement made by the patient would indicate that your teaching has been effective?<\/span><\/span><\/strong><\/span><\/p>\n

“I’ll take my pill at least 30 minutes before breakfast.”<\/span><\/span><\/strong><\/span><\/p>\n

“I’ll take my Glucotrol before bedtime.”<\/span><\/span><\/strong><\/span><\/p>\n

“It is important to take my medication right after I eat.”<\/span><\/span><\/strong><\/span><\/p>\n

“Since I only like to eat two meals a day, I can take the pill between my meals.”<\/span><\/span><\/strong><\/span><\/p>\n

Question 32.Question : In the United States, what is the second most common connective tissue disease and the most destructive to the joints?<\/span><\/span><\/strong><\/span><\/p>\n

Osteoarthritis<\/span><\/span><\/strong><\/span><\/p>\n

Systemic lupus erythematosus (SLE)<\/span><\/span><\/strong><\/span><\/p>\n

Rheumatoid arthritis<\/span><\/span><\/strong><\/span><\/p>\n

Sj\u00f6gren’s syndrome<\/span><\/span><\/strong><\/span><\/p>\n

Question 33.Question : The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety?<\/span><\/span><\/strong><\/span><\/p>\n

Acetylcholine<\/span><\/span><\/strong><\/span><\/p>\n

Gamma-aminobutyric acid (GABA)<\/span><\/span><\/strong><\/span><\/p>\n

Dopamine<\/span><\/span><\/strong><\/span><\/p>\n

Serotonin<\/span><\/span><\/strong><\/span><\/p>\n

Question 34.Question : A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is the appropriate action?<\/span><\/span><\/strong><\/span><\/p>\n

Refer to a urologist immediately.<\/span><\/span><\/strong><\/span><\/p>\n

Obtain a computed tomography (CT) scan.<\/span><\/span><\/strong><\/span><\/p>\n

Instruct the patient to elevate the scrotum.<\/span><\/span><\/strong><\/span><\/p>\n

Prescribe ibuprofen.<\/span><\/span><\/strong><\/span><\/p>\n

Question 35.Question : Which of the following medications can cause hyperglycemia?<\/span><\/span><\/strong><\/span><\/p>\n

Prednisone<\/span><\/span><\/strong><\/span><\/p>\n

Metformin<\/span><\/span><\/strong><\/span><\/p>\n

Synthroid<\/span><\/span><\/strong><\/span><\/p>\n

Cephalexin<\/span><\/span><\/strong><\/span><\/p>\n

Question 36.Question : During treatment for anaphylaxis, what site is used for the initial injection of epinephrine?<\/span><\/span><\/strong><\/span><\/p>\n

IV<\/span><\/span><\/strong><\/span><\/p>\n

Abdomen<\/span><\/span><\/strong><\/span><\/p>\n

Upper lateral thigh<\/span><\/span><\/strong><\/span><\/p>\n

Deltoid<\/span><\/span><\/strong><\/span><\/p>\n

Question 37.Question : It is important to educate patients with depression and their family members about reporting signs of increasing depression and suicidal thoughts. This is \u00a0especially true during which time period?<\/span><\/span><\/strong><\/span><\/p>\n

Before the initiation of treatment<\/span><\/span><\/strong><\/span><\/p>\n

1 to 2 weeks after the initiation of treatment<\/span><\/span><\/strong><\/span><\/p>\n

When switching to a different medication<\/span><\/span><\/strong><\/span><\/p>\n

1 to 2 weeks after tapering off medications<\/span><\/span><\/strong><\/span><\/p>\n

Question 38.Question : What is the most common cause of secondary amenorrhea?<\/span><\/span><\/strong><\/span><\/p>\n

Pregnancy<\/span><\/span><\/strong><\/span><\/p>\n

Pituitary dysfunction<\/span><\/span><\/strong><\/span><\/p>\n

Inadequate estrogen levels<\/span><\/span><\/strong><\/span><\/p>\n

Genetic disorders<\/span><\/span><\/strong><\/span><\/p>\n

Question 39.Question : Which of the following is the only drug for bulimia approved by the U.S. Food and Drug Administration?<\/span><\/span><\/strong><\/span><\/p>\n

Sertraline<\/span><\/span><\/strong><\/span><\/p>\n

Fluoxetine<\/span><\/span><\/strong><\/span><\/p>\n

Citoprolam<\/span><\/span><\/strong><\/span><\/p>\n

Imipramine<\/span><\/span><\/strong><\/span><\/p>\n

Question 40.Question : The goals of the 15-minute hour approach include:<\/span><\/span><\/strong><\/span><\/p>\n

Enhance self-esteem, expand behavioral repertoire, prevent dire consequences, and reestablish premorbid levels of functioning<\/span><\/span><\/strong><\/span><\/p>\n

Emerge with a higher level of functioning and commitment to long-term psychotherapy<\/span><\/span><\/strong><\/span><\/p>\n

Accept need for antidepressant therapy and psychiatric referral; share concerns with primary care clinician<\/span><\/span><\/strong><\/span><\/p>\n

Improve family functioning and sexual performance as well as accept need for antidepressant medication<\/span><\/span><\/strong><\/span><\/p>\n

Question 41.Question : John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing \u00a0localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?<\/span><\/span><\/strong><\/span><\/p>\n

Valgus stress test<\/span><\/span><\/strong><\/span><\/p>\n

McMurray circumduction test<\/span><\/span><\/strong><\/span><\/p>\n

Lachman test<\/span><\/span><\/strong><\/span><\/p>\n

Varus stress test<\/span><\/span><\/strong><\/span><\/p>\n

Question 42.Question : The cardinal subjective symptom of sickle cell crisis is which of the following?<\/span><\/span><\/strong><\/span><\/p>\n

Pain<\/span><\/span><\/strong><\/span><\/p>\n

Nausea<\/span><\/span><\/strong><\/span><\/p>\n

Light-headedness<\/span><\/span><\/strong><\/span><\/p>\n

Palpitations<\/span><\/span><\/strong><\/span><\/p>\n

Question 43.Question : A 25-year-old woman is seen in the clinic complaining of painful menstruation. Which of the following pelvic pathologies is the most common cause of dysmenorrhea?<\/span><\/span><\/strong><\/span><\/p>\n

Pelvic inflammatory disease<\/span><\/span><\/strong><\/span><\/p>\n

Endometriosis<\/span><\/span><\/strong><\/span><\/p>\n

Sexually transmitted infections<\/span><\/span><\/strong><\/span><\/p>\n

Ovarian cyst<\/span><\/span><\/strong><\/span><\/p>\n

Question 44.Question : Which arthropod bite can contain cytotoxic and haemolytic toxins that may destroy tissue?<\/span><\/span><\/strong><\/span><\/p>\n

Tick<\/span><\/span><\/strong><\/span><\/p>\n

Brown recluse spider<\/span><\/span><\/strong><\/span><\/p>\n

Wasp<\/span><\/span><\/strong><\/span><\/p>\n

Stinging caterpillar<\/span><\/span><\/strong><\/span><\/p>\n

Question 45.Question : Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the level of L5-S1. She is currently in the a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equine compression. Which of the following is a sign or symptom of cauda equina compression?<\/span><\/span><\/strong><\/span><\/p>\n

Gastrocnemius weakness<\/span><\/span><\/strong><\/span><\/p>\n

A reduced or absent ankle reflex<\/span><\/span><\/strong><\/span><\/p>\n

Numbness in the lateral foot<\/span><\/span><\/strong><\/span><\/p>\n

Paresthesia of the perineum and buttocks<\/span><\/span><\/strong><\/span><\/p>\n

Question 46.Question : A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the following tests is essential before prescribing any oral contraceptive?<\/span><\/span><\/strong><\/span><\/p>\n

Pregnancy test<\/span><\/span><\/strong><\/span><\/p>\n

Complete blood cell count<\/span><\/span><\/strong><\/span><\/p>\n

Thyroid-stimulating hormone<\/span><\/span><\/strong><\/span><\/p>\n

Urine dip for protein<\/span><\/span><\/strong><\/span><\/p>\n

Question 47.Question : A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine. Which of the following conditions that the patient also has would be a contraindication to taking metformin?<\/span><\/span><\/strong><\/span><\/p>\n

Ketoacidosis<\/span><\/span><\/strong><\/span><\/p>\n

Cirrhosis<\/span><\/span><\/strong><\/span><\/p>\n

Hypoglycemic episodes<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 48.Question : The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant (TCA) for a patient fitting the diagnostic criteria for depression. Which of the following is not true concerning SSRIs in comparison to tricyclic antidepressants?<\/span><\/span><\/strong><\/span><\/p>\n

SSRIs are more effective than TCAs.<\/span><\/span><\/strong><\/span><\/p>\n

SSRIs take less time to work than TCAs.<\/span><\/span><\/strong><\/span><\/p>\n

SSRIs have a more favorable side-effect profile than<\/span><\/span><\/strong><\/span><\/p>\n

TCAs.<\/span><\/span><\/strong><\/span><\/p>\n

SSRIs are not lethal in overdose.<\/span><\/span><\/strong><\/span><\/p>\n

Question 49.Question : Which type of bone marrow transplant is obtained from an identical twin?<\/span><\/span><\/strong><\/span><\/p>\n

Autogenic<\/span><\/span><\/strong><\/span><\/p>\n

Autologous<\/span><\/span><\/strong><\/span><\/p>\n

Allogeneic<\/span><\/span><\/strong><\/span><\/p>\n

Syngeneic<\/span><\/span><\/strong><\/span><\/p>\n

Question 50.Question : Pink, cherry red tissues and skin may result from which type of poisoning?<\/span><\/span><\/strong><\/span><\/p>\n

Arsenic<\/span><\/span><\/strong><\/span><\/p>\n

Lead<\/span><\/span><\/strong><\/span><\/p>\n

Carbon monoxide<\/span><\/span><\/strong><\/span><\/p>\n

Strychnine<\/span><\/span><\/strong><\/span><\/p>\n

Question 51.Question : Basic human needs are identified as:<\/span><\/span><\/strong><\/span><\/p>\n

Autonomy and feeling valued by others<\/span><\/span><\/strong><\/span><\/p>\n

Exhilaration and productivity<\/span><\/span><\/strong><\/span><\/p>\n

Spirituality<\/span><\/span><\/strong><\/span><\/p>\n

Career success and material rewards<\/span><\/span><\/strong><\/span><\/p>\n

Question 52.Question : The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?<\/span><\/span><\/strong><\/span><\/p>\n

Overweight<\/span><\/span><\/strong><\/span><\/p>\n

Mild obesity<\/span><\/span><\/strong><\/span><\/p>\n

Moderate obesity<\/span><\/span><\/strong><\/span><\/p>\n

Morbid obesity<\/span><\/span><\/strong><\/span><\/p>\n

Question 53.Question : A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular selfexamination (TSE). Which of the following should be examination (TSE). Which of the following should be included in the list of differential diagnoses?<\/span><\/span><\/strong><\/span><\/p>\n

Testicular cancer<\/span><\/span><\/strong><\/span><\/p>\n

Inguinal hernia<\/span><\/span><\/strong><\/span><\/p>\n

Varicocele<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 54.Question : What is the treatment of choice for a patient diagnosed with testicular cancer?<\/span><\/span><\/strong><\/span><\/p>\n

Radical orchidectomy<\/span><\/span><\/strong><\/span><\/p>\n

Lumpectomy<\/span><\/span><\/strong><\/span><\/p>\n

Radiation implants<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 55.Question : Which method is used to remove heavy metals, such as lead, that are ingested as poisons?<\/span><\/span><\/strong><\/span><\/p>\n

Chelation<\/span><\/span><\/strong><\/span><\/p>\n

Dialysis<\/span><\/span><\/strong><\/span><\/p>\n

Gastric lavage<\/span><\/span><\/strong><\/span><\/p>\n

Bowel irrigation<\/span><\/span><\/strong><\/span><\/p>\n

Question 56.Question : A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?<\/span><\/span><\/strong><\/span><\/p>\n

“It is probably just a cyst because that is the most common breast mass.”<\/span><\/span><\/strong><\/span><\/p>\n

“We will order a mammogram and ultrasound to help establish a diagnosis.”<\/span><\/span><\/strong><\/span><\/p>\n

“We will go ahead and schedule you for a biopsy because that is the only way to know for sure.”<\/span><\/span><\/strong><\/span><\/p>\n

“Because your lump is painful, it is most likely not cancer.”<\/span><\/span><\/strong><\/span><\/p>\n

Question 57.Question : A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae. Which of the following treatments would be appropriate?<\/span><\/span><\/strong><\/span><\/p>\n

Fluconazole<\/span><\/span><\/strong><\/span><\/p>\n

Estrogen vaginal cream<\/span><\/span><\/strong><\/span><\/p>\n

Metronidazole<\/span><\/span><\/strong><\/span><\/p>\n

Doxycycline<\/span><\/span><\/strong><\/span><\/p>\n

Question 58.Question : The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs?<\/span><\/span><\/strong><\/span><\/p>\n

“You should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage.”<\/span><\/span><\/strong><\/span><\/p>\n

“You should start with the lowest dose that is effective in managing your pain to avoid developing tolerance to the medication.”<\/span><\/span><\/strong><\/span><\/p>\n

“You should take the maximum recommended dose of NSAIDs so that you will not need to take narcotics to control your pain.”<\/span><\/span><\/strong><\/span><\/p>\n

“It is important to take NSAIDs on an empty stomach in order to increase absorption.”<\/span><\/span><\/strong><\/span><\/p>\n

Question 59.Question : A history of overuse or excessive force, as opposed to a fall, hyperextension, or the twisting of a joint, is more likely related to which musculoskeletal injury?<\/span><\/span><\/strong><\/span><\/p>\n

A sprain<\/span><\/span><\/strong><\/span><\/p>\n

A strain<\/span><\/span><\/strong><\/span><\/p>\n

A partial fracture<\/span><\/span><\/strong><\/span><\/p>\n

A fracture<\/span><\/span><\/strong><\/span><\/p>\n

Question 60.Question : Which type of heat-related illness involves a core body temperature of at least 104.9\u00b0F, acute mental status temperature of at least 104.9\u00b0F, acute mental status changes, absent sweat, and tachypnea?<\/span><\/span><\/strong><\/span><\/p>\n

Heat cramps<\/span><\/span><\/strong><\/span><\/p>\n

Heat syncope<\/span><\/span><\/strong><\/span><\/p>\n

Heat exhaustion<\/span><\/span><\/strong><\/span><\/p>\n

Heat stroke<\/span><\/span><\/strong><\/span><\/p>\n

Question 61.Question : Which of the following may be used to evaluate a person’s suicide risk?<\/span><\/span><\/strong><\/span><\/p>\n

CAGE<\/span><\/span><\/strong><\/span><\/p>\n

SANE<\/span><\/span><\/strong><\/span><\/p>\n

SAD PERSONAS<\/span><\/span><\/strong><\/span><\/p>\n

DIGFAST<\/span><\/span><\/strong><\/span><\/p>\n

Question 62.Question : One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether the complaint is articular or nonarticular in origin. Which of the following is an example of an articular structure?<\/span><\/span><\/strong><\/span><\/p>\n

Bone<\/span><\/span><\/strong><\/span><\/p>\n

Synovium<\/span><\/span><\/strong><\/span><\/p>\n

Tendons<\/span><\/span><\/strong><\/span><\/p>\n

Fascia<\/span><\/span><\/strong><\/span><\/p>\n

Question 63.Question : After returning from visiting his grandchildren in England, George, age 59, complains of a flulike illness, including fever, chills, and myalgia. He reports having discovered a rash or red spot that grew in size on his right leg. What disease are you considering?<\/span><\/span><\/strong><\/span><\/p>\n

A viral syndrome<\/span><\/span><\/strong><\/span><\/p>\n

Lyme disease<\/span><\/span><\/strong><\/span><\/p>\n

Rocky Mountain spotted fever<\/span><\/span><\/strong><\/span><\/p>\n

Relapsing fever<\/span><\/span><\/strong><\/span><\/p>\n

Question 64.Question : A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram changes should the clinician expect as a manifestation of the disease?<\/span><\/span><\/strong><\/span><\/p>\n

Sinus bradycardia<\/span><\/span><\/strong><\/span><\/p>\n

Atrial fibrillation<\/span><\/span><\/strong><\/span><\/p>\n

Supraventricular tachycardia<\/span><\/span><\/strong><\/span><\/p>\n

U waves<\/span><\/span><\/strong><\/span><\/p>\n

Question 65.Question : Which of the following tests is essential for a 46-year-old woman who the clinician suspects is perimenopausal?<\/span><\/span><\/strong><\/span><\/p>\n

Pregnancy<\/span><\/span><\/strong><\/span><\/p>\n

Estrogen level<\/span><\/span><\/strong><\/span><\/p>\n

Progesterone level<\/span><\/span><\/strong><\/span><\/p>\n

LH level<\/span><\/span><\/strong><\/span><\/p>\n

Question 66.Question : After 6 months of Synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies?<\/span><\/span><\/strong><\/span><\/p>\n

Elevated TSH<\/span><\/span><\/strong><\/span><\/p>\n

Normal TSH<\/span><\/span><\/strong><\/span><\/p>\n

Low TSH<\/span><\/span><\/strong><\/span><\/p>\n

Undetectable TSH<\/span><\/span><\/strong><\/span><\/p>\n

Question 67.Question : A patient is 66 inches in height, weighing 200 pounds, and newly diagnosed with type 2 diabetes mellitus (DM). Her fasting plasma glucose level is 215 mg\/dL. What is the best initial treatment?<\/span><\/span><\/strong><\/span><\/p>\n

No treatment at this time<\/span><\/span><\/strong><\/span><\/p>\n

Diet and exercise for 6-week trial<\/span><\/span><\/strong><\/span><\/p>\n

Diet, exercise, and oral medication<\/span><\/span><\/strong><\/span><\/p>\n

Diet, exercise, and exogenous insulin<\/span><\/span><\/strong><\/span><\/p>\n

Question 68.Question : Which of the following should be considered in a patient presenting with erectile dysfunction?<\/span><\/span><\/strong><\/span><\/p>\n

Diabetes mellitus<\/span><\/span><\/strong><\/span><\/p>\n

Hypertension<\/span><\/span><\/strong><\/span><\/p>\n

Atherosclerosis<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 69.Question : Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel syndrome. She has two young children and asks the clinician what the chances are that they also will develop carpal tunnel syndrome. Which of the following responses would be correct regarding the risk of developing carpal tunnel \u00a0syndrome?<\/span><\/span><\/strong><\/span><\/p>\n

Carpal tunnel syndrome commonly occurs in families.\u00a0 Genetic factors are thought to account for about one-half the risk of developing carpal tunnel.<\/span><\/span><\/strong><\/span><\/p>\n

Only people with occupations that require repeated flexion extension of the wrist, use of hand tools that require forceful gripping, or use of hand tools that vibrate are at risk for developing carpal tunnel.<\/span><\/span><\/strong><\/span><\/p>\n

An underlying musculoskeletal disorder must be present for a person to develop carpal tunnel.<\/span><\/span><\/strong><\/span><\/p>\n

Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance.<\/span><\/span><\/strong><\/span><\/p>\n

Question 70.Question : A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of the following is the treatment of choice for gonorrhea?<\/span><\/span><\/strong><\/span><\/p>\n

Ceftriaxone<\/span><\/span><\/strong><\/span><\/p>\n

Doxycycline<\/span><\/span><\/strong><\/span><\/p>\n

Acyclovir<\/span><\/span><\/strong><\/span><\/p>\n

Metronidazole<\/span><\/span><\/strong><\/span><\/p>\n

Question 71.Question : Which of the following statements is true regarding the treatment of carpal tunnel syndrome?<\/span><\/span><\/strong><\/span><\/p>\n

The goal of treat<\/span><\/span><\/strong><\/span><\/p>\n

NR511 Midterm Exam<\/span><\/p>\n

NR511 Midterm Exam 2018<\/span><\/span><\/strong><\/span><\/p>\n

Question 1: The most cost-effective screening test for determining HIV status is which of the following?<\/span><\/span><\/strong><\/span><\/p>\n

Western blot<\/span><\/span><\/strong><\/span><\/p>\n

Enzyme-linked immunosorbent assay<\/span><\/span><\/strong><\/span><\/p>\n

Venereal Disease Research Laboratory test<\/span><\/span><\/strong><\/span><\/p>\n

Viral load<\/span><\/span><\/strong><\/span><\/p>\n

Question 2.Question : Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process?<\/span><\/span><\/strong><\/span><\/p>\n

Erythrocyte sedimentation rate<\/span><\/span><\/strong><\/span><\/p>\n

White blood cell count<\/span><\/span><\/strong><\/span><\/p>\n

Polymorphonuclear cells<\/span><\/span><\/strong><\/span><\/p>\n

C-reactive protein (CRP)<\/span><\/span><\/strong><\/span><\/p>\n

Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter?<\/span><\/span><\/strong><\/span><\/p>\n

GABA<\/span><\/span><\/strong><\/span><\/p>\n

Acetylcholine<\/span><\/span><\/strong><\/span><\/p>\n

Dopamine<\/span><\/span><\/strong><\/span><\/p>\n

Serotonin<\/span><\/span><\/strong><\/span><\/p>\n

<\/strong><\/p>\n

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Need homework help? Click Here!<\/a><\/figcaption><\/figure>\n

Question 4.Question : Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow. The pain has increased following a day of gardening one week ago. A physical finding that differentiates the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is:<\/span><\/span><\/strong><\/span><\/p>\n

Ecchymosis, edema, and erythema over the lateral epicondyle<\/span><\/span><\/strong><\/span><\/p>\n

Pain at the elbow with resisted movements at the wrist and forearm<\/span><\/span><\/strong><\/span><\/p>\n

Inability to supinate and pronate the arm<\/span><\/span><\/strong><\/span><\/p>\n

Inability to flex or extend the elbow against resistance<\/span><\/span><\/strong><\/span><\/p>\n

Question 5.Question : Which of the following statements concerning the musculoskeletal examination is true?<\/span><\/span><\/strong><\/span><\/p>\n

The uninvolved side should be examined initially and then compared to the involved side.<\/span><\/span><\/strong><\/span><\/p>\n

The part of the body that is causing the patient pain should be examined first.<\/span><\/span><\/strong><\/span><\/p>\n

When possible, the patient should not be asked to perform active range-of-motion (ROM) exercises to avoid causing pain.<\/span><\/span><\/strong><\/span><\/p>\n

Radiographs should always be obtained prior to examination so as not to cause further injury to the patient.<\/span><\/span><\/strong><\/span><\/p>\n

Question 6.Question : Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?<\/span><\/span><\/strong><\/span><\/p>\n

Decreased C-reactive protein<\/span><\/span><\/strong><\/span><\/p>\n

Hyperalbuminemia<\/span><\/span><\/strong><\/span><\/p>\n

Morning stiffness<\/span><\/span><\/strong><\/span><\/p>\n

Weight gain<\/span><\/span><\/strong><\/span><\/p>\n

Question 7.Question : Which causes the greatest percentage of mammalian bites?<\/span><\/span><\/strong><\/span><\/p>\n

Dogs<\/span><\/span><\/strong><\/span><\/p>\n

Cats<\/span><\/span><\/strong><\/span><\/p>\n

Humans<\/span><\/span><\/strong><\/span><\/p>\n

Rodents<\/span><\/span><\/strong><\/span><\/p>\n

Question 8.Question : A 48-year-old woman is seen in the clinic with complaints of prolonged heavy menstrual periods. She is pale and states\u00a0 she can no longer exercise. Pelvic exam reveals a single, very large mass. Which of the following diagnostic tests should the clinician order first?<\/span><\/span><\/strong><\/span><\/p>\n

Transvaginal ultrasound<\/span><\/span><\/strong><\/span><\/p>\n

Endometrial biopsy<\/span><\/span><\/strong><\/span><\/p>\n

MRI<\/span><\/span><\/strong><\/span><\/p>\n

Abdominal computed tomography scan<\/span><\/span><\/strong><\/span><\/p>\n

Question 9.Question : A diabetic patient asks the clinician why he needs to check his blood sugar at home even when he feels good. Which of the following responses would be most appropriate?<\/span><\/span><\/strong><\/span><\/p>\n

“Control of glucose will help postpone or delay complications.”<\/span><\/span><\/strong><\/span><\/p>\n

“Regularly checking blood sugar will help establish a routine.”<\/span><\/span><\/strong><\/span><\/p>\n

“Monitoring glucose will promote a sense of control.”<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 10.Question : A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3\u00a0 months. On physical examination, the clinician notices a sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests should be ordered next?<\/span><\/span><\/strong><\/span><\/p>\n

Serum calcium<\/span><\/span><\/strong><\/span><\/p>\n

TSH<\/span><\/span><\/strong><\/span><\/p>\n

Electrolytes<\/span><\/span><\/strong><\/span><\/p>\n

Urine specific gravity<\/span><\/span><\/strong><\/span><\/p>\n

Question 11.Question : Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy?<\/span><\/span><\/strong><\/span><\/p>\n

Insulin<\/span><\/span><\/strong><\/span><\/p>\n

Metformin<\/span><\/span><\/strong><\/span><\/p>\n

Glucotrol<\/span><\/span><\/strong><\/span><\/p>\n

Precose<\/span><\/span><\/strong><\/span><\/p>\n

Question 12.Question : During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?<\/span><\/span><\/strong><\/span><\/p>\n

An enlarged rubbery gland<\/span><\/span><\/strong><\/span><\/p>\n

A hard irregular gland<\/span><\/span><\/strong><\/span><\/p>\n

A tender gland<\/span><\/span><\/strong><\/span><\/p>\n

A boggy gland<\/span><\/span><\/strong><\/span><\/p>\n

Question 13.Question : Eddie, age 4, presents to the ED with a live insect trapped in his ear canal causing a lot of distress. What should be your first step?<\/span><\/span><\/strong><\/span><\/p>\n

Remove the insect with tweezers.<\/span><\/span><\/strong><\/span><\/p>\n

Immobilize the insect with 2% lidocaine.<\/span><\/span><\/strong><\/span><\/p>\n

Sedate Eddie with diazepam.<\/span><\/span><\/strong><\/span><\/p>\n

Shine a light in the ear for the insect to “find its way out.”<\/span><\/span><\/strong><\/span><\/p>\n

Question 14.Question : What is the most common cause of microcytic anemia?<\/span><\/span><\/strong><\/span><\/p>\n

Anemia of chronic disease<\/span><\/span><\/strong><\/span><\/p>\n

Sideroblastic anemia<\/span><\/span><\/strong><\/span><\/p>\n

Iron-deficiency anemia<\/span><\/span><\/strong><\/span><\/p>\n

Thalassemia<\/span><\/span><\/strong><\/span><\/p>\n

Question 15.Question : An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses?<\/span><\/span><\/strong><\/span><\/p>\n

Benign prostatic hyperplasia (BPH)<\/span><\/span><\/strong><\/span><\/p>\n

Parkinson’s disease<\/span><\/span><\/strong><\/span><\/p>\n

Prostate cancer<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 16.Question : Early rheumatoid disease is characterized by:<\/span><\/span><\/strong><\/span><\/p>\n

Pain and swelling in both small and large peripheral joints<\/span><\/span><\/strong><\/span><\/p>\n

Rigid joints with diminished range of motion<\/span><\/span><\/strong><\/span><\/p>\n

Joint swelling and immobility on rising<\/span><\/span><\/strong><\/span><\/p>\n

A cardiac rub or pulmonary friction rub<\/span><\/span><\/strong><\/span><\/p>\n

Question 17.Question : A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her left wrist. She thought she just bruised it but is worried because it has not improved. She has used Tylenol\u00ae and ice at home, and that has helped slightly. You examine her and find she has moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds. What should you do?<\/span><\/span><\/strong><\/span><\/p>\n

Make an immediate referral for an orthopedic evaluation without further assessment.<\/span><\/span><\/strong><\/span><\/p>\n

Tell her that it takes time for these bruises to improve, so she should be patient.<\/span><\/span><\/strong><\/span><\/p>\n

Obtain a wrist x-ray and place her wrist in a splint or\u00a0 prescribe a splint.<\/span><\/span><\/strong><\/span><\/p>\n

Send her to the emergency room for reduction of this obvious wrist fracture.<\/span><\/span><\/strong><\/span><\/p>\n

Question 18.Question : The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least:<\/span><\/span><\/strong><\/span><\/p>\n

1 month<\/span><\/span><\/strong><\/span><\/p>\n

3 months<\/span><\/span><\/strong><\/span><\/p>\n

6 months<\/span><\/span><\/strong><\/span><\/p>\n

12 months<\/span><\/span><\/strong><\/span><\/p>\n

Question 19.Question : A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?<\/span><\/span><\/strong><\/span><\/p>\n

The scrotum will be dark.<\/span><\/span><\/strong><\/span><\/p>\n

The scrotum will appear light pink or yellow.<\/span><\/span><\/strong><\/span><\/p>\n

The scrotum will appear milky white.<\/span><\/span><\/strong><\/span><\/p>\n

The internal structures will be clearly visible.<\/span><\/span><\/strong><\/span><\/p>\n

Question 20.Question : According to K\u00fcbler-Ross, the stages of grief occur in which order?<\/span><\/span><\/strong><\/span><\/p>\n

Anger, denial, depression, bargaining, acceptance<\/span><\/span><\/strong><\/span><\/p>\n

Anger, denial, bargaining, acceptance, depression<\/span><\/span><\/strong><\/span><\/p>\n

Denial, anger, depression, bargaining, acceptance<\/span><\/span><\/strong><\/span><\/p>\n

Denial, anger, bargaining, depression, acceptance<\/span><\/span><\/strong><\/span><\/p>\n

Question 21.Question : Reuben, age 24, has HIV and just had a routine viral load test done. The results show a falling viral load. What does this indicate?<\/span><\/span><\/strong><\/span><\/p>\n

A favorable prognostic trend<\/span><\/span><\/strong><\/span><\/p>\n

Disease progression<\/span><\/span><\/strong><\/span><\/p>\n

The need to be more aggressive with Reuben’s<\/span><\/span><\/strong><\/span><\/p>\n

medications<\/span><\/span><\/strong><\/span><\/p>\n

The eradication of the HIV<\/span><\/span><\/strong><\/span><\/p>\n

Question 22.Question : The exanthem of Lyme disease is:<\/span><\/span><\/strong><\/span><\/p>\n

Erythema infectiosum<\/span><\/span><\/strong><\/span><\/p>\n

Laterothoracic exanthem<\/span><\/span><\/strong><\/span><\/p>\n

Erythema migrans<\/span><\/span><\/strong><\/span><\/p>\n

Morbilli exanthem<\/span><\/span><\/strong><\/span><\/p>\n

Question 23.Question : You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is:<\/span><\/span><\/strong><\/span><\/p>\n

Articular<\/span><\/span><\/strong><\/span><\/p>\n

Inflammatory<\/span><\/span><\/strong><\/span><\/p>\n

Nonarticular<\/span><\/span><\/strong><\/span><\/p>\n

A and B<\/span><\/span><\/strong><\/span><\/p>\n

Question 24.Question : What is the recommended daily calcium intake for adults over the age of 50 with low bone mass?<\/span><\/span><\/strong><\/span><\/p>\n

1,200 mg\/day<\/span><\/span><\/strong><\/span><\/p>\n

1,000 mg\/day<\/span><\/span><\/strong><\/span><\/p>\n

1,300 mg\/day<\/span><\/span><\/strong><\/span><\/p>\n

1,500 mg\/day<\/span><\/span><\/strong><\/span><\/p>\n

Question 25.Question : When assessing a woman for infertility, which of the following tests should be done first?<\/span><\/span><\/strong><\/span><\/p>\n

Analysis of partner’s sperm<\/span><\/span><\/strong><\/span><\/p>\n

Magnetic resonance imaging (MRI)<\/span><\/span><\/strong><\/span><\/p>\n

Hysterosalpingogram<\/span><\/span><\/strong><\/span><\/p>\n

Estrogen level<\/span><\/span><\/strong><\/span><\/p>\n

Question 26.Question : Which type of burn injury results in destruction of the epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?<\/span><\/span><\/strong><\/span><\/p>\n

Superficial burns<\/span><\/span><\/strong><\/span><\/p>\n

Superficial partial-thickness burns<\/span><\/span><\/strong><\/span><\/p>\n

Deep partial-thickness burns<\/span><\/span><\/strong><\/span><\/p>\n

Full-thickness burns<\/span><\/span><\/strong><\/span><\/p>\n

Question 27.Question : A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her examination?<\/span><\/span><\/strong><\/span><\/p>\n

Human papillomavirus (HPV)<\/span><\/span><\/strong><\/span><\/p>\n

Endometrial hyperplasia<\/span><\/span><\/strong><\/span><\/p>\n

Vagismus<\/span><\/span><\/strong><\/span><\/p>\n

Polycystic ovarian syndrome<\/span><\/span><\/strong><\/span><\/p>\n

Question 28.Question : As a rule of thumb, the estimated level of hematocrit is how many times the value of the hemoglobin?<\/span><\/span><\/strong><\/span><\/p>\n

Two<\/span><\/span><\/strong><\/span><\/p>\n

Three<\/span><\/span><\/strong><\/span><\/p>\n

Four<\/span><\/span><\/strong><\/span><\/p>\n

Five<\/span><\/span><\/strong><\/span><\/p>\n

Question 29.Question : Sam is a 25-year-old who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?<\/span><\/span><\/strong><\/span><\/p>\n

Morning stiffness and limited mobility of the lumbar spine<\/span><\/span><\/strong><\/span><\/p>\n

Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain<\/span><\/span><\/strong><\/span><\/p>\n

Fever, chills, and elevated erythrocyte sedimentation rate<\/span><\/span><\/strong><\/span><\/p>\n

Pathologic fractures, severe night pain, weight loss, and fatigue<\/span><\/span><\/strong><\/span><\/p>\n

Question 30.Question : A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis?<\/span><\/span><\/strong><\/span><\/p>\n

Testosterone level<\/span><\/span><\/strong><\/span><\/p>\n

Prostate-specific antigen<\/span><\/span><\/strong><\/span><\/p>\n

Nocturnal penile tumescence and rigidity<\/span><\/span><\/strong><\/span><\/p>\n

Prolactin level<\/span><\/span><\/strong><\/span><\/p>\n

Question 31.Question : The clinician prescribes glipizide (Glucotrol) for a diabetic patient. Which statement made by the patient would indicate that your teaching has been effective?<\/span><\/span><\/strong><\/span><\/p>\n

“I’ll take my pill at least 30 minutes before breakfast.”<\/span><\/span><\/strong><\/span><\/p>\n

“I’ll take my Glucotrol before bedtime.”<\/span><\/span><\/strong><\/span><\/p>\n

“It is important to take my medication right after I eat.”<\/span><\/span><\/strong><\/span><\/p>\n

“Since I only like to eat two meals a day, I can take the pill between my meals.”<\/span><\/span><\/strong><\/span><\/p>\n

Question 32.Question : In the United States, what is the second most common connective tissue disease and the most destructive to the joints?<\/span><\/span><\/strong><\/span><\/p>\n

Osteoarthritis<\/span><\/span><\/strong><\/span><\/p>\n

Systemic lupus erythematosus (SLE)<\/span><\/span><\/strong><\/span><\/p>\n

Rheumatoid arthritis<\/span><\/span><\/strong><\/span><\/p>\n

Sj\u00f6gren’s syndrome<\/span><\/span><\/strong><\/span><\/p>\n

Question 33.Question : The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety?<\/span><\/span><\/strong><\/span><\/p>\n

Acetylcholine<\/span><\/span><\/strong><\/span><\/p>\n

Gamma-aminobutyric acid (GABA)<\/span><\/span><\/strong><\/span><\/p>\n

Dopamine<\/span><\/span><\/strong><\/span><\/p>\n

Serotonin<\/span><\/span><\/strong><\/span><\/p>\n

Question 34.Question : A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is the appropriate action?<\/span><\/span><\/strong><\/span><\/p>\n

Refer to a urologist immediately.<\/span><\/span><\/strong><\/span><\/p>\n

Obtain a computed tomography (CT) scan.<\/span><\/span><\/strong><\/span><\/p>\n

Instruct the patient to elevate the scrotum.<\/span><\/span><\/strong><\/span><\/p>\n

Prescribe ibuprofen.<\/span><\/span><\/strong><\/span><\/p>\n

Question 35.Question : Which of the following medications can cause hyperglycemia?<\/span><\/span><\/strong><\/span><\/p>\n

Prednisone<\/span><\/span><\/strong><\/span><\/p>\n

Metformin<\/span><\/span><\/strong><\/span><\/p>\n

Synthroid<\/span><\/span><\/strong><\/span><\/p>\n

Cephalexin<\/span><\/span><\/strong><\/span><\/p>\n

Question 36.Question : During treatment for anaphylaxis, what site is used for the initial injection of epinephrine?<\/span><\/span><\/strong><\/span><\/p>\n

IV<\/span><\/span><\/strong><\/span><\/p>\n

Abdomen<\/span><\/span><\/strong><\/span><\/p>\n

Upper lateral thigh<\/span><\/span><\/strong><\/span><\/p>\n

Deltoid<\/span><\/span><\/strong><\/span><\/p>\n

Question 37.Question : It is important to educate patients with depression and their family members about reporting signs of increasing depression and suicidal thoughts. This is \u00a0especially true during which time period?<\/span><\/span><\/strong><\/span><\/p>\n

Before the initiation of treatment<\/span><\/span><\/strong><\/span><\/p>\n

1 to 2 weeks after the initiation of treatment<\/span><\/span><\/strong><\/span><\/p>\n

When switching to a different medication<\/span><\/span><\/strong><\/span><\/p>\n

1 to 2 weeks after tapering off medications<\/span><\/span><\/strong><\/span><\/p>\n

Question 38.Question : What is the most common cause of secondary amenorrhea?<\/span><\/span><\/strong><\/span><\/p>\n

Pregnancy<\/span><\/span><\/strong><\/span><\/p>\n

Pituitary dysfunction<\/span><\/span><\/strong><\/span><\/p>\n

Inadequate estrogen levels<\/span><\/span><\/strong><\/span><\/p>\n

Genetic disorders<\/span><\/span><\/strong><\/span><\/p>\n

Question 39.Question : Which of the following is the only drug for bulimia approved by the U.S. Food and Drug Administration?<\/span><\/span><\/strong><\/span><\/p>\n

Sertraline<\/span><\/span><\/strong><\/span><\/p>\n

Fluoxetine<\/span><\/span><\/strong><\/span><\/p>\n

Citoprolam<\/span><\/span><\/strong><\/span><\/p>\n

Imipramine<\/span><\/span><\/strong><\/span><\/p>\n

Question 40.Question : The goals of the 15-minute hour approach include:<\/span><\/span><\/strong><\/span><\/p>\n

Enhance self-esteem, expand behavioral repertoire, prevent dire consequences, and reestablish premorbid levels of functioning<\/span><\/span><\/strong><\/span><\/p>\n

Emerge with a higher level of functioning and commitment to long-term psychotherapy<\/span><\/span><\/strong><\/span><\/p>\n

Accept need for antidepressant therapy and psychiatric referral; share concerns with primary care clinician<\/span><\/span><\/strong><\/span><\/p>\n

Improve family functioning and sexual performance as well as accept need for antidepressant medication<\/span><\/span><\/strong><\/span><\/p>\n

Question 41.Question : John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing \u00a0localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?<\/span><\/span><\/strong><\/span><\/p>\n

Valgus stress test<\/span><\/span><\/strong><\/span><\/p>\n

McMurray circumduction test<\/span><\/span><\/strong><\/span><\/p>\n

Lachman test<\/span><\/span><\/strong><\/span><\/p>\n

Varus stress test<\/span><\/span><\/strong><\/span><\/p>\n

Question 42.Question : The cardinal subjective symptom of sickle cell crisis is which of the following?<\/span><\/span><\/strong><\/span><\/p>\n

Pain<\/span><\/span><\/strong><\/span><\/p>\n

Nausea<\/span><\/span><\/strong><\/span><\/p>\n

Light-headedness<\/span><\/span><\/strong><\/span><\/p>\n

Palpitations<\/span><\/span><\/strong><\/span><\/p>\n

Question 43.Question : A 25-year-old woman is seen in the clinic complaining of painful menstruation. Which of the following pelvic pathologies is the most common cause of dysmenorrhea?<\/span><\/span><\/strong><\/span><\/p>\n

Pelvic inflammatory disease<\/span><\/span><\/strong><\/span><\/p>\n

Endometriosis<\/span><\/span><\/strong><\/span><\/p>\n

Sexually transmitted infections<\/span><\/span><\/strong><\/span><\/p>\n

Ovarian cyst<\/span><\/span><\/strong><\/span><\/p>\n

Question 44.Question : Which arthropod bite can contain cytotoxic and haemolytic toxins that may destroy tissue?<\/span><\/span><\/strong><\/span><\/p>\n

Tick<\/span><\/span><\/strong><\/span><\/p>\n

Brown recluse spider<\/span><\/span><\/strong><\/span><\/p>\n

Wasp<\/span><\/span><\/strong><\/span><\/p>\n

Stinging caterpillar<\/span><\/span><\/strong><\/span><\/p>\n

Question 45.Question : Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the level of L5-S1. She is currently in the a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equine compression. Which of the following is a sign or symptom of cauda equina compression?<\/span><\/span><\/strong><\/span><\/p>\n

Gastrocnemius weakness<\/span><\/span><\/strong><\/span><\/p>\n

A reduced or absent ankle reflex<\/span><\/span><\/strong><\/span><\/p>\n

Numbness in the lateral foot<\/span><\/span><\/strong><\/span><\/p>\n

Paresthesia of the perineum and buttocks<\/span><\/span><\/strong><\/span><\/p>\n

Question 46.Question : A 21-year-old woman is seen in the clinic requesting birth control pills. Which of the following tests is essential before prescribing any oral contraceptive?<\/span><\/span><\/strong><\/span><\/p>\n

Pregnancy test<\/span><\/span><\/strong><\/span><\/p>\n

Complete blood cell count<\/span><\/span><\/strong><\/span><\/p>\n

Thyroid-stimulating hormone<\/span><\/span><\/strong><\/span><\/p>\n

Urine dip for protein<\/span><\/span><\/strong><\/span><\/p>\n

Question 47.Question : A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine. Which of the following conditions that the patient also has would be a contraindication to taking metformin?<\/span><\/span><\/strong><\/span><\/p>\n

Ketoacidosis<\/span><\/span><\/strong><\/span><\/p>\n

Cirrhosis<\/span><\/span><\/strong><\/span><\/p>\n

Hypoglycemic episodes<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 48.Question : The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant (TCA) for a patient fitting the diagnostic criteria for depression. Which of the following is not true concerning SSRIs in comparison to tricyclic antidepressants?<\/span><\/span><\/strong><\/span><\/p>\n

SSRIs are more effective than TCAs.<\/span><\/span><\/strong><\/span><\/p>\n

SSRIs take less time to work than TCAs.<\/span><\/span><\/strong><\/span><\/p>\n

SSRIs have a more favorable side-effect profile than<\/span><\/span><\/strong><\/span><\/p>\n

TCAs.<\/span><\/span><\/strong><\/span><\/p>\n

SSRIs are not lethal in overdose.<\/span><\/span><\/strong><\/span><\/p>\n

Question 49.Question : Which type of bone marrow transplant is obtained from an identical twin?<\/span><\/span><\/strong><\/span><\/p>\n

Autogenic<\/span><\/span><\/strong><\/span><\/p>\n

Autologous<\/span><\/span><\/strong><\/span><\/p>\n

Allogeneic<\/span><\/span><\/strong><\/span><\/p>\n

Syngeneic<\/span><\/span><\/strong><\/span><\/p>\n

Question 50.Question : Pink, cherry red tissues and skin may result from which type of poisoning?<\/span><\/span><\/strong><\/span><\/p>\n

Arsenic<\/span><\/span><\/strong><\/span><\/p>\n

Lead<\/span><\/span><\/strong><\/span><\/p>\n

Carbon monoxide<\/span><\/span><\/strong><\/span><\/p>\n

Strychnine<\/span><\/span><\/strong><\/span><\/p>\n

Question 51.Question : Basic human needs are identified as:<\/span><\/span><\/strong><\/span><\/p>\n

Autonomy and feeling valued by others<\/span><\/span><\/strong><\/span><\/p>\n

Exhilaration and productivity<\/span><\/span><\/strong><\/span><\/p>\n

Spirituality<\/span><\/span><\/strong><\/span><\/p>\n

Career success and material rewards<\/span><\/span><\/strong><\/span><\/p>\n

Question 52.Question : The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?<\/span><\/span><\/strong><\/span><\/p>\n

Overweight<\/span><\/span><\/strong><\/span><\/p>\n

Mild obesity<\/span><\/span><\/strong><\/span><\/p>\n

Moderate obesity<\/span><\/span><\/strong><\/span><\/p>\n

Morbid obesity<\/span><\/span><\/strong><\/span><\/p>\n

Question 53.Question : A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular selfexamination (TSE). Which of the following should be examination (TSE). Which of the following should be included in the list of differential diagnoses?<\/span><\/span><\/strong><\/span><\/p>\n

Testicular cancer<\/span><\/span><\/strong><\/span><\/p>\n

Inguinal hernia<\/span><\/span><\/strong><\/span><\/p>\n

Varicocele<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 54.Question : What is the treatment of choice for a patient diagnosed with testicular cancer?<\/span><\/span><\/strong><\/span><\/p>\n

Radical orchidectomy<\/span><\/span><\/strong><\/span><\/p>\n

Lumpectomy<\/span><\/span><\/strong><\/span><\/p>\n

Radiation implants<\/span><\/span><\/strong><\/span><\/p>\n

All of the above<\/span><\/span><\/strong><\/span><\/p>\n

Question 55.Question : Which method is used to remove heavy metals, such as lead, that are ingested as poisons?<\/span><\/span><\/strong><\/span><\/p>\n

Chelation<\/span><\/span><\/strong><\/span><\/p>\n

Dialysis<\/span><\/span><\/strong><\/span><\/p>\n

Gastric lavage<\/span><\/span><\/strong><\/span><\/p>\n

Bowel irrigation<\/span><\/span><\/strong><\/span><\/p>\n

Question 56.Question : A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?<\/span><\/span><\/strong><\/span><\/p>\n

“It is probably just a cyst because that is the most common breast mass.”<\/span><\/span><\/strong><\/span><\/p>\n

“We will order a mammogram and ultrasound to help establish a diagnosis.”<\/span><\/span><\/strong><\/span><\/p>\n

“We will go ahead and schedule you for a biopsy because that is the only way to know for sure.”<\/span><\/span><\/strong><\/span><\/p>\n

“Because your lump is painful, it is most likely not cancer.”<\/span><\/span><\/strong><\/span><\/p>\n

Question 57.Question : A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae. Which of the following treatments would be appropriate?<\/span><\/span><\/strong><\/span><\/p>\n

Fluconazole<\/span><\/span><\/strong><\/span><\/p>\n

Estrogen vaginal cream<\/span><\/span><\/strong><\/span><\/p>\n

Metronidazole<\/span><\/span><\/strong><\/span><\/p>\n

Doxycycline<\/span><\/span><\/strong><\/span><\/p>\n

Question 58.Question : The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs?<\/span><\/span><\/strong><\/span><\/p>\n

“You should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage.”<\/span><\/span><\/strong><\/span><\/p>\n

“You should start with the lowest dose that is effective in managing your pain to avoid developing tolerance to the medication.”<\/span><\/span><\/strong><\/span><\/p>\n

“You should take the maximum recommended dose of NSAIDs so that you will not need to take narcotics to control your pain.”<\/span><\/span><\/strong><\/span><\/p>\n

“It is important to take NSAIDs on an empty stomach in order to increase absorption.”<\/span><\/span><\/strong><\/span><\/p>\n

Question 59.Question : A history of overuse or excessive force, as opposed to a fall, hyperextension, or the twisting of a joint, is more likely related to which musculoskeletal injury?<\/span><\/span><\/strong><\/span><\/p>\n

A sprain<\/span><\/span><\/strong><\/span><\/p>\n

A strain<\/span><\/span><\/strong><\/span><\/p>\n

A partial fracture<\/span><\/span><\/strong><\/span><\/p>\n

A fracture<\/span><\/span><\/strong><\/span><\/p>\n

Question 60.Question : Which type of heat-related illness involves a core body temperature of at least 104.9\u00b0F, acute mental status temperature of at least 104.9\u00b0F, acute mental status changes, absent sweat, and tachypnea?<\/span><\/span><\/strong><\/span><\/p>\n

Heat cramps<\/span><\/span><\/strong><\/span><\/p>\n

Heat syncope<\/span><\/span><\/strong><\/span><\/p>\n

Heat exhaustion<\/span><\/span><\/strong><\/span><\/p>\n

Heat stroke<\/span><\/span><\/strong><\/span><\/p>\n

Question 61.Question : Which of the following may be used to evaluate a person’s suicide risk?<\/span><\/span><\/strong><\/span><\/p>\n

CAGE<\/span><\/span><\/strong><\/span><\/p>\n

SANE<\/strong><\/span><\/p>\n

SAD PERSONAS<\/strong><\/span><\/p>\n

DIGFAST<\/strong><\/span><\/p>\n

Question 62.Question : One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether the complaint is articular or nonarticular in origin. Which of the following is an example of an articular structure?<\/strong><\/span><\/p>\n

Bone<\/strong><\/span><\/p>\n

Synovium<\/strong><\/span><\/p>\n

Tendons<\/strong><\/span><\/p>\n

Fascia<\/strong><\/span><\/p>\n

Question 63.Question : After returning from visiting his grandchildren in England, George, age 59, complains of a flulike illness, including fever, chills, and myalgia. He reports having discovered a rash or red spot that grew in size on his right leg. What disease are you considering?<\/strong><\/span><\/p>\n

A viral syndrome<\/strong><\/span><\/p>\n

Lyme disease<\/strong><\/span><\/p>\n

Rocky Mountain spotted fever<\/strong><\/span><\/p>\n

Relapsing fever<\/strong><\/span><\/p>\n

Question 64.Question : A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram changes should the clinician expect as a manifestation of the disease?<\/strong><\/span><\/p>\n

Sinus bradycardia<\/strong><\/span><\/p>\n

Atrial fibrillation<\/strong><\/span><\/p>\n

Supraventricular tachycardia<\/strong><\/span><\/p>\n

U waves<\/strong><\/span><\/p>\n

Question 65.Question : Which of the following tests is essential for a 46-year-old woman who the clinician suspects is perimenopausal?<\/strong><\/span><\/p>\n

Pregnancy<\/strong><\/span><\/p>\n

Estrogen level<\/strong><\/span><\/p>\n

Progesterone level<\/strong><\/span><\/p>\n

LH level<\/strong><\/span><\/p>\n

Question 66.Question : After 6 months of Synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies?<\/strong><\/span><\/p>\n

Elevated TSH<\/strong><\/span><\/p>\n

Normal TSH<\/strong><\/span><\/p>\n

Low TSH<\/strong><\/span><\/p>\n

Undetectable TSH<\/strong><\/span><\/p>\n

Question 67.Question : A patient is 66 inches in height, weighing 200 pounds, and newly diagnosed with type 2 diabetes mellitus (DM). Her fasting plasma glucose level is 215 mg\/dL. What is the best initial treatment?<\/strong><\/span><\/p>\n

No treatment at this time<\/strong><\/span><\/p>\n

Diet and exercise for 6-week trial<\/strong><\/span><\/p>\n

Diet, exercise, and oral medication<\/strong><\/span><\/p>\n

Diet, exercise, and exogenous insulin<\/strong><\/span><\/p>\n

Question 68.Question : Which of the following should be considered in a patient presenting with erectile dysfunction?<\/strong><\/span><\/p>\n

Diabetes mellitus<\/strong><\/span><\/p>\n

Hypertension<\/strong><\/span><\/p>\n

Atherosclerosis<\/strong><\/span><\/p>\n

All of the above<\/strong><\/span><\/p>\n

Question 69.Question : Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel syndrome. She has two young children and asks the clinician what the chances are that they also will develop carpal tunnel syndrome. Which of the following responses would be correct regarding the risk of developing carpal tunnel \u00a0syndrome?<\/strong><\/span><\/p>\n

Carpal tunnel syndrome commonly occurs in families.\u00a0 Genetic factors are thought to account for about one-half the risk of developing carpal tunnel.<\/strong><\/span><\/p>\n

Only people with occupations that require repeated flexion extension of the wrist, use of hand tools that require forceful gripping, or use of hand tools that vibrate are at risk for developing carpal tunnel.<\/strong><\/span><\/p>\n

An underlying musculoskeletal disorder must be present for a person to develop carpal tunnel.<\/strong><\/span><\/p>\n

Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance.<\/strong><\/span><\/p>\n

Question 70.Question : A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of the following is the treatment of choice for gonorrhea?<\/strong><\/span><\/p>\n

Ceftriaxone<\/strong><\/span><\/p>\n

Doxycycline<\/strong><\/span><\/p>\n

Acyclovir<\/strong><\/span><\/p>\n

Metronidazole<\/strong><\/span><\/p>\n

Question 71.Question : Which of the following statements is true regarding the treatment of carpal tunnel syndrome?<\/strong><\/span><\/p>\n

The goal of treatment is to prevent flexion and extension movements of the wrist.<\/strong><\/span><\/p>\n

Splints are used in carpal tunnel syndrome, because they allow for free movement of the fingers and thumb while allow for free movement of the fingers and thumb while maintaining the wrist in a neutral position.<\/strong><\/span><\/p>\n

Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of the risks for median nerve damage, scarring, and infection.<\/strong><\/span><\/p>\n

All of the above<\/strong><\/span><\/p>\n

Question 72.Question : Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician expect in the initial test results for this patient?<\/strong><\/span><\/p>\n

Elevated uric acid level<\/strong><\/span><\/p>\n

Elevated blood urea nitrogen<\/strong><\/span><\/p>\n

Decreased urine pH<\/strong><\/span><\/p>\n

Decreased C-reactive protein<\/strong><\/span><\/p>\n

Question 73.Question : Which of the following data is indicative of testicular torsion?<\/strong><\/span><\/p>\n

Absent cremasteric reflex<\/strong><\/span><\/p>\n

Pain relieved on testicular elevation<\/strong><\/span><\/p>\n

Testicle very low in the scrotum<\/strong><\/span><\/p>\n

Swollen scrotum with “red dot sign”<\/strong><\/span><\/p>\n

Question 74.Question : A patient with type 2 diabetes asks the clinician why she needs to exercise. In order to answer her, the clinician must understand that exercise has what effect on the patient with type 2 diabetes?<\/strong><\/span><\/p>\n

Reduces postprandial blood glucose<\/strong><\/span><\/p>\n

Reduces triglycerides and increases high-density lipoprotein (HDL)<\/strong><\/span><\/p>\n

Reduces total cholesterol<\/strong><\/span><\/p>\n

All of the above<\/strong><\/span><\/p>\n

Question 75.Question : A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the vaginal bleeding. Which of the following tests should be the first priority?<\/strong><\/span><\/p>\n

Pregnancy test<\/strong><\/span><\/p>\n

Pelvic ultrasound<\/strong><\/span><\/p>\n

Endometrial biopsy<\/strong><\/span><\/p>\n

Platelet count<\/strong><\/span><\/p>\n

Question 76.Question : What is the most common cause of generalized musculoskeletal pain in women ages 20 to 55?<\/strong><\/span><\/p>\n

Chronic fatigue syndrome (CFS)<\/strong><\/span><\/p>\n

Anemia<\/strong><\/span><\/p>\n

Fibromyalgia syndrome (FMS)<\/strong><\/span><\/p>\n

Sports-related injuries<\/strong><\/span><\/p>\n

Question 77.Question : If the international normalized ratio (INR) result is above the therapeutic range in a patient with atrial fibrillation on warfarin, what might the clinician do?<\/strong><\/span><\/p>\n

Stop the warfarin for 1 week, and then repeat the INR.<\/strong><\/span><\/p>\n

Withhold one or more days of anticoagulant therapy.<\/strong><\/span><\/p>\n

Restart therapy at a lower dose immediately.<\/strong><\/span><\/p>\n

The prothrombin time and INR should be reevaluated within 1 month of the dosage adjustments.<\/strong><\/span><\/p>\n

Question 78.Question : A 32-year-old woman is seen in the clinic because she has been unable to get pregnant after 12 months of unprotected sex. In order to determine the cause of the infertility, the clinician should question her about which of these possible causes?<\/strong><\/span><\/p>\n

Pelvic inflammatory disease<\/strong><\/span><\/p>\n

Oral contraceptive use for 15 years<\/strong><\/span><\/p>\n

Early menarche<\/strong><\/span><\/p>\n

Diet high in soy protein<\/strong><\/span><\/p>\n

Question 79.Question : Which of the following statements concerning the treatment of fibromyalgia syndrome is true?<\/strong><\/span><\/p>\n

There is currently no cure for the disorder; however, patients should be made aware that symptom relief is possible.<\/strong><\/span><\/p>\n

Treatment is directed toward controlling discomfort, improving sleep, and maintaining function.<\/strong><\/span><\/p>\n

Fibromyalgia syndrome can be difficult to manage, requiring a variety of approaches and multiple medications.<\/strong><\/span><\/p>\n

All of the above<\/strong><\/span><\/p>\n

Question 80.Question : The clinician should prescribe an antibiotic that covers which of these organisms for a patient with acute prostatitis?<\/strong><\/span><\/p>\n

Gram-positive cocci<\/strong><\/span><\/p>\n

Gram-negative cocci<\/strong><\/span><\/p>\n

Gram-positive bacillus<\/strong><\/span><\/p>\n

Gram-negative bacillus<\/strong><\/span><\/p>\n

Question 81.Question : Which household solution should be used to clean a bathroom if sharing with a friend who has HIV?<\/strong><\/span><\/p>\n

100% bleach<\/strong><\/span><\/p>\n

50% bleach and 50% vinegar<\/strong><\/span><\/p>\n

Nine parts H2O to one part bleach<\/strong><\/span><\/p>\n

The friend must have his or her own bathroom.<\/strong><\/span><\/p>\n

Question 82.Question : Sandra is 42 years old and has just been diagnosed with leukemia. She is complaining of bone and joint pain. Which type of leukemia is most likely the culprit?<\/strong><\/span><\/p>\n

Acute lymphocytic leukemia<\/strong><\/span><\/p>\n

Acute myelogenous leukemia<\/strong><\/span><\/p>\n

Chronic myelogenous leukemia<\/strong><\/span><\/p>\n

Chronic lymphocytic leukemia<\/strong><\/span><\/p>\n

Question 83.Question : Which of the following is identified as an eating disorder in which a person craves food substitutes, such as clay, ice chips, and cotton, and is considered an objective finding associated with severe iron deficiency?<\/strong><\/span><\/p>\n

Ferritin<\/strong><\/span><\/p>\n

Porter’s syndrome<\/strong><\/span><\/p>\n

Hypochromasia<\/strong><\/span><\/p>\n

Pica<\/strong><\/span><\/p>\n

Question 84.Question : The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following tests should the clinician order on the initial visit?<\/strong><\/span><\/p>\n

High sensitivity thyroid-stimulating hormone (TSH) and free T4<\/strong><\/span><\/p>\n

Free T4 and serum calcium<\/strong><\/span><\/p>\n

Free T3 and T4<\/strong><\/span><\/p>\n

TSH and thyroxin antibodies<\/strong><\/span><\/p>\n

Question 85.Question : The clinician has been doing diabetic teaching for a patient with type 1 diabetes. Which of the following statements by the patient would indicate that teaching has been effective?<\/strong><\/span><\/p>\n

“As long as I don’t need glasses, I don’t have to worry about going blind.”<\/strong><\/span><\/p>\n

“I know I need to have my eyes checked every year.”<\/strong><\/span><\/p>\n

“My optometrist checks my eyes.”<\/strong><\/span><\/p>\n

“I will see my eye doctor when my vision gets blurry.”<\/strong><\/span><\/p>\n

Question 86.Question : Triggering factors for acute exacerbations of which of the following conditions include exposure to ultraviolet (UV)-B and UV-A rays?<\/strong><\/span><\/p>\n

Rheumatoid arthritis<\/strong><\/span><\/p>\n

Scleroderma<\/strong><\/span><\/p>\n

SLE<\/strong><\/span><\/p>\n

Sj\u00f6gren’s syndrome<\/strong><\/span><\/p>\n

Question 87.Question : Which of the following characteristics separates anaphylaxis from a vasovagal reaction?<\/strong><\/span><\/p>\n

Bradycardia<\/strong><\/span><\/p>\n

Extreme diaphoresis<\/strong><\/span><\/p>\n

Severe bronchoconstriction<\/strong><\/span><\/p>\n

Hypotension<\/strong><\/span><\/p>\n

Question 88.Question : Mr. Jackson is a 65-year-old man recently diagnosed with osteoarthritis. The clinician has explained to Mr. Jackson that the goals for managing osteoarthritis include controlling pain, maximizing functional independence and mobility,<\/strong><\/span><\/p>\n

minimizing disability, and preserving quality of life. Mr. Jackson explains to the clinician that his first choice would be to use complementary therapies to control his condition and asks what therapies are most effective in treating osteoarthritis. What would be the most \u00a0appropriate response from the clinician?<\/strong><\/span><\/p>\n

“Complementary therapies should be considered only if surgical interventions are not successful.”<\/strong><\/span><\/p>\n

“I am unfamiliar with the available complementary therapies for osteoarthritis and prefer to discuss more mainstream treatments, such as NSAIDs and physical therapy, to manage your condition.”<\/strong><\/span><\/p>\n

“I would be happy to discuss all the treatment options available to you. Complementary therapies, such as acupuncture, acupressure, and tai-chi, are being studied for use in the treatment of osteoarthritis and have shown promise when used with standard medical therapy.”<\/strong><\/span><\/p>\n

“It would be crazy to use complementary therapies to treat such a serious condition.”<\/strong><\/span><\/p>\n

Question 89.Question : One benefit of motivational interviewing (MI) is:<\/strong><\/span><\/p>\n

It assumes that ambivalence is a normal part of the change process.<\/strong><\/span><\/p>\n

It can be utilized during routine office visits.<\/strong><\/span><\/p>\n

It is a therapeutic technique which is not necessarily time intensive.<\/strong><\/span><\/p>\n

All are benefits of MI.<\/strong><\/span><\/p>\n

Question 90.Question : What percentage of burns is involved using the rule of nines if both front legs are burned?<\/strong><\/span><\/p>\n

9%<\/strong><\/span><\/p>\n

18%<\/strong><\/span><\/p>\n

24%<\/strong><\/span><\/p>\n

36%<\/strong><\/span><\/p>\n

Question 91.Question : Women are at the highest risk for developing postpartum depression for up to how long after childbirth?<\/strong><\/span><\/p>\n

2 weeks<\/strong><\/span><\/p>\n

1 month<\/strong><\/span><\/p>\n

3 months<\/strong><\/span><\/p>\n

6 months<\/strong><\/span><\/p>\n

Question 92.Question : Which statement about HIV postexposure prophylaxis (PEP) for health-care workers is the most accurate?<\/strong><\/span><\/p>\n

PEP should be started within hours of exposure.<\/strong><\/span><\/p>\n

PEP should be started within 72 hours of exposure.<\/strong><\/span><\/p>\n

Renal and hepatic function tests should be done 6 weeks after beginning PEP.<\/strong><\/span><\/p>\n

PEP will prevent potential hepatitis C infection if present.<\/strong><\/span><\/p>\n

Question 93.Question : The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an xray is not always necessary for an injured ankle and that the decision to obtain radiographs is dependent on the examination and Diane’s description of her injury. Which of the following clues in Diane’s examination or history would alert the clinician to the need for obtaining radiographs?<\/strong><\/span><\/p>\n

Inability to bear weight immediately after the injury<\/strong><\/span><\/p>\n

Development of marked ankle swelling and discoloration after the injury<\/strong><\/span><\/p>\n

Crepitation with palpation or movement of the ankle<\/strong><\/span><\/p>\n

All of the above<\/strong><\/span><\/p>\n

Question 94.Question : A vegetarian patient with gout asks the clinician about food he should avoid. The clinician should advise the patient to avoid which of the following foods?<\/strong><\/span><\/p>\n

Rice<\/strong><\/span><\/p>\n

Carrots<\/strong><\/span><\/p>\n

Spinach<\/strong><\/span><\/p>\n

Potatoes<\/strong><\/span><\/p>\n

Question 95.Question : A patient with a basilar skull fracture may experience an impaired downward gaze or diplopia from which affected cranial nerve?<\/strong><\/span><\/p>\n

CN II<\/strong><\/span><\/p>\n

CN III<\/strong><\/span><\/p>\n

CN IV<\/strong><\/span><\/p>\n

CN V<\/strong><\/span><\/p>\n

Question 96.Question : A patient presents to the clinician after experiencing four episodes in the last month of sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about 10 minutes. The patient is now becoming very fearful of future events and has been reluctant to leave the house. The clinician suspects panic disorder but wants to rule out any possible medical causes. Which of the following medical conditions can mimic the symptoms of a panic attack?<\/strong><\/span><\/p>\n

Pheochromocytoma<\/strong><\/span><\/p>\n

Hyperthyroidism<\/strong><\/span><\/p>\n

Cardiac arrhythmias<\/strong><\/span><\/p>\n

All of the above<\/strong><\/span><\/p>\n

Question 97.Question : Which test is used to confirm a diagnosis of epididymitis?<\/strong><\/span><\/p>\n

Urinalysis<\/strong><\/span><\/p>\n

Gram stain of urethral discharge<\/strong><\/span><\/p>\n

Gram stain of urethral discharge<\/strong><\/span><\/p>\n

Complete blood cell count with differential<\/strong><\/span><\/p>\n

Ultrasound of the scrotum<\/strong><\/span><\/p>\n

Question 98.Question : BATHEing the patient refers to:<\/strong><\/span><\/p>\n

A technique used in primary care to get the patient to accept the need for psychological or psychiatric referral.<\/span><\/p>\n

A technique used to facilitate cultural understandingc.<\/span><\/p>\n

A technique used to perform psychotherapyd.<\/span><\/p>\n

A technique that is a quick screen for psychiatric issues and interventions for psychological problems<\/span><\/p>\n

\u00a0<\/strong><\/span><\/p>\n

\u00a0<\/strong><\/span><\/p>\n

\u00a0<\/strong><\/span><\/p>\n

\u00a0<\/strong><\/span><\/p>\n

\u00a0<\/strong><\/span><\/p>\n

Question 99. Question :BATHEing the patient is an advanced practice nursingintervention that allows the practitioner to:<\/span><\/p>\n

Develop a therapeutic relationship without “owning” the patient’s problem<\/span><\/p>\n

Conduct psychological counseling within the context of the primary care encounter<\/span><\/p>\n

Focus on the “process” and not the assessment<\/span><\/p>\n

Make the patient and family happier<\/span><\/p>\n

 <\/p>\n

Question 100. Question A 45-year-old woman is seen in the clinic with abnormaluterine bleeding and pain during intercourse. The clinicianshould consider which of the following diagnoses? Leiomyoma<\/span><\/p>\n

Pregnancy<\/span><\/p>\n

Ovarian cancer<\/span><\/p>\n

All of the above<\/span><\/p>\n

 <\/p>\n

MN551 Unit 10 Final Exam<\/span><\/p>\n

MN551 Unit 10 Final Exam<\/strong><\/span><\/p>\n

Question<\/strong><\/span><\/p>\n

    \n
  1. During an examination, the nurse observes a female patient’s vestibule and expects to see the:<\/strong><\/span><\/li>\n<\/ol>\n

    A ) urethral meatus and vaginal orifice.<\/strong><\/span><\/p>\n

      \n
    1. B) vaginal orifice and vestibular (Bartholin) glands.<\/strong><\/span><\/li>\n
    2. C) urethral meatus and paraurethral (Skene) glands.<\/strong><\/span><\/li>\n
    3. D) paraurethral (Skene) and vestibular (Bartholin) glands.<\/strong><\/span><\/li>\n
    4. During a speculum inspection of the vagina, the nurse would expect to see what at the end of the vaginal canal?<\/strong><\/span><\/li>\n
    5. A) Cervix<\/strong><\/span><\/li>\n
    6. B) Uterus<\/strong><\/span><\/li>\n
    7. C) Ovaries<\/strong><\/span><\/li>\n
    8. D) Fallopian tubes<\/strong><\/span><\/li>\n
    9. The uterus is usually positioned tilting forward and superior to the bladder. This position is known as:<\/strong><\/span><\/li>\n
    10. A) anteverted and anteflexed.<\/strong><\/span><\/li>\n
    11. B) retroverted and anteflexed.<\/strong><\/span><\/li>\n<\/ol>\n

      C retroverted and retroflexed.<\/strong><\/span><\/p>\n

      D)superiorverted and anteflexed.<\/strong><\/span><\/p>\n

        \n
      1. An 11-year-old girl is in the clinic for a sports physical. The nurse notices that she has begun to develop breasts, and during the conversation the girl reveals that she is worried about her development. The nurse should use which of these techniques to best assist the young girl in understanding the expected sequence for development? The nurse should:<\/strong><\/span><\/li>\n
      2. A) use the Tanner’s table on the five stages of sexual development.<\/strong><\/span><\/li>\n
      3. B) describe her development and compare it with that of other girls her age.<\/strong><\/span><\/li>\n
      4. C) use Jacobsen’s table on expected development on the basis of height and weight data.<\/strong><\/span><\/li>\n
      5. D) reassure her that her development is within normal limits and should tell her not to worry about the next step.<\/strong><\/span><\/li>\n
      6. A woman who is 8 weeks pregnant is in the clinic for a checkup. The nurse reads on her chart that her cervix is softened and looks cyanotic. The nurse knows that the woman is exhibiting _____ sign and _____ sign.<\/strong><\/span><\/li>\n
      7. A) Tanner’s; Hegar’s<\/strong><\/span><\/li>\n
      8. B) Hegar’s; Goodell’s<\/strong><\/span><\/li>\n
      9. C) Chadwick’s; Hegar’s<\/strong><\/span><\/li>\n
      10. D) Goodell’s; Chadwick’s<\/strong><\/span><\/li>\n
      11. A woman who is 22 weeks pregnant has a vaginal infection. She tells the nurse that she is afraid that this infection will hurt the fetus. The nurse knows that which of these statements is true?<\/strong><\/span><\/li>\n
      12. A) If intercourse is avoided, then the risk for infection is minimal.<\/strong><\/span><\/li>\n
      13. B) A thick mucus plug forms that protects the fetus from infection.<\/strong><\/span><\/li>\n
      14. C) The acidic pH of vaginal secretions promotes the growth of pathogenic bacteria.<\/strong><\/span><\/li>\n
      15. D) The mucus plug that forms in the cervical canal is a good medium for bacterial growth.<\/strong><\/span><\/li>\n
      16. The changes normally associated with menopause occur generally because the cells in the reproductive tract are:<\/strong><\/span><\/li>\n<\/ol>\n

        A)aging.<\/strong><\/span><\/p>\n

        B)becoming fibrous.<\/strong><\/span><\/p>\n

        C)estrogen dependent.<\/strong><\/span><\/p>\n

        D)able to respond to estrogen.<\/strong><\/span><\/p>\n

          \n
        1. The nurse is reviewing the changes that occur with menopause. Which of these are changes associated with menopause?<\/strong><\/span><\/li>\n
        2. A) Uterine and ovarian atrophy along with thinning vaginal epithelium<\/strong><\/span><\/li>\n
        3. B) Ovarian atrophy, increased vaginal secretions, and increasing clitoral size<\/strong><\/span><\/li>\n
        4. C) Cervical hypertrophy, ovarian atrophy, and increased acidity of vaginal secretions<\/strong><\/span><\/li>\n
        5. D) Vaginal mucosa fragility, increased acidity of vaginal secretions, and uterine hypertrophy<\/strong><\/span><\/li>\n
        6. A 54-year-old woman who has just completed menopause is in the clinic today for a yearly physical examination. Which of these statements should the nurse include in patient education? “A postmenopausal woman:<\/strong><\/span><\/li>\n
        7. A) is not at any greater risk for heart disease than a younger woman is.”<\/strong><\/span><\/li>\n
        8. B) should be aware that she is at increased risk for dyspareunia because of decreased vaginal secretions.”<\/strong><\/span><\/li>\n
        9. C) has only stopped menstruating; there really are no other significant changes with which she should be concerned.”<\/strong><\/span><\/li>\n
        10. D) is likely to have difficulty with sexual pleasure as a result of drastic changes in the female sexual response cycle.”<\/strong><\/span><\/li>\n
        11. A woman is in the clinic for an annual gynecologic examination. The nurse should plan to begin the interview with the:<\/strong><\/span><\/li>\n
        12. A) menstrual history because it is generally nonthreatening.<\/strong><\/span><\/li>\n
        13. B) obstetric history because it is the most important information.<\/strong><\/span><\/li>\n
        14. C) urinary system history because there may be problems in this area as well.<\/strong><\/span><\/li>\n
        15. D) sexual history because it will build rapport to discuss this first.<\/strong><\/span><\/li>\n
        16. A patient has had three pregnancies and two live births. The nurse would record this information as gravida _____, para _____, AB _____.<\/strong><\/span><\/li>\n
        17. A) 2; 2; 1<\/strong><\/span><\/li>\n
        18. B) 3; 2; 0<\/strong><\/span><\/li>\n
        19. C) 3; 2; 1<\/strong><\/span><\/li>\n
        20. D) 3; 3; 1<\/strong><\/span><\/li>\n
        21. During the interview with a female patient, the nurse gathers data that indicate that the patient is perimenopausal. Which of these statements made by this patient leads to this conclusion?<\/strong><\/span><\/li>\n<\/ol>\n

          A)”I have noticed that my muscles ache at night when I go to bed.”<\/strong><\/span><\/p>\n

            \n
          1. B) “I will be very happy when I can stop worrying about having a period.”<\/strong><\/span><\/li>\n
          2. C) “I have been noticing that I sweat a lot more than I used to, especially at night.”<\/strong><\/span><\/li>\n
          3. D) “I have only been pregnant twice, but both times I had breast tenderness as my first symptom.”<\/strong><\/span><\/li>\n
          4. A 50-year-old woman calls the clinic because she has noticed some changes in her body and breasts and wonders if they could be due to the hormone replacement therapy (HRT) she started 3 months ago. The nurse should tell her:<\/strong><\/span><\/li>\n
          5. A) “Hormone replacement therapy is at such a low dose that side effects are very unusual.”<\/strong><\/span><\/li>\n
          6. B) “Hormone replacement therapy has several side effects, including fluid retention, breast tenderness, and vaginal bleeding.”<\/strong><\/span><\/li>\n
          7. C) “It would be very unusual to have vaginal bleeding with hormone replacement therapy, and I suggest you come in to the clinic immediately to have this evaluated.”<\/strong><\/span><\/li>\n<\/ol>\n

            D)”It sounds as if your dose of estrogen is too high; I think you may need to decrease the amount you are taking and then call back in a week.”<\/strong><\/span><\/p>\n

              \n
            1. A 52-year-old patient states that when she sneezes or coughs she “wets herself a little.” She is very concerned that something may be wrong with her. The nurse suspects that the problem is:<\/strong><\/span><\/li>\n
            2. A) dysuria.<\/strong><\/span><\/li>\n
            3. B) stress incontinence.<\/strong><\/span><\/li>\n
            4. C) hematuria.<\/strong><\/span><\/li>\n
            5. D) urge incontinence.<\/strong><\/span><\/li>\n
            6. During the interview a patient reveals that she has some vaginal discharge. She is worried that it may be a sexually transmitted infection. The nurse’s most appropriate response to this would be:<\/strong><\/span><\/li>\n
            7. A) “Oh, don’t worry. Some cyclic vaginal discharge is normal.”<\/strong><\/span><\/li>\n
            8. B) “Have you been engaging in unprotected sexual intercourse?”<\/strong><\/span><\/li>\n
            9. C) “I’d like some information about the discharge. What color is it?”<\/strong><\/span><\/li>\n
            10. D) “Have you had any urinary incontinence associated with the discharge?”<\/strong><\/span><\/li>\n
            11. A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic. As a part of the interview, the nurse should ask, “Have you noticed:<\/strong><\/span><\/li>\n
            12. A) a change in your urination patterns?”<\/strong><\/span><\/li>\n
            13. B) any excessive vaginal bleeding?”<\/strong><\/span><\/li>\n
            14. C) any unusual vaginal discharge or itching?”<\/strong><\/span><\/li>\n
            15. D) any changes in your desire for intercourse?”<\/strong><\/span><\/li>\n
            16. Which statement would be most appropriate when the nurse is introducing the topic of sexual relationships during an interview?<\/strong><\/span><\/li>\n<\/ol>\n

              A)”Now it is time to talk about your sexual history. When did you first have intercourse?”<\/strong><\/span><\/p>\n

                \n
              1. B) “Women often feel dissatisfied with their sexual relationships. Would it be okay to discuss this now?”<\/strong><\/span><\/li>\n
              2. C) “Often women have questions about their sexual relationship and how it affects their health. Do you have any questions?”<\/strong><\/span><\/li>\n
              3. D) “Most women your age have had more than one sexual partner. How many would you say you have had?”<\/strong><\/span><\/li>\n
              4. A 22-year-old woman has been considering using oral contraceptives. As a part of her history, the nurse should ask:<\/strong><\/span><\/li>\n
              5. A) “Do you have a history of heart murmurs?”<\/strong><\/span><\/li>\n
              6. B) “Will you be in a monogamous relationship?”<\/strong><\/span><\/li>\n
              7. C) “Have you thought this choice through carefully?”<\/strong><\/span><\/li>\n
              8. D) “If you smoke, how many cigarettes do you smoke per day?”<\/strong><\/span><\/li>\n
              9. A married couple has come to the clinic seeking advice on pregnancy. They have been trying to conceive for 4 months and have not been successful. What should the nurse do first?<\/strong><\/span><\/li>\n
              10. A) Ascertain whether either of them has been using broad-spectrum antibiotics.<\/strong><\/span><\/li>\n
              11. B) Explain that couples are considered infertile after 1 year of unprotected intercourse.<\/strong><\/span><\/li>\n
              12. C) Immediately refer the woman to an expert in pelvic inflammatory disease\u2014the most common cause of infertility.<\/strong><\/span><\/li>\n
              13. D) Explain that couples are considered infertile after 3 months of engaging in unprotected intercourse and that they will need a referral to a fertility expert.<\/strong><\/span><\/li>\n
              14. A nurse is assessing a patient’s risk of contracting a sexually transmitted infection (STI). An appropriate question to ask would be:<\/strong><\/span><\/li>\n
              15. A) “You know that it’s important to use condoms for protection, right?”<\/strong><\/span><\/li>\n
              16. B) “Do you use a condom with each episode of sexual intercourse?”<\/strong><\/span><\/li>\n
              17. C) “Do you have a sexually transmitted infection?”<\/strong><\/span><\/li>\n
              18. D) “You are aware of the dangers of unprotected sex, aren’t you?”<\/strong><\/span><\/li>\n
              19. When the nurse is interviewing a preadolescent girl, which opening statement would be least threatening?<\/strong><\/span><\/li>\n
              20. A) “Do you have any questions about growing up?”<\/strong><\/span><\/li>\n
              21. B) “What has your mother told you about growing up?”<\/strong><\/span><\/li>\n
              22. C) \u00a0“When did you notice that your body was changing?”<\/strong><\/span><\/li>\n
              23. D) “I remember being very scared when I got my period. How do you think you’ll feel?”<\/strong><\/span><\/li>\n
              24. When the nurse is discussing sexuality and sexual issues with adolescents, a permission statement helps to convey that it is normal to think or feel a certain way. Which of these is the best example of a permission statement?<\/strong><\/span><\/li>\n
              25. A) “It is okay that you have become sexually active.”<\/strong><\/span><\/li>\n
              26. B) “Often girls your age have questions about sexual activity. Have you any questions?”<\/strong><\/span><\/li>\n
              27. C) “If it is okay with you, I’d like to ask you some questions about your sexual history.”<\/strong><\/span><\/li>\n
              28. D) “Often girls your age engage in sexual activity. It is okay to tell me if you have had intercourse.”<\/strong><\/span><\/li>\n
              29. The nurse is preparing to interview a postmenopausal woman. Which of these statements is true with regard to the history of a postmenopausal woman?<\/strong><\/span><\/li>\n
              30. A) The nurse should ask a postmenopausal woman if she ever has vaginal bleeding.<\/strong><\/span><\/li>\n
              31. B) Once a woman reaches menopause, the nurse does not need to ask any further history questions.<\/strong><\/span><\/li>\n
              32. C) The nurse should screen for monthly breast tenderness.<\/strong><\/span><\/li>\n
              33. D) Postmenopausal women are not at risk for contracting sexually transmitted infections and thus these questions can be omitted.<\/strong><\/span><\/li>\n
              34. During the examination portion of a patient’s visit, she will be in lithotomy position. Which statement below reflects some things that the nurse can do to make this more comfortable for her?<\/strong><\/span><\/li>\n
              35. A) Ask her to place her hands and arms behind her head.<\/strong><\/span><\/li>\n
              36. B) Elevate her head and shoulders to maintain eye contact.<\/strong><\/span><\/li>\n
              37. C) Allow her to choose to have her feet in the stirrups or have them resting side by side on the edge of the table.<\/strong><\/span><\/li>\n
              38. D) Allow her to keep her buttocks about 6 inches from the edge of the table to prevent her from feeling as if she will fall off.<\/strong><\/span><\/li>\n
              39. An 18-year-old patient is having her first pelvic examination. Which action by the nurse is appropriate?<\/strong><\/span><\/li>\n
              40. A) Invite her mother to be present during the examination.<\/strong><\/span><\/li>\n
              41. B) Avoid the lithotomy position this first time because it can be uncomfortable and embarrassing.<\/strong><\/span><\/li>\n
              42. C) Raise the head of the examination table and give her a mirror so that she can view the exam.<\/strong><\/span><\/li>\n
              43. D) Drape her fully, leaving the drape between her legs elevated to avoid embarrassing her with eye contact.<\/strong><\/span><\/li>\n
              44. The nurse has just completed an inspection of a nulliparous woman’s external genitalia. Which of these would be a description of a finding within normal limits?<\/strong><\/span><\/li>\n
              45. A) Redness of the labia majora<\/strong><\/span><\/li>\n
              46. B) Multiple nontender sebaceous cysts<\/strong><\/span><\/li>\n
              47. C) Discharge that is sticky and yellow-green<\/strong><\/span><\/li>\n
              48. D) Gaping and slightly shriveled labia majora<\/strong><\/span><\/li>\n
              49. The nurse is preparing for an internal genitalia examination of a woman. Which order of the examination is correct?<\/strong><\/span><\/li>\n
              50. A) Bimanual, speculum, rectovaginal<\/strong><\/span><\/li>\n
              51. B) Speculum, rectovaginal, bimanual<\/strong><\/span><\/li>\n
              52. C) Speculum, bimanual, rectovaginal<\/strong><\/span><\/li>\n
              53. D) Rectovaginal, bimanual, speculum<\/strong><\/span><\/li>\n
              54. During an internal examination of a woman’s genitalia, the nurse will use which technique for proper insertion of the speculum?<\/strong><\/span><\/li>\n
              55. A) Instruct the woman to bear down, open the speculum blades, and apply in a swift, upward movement.<\/strong><\/span><\/li>\n
              56. B) Insert the blades of the speculum on a horizontal plane, turning them to a 30-degree angle while continuing to insert them. Ask the woman to bear down after the speculum is inserted.<\/strong><\/span><\/li>\n
              57. C) Instruct the woman to bear down, turn the width of the blades horizontally, and insert the speculum at a 45-degree angle downward toward the small of the woman’s back.<\/strong><\/span><\/li>\n
              58. D) Lock the blades open by turning the thumbscrew. Once the blades are open, apply pressure to the introitus and insert the blades at a 45-degree angle downward to bring the cervix into view.<\/strong><\/span><\/li>\n
              59. The nurse is examining a 35-year-old female patient. During the history, the nurse notices that she has had two term pregnancies, and both babies were delivered vaginally. During the internal examination the nurse observes that the cervical os is a horizontal slit with some healed lacerations and that the cervix has some nabothian cysts that are small, smooth, and yellow. In addition, the nurse notices that the cervical surface is granular and red, especially around the os. Finally, the nurse notices the presence of stringy, opaque, odorless secretions. Which of these findings are abnormal?<\/strong><\/span><\/li>\n
              60. A) Nabothian cysts are present.<\/strong><\/span><\/li>\n
              61. B) The cervical os is a horizontal slit.<\/strong><\/span><\/li>\n
              62. C) The cervical surface is granular and red.<\/strong><\/span><\/li>\n
              63. D) Stringy and opaque secretions are present.<\/strong><\/span><\/li>\n
              64. A patient calls the clinic for instructions before having a Papanicolaou (Pap) smear. The most appropriate instructions from the nurse are:<\/strong><\/span><\/li>\n
              65. A) “If you are menstruating, please use pads to avoid placing anything into the vagina.”<\/strong><\/span><\/li>\n
              66. B) “Avoid intercourse, inserting anything into the vagina, or douching within 24 hours of your appointment.”<\/strong><\/span><\/li>\n
              67. C) “If you suspect that you have a vaginal infection, please gather a sample of the discharge to bring with you.”<\/strong><\/span><\/li>\n
              68. D) “We would like you to use a mild saline douche before your examination. You may pick this up in our office.”<\/strong><\/span><\/li>\n
              69. During an examination, which tests will the nurse collect to screen for cervical cancer?<\/strong><\/span><\/li>\n
              70. A) Endocervical specimen, cervical scrape, and vaginal pool<\/strong><\/span><\/li>\n
              71. B) Endocervical specimen, vaginal pool, and acetic acid wash<\/strong><\/span><\/li>\n
              72. C) Endocervical specimen, KOH preparation, and acetic acid wash<\/strong><\/span><\/li>\n
              73. D) Cervical scrape, acetic acid wash, saline mount (“wet prep”)<\/strong><\/span><\/li>\n
              74. When performing the bimanual examination, the nurse notices that the cervix feels smooth and firm, is round, and is fixed in place (does not move). When cervical palpation is performed, the patient complains of some pain. The nurse’s interpretation of these results should be which of these?<\/strong><\/span><\/li>\n
              75. A) These findings are all within normal limits.<\/strong><\/span><\/li>\n
              76. B) The cervical consistency should be soft and velvety\u2014not firm.<\/strong><\/span><\/li>\n
              77. C) The cervix should move when palpated; an immobile cervix may indicate malignancy.<\/strong><\/span><\/li>\n
              78. D) Pain may occur during palpation of the cervix.<\/strong><\/span><\/li>\n
              79. The nurse is palpating a female patient’s adnexa. The findings include a firm, smooth uterine wall; the ovaries are palpable and feel smooth and firm. The fallopian tube is firm and pulsating. The nurse’s most appropriate course of action would be to:<\/strong><\/span><\/li>\n
              80. A) tell the patient that her examination was normal.<\/strong><\/span><\/li>\n
              81. B) give her an immediate referral to a gynecologist.<\/strong><\/span><\/li>\n
              82. C) suggest that she return in a month for a recheck to verify the findings.<\/strong><\/span><\/li>\n
              83. D) tell the patient that she may have an ovarian cyst that should be evaluated further.<\/strong><\/span><\/li>\n
              84. A 65-year-old woman is in the office for routine gynecologic care. She had a complete hysterectomy 3 months ago after cervical cancer was detected. The nurse knows that which of these statements is true with regard to this visit?<\/strong><\/span><\/li>\n
              85. A) Her cervical mucosa will be red and dry looking.<\/strong><\/span><\/li>\n
              86. B) She will not need to have a Pap smear done.<\/strong><\/span><\/li>\n
              87. C) The nurse can expect to find that her uterus will be somewhat enlarged and her ovaries small and hard.<\/strong><\/span><\/li>\n
              88. D) The nurse should plan to lubricate the instruments and the examining hand well to avoid a painful examination.<\/strong><\/span><\/li>\n
              89. The nurse is preparing to examine the external genitalia of a school-age girl. Which of these positions would be most appropriate in this situation?<\/strong><\/span><\/li>\n
              90. A) In the parent’s lap<\/strong><\/span><\/li>\n
              91. B) In a frog-leg position on the examining table<\/strong><\/span><\/li>\n
              92. C) In the lithotomy position with the feet in stirrups<\/strong><\/span><\/li>\n
              93. D) Lying flat on the examining table with legs extended<\/strong><\/span><\/li>\n
              94. When assessing a newborn infant’s genitalia, the nurse notices that the genitalia are somewhat engorged. The labia majora are swollen, the clitoris looks large, and the hymen is thick. The vaginal opening is difficult to visualize. The infant’s mother states that she is worried about the labia being swollen. The nurse should reply:<\/strong><\/span><\/li>\n
              95. A) “This is a normal finding in newborns and should resolve within a few weeks.”<\/strong><\/span><\/li>\n<\/ol>\n

                B “This could indicate an abnormality and may need to be evaluated by a physician.”<\/strong><\/span><\/p>\n

                  \n
                1. C) “We will need to have estrogen levels evaluated to make sure that they are within normal limits.”<\/strong><\/span><\/li>\n
                2. D) “We will need to keep close watch over the next few days to see if the genitalia decrease in size.”<\/strong><\/span><\/li>\n
                3. During a vaginal examination of a 38-year-old woman, the nurse notices that the vulva and vagina are erythematous and edematous with thick, white, curdlike discharge adhering to the vaginal walls. The woman reports intense pruritus and thick white discharge from her vagina. The nurse knows that these history and physical examination findings are most consistent with which of these conditions?<\/strong><\/span><\/li>\n
                4. A) Candidiasis<\/strong><\/span><\/li>\n
                5. B) Trichomoniasis<\/strong><\/span><\/li>\n
                6. C) Atrophic vaginitis<\/strong><\/span><\/li>\n
                7. D) Bacterial vaginosis<\/strong><\/span><\/li>\n
                8. A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever. On physical examination, the nurse notices clusters of small, shallow vesicles with surrounding erythema on the labia. There is also inguinal lymphadenopathy present. The most likely cause of these lesions is:<\/strong><\/span><\/li>\n
                9. A) pediculosis pubis.<\/strong><\/span><\/li>\n
                10. B) contact dermatitis.<\/strong><\/span><\/li>\n
                11. C) human papillomavirus.<\/strong><\/span><\/li>\n
                12. D) herpes simplex virus type 2.<\/strong><\/span><\/li>\n
                13. When performing an external genitalia examination of a 10-year-old girl, the nurse notices that there is no pubic hair, and the mons and the labia are covered with fine vellus hair. These findings are consistent with stage _____ of sexual maturity, according to the Sexual Maturity Rating scale.<\/strong><\/span><\/li>\n
                14. A) 1<\/strong><\/span><\/li>\n
                15. B) 2<\/strong><\/span><\/li>\n
                16. C) 3<\/strong><\/span><\/li>\n
                17. D) 4<\/strong><\/span><\/li>\n
                18. A 46-year-old woman is in the clinic for her annual gynecologic examination. She voices a concern about ovarian cancer because her mother and sister died of it. The nurse knows that which of these statements is correct regarding ovarian cancer?<\/strong><\/span><\/li>\n
                19. A) Ovarian cancer rarely has any symptoms.<\/strong><\/span><\/li>\n
                20. B) The Pap smear detects the presence of ovarian cancer.<\/strong><\/span><\/li>\n
                21. C) Women at high risk for ovarian cancer should have annual transvaginal ultrasonography for screening.<\/strong><\/span><\/li>\n
                22. D) Women over age 40 years should have a thorough pelvic examination every 3 years.<\/strong><\/span><\/li>\n
                23. During a bimanual examination, the nurse detects a solid tumor on the ovary that is heavy and fixed, with a poorly defined mass. This finding is suggestive of:<\/strong><\/span><\/li>\n
                24. A) an ovarian cyst.<\/strong><\/span><\/li>\n
                25. B) endometriosis.<\/strong><\/span><\/li>\n
                26. C) ovarian cancer.<\/strong><\/span><\/li>\n
                27. D) an ectopic pregnancy.<\/strong><\/span><\/li>\n
                28. A 25-year-old woman comes to the emergency department with a sudden fever of 101\u00b0 F and abdominal pain. Upon examination, the nurse notices that she has rigid, boardlike lower abdominal musculature. When the nurse tries to perform a vaginal examination, the patient has severe pain when the uterus and cervix are moved. The nurse knows that these signs and symptoms are suggestive of:<\/strong><\/span><\/li>\n
                29. A) endometriosis.<\/strong><\/span><\/li>\n
                30. B) uterine fibroids.<\/strong><\/span><\/li>\n
                31. C) ectopic pregnancy.<\/strong><\/span><\/li>\n
                32. D) pelvic inflammatory disease.<\/strong><\/span><\/li>\n
                33. During an external genitalia examination of a woman, the nurse notices several lesions around the vulva. The lesions are pink, moist, soft, and pointed papules. The patient states that she is not aware of any problems in that area. The nurse recognizes that these lesions may be:<\/strong><\/span><\/li>\n
                34. A) syphilitic chancre.<\/strong><\/span><\/li>\n
                35. B) herpes simplex virus type 2 (herpes genitalis).<\/strong><\/span><\/li>\n
                36. C) human papillomavirus (HPV), or genital warts.<\/strong><\/span><\/li>\n
                37. D) pediculosis pubis (crab lice).<\/strong><\/span><\/li>\n
                38. During an examination, the nurse would expect the cervical os of a woman who has never had children to appear:<\/strong><\/span><\/li>\n
                39. A) stellate.<\/strong><\/span><\/li>\n
                40. B) small and round.<\/strong><\/span><\/li>\n
                41. C) as a horizontal irregular slit.<\/strong><\/span><\/li>\n
                42. D) everted.<\/strong><\/span><\/li>\n
                43. A woman has just been diagnosed with HPV, or genital warts. The nurse should counsel her to receive regular examinations because this virus makes her at a higher risk for _____ cancer.<\/strong><\/span><\/li>\n
                44. A) uterine<\/strong><\/span><\/li>\n
                45. B) cervical<\/strong><\/span><\/li>\n
                46. C) ovarian<\/strong><\/span><\/li>\n
                47. D) endometrial<\/strong><\/span><\/li>\n
                48. During an internal examination, the nurse notices that the cervix bulges outside the introitus when the patient is asked to strain. The nurse will document this as:<\/strong><\/span><\/li>\n
                49. A) uterine prolapse, graded first degree.<\/strong><\/span><\/li>\n
                50. B) uterine prolapse, graded second degree.<\/strong><\/span><\/li>\n
                51. C) uterine prolapse, graded third degree.<\/strong><\/span><\/li>\n
                52. D) a normal finding.<\/strong><\/span><\/li>\n
                53. A 35-year-old woman is at the clinic for a gynecologic examination. During the examination, she asks the nurse, “How often do I need to have this Pap test done?” Which reply by the nurse is correct?<\/strong><\/span><\/li>\n<\/ol>\n

                  A)”It depends. Do you smoke?”<\/strong><\/span><\/p>\n

                  B)”This will need to be done annually until you are 65.”<\/strong><\/span><\/p>\n

                  C)”If you have 2 consecutive normal Pap tests, then you can wait 5 years between tests.”<\/strong><\/span><\/p>\n

                  D)”After age 30, if you have 3 consecutive normal Pap tests, then you may be screened every 2 to 3 years.”<\/strong><\/span><\/p>\n

                    \n
                  1. The nurse is palpating an ovarian mass during an internal examination of a 63-year-old woman. Which findings of the mass’s characteristics would suggest the presence of an ovarian cyst? Select all that apply.<\/strong><\/span><\/li>\n
                  2. A) Heavy and solid<\/strong><\/span><\/li>\n
                  3. B) Mobile and fluctuant<\/strong><\/span><\/li>\n<\/ol>\n

                    C)Mobile and solid<\/strong><\/span><\/p>\n

                      \n
                    1. D) Fixed<\/strong><\/span><\/li>\n
                    2. E) Smooth and round<\/strong><\/span><\/li>\n
                    3. F) Poorly defined<\/strong><\/span><\/li>\n<\/ol>\n

                      \u00a0<\/strong><\/span><\/p>\n

                      HealthCare Information Systems (7pgs)<\/span><\/p>\n

                      Questions:<\/span><\/p>\n

                        \n
                      1. How proper use of Information Systems can enhance Health Care?<\/span><\/li>\n<\/ol>\n

                         <\/p>\n

                        Millennium development goals report<\/span><\/p>\n

                        Instructions for developing the MDGs Report HLTH 4380 Fall 2018 In this Project, we will use the United Nations Millennium Declaration document called Millennium Development Goals (MDGs) adopted by world leaders at the dawn of the 21st century as our guide. The Millennium Development Goals (MDGs) are eight international development goals that were established following the Millennium Summit of the United Nations in 2000, and subsequent adoption of the United Nations Millennium Declaration. Although these Goals have universal appeal, they are readily applicable to mainly developing countries and Middle-income countries of the world. Of course they have some relevance to the United States, but you are not required to make any comparison with US or any other industrialized country. The idea of including this part of the project is for us to examine the global perspectives of public health and the extent to which world leaders (governments, civil society groups, NGOs) in low-resource settings are affected by the poor health vulnerabilities and efforts being made by countries to improve population health. The MDGs has eight goals with targets and indicators; and range from halving extreme poverty rates to halting the spread of HIV\/AIDS and providing universal primary education by the target date of 2015. I have provided the eight goals below: 1. To eradicate extreme poverty and hunger 2. To achieve universal primary education 3. To promote gender equality and empower women 4. To reduce child mortality 5. To improve maternal health 6. To combat HIV\/AIDS, malaria, and other diseases 7. To ensure environmental sustainability 8. To develop a global partnership for development These goals have been reviewed in July 2015, and a new development plan Agenda 2030 Sustainable Development Goals has been put in place. I have posted a copy of final review of the MDGs document on Blackboard (under MDG Assignment Resources). Your role is to select TWO GOALS from the MDGs and two specific countries outside the United States and other industrialized countries to assess the extent to which your selected countries did in achieving the goal by July 2015 (the target and indicators for that MDG goals you picked by July of 2015). You may include what the country need to do as part of your postMDG steps. The post MDG\u2019s are Sustainable Development Goals (SDGs) MDG Expectation: Visit the web link of countries you have selected for this project. You can just google by typing \u201cyour selected country and MDG report.\u201d For example, if I selected Ghana, I will google \u201cGhana MDG report\u201d and you will find all MDG reports for Ghana in different years. Select the three most current reports of the respective country selected. The link below is for the assessment of UN member\u2019s countries progress towards achievement of MDG\u2019s. Assess (based on your chosen goals and targets for the MDG\u2019s) whether the country (of your interest) is likely to meet those MDG\u2019s (for that country) by 2015 according to your specific objective \/goals. Critically evaluate whether your specific community or your country of interest will meet respective goals and objectives as well as the accompanying dates. Prepare a six page comparative analytic report that includes the information below (you may additional information for extra credit): \u2022 Short definition or description of your Goals (from the MDGs) for the two countries, and a briefly descriptions of each country\u2019s background context. The context of each country is important for understanding why or why not the results achieved in the manner in they have been reported. \u2022 Most important issue each country addressed in each Goal. \u2022 Individuals most affected by this objective (age, gender, ethnicity, etc.) and a country of your interest. \u2022 Ethnic\/racial groups most affected \u2022 Value of addressing this Goal and consequences of not meeting your objective \u2022 Most interesting data to use to gain more attention to this objective or Goal \u2022 Details of community and national efforts to address this issue and any local data that you may be able to secure. There is detailed information on the MDG\u2019s and what countries are doing to achieve a specific goal. Make sure to select a peer reviewed publication and cite appropriately. Please, refer to this website for additional information on MDGs: http:\/\/www.healthpolicyinitiative.com\/index.cfm?id=onlineCDs&groupID=7 3 Note that the MDG\u2019s are primarily United Nations target to improve health and social wellbeing of populations of the world (mainly outside the United States). The US uses the Healthy People as a national guide for improving health and social outcomes. Healthy People are a set of goals and objectives spanning a 10-year period, designed to guide national health promotion and disease prevention efforts for the population in the United States. Prepare a critical and detailed six-page report to address those issues. You will utilize and cite, according to the APA Style and Format (6th edition). Make sure that you have at least seven additional references aside the Healthy People 2020 and MDGs documents. My suggestions when writing this paper is to avoid direct quoting from any source (even those you will cite those sources). I strongly recommend that you paraphrase and cite appropriately instead of direct quoting.<\/span><\/p>\n

                        BSBSUS401 Implement & monitor environmentally sustainable work practices<\/span><\/p>\n

                        What is the purpose of National Greenhouse & Energy Reporting Legislation?<\/span><\/p>\n

                         <\/p>\n

                          \n
                        1. What is the purpose of Environment Protection & Biodiversity Conservation Legislation?<\/span><\/li>\n
                        2. What is the Kyoto Protocol?<\/span><\/li>\n
                        3. Who has the prime responsibility for environmental protection?<\/span><\/li>\n
                        4. How do organisations know how to behave ethically in regards to sustainability?<\/span><\/li>\n<\/ol>\n

                          Activity 2.<\/span><\/p>\n

                          What process might an assessor follow when analysing procedures to ensure compliance with<\/span><\/p>\n

                            \n
                          1. environmental regulations?<\/span><\/li>\n
                          2. How might an assessor conduct an assessment?<\/span><\/li>\n<\/ol>\n

                            Activity 3.<\/span><\/p>\n

                              \n
                            1. What is resource efficiency?<\/span><\/li>\n
                            2. What is an Environmental Management System?<\/span><\/li>\n
                            3. How can a work group be engaged in disseminating environmental and resource efficiency information?<\/span><\/li>\n<\/ol>\n

                               <\/p>\n

                              Activity 4.<\/span><\/p>\n

                                \n
                              1. Explain the differences between qualitative and quantitative information.<\/span><\/li>\n
                              2. What do you think are the advantages of presenting analysed data in graphical format, rather than a written report?<\/span><\/li>\n
                              3. Your organisation is interested in analysing and organising information about the amount of paper it uses. Convert the data provided into a format that is easily used.<\/span><\/li>\n<\/ol>\n

                                Activity 5.<\/span><\/p>\n

                                  \n
                                1. What are the goals of resource usage assessments? Give at least 6 examples.<\/span><\/li>\n
                                2. List the steps (in order) that need to be taken when carrying out a resource usage assessment.<\/span><\/li>\n<\/ol>\n

                                  Activity 6.<\/span><\/p>\n

                                    \n
                                  1. Identify 5 benefits of environmental purchasing.<\/span><\/li>\n<\/ol>\n

                                    Activity 7.<\/span><\/p>\n

                                      \n
                                    1. How can organisations ensure that work processes meet environmental requirements and identify areas in which changes need to be made? Give at least 6 examples.<\/span><\/li>\n
                                    2. What is problem solving in the context of environmental work processes and what is its aim\/s?<\/span><\/li>\n<\/ol>\n

                                      Activity 8.<\/span><\/p>\n

                                        \n
                                      1. List at least 5 various ways that organisations can access stakeholder input.<\/span><\/li>\n<\/ol>\n

                                        Activity 9.<\/span><\/p>\n

                                          \n
                                        1. What are the advantages of joining an industry association? List two examples.<\/span><\/li>\n
                                        2. What are the advantages of joining an environmental program? Give 2 examples.<\/span><\/li>\n
                                        3. What is the hierarchy of control?<\/span><\/li>\n
                                        4. Rearrange the controls in their correct order, as specified in the hierarchy of control:<\/span><\/li>\n<\/ol>\n

                                          Administration, Elimination, Engineering, Personal Protective Equipment (PPE), and Substitution.<\/span><\/p>\n

                                          Activity 11.<\/span><\/p>\n

                                            \n
                                          1. What are Key Performance Indicators (KPIs)?<\/span><\/li>\n
                                          2. What five criteria should be met when creating targets?<\/span><\/li>\n
                                          3. Identify what is wrong with the following targets and rewrite them so they conform to SMART criteria.<\/span><\/li>\n
                                          4. The Absolute Advertising Agency will reduce its paper waste.<\/span><\/li>\n
                                          5. The Fish Factory will reduce its energy consumption to zero in the next month.<\/span><\/li>\n<\/ol>\n

                                            Activity 12.<\/span><\/p>\n

                                              \n
                                            1. Identify five things a business could do to reduce its energy consumption.<\/span><\/li>\n
                                            2. Identify five things an organisation could do to reduce its waste.<\/span><\/li>\n<\/ol>\n

                                              Activity 13.<\/span><\/p>\n

                                                \n
                                              1. Identify the four steps of the continuous improvement cycle.<\/span><\/li>\n
                                              2. Identify five things an organisation can do to improve the performance of its employees.<\/span><\/li>\n<\/ol>\n

                                                Activity 14.<\/span><\/p>\n

                                                  \n
                                                1. Explain why it is a good idea to integrate environmental procedures and practices with pre-existing organisation procedures and practices.<\/span><\/li>\n
                                                2. What needs to be done when existing procedures or work practices are changed or new procedures and work practices are introduced?<\/span><\/li>\n<\/ol>\n

                                                  Activity 15.<\/span><\/p>\n

                                                  Define the term \u201cEngagement\u201d.<\/span><\/p>\n

                                                  Engagement is the emotional commitment the employee has to the organization and its goals. It relates to a state of involvement and participation.<\/span><\/p>\n

                                                   <\/p>\n

                                                    \n
                                                  1. Why is it important to ensure that employees do not become disengaged?<\/span><\/li>\n
                                                  2. What are the benefits of having a diverse team?<\/span><\/li>\n<\/ol>\n

                                                    Activity 16.<\/span><\/p>\n

                                                      \n
                                                    1. List at least six people\/groups who might make up an organisations stakeholders.<\/span><\/li>\n
                                                    2. Each stakeholder will have different areas of expertise. Complete the table by providing reasons that an organisation should seek suggestions & ideas about their environmental and resource efficiency management for each of the listed stakeholders.<\/span><\/li>\n<\/ol>\n

                                                       <\/p>\n

                                                      Activity 17.<\/span><\/p>\n

                                                        \n
                                                      1. A school is thinking about installing low-flush toilets in all of its bathrooms and air hand-driers to replace paper towel dispensers. Purchasing new toilets for the entire school will cost $22,000. It will need to employ plumbers to fit the toilets at a cost of $9,500. It is estimated that this will save the school $16,000 in water consumption fees. The hand driers will cost $13,500. The cost of employing electricians to install the hand driers will come to $4,400. As the school will no longer have to purchase paper towels, it will save $7,300 per year. It also estimates it will save $1,000 a year in cleaning costs, as the bathrooms will take less time to clean, and bins will need to be emptied less frequently. The school will incur additional electricity costs of $1,700 per year, however. Calculate the combined payback period for the installation of low flush toilets and air hand driers.<\/span><\/li>\n<\/ol>\n

                                                        Activity 18.<\/span><\/p>\n

                                                          \n
                                                        1. Determine whether the following statements are true or false.<\/span><\/li>\n<\/ol>\n

                                                          Activity 19.<\/span><\/p>\n

                                                            \n
                                                          1. Place the steps, which need to be observed when creating an environment report in their correct order.<\/span><\/li>\n<\/ol>\n
                                                              \n
                                                            • Communicate with the audience to understand their concerns, questions, expectations & interests.<\/span><\/li>\n
                                                            • Create performance Indicators.<\/span><\/li>\n
                                                            • Decide how you are going to publish report.<\/span><\/li>\n
                                                            • Gather the data and evaluate it.<\/span><\/li>\n
                                                            • Identify the data you will need to produce the report.<\/span><\/li>\n
                                                            • Identify key environmental aspects that need to be covered by the report.<\/span><\/li>\n
                                                            • Identify the target audience for your report.<\/span><\/li>\n
                                                            • Make improvements to reporting procedures for future reports.<\/span><\/li>\n
                                                            • Obtain Feedback.<\/span><\/li>\n
                                                            • Produce, publish and distribute the report.<\/span><\/li>\n<\/ul>\n
                                                                \n
                                                              1. Identify 5 benefits of creating and distributing an environmental report.<\/span><\/li>\n<\/ol>\n

                                                                Activity20.<\/span><\/p>\n

                                                                  \n
                                                                1. Why is it important to carry out regular evaluations of environmental management systems\/ strategies and improvement plans?<\/span><\/li>\n<\/ol>\n

                                                                  Activity 21.<\/span><\/p>\n

                                                                    \n
                                                                  1. List 5 reasons that efficiency targets should be\/ might need to be regularly reviewed.<\/span><\/li>\n<\/ol>\n

                                                                    Activity 22.<\/span><\/p>\n

                                                                      \n
                                                                    1. Identify the characteristics of an effective reward system. Give 4 examples.<\/span><\/li>\n<\/ol>\n

                                                                      Question 1.<\/span><\/p>\n

                                                                      What methods can be used to convey information and identify sustainability improvements?<\/span><\/p>\n

                                                                      Question 2.<\/span><\/p>\n

                                                                      What are the essential features of a non-compliance form that could be used by employees to report any non-compliance issues?<\/span><\/p>\n

                                                                      Question 3.<\/span><\/p>\n

                                                                      What is the effect of environmental regulations and legislation on business?<\/span><\/p>\n

                                                                      Question 4.<\/span><\/p>\n

                                                                      What common environmental and energy efficiency issues can you think of?<\/span><\/p>\n

                                                                      Question5.<\/span><\/p>\n

                                                                      What benchmarks might be used for environmental & resource sustainability?<\/span><\/p>\n

                                                                      List at least 8 examples of techniques or tools that can be used to achieve efficiency.<\/span><\/p>\n

                                                                      Question 6.<\/span><\/p>\n

                                                                      Define the term \u201cSustainability\u201d and explain how it relates to resource usage.<\/span><\/p>\n

                                                                      Question 7.<\/span><\/p>\n

                                                                      What are the steps in creating an Environment Management System (EMS)?<\/span><\/p>\n

                                                                      Question 8.<\/span><\/p>\n

                                                                      How do sustainable businesses foster ethical behaviours in staff and management?<\/span><\/p>\n

                                                                      Summative Assessment 2<\/span><\/p>\n

                                                                      Project 1.<\/span><\/p>\n

                                                                       <\/p>\n

                                                                      Essay Question \u2013write a response to the following quote from Unlimited Sustainable Development Solutions.<\/span><\/p>\n

                                                                      Organisations today are being asked to address an increasingly complex set of environmental issues. As noted in the quote:<\/span><\/p>\n

                                                                      \u201cSustainability is achieved when we understand the economic, environmental, and social consequences of our actions and make deliberate choices that allow all people to lead healthy, productive and enjoyable lives\u201d.<\/span><\/p>\n

                                                                      Your response should include a discussion of:<\/span><\/p>\n

                                                                        \n
                                                                      • Complex environmental issues.<\/span><\/li>\n
                                                                      • Methods of measuring an organisation\u2019s environmental impact.<\/span><\/li>\n
                                                                      • Methods of managing an organisation\u2019s environmental impact.<\/span><\/li>\n
                                                                      • Methods of reducing an organisation\u2019s environmental impact.<\/span><\/li>\n<\/ul>\n

                                                                        Project 2.<\/span><\/p>\n

                                                                        Youare the supervisor of a group of 15 workers in a business involved in an industry of your choice. You have been asked to plan and organise a number of work group activities in relation to measuring current resource use and devising strategies to improve usage.<\/span><\/p>\n

                                                                          \n
                                                                        1. Identify a minimum of 3 appropriate work group activities and provide an overview of what is involved with each activity.<\/span><\/li>\n
                                                                        2. Develop a plan to monitor resource use and improvements for environmental performance as a result of the activities undertaken by your work group.<\/span><\/li>\n<\/ol>\n

                                                                           <\/p>\n

                                                                           <\/p>\n

                                                                          Millennium development goals<\/span><\/p>\n

                                                                          Pick two MDGs<\/span><\/p>\n

                                                                          Evaluate the progress with a case study of two developing countries.\u00a0<\/span><\/p>\n

                                                                           <\/p>\n

                                                                          HSA 505 Case Study 3 Missed Opportunities<\/span><\/p>\n

                                                                          HSA 505 Case Study 3 Missed Opportunities<\/span><\/p>\n

                                                                           <\/p>\n

                                                                          Due Week 9 and worth 200 points<\/span><\/p>\n

                                                                           <\/p>\n

                                                                          Read the case study titled \u201cMissed Opportunities\u201d, located in the online course shell.<\/span><\/p>\n

                                                                           <\/p>\n

                                                                          Write a four to six (4-6) page paper in which you:<\/span><\/p>\n

                                                                            \n
                                                                          1. Examine the pros and cons from the perspective of Crestview Hospital of the placement of its new billboard directly adjacent to Briarwood Medical Center. Interpret the reaction of customers and other community stakeholders to the billboard postings.<\/span><\/li>\n
                                                                          2. Use competitive marketing entry strategies to suggest the action that Briarwood Hospital should undertake to counter the messages in the new Crestview Hospital Billboard postings.<\/span><\/li>\n
                                                                          3. Recommend the marketing communication strategy or strategies that both Crestview and Briarwood Hospitals should employ. Justify why the Governing Board of both hospitals should take a proactive role in promoting and implementing effective marketing strategies.<\/span><\/li>\n
                                                                          4. Assess the value of the various marketing research tool(s) that Briarwood and Crestview hospital could use to promote effective marketing communication strategies. Justify your response.<\/span><\/li>\n
                                                                          5. Use at least five (5) quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources.<\/span><\/li>\n<\/ol>\n

                                                                             <\/p>\n

                                                                            Your assignment must follow these formatting requirements:<\/span><\/p>\n

                                                                              \n
                                                                            • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.<\/span><\/li>\n
                                                                            • Include a cover page containing the title of the assignment, the student\u2019s name, the professor\u2019s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.<\/span><\/li>\n<\/ul>\n

                                                                               <\/p>\n

                                                                              The specific course learning outcomes associated with this assignment are:<\/span><\/p>\n

                                                                                \n
                                                                              • Evaluate marketing research tools involved in the marketing process.<\/span><\/li>\n
                                                                              • Formulate competitive market entry strategies based on analysis of global markets that comply to initiatives in the health care industry.<\/span><\/li>\n
                                                                              • Determine the marketing communications strategy used in health care services.<\/span><\/li>\n
                                                                              • Use technology and information resources to research issues in health services strategic marketing.<\/span><\/li>\n
                                                                              • Write clearly and concisely about health services strategic marketing using proper writing mechanics.<\/span><\/li>\n<\/ul>\n

                                                                                HSA 599 week 5 Case Study – GE Healthcare (A): Innovating for Emerging Markets<\/span><\/p>\n

                                                                                HSA 599 week 5 Case Study – GE Healthcare (A): Innovating for Emerging Markets<\/strong><\/span><\/p>\n

                                                                                Read the case study titled \u201cGE Healthcare (A): Innovating for Emerging Markets\u201d located in the XanEdu case pack (Link Below)<\/span><\/p>\n

                                                                                Write a three to four (3-4) page paper in which you:<\/span><\/p>\n

                                                                                  \n
                                                                                • Determine two (2) emerging trends in the external environment that prompted General Electric (GE) Healthcare to develop a new strategy for the production and marketing of a low cost Electroencephalography (EEG) machine in bottom of the pyramid markets (BOP).<\/span><\/li>\n
                                                                                • Examine two (2) internal barriers GE Healthcare faced when developing its BOP market in India and determine the manner in which they hindered GE Healthcare\u2019s growth in this market segment.<\/span><\/li>\n
                                                                                • Analyze two (2) of the significant external barriers that GE Healthcare faced when trying to meet its marketing goals in the Indian market. Propose two (2) ways to address these barriers.<\/span><\/li>\n
                                                                                • Analyze the specific steps GE took in developing its strategy to grow its BOP market. Determine the manner in which those actions apply to the principles of strategic thinking and strategic planning.<\/span><\/li>\n
                                                                                • Determine the manner in which GE Healthcare\u2019s strategy to improve its position in BOP markets contributed to the organization\u2019s value chain in both emerging and developed markets.<\/span><\/li>\n<\/ul>\n

                                                                                  Your assignment must follow these formatting requirements:<\/span><\/p>\n

                                                                                  Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.<\/span><\/p>\n

                                                                                  Include a cover page containing the title of the assignment, the student\u2019s name, the professor\u2019s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.<\/span><\/p>\n

                                                                                  The specific course learning outcomes associated with this assignment are:<\/span><\/p>\n

                                                                                    \n
                                                                                  • Differentiate between strategic management, strategic thinking, strategic planning, and managing strategic momentum.<\/span><\/li>\n
                                                                                  • Analyze the significance of the external environment\u2019s impact on health care organizations.<\/span><\/li>\n
                                                                                  • Examine the role of internal environmental analysis in identifying the basis for sustained competitive advantage.<\/span><\/li>\n
                                                                                  • Examine the organizational value chain, including the components of the service delivery and support activities.<\/span><\/li>\n
                                                                                  • Examine barriers to new product development that comply with initiatives in the health care industry.<\/span><\/li>\n
                                                                                  • Use technology and information resources to research issues in the strategic management of health care organizations.<\/span><\/li>\n
                                                                                  • Write clearly and concisely about strategic management of health care organizations using proper writing mechanics.<\/span><\/li>\n<\/ul>\n

                                                                                    Grading for this assignment will be based on answer quality, logic \/ organization of the paper, and language and writing skills, using the following rubric.<\/span><\/p>\n

                                                                                     <\/p>\n

                                                                                    Week 2 – Healthy People 2020<\/span><\/p>\n

                                                                                    After reviewing the Healthy People 2020 website, discuss the concept of MAP-IT. \u00a0Choose a health topic of your choice to briefly discuss how MAP-IT can be implemented in the community of your choice.<\/span>
                                                                                    \nTopic: Affordable Medication Program<\/span><\/p>\n

                                                                                    Length:\u00a0 Minimum of two full pages of text in length.\u00a0 Please ensure you cite your references in APA format. Please ensure you cite your references in APA format with a minimum of 3 references<\/span><\/p>\n

                                                                                     <\/p>\n

                                                                                    https:\/\/www.healthypeople.gov\/2020\/tools-and-resources\/Program-Planning<\/span><\/p>\n

                                                                                     <\/p>\n

                                                                                    Influences of Health Care Research<\/span><\/p>\n

                                                                                    Identify one innovation that has been developed in the past 20 years that has influenced the health care industry, such as: Telemedicine Organ transplants Write a 700- to 1,050-word paper that discusses the following: Explain how evidence-based research influences the health care industry. Compare external influences on health care research. Cite 3 peer-reviewed, scholarly, or similar references to support your paper. Format your paper according to APA guidelines.<\/span><\/p>\n

                                                                                    Human Resource Management Overview<\/span><\/p>\n

                                                                                    Assignment 1: Human Resource Management Overview<\/span><\/p>\n

                                                                                    \u00a0Due Week 4 and worth 200 points<\/span><\/p>\n

                                                                                     <\/p>\n

                                                                                    Using the course readings, articles, and your personal experiences, address the role of human resource management.<\/span><\/p>\n

                                                                                    \u00a0Write a six to eight (6-8) page paper in which you:<\/span><\/p>\n

                                                                                    1.Determine key roles that human resource management plays in the health care field..<\/span><\/p>\n

                                                                                    2.Evaluate three to five (3-5) functions of human resource management in terms of their level of support to the health care field, and then select which one you believe is the primary function in furthering the health care field..<\/span><\/p>\n

                                                                                    3.Analyze the role of human resource management in an organization\u2019s strategic plan..<\/span><\/p>\n

                                                                                    4.Use at least three (3) quality academic resources in this assignment.\u00a0 Note: Wikipedia and other Websites do not qualify as academic resources..<\/span><\/p>\n

                                                                                     <\/p>\n

                                                                                    Your assignment must follow these formatting requirements:<\/span><\/p>\n

                                                                                      \n
                                                                                    • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions..<\/span><\/li>\n
                                                                                    • Include a cover page containing the title of the assignment, the student\u2019s name, the professor\u2019s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length..<\/span><\/li>\n<\/ul>\n

                                                                                       <\/p>\n

                                                                                      The specific course learning outcomes associated with this assignment are:<\/span><\/p>\n

                                                                                        \n
                                                                                      • Appraise the aspects of managing human resources (HR) in health care organizations. .<\/span><\/li>\n
                                                                                      • Use technology and information resources to research issues in health care human resources management..<\/span><\/li>\n
                                                                                      • Write clearly and concisely about health care human resources management using proper writing mechanics..<\/span><\/li>\n<\/ul>\n

                                                                                         <\/p>\n

                                                                                        MN568 Unit 10 Final latest 2017\u00a0<\/span><\/p>\n

                                                                                        MN568 Unit 10 Final latest 2017<\/strong><\/span><\/p>\n

                                                                                        Question 1 2 \/ 2 points<\/span><\/p>\n

                                                                                        Which statement about confusion is true?<\/span><\/p>\n

                                                                                        Question options:<\/span><\/p>\n

                                                                                          \n
                                                                                        1. a) Confusion is a disease process.<\/span><\/li>\n
                                                                                        2. b) Confusion is always temporary.<\/span><\/li>\n
                                                                                        3. c) Age is a reliable predictor of confusion.<\/span><\/li>\n
                                                                                        4. d) Polypharmacy is a major contributor to confusion in older adults.<\/span><\/li>\n<\/ol>\n

                                                                                          Question 2 0 \/ 2 points<\/span><\/p>\n

                                                                                          Sondra\u2019s peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear?<\/span><\/p>\n

                                                                                          Question options:<\/span><\/p>\n

                                                                                            \n
                                                                                          1. a) Meclizine<\/span><\/li>\n
                                                                                          2. b) Diphenhydramine<\/span><\/li>\n
                                                                                          3. c) Diamox<\/span><\/li>\n
                                                                                          4. d) Promethazine<\/span><\/li>\n<\/ol>\n

                                                                                            Question 3 2 \/ 2 points<\/span><\/p>\n

                                                                                            The hallmark of an absence seizure is:<\/span><\/p>\n

                                                                                            Question options:<\/span><\/p>\n

                                                                                              \n
                                                                                            1. a) No activity at all<\/span><\/li>\n
                                                                                            2. b) A blank stare<\/span><\/li>\n
                                                                                            3. c) Urine is usually voided involuntarily<\/span><\/li>\n
                                                                                            4. d) The attack usually lasts several minutes<\/span><\/li>\n<\/ol>\n

                                                                                              Question 4 2 \/ 2 points<\/span><\/p>\n

                                                                                              How often should drug levels be monitored when a seizure medication has controlled the seizures, and the drug level is adequate?<\/span><\/p>\n

                                                                                              Question options:<\/span><\/p>\n

                                                                                                \n
                                                                                              1. a) Every 3 months<\/span><\/li>\n
                                                                                              2. b) Every 6 months<\/span><\/li>\n
                                                                                              3. c) Annually<\/span><\/li>\n
                                                                                              4. d) Whenever there is a problem<\/span><\/li>\n<\/ol>\n

                                                                                                Question 5 2 \/ 2 points<\/span><\/p>\n

                                                                                                Which of the following persons fits the classic description of a patient with multiple sclerosis (MS)?<\/span><\/p>\n

                                                                                                Question options:<\/span><\/p>\n

                                                                                                  \n
                                                                                                1. a) A teenage male<\/span><\/li>\n
                                                                                                2. b) A 65-year-old male<\/span><\/li>\n
                                                                                                3. c) A 25-year-old female<\/span><\/li>\n
                                                                                                4. d) A 60-year-old female<\/span><\/li>\n<\/ol>\n

                                                                                                  Question 6 2 \/ 2 points<\/span><\/p>\n

                                                                                                  Which of the following is a specific test to MS?<\/span><\/p>\n

                                                                                                  Question options:<\/span><\/p>\n

                                                                                                    \n
                                                                                                  1. a) Magnetic resonance imaging (MRI)<\/span><\/li>\n
                                                                                                  2. b) Computed tomography (CT) scan<\/span><\/li>\n
                                                                                                  3. c) A lumbar puncture<\/span><\/li>\n
                                                                                                  4. d) There is no specific test.<\/span><\/li>\n<\/ol>\n

                                                                                                    Question 7 2 \/ 2 points<\/span><\/p>\n

                                                                                                    Which drug for Alzheimer\u2019s disease should be administered beginning at the time of diagnosis?<\/span><\/p>\n

                                                                                                    Question options:<\/span><\/p>\n

                                                                                                      \n
                                                                                                    1. a) Cholinesterase inhibitors<\/span><\/li>\n
                                                                                                    2. b) Anxiolytics<\/span><\/li>\n
                                                                                                    3. c) Antidepressants<\/span><\/li>\n
                                                                                                    4. d) Atypical antipsychotics<\/span><\/li>\n<\/ol>\n

                                                                                                      Question 8 2 \/ 2 points<\/span><\/p>\n

                                                                                                      Which hematoma occurs along the temporal cranial wall and results from tears in the middle meningeal artery?<\/span><\/p>\n

                                                                                                      Question options:<\/span><\/p>\n

                                                                                                        \n
                                                                                                      1. a) Epidural hematoma<\/span><\/li>\n
                                                                                                      2. b) Subdural hematoma<\/span><\/li>\n
                                                                                                      3. c) Subarachnoid hematoma<\/span><\/li>\n
                                                                                                      4. d) Intraparenchymal hemorrhage<\/span><\/li>\n<\/ol>\n

                                                                                                        Question 9 2 \/ 2 points<\/span><\/p>\n

                                                                                                        Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing?<\/span><\/p>\n

                                                                                                        Question options:<\/span><\/p>\n

                                                                                                          \n
                                                                                                        1. a) CN V<\/span><\/li>\n
                                                                                                        2. b) CN VII<\/span><\/li>\n
                                                                                                        3. c) CN IX<\/span><\/li>\n
                                                                                                        4. d) CN X<\/span><\/li>\n<\/ol>\n

                                                                                                          Question 10 2 \/ 2 points<\/span><\/p>\n

                                                                                                          Which statement best describes a carotid bruit?<\/span><\/p>\n

                                                                                                          Question options:<\/span><\/p>\n

                                                                                                            \n
                                                                                                          1. a) It is felt with the middle three fingers over the carotid artery.<\/span><\/li>\n
                                                                                                          2. b) A bruit becomes audible when the lumen is narrowed to 1 mm or less.<\/span><\/li>\n
                                                                                                          3. c) A low-pitched bruit is a medical emergency.<\/span><\/li>\n
                                                                                                          4. d) The higher the pitch of the bruit, the higher the degree of stenosis.<\/span><\/li>\n<\/ol>\n

                                                                                                            Question 11 2 \/ 2 points<\/span><\/p>\n

                                                                                                            Which patient is more likely to have a cluster headache?<\/span><\/p>\n

                                                                                                            Question options:<\/span><\/p>\n

                                                                                                              \n
                                                                                                            1. a) A female in her reproductive years<\/span><\/li>\n
                                                                                                            2. b) A 40-year-old African American male<\/span><\/li>\n
                                                                                                            3. c) A 55-year-old female who drinks 10 cups of coffee daily<\/span><\/li>\n
                                                                                                            4. d) A 45-year-old male awakened at night<\/span><\/li>\n<\/ol>\n

                                                                                                              Question 12 2 \/ 2 points<\/span><\/p>\n

                                                                                                              Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of?<\/span><\/p>\n

                                                                                                              Question options:<\/span><\/p>\n

                                                                                                                \n
                                                                                                              1. a) Dementia<\/span><\/li>\n
                                                                                                              2. b) Alzheimer\u2019s disease<\/span><\/li>\n
                                                                                                              3. c) Parkinson\u2019s disease<\/span><\/li>\n
                                                                                                              4. d) Delirium<\/span><\/li>\n<\/ol>\n

                                                                                                                Question 13 2 \/ 2 points<\/span><\/p>\n

                                                                                                                Which type of meningitis is more benign, self-limiting, and caused primarily by a virus?<\/span><\/p>\n

                                                                                                                Question options:<\/span><\/p>\n

                                                                                                                  \n
                                                                                                                1. a) Purulent meningitis<\/span><\/li>\n
                                                                                                                2. b) Chronic meningitis<\/span><\/li>\n
                                                                                                                3. c) Aseptic meningitis<\/span><\/li>\n
                                                                                                                4. d) Herpes meningitis<\/span><\/li>\n<\/ol>\n

                                                                                                                  Question 14 2 \/ 2 points<\/span><\/p>\n

                                                                                                                  Which is the most sensitive neuroimaging test to evaluate patients with encephalitis?<\/span><\/p>\n

                                                                                                                  Question options:<\/span><\/p>\n

                                                                                                                    \n
                                                                                                                  1. a) MRI<\/span><\/li>\n
                                                                                                                  2. b) CT<\/span><\/li>\n
                                                                                                                  3. c) Electroencephalogram (EEG)<\/span><\/li>\n
                                                                                                                  4. d) An initial lumbar puncture<\/span><\/li>\n<\/ol>\n

                                                                                                                    Question 15 2 \/ 2 points<\/span><\/p>\n

                                                                                                                    What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?<\/span><\/p>\n

                                                                                                                    Question options:<\/span><\/p>\n

                                                                                                                      \n
                                                                                                                    1. a) A stabbing pain on one small area of the body<\/span><\/li>\n
                                                                                                                    2. b) A vesicular skin lesion on one side of the body<\/span><\/li>\n
                                                                                                                    3. c) A pain that is worse upon awakening<\/span><\/li>\n
                                                                                                                    4. d) A lesion on the exterior ear canal<\/span><\/li>\n<\/ol>\n

                                                                                                                      Question 16 1 \/ 1 point<\/span><\/p>\n

                                                                                                                      Gabby, aged 22, has Bell\u2019s palsy on the right side of her face. Her mouth is distorted, and she is concerned about permanent paralysis and pain. What do you tell her?<\/span><\/p>\n

                                                                                                                      Question options:<\/span><\/p>\n

                                                                                                                        \n
                                                                                                                      1. a) \u201cMost patients have complete recovery in 3 to 6 months.\u201d<\/span><\/li>\n
                                                                                                                      2. b) \u201cUnfortunately, you\u2019ll probably have a small amount of residual damage.\u201d<\/span><\/li>\n
                                                                                                                      3. c) \u201cDon\u2019t worry, I\u2019ll take care of everything.\u201d<\/span><\/li>\n
                                                                                                                      4. d) \u201cYou may have a few more episodes over the course of your lifetime but no permanent damage.\u201d<\/span><\/li>\n<\/ol>\n

                                                                                                                        Question 17 2 \/ 2 points<\/span><\/p>\n

                                                                                                                        Sam, aged 65, is started on L-dopa for his Parkinson\u2019s disease (PD). He asks why this is necessary. You tell him:<\/span><\/p>\n

                                                                                                                        Question options:<\/span><\/p>\n

                                                                                                                          \n
                                                                                                                        1. a) \u201cL-dopa is neuroprotective.\u201d<\/span><\/li>\n
                                                                                                                        2. b) \u201cThe primary goal of therapy is to replace depleted stores of dopamine.\u201d<\/span><\/li>\n
                                                                                                                        3. c) \u201cThis is the only drug that can provide symptomatic benefit.\u201d<\/span><\/li>\n
                                                                                                                        4. d) \u201cThis is the initial monotherapy drug.\u201d<\/span><\/li>\n<\/ol>\n

                                                                                                                          Question 18 2 \/ 2 points<\/span><\/p>\n

                                                                                                                          Which of the following signs is seen in a patient with more advanced PD?<\/span><\/p>\n

                                                                                                                          Question options:<\/span><\/p>\n

                                                                                                                            \n
                                                                                                                          1. a) Resting tremor<\/span><\/li>\n
                                                                                                                          2. b) Bradykinesia<\/span><\/li>\n
                                                                                                                          3. c) Rigidity<\/span><\/li>\n
                                                                                                                          4. d) Postural instability<\/span><\/li>\n<\/ol>\n

                                                                                                                            Question 19 2 \/ 2 points<\/span><\/p>\n

                                                                                                                            Which of the following is the most commonly experienced symptom of migraine?<\/span><\/p>\n

                                                                                                                            Question options:<\/span><\/p>\n

                                                                                                                              \n
                                                                                                                            1. a) Light sensitivity<\/span><\/li>\n
                                                                                                                            2. b) Pulsatile pain<\/span><\/li>\n
                                                                                                                            3. c) Sound sensitivity<\/span><\/li>\n
                                                                                                                            4. d) Experiencing an aura<\/span><\/li>\n<\/ol>\n

                                                                                                                              Question 20 2 \/ 2 points<\/span><\/p>\n

                                                                                                                              Which of the following characteristics differentiates peripheral vertigo from central vertigo?<\/span><\/p>\n

                                                                                                                              Question options:<\/span><\/p>\n

                                                                                                                                \n
                                                                                                                              1. a) The duration of central vertigo is shorter than that of peripheral vertigo.<\/span><\/li>\n
                                                                                                                              2. b) There is an auditory-associated symptom with peripheral vertigo and a visual-associated symptom with central vertigo.<\/span><\/li>\n
                                                                                                                              3. c) Central vertigo is positional, and peripheral vertigo is not.<\/span><\/li>\n
                                                                                                                              4. d) The onset of central vertigo is more sudden than that of peripheral vertigo.<\/span><\/li>\n<\/ol>\n

                                                                                                                                Question 21 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                Carotid endarterectomy should be considered only for symptomatic patients with greater than what percentage of stenosis?<\/span><\/p>\n

                                                                                                                                Question options:<\/span><\/p>\n

                                                                                                                                  \n
                                                                                                                                1. a) Greater than 25%<\/span><\/li>\n
                                                                                                                                2. b) Greater than 50%<\/span><\/li>\n
                                                                                                                                3. c) Greater than 75%<\/span><\/li>\n
                                                                                                                                4. d) Only for 100% occlusion<\/span><\/li>\n<\/ol>\n

                                                                                                                                  Question 22 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                  What antiplatelet agent is most widely used for secondary prevention of stroke?<\/span><\/p>\n

                                                                                                                                  Question options:<\/span><\/p>\n

                                                                                                                                    \n
                                                                                                                                  1. a) Aspirin<\/span><\/li>\n
                                                                                                                                  2. b) Ticlopidine<\/span><\/li>\n
                                                                                                                                  3. c) Clopidogrel<\/span><\/li>\n
                                                                                                                                  4. d) Aspirin and clopidogrel<\/span><\/li>\n<\/ol>\n

                                                                                                                                    Question 23 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                    Which adjunctive diagnostic test should be used in the work-up of a patient with suspected Creutzfeldt-Jakob disease or transient epileptic amnesia?<\/span><\/p>\n

                                                                                                                                    Question options:<\/span><\/p>\n

                                                                                                                                      \n
                                                                                                                                    1. a) MRI<\/span><\/li>\n
                                                                                                                                    2. b) CT<\/span><\/li>\n
                                                                                                                                    3. c) Cerebrospinal fluid analysis<\/span><\/li>\n
                                                                                                                                    4. d) EEG<\/span><\/li>\n<\/ol>\n

                                                                                                                                      Question 24 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                      Which herbal preparation may cause delirium and should be avoided in an elderly patient?<\/span><\/p>\n

                                                                                                                                      Question options:<\/span><\/p>\n

                                                                                                                                        \n
                                                                                                                                      1. a) Sam-e<\/span><\/li>\n
                                                                                                                                      2. b) Saint John\u2019s Wort<\/span><\/li>\n
                                                                                                                                      3. c) Melatonin<\/span><\/li>\n
                                                                                                                                      4. d) Saw Palmetto<\/span><\/li>\n<\/ol>\n

                                                                                                                                        Question 25 0 \/ 2 points<\/span><\/p>\n

                                                                                                                                        Which of the following activities is part of the functional activities questionnaire?<\/span><\/p>\n

                                                                                                                                        Question options:<\/span><\/p>\n

                                                                                                                                          \n
                                                                                                                                        1. a) Asking the patient to unravel a Rubik\u2019s cube<\/span><\/li>\n
                                                                                                                                        2. b) Determining if the patient can drive on the highway<\/span><\/li>\n
                                                                                                                                        3. c) Asking the patient about a news event from the current week<\/span><\/li>\n
                                                                                                                                        4. d) Seeing if the patient can keep his or her home clean<\/span><\/li>\n<\/ol>\n

                                                                                                                                          Question 26 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                          About 90% of all headaches are?<\/span><\/p>\n

                                                                                                                                          Question options:<\/span><\/p>\n

                                                                                                                                            \n
                                                                                                                                          1. a) Tension<\/span><\/li>\n
                                                                                                                                          2. b) Migraine<\/span><\/li>\n
                                                                                                                                          3. c) Cluster<\/span><\/li>\n
                                                                                                                                          4. d) Without pathological cause<\/span><\/li>\n<\/ol>\n

                                                                                                                                            Question 27 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                            Which statement is true regarding driving and patients with a seizure disorder?<\/span><\/p>\n

                                                                                                                                            Question options:<\/span><\/p>\n

                                                                                                                                              \n
                                                                                                                                            1. a) Once diagnosed with a seizure disorder, patients must never drive again.<\/span><\/li>\n
                                                                                                                                            2. b) After being seizure free for 6 months, patients may drive.<\/span><\/li>\n
                                                                                                                                            3. c) Each state has different laws governing driving for individuals with a seizure disorder.<\/span><\/li>\n
                                                                                                                                            4. d) These persons may drive but never alone.<\/span><\/li>\n<\/ol>\n

                                                                                                                                              Question 28 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                              Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which medication might help given intravenously once a month?<\/span><\/p>\n

                                                                                                                                              Question options:<\/span><\/p>\n

                                                                                                                                                \n
                                                                                                                                              1. a) Glatiramer acetate<\/span><\/li>\n
                                                                                                                                              2. b) Natalizumab<\/span><\/li>\n
                                                                                                                                              3. c) Fingolimod<\/span><\/li>\n
                                                                                                                                              4. d) Glucocorticoids<\/span><\/li>\n<\/ol>\n

                                                                                                                                                Question 29 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                The \u2018freezing phenomenon\u2019 is a cardinal feature of?<\/span><\/p>\n

                                                                                                                                                Question options:<\/span><\/p>\n

                                                                                                                                                  \n
                                                                                                                                                1. a) Parkinson\u2019s disease<\/span><\/li>\n
                                                                                                                                                2. b) Alzheimer\u2019s disease<\/span><\/li>\n
                                                                                                                                                3. c) A CVA<\/span><\/li>\n
                                                                                                                                                4. d) Bell\u2019s palsy<\/span><\/li>\n<\/ol>\n

                                                                                                                                                  Question 30 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                  A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as?<\/span><\/p>\n

                                                                                                                                                  Question options:<\/span><\/p>\n

                                                                                                                                                    \n
                                                                                                                                                  1. a) Spinothalamic dysfunction<\/span><\/li>\n
                                                                                                                                                  2. b) Ratcheting<\/span><\/li>\n
                                                                                                                                                  3. c) Cogwheeling<\/span><\/li>\n
                                                                                                                                                  4. d) Hand tremors<\/span><\/li>\n<\/ol>\n

                                                                                                                                                    Question 31 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                    Clinical features of insidious onset, slow progression, and a lack of other findings to explain the symptoms are fairly diagnostic of which condition?<\/span><\/p>\n

                                                                                                                                                    Question options:<\/span><\/p>\n

                                                                                                                                                      \n
                                                                                                                                                    1. a) Guillain-Barr\u00e9 syndrome<\/span><\/li>\n
                                                                                                                                                    2. b) Parkinson\u2019s disease<\/span><\/li>\n
                                                                                                                                                    3. c) Alzheimer\u2019s disease<\/span><\/li>\n
                                                                                                                                                    4. d) Huntington\u2019s disease<\/span><\/li>\n<\/ol>\n

                                                                                                                                                      Question 32 1 \/ 1 point<\/span><\/p>\n

                                                                                                                                                      Which condition is characterized by the impaired ability to learn new information along with either a cognitive disturbance in language, function, or perception?<\/span><\/p>\n

                                                                                                                                                      Question options:<\/span><\/p>\n

                                                                                                                                                        \n
                                                                                                                                                      1. a) Guillain-Barr\u00e9 syndrome<\/span><\/li>\n
                                                                                                                                                      2. b) Parkinson\u2019s disease<\/span><\/li>\n
                                                                                                                                                      3. c) Alzheimer\u2019s disease<\/span><\/li>\n
                                                                                                                                                      4. d) Delirium<\/span><\/li>\n<\/ol>\n

                                                                                                                                                        Question 33 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                        A score of 20 to 25 on this test indicates early-stage Alzheimer\u2019s disease:<\/span><\/p>\n

                                                                                                                                                        Question options:<\/span><\/p>\n

                                                                                                                                                          \n
                                                                                                                                                        1. a) SLUMS<\/span><\/li>\n
                                                                                                                                                        2. b) MoCA<\/span><\/li>\n
                                                                                                                                                        3. c) FAST<\/span><\/li>\n
                                                                                                                                                        4. d) MMSE<\/span><\/li>\n<\/ol>\n

                                                                                                                                                          Question 34 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                          Intravenous thrombolytic therapy following an ischemic CVA should be given within how many hours of symptom onset?<\/span><\/p>\n

                                                                                                                                                          Question options:<\/span><\/p>\n

                                                                                                                                                            \n
                                                                                                                                                          1. a) 1 hour<\/span><\/li>\n
                                                                                                                                                          2. b) 3 hours<\/span><\/li>\n
                                                                                                                                                          3. c) 6 hours<\/span><\/li>\n
                                                                                                                                                          4. d) 12 hours<\/span><\/li>\n<\/ol>\n

                                                                                                                                                            Question 35 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                            When administered at the beginning of an attack, oxygen therapy may help this kind of headache?<\/span><\/p>\n

                                                                                                                                                            Question options:<\/span><\/p>\n

                                                                                                                                                              \n
                                                                                                                                                            1. a) Tension<\/span><\/li>\n
                                                                                                                                                            2. b) Migraine<\/span><\/li>\n
                                                                                                                                                            3. c) Cluster<\/span><\/li>\n
                                                                                                                                                            4. d) Stress<\/span><\/li>\n<\/ol>\n

                                                                                                                                                              Question 36 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                              The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety?<\/span><\/p>\n

                                                                                                                                                              Question options:<\/span><\/p>\n

                                                                                                                                                                \n
                                                                                                                                                              1. a) Acetylcholine<\/span><\/li>\n
                                                                                                                                                              2. b) Gamma-aminobutyric acid (GABA)<\/span><\/li>\n
                                                                                                                                                              3. c) Dopamine<\/span><\/li>\n
                                                                                                                                                              4. d) Serotonin<\/span><\/li>\n<\/ol>\n

                                                                                                                                                                Question 37 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                                The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association\u2019s Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least:<\/span><\/p>\n

                                                                                                                                                                Question options:<\/span><\/p>\n

                                                                                                                                                                  \n
                                                                                                                                                                1. a) 1 month<\/span><\/li>\n
                                                                                                                                                                2. b) 3 months<\/span><\/li>\n
                                                                                                                                                                3. c) 6 months<\/span><\/li>\n
                                                                                                                                                                4. d) 12 months<\/span><\/li>\n<\/ol>\n

                                                                                                                                                                  Question 38 1 \/ 1 point<\/span><\/p>\n

                                                                                                                                                                  A patient presents to the clinician after experiencing four episodes in the last month of sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about 10 minutes. The patient is now becoming very fearful of future events and has been reluctant to leave the house. The clinician suspects panic disorder but wants to rule out any possible medical causes. Which of the following medical conditions can mimic the symptoms of a panic attack?<\/span><\/p>\n

                                                                                                                                                                  Question options:<\/span><\/p>\n

                                                                                                                                                                    \n
                                                                                                                                                                  1. a) Pheochromocytoma<\/span><\/li>\n
                                                                                                                                                                  2. b) Hyperthyroidism<\/span><\/li>\n
                                                                                                                                                                  3. c) Cardiac arrhythmias<\/span><\/li>\n
                                                                                                                                                                  4. d) All of the above<\/span><\/li>\n<\/ol>\n

                                                                                                                                                                    Question 39 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                                    Which of the following is considered first-line treatment for panic disorders?<\/span><\/p>\n

                                                                                                                                                                    Question options:<\/span><\/p>\n

                                                                                                                                                                      \n
                                                                                                                                                                    1. a) Benzodiazepines<\/span><\/li>\n
                                                                                                                                                                    2. b) Selective serotonin reuptake inhibitors (SSRIs)<\/span><\/li>\n
                                                                                                                                                                    3. c) Tricyclic antidepressants<\/span><\/li>\n
                                                                                                                                                                    4. d) Cognitive behavioral therapy<\/span><\/li>\n<\/ol>\n

                                                                                                                                                                      Question 40 1 \/ 1 point<\/span><\/p>\n

                                                                                                                                                                      Which of the following symptoms is not part of the diagnostic criteria for post-traumatic stress disorder (PTSD)?<\/span><\/p>\n

                                                                                                                                                                      Question options:<\/span><\/p>\n

                                                                                                                                                                        \n
                                                                                                                                                                      1. a) Hypersomnolence<\/span><\/li>\n
                                                                                                                                                                      2. b) Blunted feelings<\/span><\/li>\n
                                                                                                                                                                      3. c) Loss of interest in significant activities<\/span><\/li>\n
                                                                                                                                                                      4. d) Intrusive recurrent recollections of the event<\/span><\/li>\n<\/ol>\n

                                                                                                                                                                        Question 41 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                                        Which of the following neuroendocrine abnormalities is implicated in depression?<\/span><\/p>\n

                                                                                                                                                                        Question options:<\/span><\/p>\n

                                                                                                                                                                          \n
                                                                                                                                                                        1. a) Decrease in adrenal size<\/span><\/li>\n
                                                                                                                                                                        2. b) Increased cortisol and corticotrophin-releasing hormone<\/span><\/li>\n
                                                                                                                                                                        3. c) An exaggerated response of thyrotropin (TRH) to infusion of thyroid-releasing hormone<\/span><\/li>\n
                                                                                                                                                                        4. d) Increased inhibitory response of glucocorticoids to dexamethasone<\/span><\/li>\n<\/ol>\n

                                                                                                                                                                          Question 42 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                                          The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant (TCA) for a patient fitting the diagnostic criteria for depression. Which of the following is not true concerning SSRIs in comparison to tricyclic antidepressants?<\/span><\/p>\n

                                                                                                                                                                          Question options:<\/span><\/p>\n

                                                                                                                                                                            \n
                                                                                                                                                                          1. a) SSRIs are more effective than TCAs.<\/span><\/li>\n
                                                                                                                                                                          2. b) SSRIs take less time to work than TCAs.<\/span><\/li>\n
                                                                                                                                                                          3. c) SSRIs have a more favorable side-effect profile than TCAs.<\/span><\/li>\n
                                                                                                                                                                          4. d) SSRIs are not lethal in overdose.<\/span><\/li>\n<\/ol>\n

                                                                                                                                                                            Question 43 2 \/ 2 points<\/span><\/p>\n

                                                                                                                                                                            After discontinuing fluoxetine, how long must a person wait before starting a monoamine oxidase inhibitor?<\/span><\/p>\n

                                                                                                                                                                            Question options:<\/span><\/p>\n

                                                                                                                                                                              \n
                                                                                                                                                                            1. a) 2 weeks<\/span><\/li>\n
                                                                                                                                                                            2. b) 3 weeks<\/span><\/li>\n
                                                                                                                                                                            3. c) 4 weeks<\/span><\/li>\n
                                                                                                                                                                            4. d) 5 weeks<\/span><\/li>\n<\/ol>\n

                                                                                                                                                                              Question 44 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              It is important to educate patients with depression and their family members about reporting signs of increasing depression and suicidal thoughts. This is especially true during which time period?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Before the initiation of treatment<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 1 to 2 weeks after the initiation of treatment<\/span><\/span><\/p>\n

                                                                                                                                                                              c) When switching to a different medication<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 1 to 2 weeks after tapering off medications<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 45 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient is experiencing extrapyramidal side effects from his antipsychotic medications. The clinician would most likely take which of the following approaches to treating these side effects?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Give the patient a \u201cdrug holiday\u201d until the symptoms resolve and then restart the medication.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Switch the patient to a different antipsychotic.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Treat the patient with anticholinergics.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Treat the patient with anticonvulsants.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 46 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              According to K\u00fcbler-Ross, the stages of grief occur in which order?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Anger, denial, depression, bargaining, acceptance<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Anger, denial, bargaining, acceptance, depression<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Denial, anger, depression, bargaining, acceptance<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Denial, anger, bargaining, depression, acceptance<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 47 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              The clinician is educating a patient about the effects of marijuana. The patient stated she has been smoking for years and believes the use does not interfere with her life. What is a significant long-term sequelae of marijuana use that the clinician should educate this patient about?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Memory impairment<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Sexual dysfunction<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Dry mouth<\/span><\/span><\/p>\n

                                                                                                                                                                              d) There are no long-term consequences of marijuana use.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 48 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) GABA<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Acetylcholine<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Dopamine<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Serotonin<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 49 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              What blood alcohol level corresponds with the signs of stupor and confusion?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 0.05<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 0.1<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 0.2<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 0.3<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 50 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Rapid eye movement (REM) sleep occurs how frequently during non-REM sleep?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Every 30 minutes<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Every 60 minutes<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Every 90 minutes<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Every 180 minutes<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 51 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following is a laboratory finding commonly found in patients with anorexia nervosa?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Hypercholesterolemia<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Hypermagnesmia<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Leukocytosis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Decreased TRH<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 52 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following is the only drug for bulimia approved by the U.S. Food and Drug Administration?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Sertraline<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Fluoxetine<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Citoprolam<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Imipramine<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 53 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following would be important to monitor in a child receiving methylphenidate for treatment of attention deficit-hyperactivity disorder (ADHD)?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Liver function<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Vision<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Growth parameters<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Renal function<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 54 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              It is important for the clinician to discuss the long-term effects of sexual assault with survivors. Which of the following is the most common long-term effect of sexual assault?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Depression<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Obsessive-compulsive disorder<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Substance abuse<\/span><\/span><\/p>\n

                                                                                                                                                                              d) PTSD<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 55 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Women are at the highest risk for developing postpartum depression for up to how long after childbirth?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 2 weeks<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 1 month<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 3 months<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 6 months<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 56 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which is the most prevalent psychiatric condition in the United States?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Depression<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Anxiety<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Substance-related addictions<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Gambling<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 57 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              What is recorded as clinical category two of the American Psychiatric Association\u2019s Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision)?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Clinical disorder or focus of clinical attention<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Personality or environmental problems<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Environmental and psychosocial stressors<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Global assessment of functioning<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 58 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following may be used to evaluate a person\u2019s suicide risk?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) CAGE<\/span><\/span><\/p>\n

                                                                                                                                                                              b) SANE<\/span><\/span><\/p>\n

                                                                                                                                                                              c) SAD PERSONAS<\/span><\/span><\/p>\n

                                                                                                                                                                              d) DIGFAST<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 59 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Assessing for adherence with prescribed medications and developing a plan for what to do if they are stopped is a major treatment issue for which of the following diagnostic groups?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) ADHD<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Bipolar<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Depression<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Anxiety<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 60 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              Bipolar disorder requires differential diagnosis from all of the following except?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Substance abuse and medication effects<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Medical and neurological disorders<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Cluster B personality disorders and depression<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Obsessive-compulsive disorder<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 61 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              The use of benzodiazepines in the patient with generalized anxiety disorder and comorbid depression can exacerbate depressive symptoms.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 62 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              Depressive episodes associated with bipolar disorder are treated the same as major depressive disorder.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 63 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              Women in abusive relationships have a greater chance of being killed by their batterers when they leave the relationship than women who stay.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 64 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              Adults must show childhood onset of symptoms to receive a diagnosis of ADHD.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 65 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              Parkinson\u2019s disease and dementing illnesses may commonly manifest depressive symptoms.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 66 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              The best predictor of suicide risk is a history of suicide attempts.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 67 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              A no-suicide contract can prevent a suicide attempt.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 68 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              Depression is the most chronic disabling and economically catastrophic medical disorder of the severe mental illnesses.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 69 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              Clozapine (Clozaril) requires laboratory monitoring at specified frequencies with results reported to a national registry.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 70 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              When combined with certain other medications, serotonin-specific antidepressants can have significant liver P450-interaction effects.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 71 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her examination?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Human papillomavirus (HPV)<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Endometrial hyperplasia<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Vagismus<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Polycystic ovarian syndrome<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 72 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of the following is the treatment of choice for gonorrhea?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Ceftriaxone<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Doxycycline<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Acyclovir<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Metronidazole<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 73 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease has she most probably been exposed to?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Gonorrhea<\/span><\/span><\/p>\n

                                                                                                                                                                              b) HPV<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Chlamydia<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Trichomonas<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 74 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear.Which of the following diagnoses is associated with this finding?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Trichomonas<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Bacterial vaginosis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) HPV<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Herpes simplex virus<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 75 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following medications is the treatment of choice for trichomonas?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Metronidazole<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Ceftriaxone<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Diflucan<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Doxycycline<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 76 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae. Which of the following treatments would be appropriate?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Fluconazole<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Estrogen vaginal cream<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Metronidazole<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Doxycycline<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 77 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Mandy presents with a cauliflower-like wart in her anogenital region. You suspect it was sexually transmitted and document this as a:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Filiform\/digitate wart<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Dysplastic cervical lesion<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Condyloma acuminata<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Koilocytosis<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 78 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) An enlarged rubbery gland<\/span><\/span><\/p>\n

                                                                                                                                                                              b) A hard irregular gland<\/span><\/span><\/p>\n

                                                                                                                                                                              c) A tender gland<\/span><\/span><\/p>\n

                                                                                                                                                                              d) A boggy gland<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 79 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Of the following types of cellulitis, which is a streptococcal infection of the superficial layers of the skin that does not involve the subcutaneous layers?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Necrotizing fasciitis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Periorbital cellulitis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Erysipelas<\/span><\/span><\/p>\n

                                                                                                                                                                              d) \u201cFlesh-eating\u201d cellulitis<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 80 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The forced vital capacity is decreased in:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Asthma<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Chronic bronchitis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Emphysema<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Restrictive disease<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 81 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The most common cause of CAP is?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Streptococcus pneumoniae<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Klebsiella pneumoniae<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Legionella pneumoniae<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Pseudomonas aeruginosa<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 82 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following is a possible consequence of sleep apnea?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Asthma<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Increased white blood cells<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Insulin resistance<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Hyperactivity<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 83 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The majority of HSV-1 and HSV-2 infections are asymptomatic so that only which elevated antibody titer shows evidence of previous infection?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) IgA<\/span><\/span><\/p>\n

                                                                                                                                                                              b) IgE<\/span><\/span><\/p>\n

                                                                                                                                                                              c) IgG<\/span><\/span><\/p>\n

                                                                                                                                                                              d) IgM<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 84 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) The scrotum will be dark.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) The scrotum will appear light pink or yellow.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) The scrotum will appear milky white.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) The internal structures will be clearly visible.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 85 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) An enlarged rubbery gland<\/span><\/span><\/p>\n

                                                                                                                                                                              b) A hard irregular gland<\/span><\/span><\/p>\n

                                                                                                                                                                              c) A tender gland<\/span><\/span><\/p>\n

                                                                                                                                                                              d) A boggy gland<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 86 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 78-year-old man is diagnosed with C2 prostate cancer, and he asks the clinician what that means. In order to answer the patient, the clinician must have which of these understandings of the Jewett rating system?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) The cancer involves the seminal vesicles.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) There is metastatic disease to regional lymph nodes.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) The cancer is confined to the capsule.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) There is metastasis to distant organs.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 87 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              A 58-year-old patient has been receiving leuprolide as treatment for prostate cancer. The clinician should instruct the patient about which of these side effects?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Risk of osteoporosis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) May have hot flushes<\/span><\/span><\/p>\n

                                                                                                                                                                              c) May have impotence<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 88 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self-examination (TSE).Which of the following should be included in the list of differential diagnoses?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Testicular cancer<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Inguinal hernia<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Varicocele<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 89 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              What is the treatment of choice for a patient diagnosed with testicular cancer?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Radical orchidectomy<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Lumpectomy<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Radiation implants<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 90 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient with testicular cancer is being followed after completing treatment 1 year ago. He has been symptom-free with no evidence of disease. How often should he have a CT scan?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Every month<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Every 3 to 4 months<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Every 6 to 12 months<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Every year<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 91 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) \u201cYou must be under a lot of stress lately.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              b) \u201cIt is hereditary. Did your father experience this also?\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              c) \u201cThe cause is unknown, but we suspect it is due to an immunologic mechanism.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              d) \u201cWe\u2019ll have to do some tests.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 92 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following is \u201ca linear crack extending from the epidermis to the dermis?\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) An ulcer<\/span><\/span><\/p>\n

                                                                                                                                                                              b) A fissure<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Lichenification<\/span><\/span><\/p>\n

                                                                                                                                                                              d) An excoriation<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 93 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A bulla is:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) A vesicle larger than 1 cm in diameter<\/span><\/span><\/p>\n

                                                                                                                                                                              b) An elevated solid mass with a hard texture; the shape and borders can be regular or irregular<\/span><\/span><\/p>\n

                                                                                                                                                                              c) A superficial elevated lesion filled with purulent fluid<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Thinning of the skin (epidermis and dermis) that appears white or translucent<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 94 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her left wrist. She thought she just bruised it but is worried because it has not improved. She has used Tylenol\u00ae and ice at home, and that has helped slightly. You examine her and find she has moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds.What should you do?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Make an immediate referral for an orthopedic evaluation without further assessment.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Tell her that it takes time for these bruises to improve, so she should be patient.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Send her to the emergency room for reduction of this obvious wrist fracture.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 95 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              Osteoarthritis is primarily a noninflammatory condition.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 96 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              The presence of a positive rheumatoid factor is always indicative of rheumatoid arthritis.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 97 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following medications can cause hyperglycemia?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Prednisone<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Metformin<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Synthroid<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Cephalexin<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 98 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following is diagnostic for diabetes mellitus?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) A1C 7.0 on one occasion<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Fasting blood sugar (FBS) of 100 mg\/dL on two occasions<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Random glucose of 200 mg\/dL on two occasions<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Two-hour post-load plasma glucose of 300 mg\/dL on one occasion<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 99 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Insulin<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Metformin<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Glucotrol<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Precose<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 100 1 \/ 1 point<\/span><\/span><\/p>\n

                                                                                                                                                                              A 35-year-old woman presents with symptoms of hypoglycemia.There is no history of diabetes mellitus. Which of the following should be included in the differential diagnosis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Anxiety disorder<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Pheochromocytoma<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Psychosis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              MN568 Unit 8 Exam latest 2017<\/span><\/p>\n

                                                                                                                                                                              MN568 Unit 8 Exam latest 2017<\/span><\/span><\/strong><\/p>\n

                                                                                                                                                                              Question 1 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Osteoarthritis is primarily a noninflammatory condition.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 2 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Insulin<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Metformin<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Glucotrol<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Precose<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 3 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              After removing a tack from a type 2 diabetic\u2019s heel and evaluating the site for infection, what is the best plan for this patient?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Suggest she use a heating pad to improve circulation.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Refer to a podiatrist for a foot care treatment plan.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Send her for acupuncture treatments.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 4 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Sam is a 25-year-old who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Morning stiffness and limited mobility of the lumbar spine<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Fever, chills, and elevated erythrocyte sedimentation rate<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Pathologic fractures, severe night pain, weight loss, and fatigue<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 5 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain.The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Valgus stress test<\/span><\/span><\/p>\n

                                                                                                                                                                              b) McMurray circumduction test<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Lachman test<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Varus stress test<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 6 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort.Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) \u201cYou should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              b) \u201cYou should start with the lowest dose that is effective in managing your pain to avoid developing tolerance to the medication.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              c) \u201cYou should take the maximum recommended dose of NSAIDs so that you will not need to take narcotics to control your pain.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              d) \u201cIt is important to take NSAIDs on an empty stomach in order to increase absorption.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 7 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is not always necessary for an injured ankle and that the decision to obtain radiographs is dependent on the examination and Diane\u2019s description of her injury. Which of the following clues in Diane\u2019s examination or history would alert the clinician to the need for obtaining radiographs?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Inability to bear weight immediately after the injury<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Development of marked ankle swelling and discoloration after the injury<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Crepitation with palpation or movement of the ankle<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 8 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The clinician finds numerous nodules on the thyroid of a 65-year-old woman. The clinician suspects thyroid cancer. Which of the following data would be most significant for this patient?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) A history of tonsillectomy in the 1940s<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Recent exposure to mumps<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Vegetarian diet<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Allergy to iodine<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 9 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A vegetarian patient with gout asks the clinician about food he should avoid. The clinician should advise the patient to avoid which of the following foods?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Rice<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Carrots<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Spinach<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Potatoes<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 10 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              One of the most frequent presenting signs\/symptoms of osteoporosis is:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Goiter<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Abnormal serum calcium<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Elevated urine biochemical markers<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Bony fracture<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 11 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              After 6 months of Synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Elevated TSH<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Normal TSH<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Low TSH<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Undetectable TSH<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 12 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Decreased C-reactive protein<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Hyperalbuminemia<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Morning stiffness<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Weight gain<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 13 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The clinician prescribes glipizide (Glucotrol) for a diabetic patient. Which statement made by the patient would indicate that your teaching has been effective?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) \u201cI\u2019ll take my pill at least 30 minutes before breakfast.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              b) \u201cI\u2019ll take my Glucotrol before bedtime.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              c) \u201cIt is important to take my medication right after I eat.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              d) \u201cSince I only like to eat two meals a day, I can take the pill between my meals.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 14 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The presence of a positive rheumatoid factor is always indicative of rheumatoid arthritis.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 15 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following statements is true regarding the treatment of carpal tunnel syndrome?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) The goal of treatment is to prevent flexion and extension movements of the wrist.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Splints are used in carpal tunnel syndrome, because they allow for free movement of the fingers and thumb while maintaining the wrist in a neutral position.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of the risks for median nerve damage, scarring, and infection.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 16 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following medications can cause hyperglycemia?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Prednisone<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Metformin<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Synthroid<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Cephalexin<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 17 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Janet is a 30-year-old who has recently been diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Gastrocnemius weakness<\/span><\/span><\/p>\n

                                                                                                                                                                              b) A reduced or absent ankle reflex<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Numbness in the lateral foot<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Paresthesia of the perineum and buttocks<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 18 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find that the patient has complete ROM with gravity eliminated. Which numeric grade of muscle strength would you give this patient?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 1<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 2<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 3<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 4<\/span><\/span><\/p>\n

                                                                                                                                                                              e) 5<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 19 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A diabetic patient asks the clinician why he needs to check his blood sugar at home even when he feels good. Which of the following responses would be most appropriate?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) \u201cControl of glucose will help postpone or delay complications.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              b) \u201cRegularly checking blood sugar will help establish a routine.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              c) \u201cMonitoring glucose will promote a sense of control.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 20 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following is diagnostic for diabetes mellitus?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) A1C 7.0 on one occasion<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Fasting blood sugar (FBS) of 100 mg\/dL on two occasions<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Random plasma glucose greater than or equal to 200 in a person with symptoms of hyperglycemia<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Two-hour post-load plasma glucose of 300 mg\/dL on one occasion<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 21 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient with type 2 diabetes asks the clinician why she needs to exercise. In order to answer her, the clinician must understand that exercise has what effect on the patient with type 2 diabetes?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Reduces postprandial blood glucose<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Reduces triglycerides and increases high-density lipoprotein (HDL)<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Reduces total cholesterol<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 22 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 35-year-old woman presents with symptoms of hypoglycemia.There is no history of diabetes mellitus. Which of the following should be included in the differential diagnosis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Anxiety disorder<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Pheochromocytoma<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Psychosis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 23 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The clinician has been doing diabetic teaching for a patient with type 1 diabetes. Which of the following statements by the patient would indicate that teaching has been effective?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) \u201cAs long as I don\u2019t need glasses, I don\u2019t have to worry about going blind.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              b) \u201cI know I need to have my eyes checked every year.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              c) \u201cMy optometrist checks my eyes.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              d) \u201cI will see my eye doctor when my vision gets blurry.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 24 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her left wrist. She thought she just bruised it but is worried because it has not improved. She has used Tylenol\u00ae and ice at home, and that has helped slightly. You examine her and find she has moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds.What should you do?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Make an immediate referral for an orthopedic evaluation without further assessment.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Tell her that it takes time for these bruises to improve, so she should be patient.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Send her to the emergency room for reduction of this obvious wrist fracture.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 25 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He states that he took his insulin this morning but was late for work and did not eat breakfast. Which action should the clinician take first?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Check his blood sugar.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Have him drink 4 ounces of juice.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Call 911.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Ask him about his usual eating habits.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 26 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following tests should the clinician order on the initial visit?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) High sensitivity thyroid-stimulating hormone (TSH) and free T4<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Free T4 and serum calcium<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Free T3 and T4<\/span><\/span><\/p>\n

                                                                                                                                                                              d) TSH and thyroxin antibodies<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 27 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3 months. On physical examination, the clinician notices a sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes.Which of the following tests should be ordered next?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Serum calcium<\/span><\/span><\/p>\n

                                                                                                                                                                              b) TSH<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Electrolytes<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Urine specific gravity<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 28 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in her right shoulder. She denies any history of trauma. Her examination reveals a 75% reduction in both active and passive ROM of the right shoulder. Mrs. Gray also is experiencing tenderness with motion and pain at the deltoid insertion. Her medical history is significant for type 1 diabetes mellitus and hypertension. Her social history reveals that she is a secretary and that she is right-handed. Based on her examination and medical history, you suspect adhesive capsulitis, or \u201cfrozen shoulder.\u201d Which clue in Mrs. Gray\u2019s history supports this diagnosis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) History of hypertension<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Her affected shoulder is also her dominant arm.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Her history of diabetes mellitus<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Her work as a secretary predisposes her to repetitive motions.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 29 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              What is the recommended daily calcium intake for adults over the age of 50 with low bone mass?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 1,200 mg\/day<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 1,000 mg\/day<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 1,300 mg\/day<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 1,500 mg\/day<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 30 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram changes should the clinician expect as a manifestation of the disease?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Sinus bradycardia<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Atrial fibrillation<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Supraventricular tachycardia<\/span><\/span><\/p>\n

                                                                                                                                                                              d) U waves<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 31 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion (ROM) with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Articular<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Inflammatory<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Nonarticular<\/span><\/span><\/p>\n

                                                                                                                                                                              d) A and B<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 32 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following statements concerning the treatment of fibromyalgia syndrome is true?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) There is currently no cure for the disorder; however, patients should be made aware that symptom relief is possible.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Treatment is directed toward controlling discomfort, improving sleep, and maintaining function.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Fibromyalgia syndrome can be difficult to manage, requiring a variety of approaches and multiple medications.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 33 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Mrs. Thomas was seen in the office complaining of pain and point tenderness in the area of her elbow. The pain has increased following a day of gardening one week ago. A physical finding that differentiates the diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Ecchymosis, edema, and erythema over the lateral epicondyle<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Pain at the elbow with resisted movements at the wrist and forearm<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Inability to supinate and pronate the arm<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Inability to flex or extend the elbow against resistance<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 34 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Mrs. Allen is a 60-year-old woman who has been diagnosed with osteoporosis. She is very concerned about the risk of breast cancer associated with hormone replacement therapy and is wondering what other treatments are available to her. The clinician explains that bisphosphonates are another class of drugs used in the prevention and treatment of osteoporosis. What teaching should the clinician give Mrs. Allen in regard to taking bisphosphonates?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Taking bisphosphonates can result in hypercalcemia, so calcium intake should be decreased while taking this class of drugs.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) There is potential for upper GI irritation, so these medications are contraindicated in people with abnormalities of the esophagus or delayed esophageal emptying.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) This class of drugs can be taken at any time of the day without regard to meals.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) None of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 35 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The clinician suspects that a client has patellar instability. In order to test for this, the client is seated with the quadriceps relaxed, and the knee is placed in extension. Next the patella is displaced laterally, and the knee flexed to 30\u00b0. If instability is present, this maneuver displaces the patella to an abnormal position on the lateral femoral condyle, and the client will perceive pain. Testing for patellar instability in this way is known as:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Apprehension sign<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Bulge sign<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Thumb sign<\/span><\/span><\/p>\n

                                                                                                                                                                              d) None of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 36 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Normal estrogen function is important for preventing osteoporosis in both men and women. Estrogen works to prevent osteoporosis in which of the following ways?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) By decreasing the erosive activity of osteoclasts<\/span><\/span><\/p>\n

                                                                                                                                                                              b) By promoting osteoclastogenesis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) By inhibiting osteoclast apoptosis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 37 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following tests should you order to confirm Mr.W\u2019s diagnosis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Bone scan<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Computed tomography (CT) scan<\/span><\/span><\/p>\n

                                                                                                                                                                              c) X-ray of the foot<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Culture of the ulcer<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 38 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether the complaint is articular or nonarticular in origin. Which of the following is an example of an articular structure?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Bone<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Synovium<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Tendons<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Fascia<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 39 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician expect in the initial test results for this patient?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Elevated uric acid level<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Elevated blood urea nitrogen<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Decreased urine pH<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Decreased C-reactive protein<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 40 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Urine-free cortisol is one of four diagnostic tests recommended for Cushing\u2019s syndrome.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 41 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Joyce is seen in the clinic complaining of vague symptoms of nervousness and irritability. She says that her hair will not hold a permanent wave anymore. On physical examination, the clinician finds an irregular heartbeat and brisk reflexes. The differential diagnosis should include which of the following conditions?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Myxedema<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Thyrotoxicosis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Cushing\u2019s syndrome<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Pan-hypopituitarism<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 42 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              How often should the clinician examine the feet of a person with diabetes?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Once a year<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Every 6 months<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Every 3 months<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Every visit<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 43 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A BMI of 29 kg\/m2 is considered obesity.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 44 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Jennifer is an 18-year-old who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited ROM in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Posterior dislocations are more common than anterior dislocations.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Recurrent dislocations are uncommon and would require great force to result in injury.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Surgery is most commonly the treatment of choice.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 45 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The clinician should question the patient with suspected gout about use of which of these medications?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Low-dose aspirin<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Thiazide diuretics<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Ethambutol<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 46 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Metformin is the first line of pharmacologic treatment for type 2 DM.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 47 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Mrs. Anderson is a 35-year-old woman who has been recently diagnosed with carpal tunnel syndrome. She has two young children and asks the clinician what the chances are that they also will develop carpal tunnel syndrome. Which of the following responses would be correct regarding the risk of developing carpal tunnel syndrome?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Carpal tunnel syndrome commonly occurs in families. Genetic factors are thought to account for about one-half the risk of developing carpal tunnel.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Only people with occupations that require repeated flexion extension of the wrist, use of hand tools that require forceful gripping, or use of hand tools that vibrate are at risk for developing carpal tunnel.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) An underlying musculoskeletal disorder must be present for a person to develop carpal tunnel.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Carpal tunnel syndrome only occurs in the presence of a hormonal imbalance.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 48 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Fruit juice with added sugar is the treatment of choice for anyone experiencing hypoglycemia.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 49 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The patient is prescribed radioactive iodine (RAI) and asks the clinician how this drug works. The clinician\u2019s response should include which of the following data?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) RAI prevents the peripheral conversion of T4 to T3.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) RAI binds free T4.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) RAI destroys thyroid tissue.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) RAI reduces freely circulating iodine.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 50 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Lifestyle modification is the treatment of choice for metabolic syndrome.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False<\/span><\/span><\/p>\n

                                                                                                                                                                              MN568 Unit 6 Exam latest 2017<\/span><\/p>\n

                                                                                                                                                                              MN568 Unit 6 Exam latest 2017<\/span><\/span><\/strong><\/p>\n

                                                                                                                                                                              Question 1 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting, and diaphoresis. In addition to nephrolithiasis, which of the following should be added to the list of differential diagnoses?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Pancreatitis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Peptic ulcer disease<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Diverticulitis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 2 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following would be an appropriate treatment for a patient with mild BPH?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Refer to a urologist for surgery.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Prescribe a trial of tamsulosin.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Recommend cranberry supplements.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Reevaluate symptoms in 1 to 3 months.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 3 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The result of the patient\u2019s 24-hour urine for protein was 4.2 g\/day. The clinician should take which of the following actions?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Repeat the test.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Refer to a nephrologist.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Measure the serum protein.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Obtain a blood urea nitrogen (BUN) and creatinine.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 4 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which is the most potent and irritating dose of tretinoin?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 0.05% liquid formulation<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 0.1% cream<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 1% foam<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 0.02% cream<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 5 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following clinical manifestations are consistent with a patient in ARF?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Pruritis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Glycosuria<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Irritability<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Hypotension<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 6 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following is an infraorbital fold skin manifestation in a patient with atopic dermatitis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Keratosis pilaris<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Dennie\u2019s sign<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Keratoconus<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Pityriasis alba<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 7 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this patient for which of these side effects?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Erectile dysfunction<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Glaucoma<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Hypotension<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Headache<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 8 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              When using the microscope for an intravaginal infection, you see something translucent and colorless. What do you suspect?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) A piece of hair or a thread<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Hyphae<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Leukocytes<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Spores<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 9 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Your patient is in her second trimester of pregnancy and has a yeast infection. Which of the following is a treatment that you usually recommend\/order in nonpregnant patients, but is listed as a Pregnancy category D?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Vagistat vaginal cream<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Monistat combination pack<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Terazol vaginal cream<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Diflucan, 150 mg<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 10 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that might be the cause of hematuria?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) NSAIDs<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Beets<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Vitamin A<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Red meat<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 11 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following tests is most useful in determining renal function in a patient suspected of CRF?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) BUN and creatinine<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Electrolytes<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Creatinine clearance<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Urinalysis<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 12 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Eighty percent of men have noticeable hair loss by what age?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 35<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 50<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 70<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 85<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 13 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes.What do you suspect they are?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Spores<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Leukocytes<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Pseudohyphae<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Epithelial cells<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 14 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following information is essential before prescribing Bactrim DS to a 24-year-old woman with a UTI?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Last menstrual period<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Method of birth control<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Last unprotected sexual contact<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 15 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              What is the treatment of choice for a patient diagnosed with testicular cancer?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Radical orchidectomy<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Lumpectomy<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Radiation implants<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 16 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which test is used to confirm a diagnosis of epididymitis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Urinalysis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Gram stain of urethral discharge<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Complete blood cell count with differential<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Ultrasound of the scrotum<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 17 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Sally, age 25, presents with impetigo that has been diagnosed as infected with Staphylococcus. The clinical presentation is pruritic tender, red vesicles surrounded by erythema with a rash that is ulcerating. Her recent treatment has not been adequate. Which type of impetigo is this?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Bullous impetigo<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Staphylococcal scalded skin syndrome (SSSS)<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Nonbullous impetigo<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Ecthyma<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 18 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              An example of ecchymosis is:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) A hematoma<\/span><\/span><\/p>\n

                                                                                                                                                                              b) A keloid<\/span><\/span><\/p>\n

                                                                                                                                                                              c) A bruise<\/span><\/span><\/p>\n

                                                                                                                                                                              d) A patch<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 19 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Benign prostatic hyperplasia (BPH)<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Parkinson\u2019s disease<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Prostate cancer<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 20 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Testosterone level<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Prostate-specific antigen<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Nocturnal penile tumescence and rigidity<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Prolactin level<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 21 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 35-year-old man presents with complaints of painful erections, and he notices his penis is crooked when erect. What is the most likely diagnosis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Peyronie\u2019s disease<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Damage to the pudendal artery<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Scarring of the cavernosa<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 22 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 78-year-old man is diagnosed with C2 prostate cancer, and he asks the clinician what that means. In order to answer the patient, the clinician must have which of these understandings of the Jewett rating system?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) The cancer involves the seminal vesicles.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) There is metastatic disease to regional lymph nodes.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) The cancer is confined to the capsule.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) There is metastasis to distant organs.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 23 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) An enlarged rubbery gland<\/span><\/span><\/p>\n

                                                                                                                                                                              b) A hard irregular gland<\/span><\/span><\/p>\n

                                                                                                                                                                              c) A tender gland<\/span><\/span><\/p>\n

                                                                                                                                                                              d) A boggy gland<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 24 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Tinea unguium is also known as:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Onychomycosis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Tinea versicolor<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Tinea manuum<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Tinea corporis<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 25 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The patient is diagnosed with acute renal failure (ARF).Which of the following data obtained from the history should alert the provider that this is a case of prerenal azotemia?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Recent heat stroke<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Nephrolithiasis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Recent infection where gentamicin was used in treatment<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 26 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following statements is accurate when you are removing a seborrheic keratosis lesion using liquid nitrogen?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Do not use lidocaine as it may potentiate bleeding.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Pinch the skin taut together.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Use gel foam to control bleeding.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) This should be performed by a dermatologist only.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 27 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the provider should question the patient about which of these contraindications to this medication?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Diarrhea<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Parkinson\u2019s disease<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Closed-angle glaucoma<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Breast cancer<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 28 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) \u201cYou must be under a lot of stress lately.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              b) \u201cIt is hereditary. Did your father experience this also?\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              c) \u201cThe cause is unknown, but we suspect it is due to an immunologic mechanism.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              d) \u201cWe\u2019ll have to do some tests.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 29 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 58-year-old patient has been receiving leuprolide as treatment for prostate cancer. The clinician should instruct the patient about which of these side effects?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Risk of osteoporosis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) May have hot flushes<\/span><\/span><\/p>\n

                                                                                                                                                                              c) May have impotence<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 30 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) There are round, hypopigmented macules on his back.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Josh has red papules on his face.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) There are crusted plaques in Josh\u2019s groin area.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) There are white streaks on his neck.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 31 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The most common precancerous skin lesion found in Caucasians is:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) A skin tag<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Actinic keratosis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) A melanoma<\/span><\/span><\/p>\n

                                                                                                                                                                              d) A basal cell lesion<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 32 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which scalp problem can be caused by a fever and certain drugs?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Telogen effluvium (TE)<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Trichotillomania<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Psoriasis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Alopecia areata<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 33 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 46-year-old man presents with urinary hesitancy and low back pain. He has no history of UTI. Digital rectal examination (DRE) reveals a normal prostate, and a diagnosis of prostatodynia is made. Which is the appropriate treatment?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Terazosin 2 mg PO once a day<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Ice pack to the scrotal area<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Saw palmetto 320 mg per day<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 34 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 30-year-old patient presents with pain on urination. The urine microscopy of unspun urine shows greater than 10 leukocytes\/mL, and a dipstick is positive for nitrites. What is the probable diagnosis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Lower urinary tract infection<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Chlamydia infection<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Candidiasis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Pyelonephritis<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 35 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following foods should be limited in a patient with CRF?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Milk<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Bananas<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Soy sauce<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 36 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              An example of a primary skin lesion is a\/an:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Bulla<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Scale<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Excoriation<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Fissure<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 37 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 76-year-old man is seen in the office for complaints of urinary incontinence. The clinician should explore which of these causes of incontinence in men?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Urethral polyps<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Urinary tract infection (UTI)<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Anticholinergic medication<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 38 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient is seen in the clinic with a chief complaint of hematuria. To make a differential diagnosis, which of the following questions should be asked?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) \u201cDo you have a history of liver disease?\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              b) \u201cWhat medications are you currently taking?\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              c) \u201cHave you noticed swelling in your ankles?\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 39 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 78-year-old man is diagnosed with Stage D bladder cancer and asks the provider what that means. Which is the best response?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) \u201cThere is no such thing as Stage D cancer.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              b) \u201cYou have cancer that has spread to the surrounding tissue.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              c) \u201cYour cancer has spread to other organs.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              d) \u201cYour cancer can be cured by removing your bladder.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 40 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Treatment for epididymitis includes which of the following?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Warm sitz baths<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Scrotal elevation<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Masturbation<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 41 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient is seen in the office complaining of severe flank pain. The clinician should assess this patient for which risk factor for kidney stones?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Hypertension<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Constipation<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Tubal ligation<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Diabetes<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 42 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the following should be included in the differential diagnosis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Psychogenic nocturia<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Urethral polyp<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Irritative posterior urethral lesion<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Benign prostatic hypertrophy<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 43 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient with testicular cancer is being followed after completing treatment 1 year ago. He has been symptom-free with no evidence of disease. How often should he have a CT scan?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Every month<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Every 3 to 4 months<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Every 6 to 12 months<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Every year<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 44 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Mark has necrotizing fasciitis of his left lower extremity.Pressure on the skin reveals crepitus due to gas production by which anaerobic bacteria?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Staphylococcal aureus<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Clostridium perfringens<\/span><\/span><\/p>\n

                                                                                                                                                                              c) S. pyrogenes<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Streptococcus<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 45 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Ian, age 62, presents with a wide, diffuse area of erythematous skin on his lower left leg that is warm and tender to palpation.There is some edema involved. You suspect:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Necrotizing fasciitis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Kaposi\u2019s sarcoma<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Cellulitis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) A diabetic ulcer<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 46 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Why do people of African descent have a lower incidence of non-melanoma skin cancer?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) They have an increased number of melanocytes.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Their darker skin protects from ultraviolet radiation.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Their skin is thicker.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Their immune system is stronger.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 47 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 23-year-old sexually active man is seen in the clinic with unilateral painful testicular swelling, and he is diagnosed with epididymitis.In order to prescribe the correct drug, the clinician must understand that which of these is the most common causative organism?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Escherichia coli<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Staphylococcus aureus<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Chlamydia trachomatis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Pseudomonas aeruginosa<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 48 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              When instructing your elderly client about treating her xerosis, what do you tell her?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) A daily hot bath may help the associated pruritus.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Rub the skin briskly to make sure it is completely dry after bathing.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Only take short tepid showers.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Use a gel that is alcohol-based after bathing to soften the skin.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 49 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following instructions should be given to the patient with nephrolithiasis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Take ibuprofen, 600 mg every 8 hours.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Take Tums? for stomach upset.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Drink more black tea.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Increase intake of vegetables, like spinach.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 50 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The 56-year-old man with chronic prostatitis should be treated with trimethoprim 80 mg-sulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 3 to 7 days<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 14 to 21 days<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 3 to 6 weeks<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 6 to 12 weeks<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/strong><\/p>\n

                                                                                                                                                                              MN568 Unit 4 Exam <\/span><\/p>\n

                                                                                                                                                                              MN568 Unit 4 Exam latest 2017<\/span><\/span><\/strong><\/p>\n

                                                                                                                                                                              Question 1 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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\u00ae with temporary relief. 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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) The pain seems better when he smokes to relieve his nerves.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Coffee and fried foods don\u2019t bother him,<\/span><\/span><\/p>\n

                                                                                                                                                                              c) He wakes at night coughing with a bad taste in his mouth.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 2 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Very early<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 3 to 4 hours after perforation<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Late in inflammation<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Appendicitis never presents with vague pain.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 3 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient is seen with complaints of diarrhea. Which of the following should be included in the patient\u2019s differential diagnosis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Gastroenteritis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Inflammatory bowel disease<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Lactase deficiency<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 4 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              If chest pain can be alleviated with time, analgesics, and heat applications, what might the differential diagnosis be?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Peptic ulcer<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Hiatal hernia<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Costochondritis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Pericarditis<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 5 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Intermittent constipation with periods of diarrhea<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Wakens at night with diarrhea<\/span><\/span><\/p>\n

                                                                                                                                                                              c) History of international travel<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 6 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              In which type of arterioventricular (AV) block does the pulse rate (PR) interval lengthen until a beat is dropped?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) First-degree AV block<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Second-degree Mobitz I AV block<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Second-degree Mobitz II AV block<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Third-degree AV block<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 7 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 6 hours<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 8 hours<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 10 hours<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 12 hours<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 8 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following is associated with celiac disease (celiac sprue)?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Malabsorption<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Constipation<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Rectal bleeding<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Esophageal ulceration<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 9 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 46-year-old female patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) CBC with differential<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Urine human chorionic gonadotropin<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Barium enema<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Computed tomography of the abdomen<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 10 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which high-density lipoprotein (HDL) level is considered cardioprotective?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Greater than 30<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Greater than 40<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Greater than 50<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Greater than 60<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 11 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Feels relief after a bowel movement<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Sometimes is constipated<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Does not defecate in the middle of the night<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 12 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which heart sound may be heard with poorly controlled hypertension, angina, and ischemic heart disease?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) A physiologic split S2<\/span><\/span><\/p>\n

                                                                                                                                                                              b) A fixed split S2<\/span><\/span><\/p>\n

                                                                                                                                                                              c) S3<\/span><\/span><\/p>\n

                                                                                                                                                                              d) S4<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 13 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient is diagnosed with GERD, and his endoscopic report reveals the presence of Barrett\u2019s epithelium. Which of the following should the PCP include in the explanation of the pathology report?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) This is a premalignant tissue.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) This tissue is resistant to gastric acid.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) This tissue supports healing of the esophagus.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 14 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Increased breakdown of red blood cells<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Inadequate hepatocyte function<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Biliary obstruction<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 15 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) B-type natriuretic peptide<\/span><\/span><\/p>\n

                                                                                                                                                                              b) C-reactive protein<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Serum albumin<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Erythrocyte sedimentation rate<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 16 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Your patient with permanent afib asks when he can discontinue his warfarin. You tell him:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) When your internalized normalized ratio reaches 3.0, you can stop taking your warfarin permanently.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) When you no longer feel ill<\/span><\/span><\/p>\n

                                                                                                                                                                              c) One month after your symptoms dissipate<\/span><\/span><\/p>\n

                                                                                                                                                                              d) You\u2019ll probably be on it indefinitely.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 17 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Sandra has palpitations that occur with muscle twitching, paresthesia, and fatigue. What specific diagnostic test might help determine the cause?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Serum calcium<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Electrocardiogram (ECG)<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Thyroid-stimulating hormone test<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Complete blood cell count<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 18 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following statements about dabigatran is true?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) It is difficult to keep the patient in therapeutic range.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Anticoagulation cannot be immediately reversed.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) It allows for the use of tPA if the patient has a stroke despite anticoagulation.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) None of the statements are true.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 19 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Obtain a complete history.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Order a barium enema.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Schedule a Bernstein\u2019s test.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Prescribe a trial of antispasmodics.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 20 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Digital rectal exam<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Pelvic exam<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Sexual history<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 21 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Her age<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Frequent constipation<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Flatulence<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Colicky abdominal pain<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 22 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 911 should be called, and the patient should be transported immediately to the emergency department.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) One more dose of NTG may be tried.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) The person should be given two aspirin to chew.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) A portable defibrillator should be located to ascertain the cardiac rhythm.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 23 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient is seen in the clinic with right upper quadrant pain that is radiating to the middle of the back. The NP suspects acute cholelithiasis. The NP should expect which of the following laboratory findings?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Decreased alanine aminotransferase and decreased aspartate aminotransferase<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Elevated alkaline phosphatase<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Elevated indirect bilirubin<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Decreased white blood cells<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 24 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient is diagnosed with giardia after a backpacking trip in the mountains. Which of the following would be an appropriate treatment?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Vancomycin<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Penicillin<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Metronidazole<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Bactrim<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 25 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Stool culture<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Liver enzymes<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Antihepatitis D virus<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Thyroid-stimulating hormone test<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 26 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Statins are approved for which age group?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Children over the age of 2<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Children over the age of 6<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Children over the age of 10<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Only adolescents and adults<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 27 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 1 month<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 3 months<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 6 months<\/span><\/span><\/p>\n

                                                                                                                                                                              d) As long as the tablets are kept in this special bottle, they will last forever.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 28 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Mary has hypertension and previously had a stroke. Which hypertensive drug would you order for her?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Angiotensin converting enzyme inhibitor<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Calcium channel blocker<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Angiotensin II receptor blocker<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Beta blocker<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 29 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              What value on the ankle-brachial index diagnoses peripheral artery disease?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Less than 0.25<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Less than 0.50<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Less than 0.90<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Greater than 1<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 30 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which group would most benefit from statins?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Those with a low density lipoprotein-cholesterol greater than 100 mg\/dL<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Individuals with clinical arteriosclerotic cardiovascular disease<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Individuals with a 10-year risk greater than 10%<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Individuals of all ages with diabetes mellitus (DM)<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 31 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Stable angina<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Unstable angina<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Variant (Prinzmetal\u2019s angina)<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Probably not angina but hiatal hernia<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 32 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The American College of Cardiology\/American Heart Association states which of the following regarding the use of non-statin lipid-lowering agents?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Nicotinic acid derivatives are effective for lowering LDL and triglycerides (TGs).<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Bile acid sequestrates increase HDL.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Cholesterol absorption inhibitors decrease LDL.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) There is no sufficient evidence to use non-statin lipid-drugs.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 33 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Multivitamin<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Magnesium hydroxide<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Pepto-Bismol<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Ibuprofen<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 34 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 1 month<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 3 months<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 6 months<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 1 year<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 35 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The patient with GERD should be instructed to eliminate which of these activities?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Swimming<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Weight lifting<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Golfing<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Walking<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 36 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient has acute pancreatitis with seven of the diagnostic criteria from Ranson\u2019s criteria. In order to plan care, the NP must understand that this criteria score has which of the following meanings?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) A high mortality rate<\/span><\/span><\/p>\n

                                                                                                                                                                              b) An increased chance of recurrence<\/span><\/span><\/p>\n

                                                                                                                                                                              c) A 7% chance of the disease becoming chronic<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 37 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A Delta wave on the ECG may be present in which condition?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Prinzmetal\u2019s angina<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Bundle branch block<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Wolff-Parkinson-White syndrome<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Aortic stenosis<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 38 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Lifestyle modifications to manage hypertension (HTN) include:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Maintaining a body mass index of 17<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Restricting dietary sodium to 2 grams per day<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Engaging in exercise or physical activity for 90 minutes a day<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Limiting beer intake to 24 ounces per day<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 39 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which pain characteristic is usually indicative of cardiac pathology?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Fleeting<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Moving<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Diffuse<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Localized<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 40 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which ECG change is typical of cardiac ischemia?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) T-wave inversion<\/span><\/span><\/p>\n

                                                                                                                                                                              b) ST-segment elevation<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Significant Q wave<\/span><\/span><\/p>\n

                                                                                                                                                                              d) U-wave<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 41 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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\u00ae. The burning pain wakes him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) His gender<\/span><\/span><\/p>\n

                                                                                                                                                                              b) His age<\/span><\/span><\/p>\n

                                                                                                                                                                              c) His use of Alka-Seltzer<\/span><\/span><\/p>\n

                                                                                                                                                                              d) His ethnic origin<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 42 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which murmurs are usually \u2018watch and wait\u2019?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Systolic murmurs<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Diastolic murmurs<\/span><\/span><\/p>\n

                                                                                                                                                                              c) They both are dangerous and need immediate attention.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) You can \u2018watch and wait\u2019 for both of them.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 43 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Endometriosis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Colon cancer<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Diverticulitis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 44 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) His age<\/span><\/span><\/p>\n

                                                                                                                                                                              b) His cholesterol level<\/span><\/span><\/p>\n

                                                                                                                                                                              c) His systolic BP<\/span><\/span><\/p>\n

                                                                                                                                                                              d) The fact that he is on antihypertensive medication<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 45 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Use of NSAIDs<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Cigarette smoker<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Ethanol consumption<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 46 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              In the CHADS2 Index for the stroke risk score for AF, the\u2018A\u2019 stands for:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Anticoagulation<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Autoimmune disease<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Age<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Antihypertension<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 47 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              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?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Initially in 6 weeks<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Every 3 months<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Every 6 months<\/span><\/span><\/p>\n

                                                                                                                                                                              d) It\u2019s no longer necessary for his statin regimen.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 48 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following dietary instructions should be given to a patient with GERD?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Eliminate coffee.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Drink peppermint tea to relieve stomach distress.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Recline and rest after meals.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Limit the amount of antacids.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 49 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Samuel is going to the dentist for some work and must take endocarditis prophylaxis because of his history of:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Severe asthma<\/span><\/span><\/p>\n

                                                                                                                                                                              b) A common valvular lesion<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Severe hypertension<\/span><\/span><\/p>\n

                                                                                                                                                                              d) A prosthetic heart valve<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 50 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              You are assessing Sigred for metabolic syndrome. Which of her parameters is indicative of this syndrome?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Her waist is 36 inches.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Her triglyceride level is 140 mg\/dL.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Her BP is 128\/84.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Her fasting blood sugar (BS) is 108 mg\/dL.<\/span><\/span><\/p>\n

                                                                                                                                                                              MN568 Unit 2 Exam<\/span><\/p>\n

                                                                                                                                                                              MN568 Unit 2 Exam latest 2017<\/span><\/span><\/strong><\/p>\n

                                                                                                                                                                              Question 1 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Acute angle-closure glaucoma involves a sudden severe rise in intraocular pressure. Which of the following ranges represents normal intraocular pressure?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) \u00a00 to 7 mm Hg<\/span><\/span><\/p>\n

                                                                                                                                                                              b)\u00a0 8 to 21 mm Hg<\/span><\/span><\/p>\n

                                                                                                                                                                              c) \u00a022 to 40 mm Hg<\/span><\/span><\/p>\n

                                                                                                                                                                              d) \u00a040 to 80 mm Hg<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 2 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which obstructive lung disease is classified as reversible?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Asthma<\/span><\/span><\/p>\n

                                                                                                                                                                              b) \u00a0Chronic bronchitis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) \u00a0Emphysema<\/span><\/span><\/p>\n

                                                                                                                                                                              d) \u00a0COPD<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 3 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A 65-year-old man presents to the clinician with complaints of increasing bilateral peripheral vision loss, poor night vision, and frequent prescription changes that started 6 months previously. Recently, he has also been seeing halos around lights. The clinician suspects chronic open-angle glaucoma. Which of the following statements is true concerning the diagnosis of chronic open-angle glaucoma?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) The presence of increased intraocular pressure measured by tonometry is definitive for the diagnosis of open-angle glaucoma.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) The clinician can definitively diagnosis open-angle glaucoma based on the subjective complaints of the patient.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Physical diagnosis relies on gonioscopic evaluation of the angle by an ophthalmologist.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Early diagnosis is essential in order to reverse any damage that has occurred to the optic nerve.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 4 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from infection with which of the following pathogens?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Coxsackievirus<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Cytomegalovirus<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Francisella tularensis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Group A streptococcus<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 5 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is strongly suggestive of which type of infection?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) HSV type 2<\/span><\/span><\/p>\n

                                                                                                                                                                              b) HIV<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Pneumonia<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Syphilis<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 6 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Your patient is on Therabid for his asthma. You want to maintain his serum levels between:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 0 to 5 mcg\/mL<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 5 to 10 mcg\/mL<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 5 to 15 mcg\/mL<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 10 to 20 mcg\/mL<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 7 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              African American patients seem to have a negative reaction to which of the following asthma medications?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Inhaled corticosteroids<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Long-term beta-agonist bronchodilators<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Leukotriene receptor agonists<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Oral corticosteroids<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 8 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following statements is true concerning the use of bilberry as a complementary therapy for cataracts?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) The body converts bilberry to vitamin A, which helps to maintain a healthy lens.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Bilberry blocks an enzyme that leads to sorbitol accumulation that contributes to cataract formation in diabetes.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Bilberry boosts oxygen and blood delivery to the eye.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Bilberry is a good choice for patients with diabetes as it does not interact with antidiabetic drugs.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 9 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Your patient has decided to try to quit smoking with Chantix. You are discussing his quit date, and he will begin taking the medicine tomorrow. When should he plan to quit smoking?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) He should stop smoking today.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) He should stop smoking tomorrow.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) His quit date should be in 1 week.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) He will be ready to quit after the first 30 days.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 10 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The forced vital capacity is decreased in:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Asthma<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Chronic bronchitis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Emphysema<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Restrictive disease<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 11 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient with hypertension comes in and insists that one of his new medications is causing him to cough. When looking at his list of medications, you think the cough must be from:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Metoprolol<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Clopidogrel<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Tadalafil<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Captopril<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 12 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              You have taught Jennifer, age 15, about using a flow meter to assess how to manage her asthma exacerbations. She calls you today because her peak expiratory flow rate is 65%. What would you tell her?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) \u201cTake your short-acting beta-2 agonist, remain quiet, and call back tomorrow.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              b) \u201cUse your rescue inhaler, begin the prescription of oral glucocorticoids you have, and call back tomorrow.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              c) \u201cDrive to the emergency room now.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              d) \u201cCall 911.\u201d<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 13 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following statements regarding pulmonary function is true?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Cigarette smoking accelerates the decline in pulmonary function tenfold.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Smoking cessation can reverse most pathological changes.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Cigarette smoking decreases mucus production.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) There is a normal age-related decline in pulmonary function.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 14 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              You are doing a cerumen extraction and touch the external meatus of your patient\u2019s ear. He winces and starts coughing. What is the name of this reflex?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Baker phenomenon<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Arnold reflex<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Cough reflex<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Tragus reflex<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 15 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Nathan, a 32-year-old policeman, has a 15-pack-a-year history of smoking and continues to smoke heavily. During every visit, he gets irate when you try to talk to him about quitting. What should you do?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Hand him literature about smoking cessation at every visit.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Wait until he is ready to talk to you about quitting.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Document in the record that he is not ready to quit.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Continue to ask him at every visit if he is ready to quit.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 16 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which immunoglobulin mediates the type 1 hypersensitivity reaction involved in allergic rhinitis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) IgA<\/span><\/span><\/p>\n

                                                                                                                                                                              b) IgE<\/span><\/span><\/p>\n

                                                                                                                                                                              c) IgG<\/span><\/span><\/p>\n

                                                                                                                                                                              d) IgM<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 17 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following conditions is associated with cigarette smoking?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Glaucoma<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Increased sperm quality<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Bladder cancer<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Eczema<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 18 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which ethnic group has the highest lung cancer incidence and mortality rates?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) African American men<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Scandinavian men and women<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Caucasian women<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Asian men<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 19 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which information should be included when you are teaching your patient about the use of nicotine gum?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) The gum must be correctly chewed to a softened state and then placed in the buccal mucosa.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Patients should not eat for 30 minutes prior to or during the use of the gum.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Initially, one piece is chewed every 30 minutes while awake.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Acidic foods and beverages should be encouraged during nicotine therapy.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 20 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Julie has a postnasal drip along with her cough. You assess her for:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Asthma<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Sinusitis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Allergic or vasomotor rhinitis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Influenza<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 21 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Cydney presents with a history of asthma. She has not been treated for a while. She complains of daily but not continual symptoms, greater than 1 week and at nighttime. She has been using her rescue inhaler. Her FEV1 is 60% to 80% predicted. How would you classify her asthma severity?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Mild intermittent<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Mild persistent<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Moderate persistent<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Severe persistent<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 22 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A chronic cough lasts longer than:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 3 weeks<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 1 month<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 6 months<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 8 weeks<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 23 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Severe pain associated with acute otitis media signifies perforation of the tympanic membrane.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) True<\/span><\/span><\/p>\n

                                                                                                                                                                              b) False.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 24 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              As diabetic retinopathy progresses, the presence of \u2018cotton wool\u2019 spots can be detected. Cotton wool spots refer to:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Nerve fiber layer infarctions<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Blood vessel proliferation<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Venous beading<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Retinal hemorrhage<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 25 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following is a possible consequence of sleep apnea?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Asthma<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Increased white blood cells<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Insulin resistance<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Hyperactivity<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 26 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Marta is taking TB drugs prophylactically. How do you instruct her to take them?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Take them on an empty stomach to facilitate absorption.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Take them with aspirin (ASA) to prevent flushing.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Take them with ibuprofen to prevent a headache.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Take them with food to prevent nausea.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 27 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Sam, age 78, presents to the clinic with respiratory symptoms. His pulmonary function tests are as follows: a normal total lung capacity, a decreased PaO2, and an increased PaCO2. On assessment, you auscultate coarse crackles and forced expiratory wheezes. What is your diagnosis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Asthma<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Emphysema<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Chronic bronchitis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Influenza<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 28 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which subtype of cataracts is characterized by significant nearsightedness and a slow indolent course?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Nuclear cataracts<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Cortical cataracts<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Posterior cataracts<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Immature cataracts<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 29 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Otitis media is considered chronic when:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Inflammation persists more than 3 months with intermittent or persistent otic discharge.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) There are more than six occurrences of otitis media in a 1-year period.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Otitis media does not resolve after two courses of antibiotics.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 30 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following is an example of sensorineural hearing loss?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Perforation of the tympanic membrane<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Otosclerosis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Cholesteatoma<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Presbycusis<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 31 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient presents with the following signs and symptoms: gradual onset of low-grade fever, marked fatigue, severe sore throat, and posterior cervical lymphadenopathy. Based on the signs and symptoms alone, which of the following conditions is most likely the cause?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Gonorrhea<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Mononucleosis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Influenza<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Herpes zoster<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 32 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              You are using the CURB-65 clinical prediction tool to decide whether Mabel, whom you have diagnosed with community-acquired pneumonia (CAP), should be hospitalized or treated at home. Her score is 3. What should you do?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Consider home treatment.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Plan for a short inpatient hospitalization.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Closely supervise her outpatient treatment.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Hospitalize and consider admitting her to the intensive care unit.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 33 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The most significant precipitating event leading to otitis media with effusion is:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Pharyngitis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Allergies<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Viral upper respiratory infection (URI)<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Perforation of the eardrum<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 34 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Patients with acute otitis media should be referred to a specialist in which of the following situations?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Concurrent vertigo or ataxia<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Failed closure of a ruptured tympanic membrane<\/span><\/span><\/p>\n

                                                                                                                                                                              c) If symptoms worsen after 3 or 4 days of treatment<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 35 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Marci has been started on a tuberculosis (TB) regimen.Because isoniazid (INH) may cause peripheral neuropathy, you consider ordering which of the following drugs prophylactically?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Pyridoxine<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Thiamine<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Probiotic<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Phytonadione<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 36 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The barrel chest characteristic of emphysema is a result of:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Chronic coughing<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Hyperinflation<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Polycythemia<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Pulmonary hypertension<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 37 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient presents to the clinician with a sore throat, fever of 100.7?F, and tender anterior cervical lymphadenopathy. The clinician suspects strep throat and performs a rapid strep test that is negative. What would the next step be?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) The patient should be instructed to rest and increase fluid intake as the infection is most likely viral and will resolve without antibiotic treatment.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Because the patient does not have strep throat, the clinician should start broad spectrum antibiotics in order to cover the offending pathogen.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) A throat culture should be performed to confirm the results of the rapid strep test.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) The patient should be treated with antibiotics for strep throat as the rapid strep test is not very sensitive.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 38 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Your patient states he has a strep throat infection. Which of the following symptoms makes you consider a viral etiology instead?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Fever<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Headache<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Exudative pharyngitis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Rhinorrhea<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 39 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which statement about adenocarcinoma of the lung is accurate?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) It is the least common type of lung cancer, representing approximately 5% to 10% of cases.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) It is the most prevalent carcinoma of the lungs in both sexes and in nonsmokers, representing 35% to 40% of all tumors.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) It is more common in men than in women and occurs almost entirely in cigarette smokers.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) It is aggressive, with rapid growth and early local and distant metastases via the lymphatic and blood vessels.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 40 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              A patient presents to the clinician complaining of ear pain.On examination, the clinician finds that the patient has tenderness on traction of the pinna as well as when applying pressure over the tragus. These findings are classic signs of which condition?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Otitis media<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Meniere\u2019s disease<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Tinnitus<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Otitis externa<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 41 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Supplemental oxygen for how many hours per day has been shown to improve the mortality associated with COPD?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 3 to 5 hours<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 6 to 10 hours<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 11 to 14 hours<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 15 to 18 hours<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 42 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Which of the following medications used in the treatment of glaucoma works by constricting the pupils to open the angle and allow aqueous fluid to escape?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Pilocarpine<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Timolol<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Brinzolamide<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Acetazolamide<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 43 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              You are in the park playing with your children when you see that your friend is screaming for help. Her toddler has fallen and there is a stick lodged in his eye. The child is kicking and screaming and grabbing for the stick. You:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) instruct his mother to hold him securely and not allow him to touch the stick, then carefully remove the stick from the eye.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) stabilize the foreign object and accompany the mother and child to the local ER.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) find a water fountain, hold the child to the water, and flush the eye.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) call 911.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 44 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              You have a patient who is a positive for Strep on rapid antigen testing (rapid strep test). You order amoxacillin after checking for drug allergies (patient is negative) but he returns 3 days later, reporting that his temperature has gone up, not down (101.5 F in office). You also note significant adenopathy, most notably in the posterior and anterior cervical chains, some hepatomegaly, and a diffuse rash. You decide:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) to refer the patient.<\/span><\/span><\/p>\n

                                                                                                                                                                              b) that he is having an allergic response and needs to be changed to a macrolide antibiotic.<\/span><\/span><\/p>\n

                                                                                                                                                                              c) that his antibiotic dosage is not sufficient and should be changed.<\/span><\/span><\/p>\n

                                                                                                                                                                              d) that he possibly has mononucleosis concurrent with his strep infection.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 45 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Fluctuations and reductions in estrogen may be a contributing factor in which type of rhinitis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Vasomotor rhinitis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Rhinitis medicamentosum<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Atrophic rhinitis<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Viral rhinitis<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 46 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              In which of the following situations would referral to a specialist be needed for sinusitis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Recurrent sinusitis<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Allergic sinusitis<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Sinusitis that is refractory to antibiotic therapy<\/span><\/span><\/p>\n

                                                                                                                                                                              d) All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 47 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              The clinician is assessing a patient complaining of hearing loss. The clinician places a tuning fork over the patient\u2019s mastoid process, and when the sound fades away, the fork is placed without restriking it over the external auditory meatus. The patient is asked to let the clinician know when the sound fades away. This is an example of which type of test?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Weber test<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Schwabach test<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Rinne test<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Auditory brainstem response (ABR) test<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 48 0 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Sinusitis is considered chronic when there are episodes of prolonged inflammation with repeated or inadequately treated acute infection lasting greater than:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) 4 weeks<\/span><\/span><\/p>\n

                                                                                                                                                                              b) 8 weeks<\/span><\/span><\/p>\n

                                                                                                                                                                              c) 12 weeks<\/span><\/span><\/p>\n

                                                                                                                                                                              d) 16 weeks<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 49 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Most nosocomial pneumonias are caused by:<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Fungi<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Viruses<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Gram-negative bacteria<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Pneumococcal pneumonia<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 50 2 \/ 2 points<\/span><\/span><\/p>\n

                                                                                                                                                                              Joyce is taking a long-acting beta agonist for her asthma.What additional medication should she be taking?<\/span><\/span><\/p>\n

                                                                                                                                                                              Question options:<\/span><\/span><\/p>\n

                                                                                                                                                                              a) Inhaled corticosteroid<\/span><\/span><\/p>\n

                                                                                                                                                                              b) Leukotriene receptor antagonist<\/span><\/span><\/p>\n

                                                                                                                                                                              c) Systemic corticosteroid<\/span><\/span><\/p>\n

                                                                                                                                                                              d) Methyl xanthenes<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              NR 511 Week 4 Midterm Exam Version 4\u00a0<\/span><\/p>\n

                                                                                                                                                                              NR 511 Week 4 Midterm Exam Version 4<\/span><\/span><\/strong><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0Question 1. Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall.\u00a0<\/span><\/p>\n

                                                                                                                                                                              She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation?<\/span><\/span><\/p>\n

                                                                                                                                                                              Posterior dislocations are more common than anterior dislocations.<\/span><\/span><\/p>\n

                                                                                                                                                                              There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses.<\/span><\/span><\/p>\n

                                                                                                                                                                              Recurrent dislocations are uncommon and would require a greater force to result in injury.<\/span><\/span><\/p>\n

                                                                                                                                                                              Surgery is most commonly the treatment of choice.<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.2 In the United States, what is the second most common connective tissue disease and the most destructive to the joints?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Osteoarthritis<\/span><\/span><\/p>\n

                                                                                                                                                                              Systemic lupus erythematosus (SLE)<\/span><\/span><\/p>\n

                                                                                                                                                                              Rheumatoid arthritis<\/span><\/span><\/p>\n

                                                                                                                                                                              Sj\u00f6gren’s syndrome<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.3 Which of the following laboratory findings should the clinician expect in a patient with untreated Graves\u2019 disease?<\/span><\/span><\/p>\n

                                                                                                                                                                              a.Elevated thyroid-stimulating hormone (TSH)<\/span><\/span><\/p>\n

                                                                                                                                                                              b.Elevated T4<\/span><\/span><\/p>\n

                                                                                                                                                                              c.Elevated TRH<\/span><\/span><\/p>\n

                                                                                                                                                                              d.All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.4 Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Benzodiazepinesb.<\/span><\/span><\/p>\n

                                                                                                                                                                              Antipsychoticsc.<\/span><\/span><\/p>\n

                                                                                                                                                                              Anticonvulsantsd.<\/span><\/span><\/p>\n

                                                                                                                                                                              Antidepressants<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.5 When may confidentiality be overridden?<\/span><\/span><\/p>\n

                                                                                                                                                                              When personal information is available on the computer<\/span><\/span><\/p>\n

                                                                                                                                                                              When a clinician needs to share information with a billing company<\/span><\/span><\/p>\n

                                                                                                                                                                              When an insurance company wants to know the results of a breast cancer gene testX<\/span><\/span><\/p>\n

                                                                                                                                                                              When a patient has a communicable disease<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.6 What percentage of burns is involved using the rule of nines if both front legs are burned?<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              9%<\/span><\/span><\/p>\n

                                                                                                                                                                              18%<\/span><\/span><\/p>\n

                                                                                                                                                                              24%<\/span><\/span><\/p>\n

                                                                                                                                                                              36%<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.7 The clinician should question the patient with suspected gout about use of which of these medications that may be a risk factor?<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Low-dose aspirin<\/span><\/span><\/p>\n

                                                                                                                                                                              Thiazide diuretics<\/span><\/span><\/p>\n

                                                                                                                                                                              Ethambutol<\/span><\/span><\/p>\n

                                                                                                                                                                              All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.8 Women are at the highest risk for developing postpartum depression for up to how long after childbirth?<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              2 weeks<\/span><\/span><\/p>\n

                                                                                                                                                                              1 month<\/span><\/span><\/p>\n

                                                                                                                                                                              3 months<\/span><\/span><\/p>\n

                                                                                                                                                                              6 months<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.9 Which ethical principle reflects respect for all persons and their self-determination?<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Autonomy<\/span><\/span><\/p>\n

                                                                                                                                                                              Beneficence<\/span><\/span><\/p>\n

                                                                                                                                                                              Justice<\/span><\/span><\/p>\n

                                                                                                                                                                              Veracity<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.10 George, aged 59, complains of a flulike illness, including fever, chills, and myalgia after returning from visiting his grandchildren in New England. He reports having discovered a rash or red spot that grew in size on his right leg. What disease are you considering?<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              a. A viral syndromes
                                                                                                                                                                              \nb. Lyme disease
                                                                                                                                                                              \nc. Rocky Mountain spotted fever
                                                                                                                                                                              \nd. Relapsing fever<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.11 A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Pregnancy test.<\/span><\/span><\/p>\n

                                                                                                                                                                              Endometrial biopsy<\/span><\/span><\/p>\n

                                                                                                                                                                              Pelvic ultrasound<\/span><\/span><\/p>\n

                                                                                                                                                                              Platelet count<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.12 Which of the following statements is true regarding the treatment of carpal tunnel syndrome?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              a. The goal of treatment is to prevent flexion and extension movements of the wrist.
                                                                                                                                                                              \nb. Splints are used in carpal tunnel syndrome because they allow for free movement of the fingers and thumb while maintaining the wrist in a neutral position.
                                                                                                                                                                              \nc. Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of the risks for median nerve damage, scarring, and infection.
                                                                                                                                                                              \nd. All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.13 During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?<\/span><\/span><\/p>\n

                                                                                                                                                                              a. An enlarged rubbery gland<\/span><\/span><\/p>\n

                                                                                                                                                                              b. A hard irregular gland<\/span><\/span><\/p>\n

                                                                                                                                                                              c. A tender gland
                                                                                                                                                                              \nd. A boggy gland<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.14 Which drug commonly prescribed \u2026. partial- and full-thickness thermal injuries?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Clotrimazole cream (Lotrimen)<\/span><\/span><\/p>\n

                                                                                                                                                                              Mafenide acetate (Sulfamylon)<\/span><\/span><\/p>\n

                                                                                                                                                                              Silver nitratex<\/span><\/span><\/p>\n

                                                                                                                                                                              Silver sulfadiazine (Silvadene)<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.15 A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?<\/span><\/span><\/p>\n

                                                                                                                                                                              “It is probably just a cyst, because that is the most common breast mass.<\/span><\/span><\/p>\n

                                                                                                                                                                              “We will order a mammogram and ultrasound to help establish a diagnosis.”<\/span><\/span><\/p>\n

                                                                                                                                                                              “We will go ahead and schedule you for a biopsy because that is the only way to know for sure.”<\/span><\/span><\/p>\n

                                                                                                                                                                              “Because your lump is painful, it is most likely not cancer.”<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.16 After removing a tack from a type 2 diabetic\u2019s heel and evaluating the site for infection, what is the best plan for this patient?<\/span><\/span><\/p>\n

                                                                                                                                                                              Suggest she use a heating pad to improve circulation<\/span><\/span><\/p>\n

                                                                                                                                                                              Refer to a podiatrist for a foot care treatment plan<\/span><\/span><\/p>\n

                                                                                                                                                                              Send her for acupuncture treatments<\/span><\/span><\/p>\n

                                                                                                                                                                              All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.17 Which of the following medications is the treatment of choice for trichomonas?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Metranidazole<\/span><\/span><\/p>\n

                                                                                                                                                                              Ceftriaxone<\/span><\/span><\/p>\n

                                                                                                                                                                              Diflucan<\/span><\/span><\/p>\n

                                                                                                                                                                              Doxycycline<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.18 Most adult poisonings are:<\/span><\/span><\/p>\n

                                                                                                                                                                              intentional and self-inflicted.<\/span><\/span><\/p>\n

                                                                                                                                                                              accidental.<\/span><\/span><\/p>\n

                                                                                                                                                                              caused by someone wishing to do harm to the person.<\/span><\/span><\/p>\n

                                                                                                                                                                              not attributed to any reason.<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.19 Which solution should be used when irrigating lacerated tissue over a wound on the arm?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Dilute povidone-iodine solutionx<\/span><\/span><\/p>\n

                                                                                                                                                                              Hydrogen peroxide (H2O2)<\/span><\/span><\/p>\n

                                                                                                                                                                              Saline solution infused with an antibiotic<\/span><\/span><\/p>\n

                                                                                                                                                                              Saline irrigation or soapy water<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.20 A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Sinus bradycardia<\/span><\/span><\/p>\n

                                                                                                                                                                              Atrial fibrillation<\/span><\/span><\/p>\n

                                                                                                                                                                              Supraventricular tachycardia<\/span><\/span><\/p>\n

                                                                                                                                                                              U waves<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.21 What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              A stabbing pain on one small area of the body<\/span><\/span><\/p>\n

                                                                                                                                                                              A vesicular skin lesion on one side of the body<\/span><\/span><\/p>\n

                                                                                                                                                                              A pain that is worse upon awakening<\/span><\/span><\/p>\n

                                                                                                                                                                              A lesion on the exterior ear canal<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.22 Which patient is more likely to have a cluster headache?<\/span><\/span><\/p>\n

                                                                                                                                                                              A female in her reproductive years<\/span><\/span><\/p>\n

                                                                                                                                                                              A 40-year-old African American male<\/span><\/span><\/p>\n

                                                                                                                                                                              A 55-year-old female who drinks 10 cups of coffee daily<\/span><\/span><\/p>\n

                                                                                                                                                                              A 45-year-old male awakened at night<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.23 If a previously frostbitten area becomes frostbitten again after it has healed, what might occur?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Permanent tissue damage may occur, resulting in necrosis to that body part.<\/span><\/span><\/p>\n

                                                                                                                                                                              The area will be super sensitive.<\/span><\/span><\/p>\n

                                                                                                                                                                              The area is prone to a repeat frostbite.<\/span><\/span><\/p>\n

                                                                                                                                                                              The area is as susceptible as any other area.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.24 The current goal of treatment for a patient with HIV infection is which of the following?<\/span><\/span><\/p>\n

                                                                                                                                                                              Viral suppression of HIV to undetectable levels in the peripheral blood<\/span><\/span><\/p>\n

                                                                                                                                                                              Compete eradication of the virus<\/span><\/span><\/p>\n

                                                                                                                                                                              Encouraging the person to have no contact with uninfected individuals<\/span><\/span><\/p>\n

                                                                                                                                                                              Complete abstinence<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.25 The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Overweight<\/span><\/span><\/p>\n

                                                                                                                                                                              Mild obesity<\/span><\/span><\/p>\n

                                                                                                                                                                              Moderate obesity<\/span><\/span><\/p>\n

                                                                                                                                                                              Morbid obesity<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.26 The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs to manage his pain?<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              You should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage.<\/span><\/span><\/p>\n

                                                                                                                                                                              You should start with the lowest dose that is effective in managing your pain in order to avoid developing tolerance to the medication.<\/span><\/span><\/p>\n

                                                                                                                                                                              You should take the maximum recommended dose of NSAIDs so that you will not need to take narcotics to control your pain.<\/span><\/span><\/p>\n

                                                                                                                                                                              It is important to take NSAIDs on an empty stomach in order to increase absorption.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.27 In the consensus model for Advanced Practice Registered Nurse (APRN) regulation, the \u201cC\u201d of LACE represents?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Commitment<\/span><\/span><\/p>\n

                                                                                                                                                                              Consensusx<\/span><\/span><\/p>\n

                                                                                                                                                                              Certification<\/span><\/span><\/p>\n

                                                                                                                                                                              Collaboration<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.28 Which of the following statements is true concerning the management of the client with a herniated disc?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Muscle relaxants and narcotics can be used to control moderate painbut should be discontinued after 3 weeks of use.<\/span><\/span><\/p>\n

                                                                                                                                                                              An epidural injection is helpful in reducing leg pain that has persisted for at least 3 weeks after the herniation occurred.<\/span><\/span><\/p>\n

                                                                                                                                                                              Intolerable pain for more than a 3-month period is an indication for surgical intervention.<\/span><\/span><\/p>\n

                                                                                                                                                                              All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.29 Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Superficial burns<\/span><\/span><\/p>\n

                                                                                                                                                                              Superficial partial-thickness burns<\/span><\/span><\/p>\n

                                                                                                                                                                              Deep partial-thickness burns<\/span><\/span><\/p>\n

                                                                                                                                                                              Full-thickness burns<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.30 CPT coding offers the uniformed language used for reporting medical services and procedures performed by physician and non physician practitioners. Clinicians are paid based on calculated resource costs that are calculated based on practice components. Which of the following are part of the components used to calculate the per CPT code payment rate?<\/span><\/span><\/p>\n

                                                                                                                                                                              a. Clinician education loans<\/span><\/span><\/p>\n

                                                                                                                                                                              b. Clinician practice liability and malpractice expense<\/span><\/span><\/p>\n

                                                                                                                                                                              c. Clinician reported cost reduction efforts<\/span><\/span><\/p>\n

                                                                                                                                                                              d. Clinician volume of patients treated<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.31 Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at some point?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              10%<\/span><\/span><\/p>\n

                                                                                                                                                                              x 20%<\/span><\/span><\/p>\n

                                                                                                                                                                              30%<\/span><\/span><\/p>\n

                                                                                                                                                                              50%<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.32 A bulla is:\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              A vesicle larger than 1 cm in diameter.<\/span><\/span><\/p>\n

                                                                                                                                                                              An elevated solid mass with a hard texture, and the shape and borders can be regular or irregular.<\/span><\/span><\/p>\n

                                                                                                                                                                              A superficial elevated lesion filled with purulent fluid.<\/span><\/span><\/p>\n

                                                                                                                                                                              Thinning of the skin (epidermis and dermis) that appears white or translucent.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.33 Clinicians who learn how to code and document Evaluation and Management (E&M) and clinician services will be more successful in gaining timely payment for care delivery. Which or the following Centers for Medicare and Medicaid Services (CMS) practices are designed to financially penalize clinicians who do not bill according to CMS guidelines? \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Audits and probes<\/span><\/span><\/p>\n

                                                                                                                                                                              Add-on codes<\/span><\/span><\/p>\n

                                                                                                                                                                              Modifier codes<\/span><\/span><\/p>\n

                                                                                                                                                                              HAC guidelines<\/span><\/span><\/p>\n

                                                                                                                                                                              Question 34. Which characteristic of delirium helps to distinguish delirium from dementia?<\/span><\/span><\/p>\n

                                                                                                                                                                              Abrupt onset<\/span><\/span><\/p>\n

                                                                                                                                                                              Impaired attention<\/span><\/span><\/p>\n

                                                                                                                                                                              Affective changes<\/span><\/span><\/p>\n

                                                                                                                                                                              Delusions<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.35 Which of the following statements is true concerning the musculoskeletal exam?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              The uninvolved side should be examined initially and compared to the involved side.<\/span><\/span><\/p>\n

                                                                                                                                                                              The part of the body that is causing the patient pain should be examined first.<\/span><\/span><\/p>\n

                                                                                                                                                                              The patient should not be asked to perform active range-of-motion (ROM) exercises whenever possible to avoid causing pain.<\/span><\/span><\/p>\n

                                                                                                                                                                              Radiographs should always be obtained prior to examination so as not to cause further injury to the patient.<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.36 A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self-examination (TSE). Which of the following should be included in the list of differential diagnoses?<\/span><\/span><\/p>\n

                                                                                                                                                                              Testicular cancer<\/span><\/span><\/p>\n

                                                                                                                                                                              Inguinal hernia<\/span><\/span><\/p>\n

                                                                                                                                                                              Varicocele<\/span><\/span><\/p>\n

                                                                                                                                                                              All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.37 When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are?\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Spores<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0Leukocytes<\/span><\/span><\/p>\n

                                                                                                                                                                              Pseudohyphae<\/span><\/span><\/p>\n

                                                                                                                                                                              Epithelial cells<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.38 Which of the following is a role of the advanced practice nurse in palliative cancer care?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0Detecting cancer in asymptomatic patients or those with specific symptoms<\/span><\/span><\/p>\n

                                                                                                                                                                              Arranging for follow-up care, including psychosocial and spiritual support<\/span><\/span><\/p>\n

                                                                                                                                                                              Identifying and managing complications of care<\/span><\/span><\/p>\n

                                                                                                                                                                              All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.39 Immunizations are an example of which type of prevention?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0Primary<\/span><\/span><\/p>\n

                                                                                                                                                                              Secondary<\/span><\/span><\/p>\n

                                                                                                                                                                              Tertiary<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.40 Julie, aged 50, has migraine headaches, frequent asthma attacks, coronary artery disease, and hypertension. Which of the following prophylactic medications would you order for her migraines?\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Propranolol<\/span><\/span><\/p>\n

                                                                                                                                                                              Timolol<\/span><\/span><\/p>\n

                                                                                                                                                                              Ergotamine<\/span><\/span><\/p>\n

                                                                                                                                                                              Topiramate<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.41 A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Human papillomavirus (HPV)<\/span><\/span><\/p>\n

                                                                                                                                                                              Endometrial hyperplasia<\/span><\/span><\/p>\n

                                                                                                                                                                              Vagismus<\/span><\/span><\/p>\n

                                                                                                                                                                              Polycystic ovarian syndrome<\/span><\/span><\/p>\n

                                                                                                                                                                              Question. 42 How often should the clinician examine the feet of a person with diabetes?<\/span><\/span><\/p>\n

                                                                                                                                                                              Once a year<\/span><\/span><\/p>\n

                                                                                                                                                                              Every 6 months<\/span><\/span><\/p>\n

                                                                                                                                                                              Every 3 months<\/span><\/span><\/p>\n

                                                                                                                                                                              Every visit<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0\u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.43 A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?<\/span><\/span><\/p>\n

                                                                                                                                                                              Trichomonas<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0Bacterial vaginosis<\/span><\/span><\/p>\n

                                                                                                                                                                              Human papillomavirus (HPV)<\/span><\/span><\/p>\n

                                                                                                                                                                              Herpes simplex virus (HSV)<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.44 After 6 months of synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies?\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0Elevated thyroid-stimulating hormone (TSH)<\/span><\/span><\/p>\n

                                                                                                                                                                              Normal TSH<\/span><\/span><\/p>\n

                                                                                                                                                                              Low TSH<\/span><\/span><\/p>\n

                                                                                                                                                                              Undetectable TSH<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.45 The main mechanism for avoiding a lawsuit involves:<\/span><\/span><\/p>\n

                                                                                                                                                                              Good liability insurance<\/span><\/span><\/p>\n

                                                                                                                                                                              A collaborating physician<\/span><\/span><\/p>\n

                                                                                                                                                                              Good documentation<\/span><\/span><\/p>\n

                                                                                                                                                                              Open communication skills<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.46 The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association\u2019s Diagnostic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) state that excessive worry or apprehension must be present more days than not for at least:\u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              1 month.<\/span><\/span><\/p>\n

                                                                                                                                                                              3 months.<\/span><\/span><\/p>\n

                                                                                                                                                                              6 months.<\/span><\/span><\/p>\n

                                                                                                                                                                              12 months.<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question. 47 What is the treatment of choice for a patient diagnosed with testicular cancer?<\/span><\/span><\/p>\n

                                                                                                                                                                              Radical orchidectomy<\/span><\/span><\/p>\n

                                                                                                                                                                              Lumpectomy<\/span><\/span><\/p>\n

                                                                                                                                                                              Radiation implants<\/span><\/span><\/p>\n

                                                                                                                                                                              All of the above<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question. 48 Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression? Gastrocnemius weakness<\/span><\/span><\/p>\n

                                                                                                                                                                              A reduced or absent ankle reflex<\/span><\/span><\/p>\n

                                                                                                                                                                              Numbness in the lateral foot<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0Paresthesia of the perineum and buttocks<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.49 Which drug for Alzheimer\u2019s disease should be administered beginning at the time of diagnosis?<\/span><\/span><\/p>\n

                                                                                                                                                                              Cholinesterase inhibitors<\/span><\/span><\/p>\n

                                                                                                                                                                              Anxiolytics<\/span><\/span><\/p>\n

                                                                                                                                                                              Antidepressants<\/span><\/span><\/p>\n

                                                                                                                                                                              Atypical antipsychotics<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/span><\/p>\n

                                                                                                                                                                              Question.50 Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?<\/span><\/span><\/p>\n

                                                                                                                                                                              Decreased C-reactive protein<\/span><\/span><\/p>\n

                                                                                                                                                                              Hyperalbuminemia<\/span><\/span><\/p>\n

                                                                                                                                                                              Morning stiffness<\/span><\/span><\/p>\n

                                                                                                                                                                              Weight gain<\/span><\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              NAPSRx Final Exam<\/span><\/p>\n

                                                                                                                                                                              NAPSRx Final Exam<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              1. How are drugs sorted into therapeutic groups and classes?<\/span><\/p>\n

                                                                                                                                                                              A. first by the conditions that they are used to treat. and then by their mechanisms of action<\/span><\/p>\n

                                                                                                                                                                              B. first by their mechanisms of action. and then by their therapeutic effects<\/span><\/p>\n

                                                                                                                                                                              C. first by their side effects. and then by their therapeutic effects<\/span><\/p>\n

                                                                                                                                                                              D. first by their toxicity. and then by their effectiveness<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              2. Bone marrow transplants…<\/span><\/p>\n

                                                                                                                                                                              A. require that the patient first undergo chemotherapy or radiation to kill the diseased stem cells and promote white blood cell production.<\/span><\/p>\n

                                                                                                                                                                              B. are a type of stem cell therapy. unless patient’s own cells are reinjected.<\/span><\/p>\n

                                                                                                                                                                              C. are always a type of stem cell therapy.<\/span><\/p>\n

                                                                                                                                                                              D. can help people with leukemia. a condition in which the body does not produce enough white blood cells.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              3. What does AMA stand for?<\/span><\/p>\n

                                                                                                                                                                              A. American Medical Academy<\/span><\/p>\n

                                                                                                                                                                              B. American Medical Accreditation<\/span><\/p>\n

                                                                                                                                                                              C. American Medical Association<\/span><\/p>\n

                                                                                                                                                                              D. Association of Medical Assistants<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              4. What section of a drug’s package insert describes situations in which the drug should not be used because the risks outweigh the therapeutic benefits?<\/span><\/p>\n

                                                                                                                                                                              A. adverse reactions<\/span><\/p>\n

                                                                                                                                                                              B. contraindications<\/span><\/p>\n

                                                                                                                                                                              C. overdosage<\/span><\/p>\n

                                                                                                                                                                              D. warning\/precautions<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              5 What is tertiary care?<\/span><\/p>\n

                                                                                                                                                                              A. adding medications together to achieve a better clinical effect<\/span><\/p>\n

                                                                                                                                                                              B. highly specialized medical and surgical care provided by a large medical center for unusual or complex medical problems<\/span><\/p>\n

                                                                                                                                                                              C. receiving medical or surgical care that does not require an overnight stay in the treatment facility<\/span><\/p>\n

                                                                                                                                                                              D. seeing a physician for routine checkups and general healthcare<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              6. Which of the following is NOT one of the stages in the classic approach to brand development strategy covered in your manual?<\/span><\/p>\n

                                                                                                                                                                              A. brand personality<\/span><\/p>\n

                                                                                                                                                                              B. brand positoning<\/span><\/p>\n

                                                                                                                                                                              C. brand quality<\/span><\/p>\n

                                                                                                                                                                              D. brand values<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              7 What are vasodilators used to do?<\/span><\/p>\n

                                                                                                                                                                              A. decrease vascular resistance and increase blood flow<\/span><\/p>\n

                                                                                                                                                                              B. mimic pathogens to stimulate the immune system<\/span><\/p>\n

                                                                                                                                                                              C. narrow the blood vessels<\/span><\/p>\n

                                                                                                                                                                              D.stimulate the CNS to make the heart beat faster<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              8. What is the name of the condition that occurs after a specific dose of a drug is given at such regular intervals that absorption and elimination (and therefore drug plasma concentration) have become fairly constant?<\/span><\/p>\n

                                                                                                                                                                              A. homeostasis<\/span><\/p>\n

                                                                                                                                                                              B. steady state<\/span><\/p>\n

                                                                                                                                                                              C. titration<\/span><\/p>\n

                                                                                                                                                                              D. tolerance<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              9. Which statement is TRUE about ocular administration?<\/span><\/p>\n

                                                                                                                                                                              A. Ocular administration is primarily for drugs that must cross the blood-brain barrier.<\/span><\/p>\n

                                                                                                                                                                              B. Ocular administration is used primarily to treat the eye.<\/span><\/p>\n

                                                                                                                                                                              C. Ocular administration is used when a drug must enter the bloodstream immediately.<\/span><\/p>\n

                                                                                                                                                                              D. Ocular administration is used when a drug must produce immediate effects on the brain or spinal cord.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              10. Which entities invest’s the most money in pharmaceutical R&D?<\/span><\/p>\n

                                                                                                                                                                              A. Canadian pharmaceutical companies<\/span><\/p>\n

                                                                                                                                                                              B. the NIH<\/span><\/p>\n

                                                                                                                                                                              C. the U.S. Government<\/span><\/p>\n

                                                                                                                                                                              D. U.S. pharmaceutical companies<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              11. How are most drugs excreted?<\/span><\/p>\n

                                                                                                                                                                              A. via the bloodstream<\/span><\/p>\n

                                                                                                                                                                              B. via the heart<\/span><\/p>\n

                                                                                                                                                                              C. via the kidneys<\/span><\/p>\n

                                                                                                                                                                              D. via the skin<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              12. Over the last few decades, what has happened to legal limitations on sales’ reps discussions about off label uses?\u00a0 <\/span><\/p>\n

                                                                                                                                                                              A. Limitations have decreased.<\/span><\/p>\n

                                                                                                                                                                              B. Limitations have increased significantly.<\/span><\/p>\n

                                                                                                                                                                              C. Limitations have increased slightly.<\/span><\/p>\n

                                                                                                                                                                              D. Limitations have remained about the same.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              13. Answer: Branding name<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              14. What does it mean if two drugs are at parity?<\/span><\/p>\n

                                                                                                                                                                              A. Both drugs are essentially in a neutral position.<\/span><\/p>\n

                                                                                                                                                                              B. Both drugs are generics.<\/span><\/p>\n

                                                                                                                                                                              C. Both drugs have exclusive preferred status.<\/span><\/p>\n

                                                                                                                                                                              D. The two drugs are bioequivalent.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              15 Who is most likely to benefit from electronic sampling programs?<\/span><\/p>\n

                                                                                                                                                                              A. Everyone would benefit equally from electronic sampling programs<\/span><\/p>\n

                                                                                                                                                                              B. physicians in hospitals who are too busy to see representatives<\/span><\/p>\n

                                                                                                                                                                              C. physicians in rural areas who are not as frequently visited by representatives<\/span><\/p>\n

                                                                                                                                                                              D. physicians in urban areas who are too busy to see representatives<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              16. When referring to medication dosage, which abbreviation means “one-half’:<\/span><\/p>\n

                                                                                                                                                                              A. MS<\/span><\/p>\n

                                                                                                                                                                              B. OH<\/span><\/p>\n

                                                                                                                                                                              C. SM<\/span><\/p>\n

                                                                                                                                                                              D. SS<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              17 What is an internist?<\/span><\/p>\n

                                                                                                                                                                              A. a physician who practices internal medicine<\/span><\/p>\n

                                                                                                                                                                              B. a physician’s intern<\/span><\/p>\n

                                                                                                                                                                              C. a type of oncologist who specializes in chemotherapy<\/span><\/p>\n

                                                                                                                                                                              D. an internal sales representative<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              18. Which of the following is a type of white blood cell?<\/span><\/p>\n

                                                                                                                                                                              A. erythrocytes<\/span><\/p>\n

                                                                                                                                                                              B. insulin<\/span><\/p>\n

                                                                                                                                                                              C. Lymphocytes<\/span><\/p>\n

                                                                                                                                                                              D.HCs<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              19. Why are novice sales representatives often placed in charge of negotiating MCO formularies?<\/span><\/p>\n

                                                                                                                                                                              A. to become more familiar with the healthcare industry<\/span><\/p>\n

                                                                                                                                                                              B. to become more familiar with their territories<\/span><\/p>\n

                                                                                                                                                                              C. P&T committees are more receptive to new faces.<\/span><\/p>\n

                                                                                                                                                                              D. They are not. This job is usually reserved for more experienced reps.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              20. What distinguishes pharmacodynamics from pharmacokinetics?<\/span><\/p>\n

                                                                                                                                                                              A. Pharmacodynamics studies a drug’s ex vivo effects.<\/span><\/p>\n

                                                                                                                                                                              B. Pharmacodynamics studies how drugs affect the body.<\/span><\/p>\n

                                                                                                                                                                              C. Pharmacodynamics studies the how the body affects drugs.<\/span><\/p>\n

                                                                                                                                                                              D. Pharmacodynamics studies the time required for a drug’s absorption.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              21 What proportion of the drugs tested on human subjects are eventually approved by the FDA?<\/span><\/p>\n

                                                                                                                                                                              A. about 20%<\/span><\/p>\n

                                                                                                                                                                              B. about 60%<\/span><\/p>\n

                                                                                                                                                                              C. about 70%<\/span><\/p>\n

                                                                                                                                                                              D. about 95%<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              22. According to a study discussed in your manual, how do most physicians prefer to receive their drug samples?<\/span><\/p>\n

                                                                                                                                                                              A. by borrowing them from hospitals<\/span><\/p>\n

                                                                                                                                                                              B. by ordering them over the Internet<\/span><\/p>\n

                                                                                                                                                                              C. by trading them for services<\/span><\/p>\n

                                                                                                                                                                              D. directly from sales representatives<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              23. Which of the following is an example of a central value?<\/span><\/p>\n

                                                                                                                                                                              A. I buy Advil to show that I’m a modern consumer.<\/span><\/p>\n

                                                                                                                                                                              B. I like Advil because we were both born in the 80s.<\/span><\/p>\n

                                                                                                                                                                              C. I prefer Advil because I like the flavor.<\/span><\/p>\n

                                                                                                                                                                              D. I prefer Advil because it’s easier to swallow.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              24. Which of the following specialties likely has the MOST emergency calls?<\/span><\/p>\n

                                                                                                                                                                              A. cardiology<\/span><\/p>\n

                                                                                                                                                                              B. psychiatry<\/span><\/p>\n

                                                                                                                                                                              C. urology<\/span><\/p>\n

                                                                                                                                                                              D. All specialists have the same number of emergency calls.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              25. What affects the rate of active transport?<\/span><\/p>\n

                                                                                                                                                                              A. the availability of carriers. but not energy<\/span><\/p>\n

                                                                                                                                                                              B. the availability of energy. but not carriers<\/span><\/p>\n

                                                                                                                                                                              C. the availability of carriers and energy<\/span><\/p>\n

                                                                                                                                                                              D. neither the availability of carriers nor the availability of energy<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              26. Over the last few decades, what has happened to the FDA approval time for new drugs?<\/span><\/p>\n

                                                                                                                                                                              A. It has been lengthened to ensure safer drug products.<\/span><\/p>\n

                                                                                                                                                                              B. It has been lengthened to limit DTC marketing<\/span><\/p>\n

                                                                                                                                                                              C. It has been shortened to improve drug quality<\/span><\/p>\n

                                                                                                                                                                              D. It has been shortened to reduce the cost of new drug development.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              27. Which of the following would NOT help improve compliance?<\/span><\/p>\n

                                                                                                                                                                              A. patients liking their providers<\/span><\/p>\n

                                                                                                                                                                              B. patients using only one pharmacist<\/span><\/p>\n

                                                                                                                                                                              C. pharmacists understanding how generics differ from brand name drugs<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 support groups<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              28. Which entity chooses a drug’s trade name?<\/span><\/p>\n

                                                                                                                                                                              A. the drug’s inventor<\/span><\/p>\n

                                                                                                                                                                              B. the drug’s manufacturer<\/span><\/p>\n

                                                                                                                                                                              C. the FDA<\/span><\/p>\n

                                                                                                                                                                              D. the United States Pharmaceutical Council<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              29. What type of stem cells are obtained from embryos and can develop into any cell type?<\/span><\/p>\n

                                                                                                                                                                              A. multipotent<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 pluripotent<\/span><\/p>\n

                                                                                                                                                                              C. totipotent<\/span><\/p>\n

                                                                                                                                                                              D. All stem cells can develop into any cell type.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              30. As the price a patient pays for a prescription increases, what happens to the likelihood that the patient will fill it?<\/span><\/p>\n

                                                                                                                                                                              A. It decreases.<\/span><\/p>\n

                                                                                                                                                                              B. It increases.<\/span><\/p>\n

                                                                                                                                                                              C. It remains unaffected because the prescription is needed.<\/span><\/p>\n

                                                                                                                                                                              D. It remains unaffected because the prescription’s increased cost is offset by its perceived value.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              31. Most involuntary movements come from which type of muscle tissue?<\/span><\/p>\n

                                                                                                                                                                              A. cardiac and smooth<\/span><\/p>\n

                                                                                                                                                                              B. only skeletal<\/span><\/p>\n

                                                                                                                                                                              C. skeletal and cardiac<\/span><\/p>\n

                                                                                                                                                                              D. skeletal and smooth<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              32. Which of the following is NOT one of the body’s major organ systems?<\/span><\/p>\n

                                                                                                                                                                              A. the cardiovascular system<\/span><\/p>\n

                                                                                                                                                                              B. the cellular system<\/span><\/p>\n

                                                                                                                                                                              C. the gastrointestinal system<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 the musculoskeletal system<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              33. How do most drugs exert their primary physiological effects?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 by activating synapses between different types of tissues<\/span><\/p>\n

                                                                                                                                                                              B. by binding to cell receptors that are sensitive to their presence<\/span><\/p>\n

                                                                                                                                                                              C. by inhibiting synapses between different types of tissues<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 through genetic mutation<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              34. What is the most reliable source of information for determining therapeutically equivalent drug products?<\/span><\/p>\n

                                                                                                                                                                              A. AMA guide<\/span><\/p>\n

                                                                                                                                                                              B. Blue Book<\/span><\/p>\n

                                                                                                                                                                              C. FDA drug list<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 Orange Book<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              35. What does subcutaneous mean?<\/span><\/p>\n

                                                                                                                                                                              A. beneath the intervention<\/span><\/p>\n

                                                                                                                                                                              B. beneath the muscle tissue<\/span><\/p>\n

                                                                                                                                                                              C. beneath the outer skin<\/span><\/p>\n

                                                                                                                                                                              D. beneath the suture<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              36. What should a sales representative do if all of the prime spaces in a drug cabinet are coccupied?<\/span><\/p>\n

                                                                                                                                                                              A. ask staff for permission to move some of the other products in the cabinet<\/span><\/p>\n

                                                                                                                                                                              B. ask staff for permission to throw away expired products in the cabinet<\/span><\/p>\n

                                                                                                                                                                              C. ask the doctor if he still needs some of the other products in the cabinet<\/span><\/p>\n

                                                                                                                                                                              D. surreptitiously move your largest competitors’ products out of the way<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              37. It is inappropriate for physicians’ prescribing behaviors to be educated by their personal tastes and idiosyncrasies<\/span><\/p>\n

                                                                                                                                                                              A. TRUE<\/span><\/p>\n

                                                                                                                                                                              B. FALSE<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              38.The FDA defines API as the active__ ingredient in a drug, which produces the desired change in the body.<\/span><\/p>\n

                                                                                                                                                                              A. pharmaceutical<\/span><\/p>\n

                                                                                                                                                                              B. positive<\/span><\/p>\n

                                                                                                                                                                              C. potent<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 primary<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              39. What are the 2 legal classifications of wholesalers?<\/span><\/p>\n

                                                                                                                                                                              A. distributors and supply chains<\/span><\/p>\n

                                                                                                                                                                              B. pharmacists and NAMs<\/span><\/p>\n

                                                                                                                                                                              C. primary and secondary wholesale distributors<\/span><\/p>\n

                                                                                                                                                                              D. retailers and institutions<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              40.What term describes the usage of a medication for purposes other than the FDA-approved indications on the labeling?<\/span><\/p>\n

                                                                                                                                                                              A. contraindicative indication<\/span><\/p>\n

                                                                                                                                                                              B. off-indication usage<\/span><\/p>\n

                                                                                                                                                                              C or D. off-label<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              41. What is the acronym for pharmacokinetics?<\/span><\/p>\n

                                                                                                                                                                              A. KN<\/span><\/p>\n

                                                                                                                                                                              B. PC<\/span><\/p>\n

                                                                                                                                                                              C. PK<\/span><\/p>\n

                                                                                                                                                                              D. pT<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              42. The dosage range of a drug that is both safe and beneficial is known as the therapeutic window.<\/span><\/p>\n

                                                                                                                                                                              A. TRUE<\/span><\/p>\n

                                                                                                                                                                              B. FALSE<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              43. What is typically NOT a characteristic of a pharmaceutical sales rep?<\/span><\/p>\n

                                                                                                                                                                              A. Pharmaceutical sales reps are authentic and real.<\/span><\/p>\n

                                                                                                                                                                              B. Pharmaceutical sales reps are creative.<\/span><\/p>\n

                                                                                                                                                                              C. Pharmaceutical sales reps are focused.<\/span><\/p>\n

                                                                                                                                                                              D. Pharmaceutical sales reps are not concerned about competitors.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              44. What entity grants drug patents?<\/span><\/p>\n

                                                                                                                                                                              A. the FDA<\/span><\/p>\n

                                                                                                                                                                              B. the FDA if the drug is over-the-counter and the U.S. Patent and Trademark Office if the drug is prescription<\/span><\/p>\n

                                                                                                                                                                              C. the FDA if the drug is prescription and the U.S. Patent and Trademark Office if the drug is over-the-counter<\/span><\/p>\n

                                                                                                                                                                              D. the U.S. Patent and Trademark Office<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              45. Which of the following refers to all active and inert pharmaceutical ingredients in a drug, including fillers and colors?<\/span><\/p>\n

                                                                                                                                                                              A. formulation<\/span><\/p>\n

                                                                                                                                                                              B. mycoplasma<\/span><\/p>\n

                                                                                                                                                                              C. peptide<\/span><\/p>\n

                                                                                                                                                                              D. saccharide<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              46. What is the difference between potency and efficacy?<\/span><\/p>\n

                                                                                                                                                                              A. Doctors prefer more potent drugs.<\/span><\/p>\n

                                                                                                                                                                              B. Drug manufacturers prefer more potent drugs.<\/span><\/p>\n

                                                                                                                                                                              C. Potency refers to the drug’s effectiveness. while efficacy refers to its strength.<\/span><\/p>\n

                                                                                                                                                                              D. Potency refers to the drug’s strength, while efficacy refers to its effectiveness.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              47. What is the minimum level of education required for a nurse practitioner?<\/span><\/p>\n

                                                                                                                                                                              A. a certification program<\/span><\/p>\n

                                                                                                                                                                              B. an associate’s degree\u00a0\u00a0\u00a0\u00a0 <\/span><\/p>\n

                                                                                                                                                                              C. a bachelor’s degree<\/span><\/p>\n

                                                                                                                                                                              D. a graduate degree<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              48. How many names must a drug have?<\/span><\/p>\n

                                                                                                                                                                              A. at most three<\/span><\/p>\n

                                                                                                                                                                              B. at least three<\/span><\/p>\n

                                                                                                                                                                              C. at most five<\/span><\/p>\n

                                                                                                                                                                              D. at least five<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              49. How has a longer development time increased the cost of bringing a new drug to market?<\/span><\/p>\n

                                                                                                                                                                              Answer: Increasing the cost of capital<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              50. Senior citizens consume over times as many pharmaceuticals as people under 65.<\/span><\/p>\n

                                                                                                                                                                              A. three<\/span><\/p>\n

                                                                                                                                                                              B. five<\/span><\/p>\n

                                                                                                                                                                              C. ten<\/span><\/p>\n

                                                                                                                                                                              D. fifteen<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              51. What agency regulates the distribution and use of narcotics?<\/span><\/p>\n

                                                                                                                                                                              A. DEA<\/span><\/p>\n

                                                                                                                                                                              B. FTC<\/span><\/p>\n

                                                                                                                                                                              C. OIG<\/span><\/p>\n

                                                                                                                                                                              D.TSA<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              52. What is passive diffusion?<\/span><\/p>\n

                                                                                                                                                                              A. a type of pinocytosis<\/span><\/p>\n

                                                                                                                                                                              B. membrane transport via vesicles<\/span><\/p>\n

                                                                                                                                                                              C. the use of energy to help a substance pass from a low concentration gradient to a high one<\/span><\/p>\n

                                                                                                                                                                              D. when a substance freely moves through a membrane from a high concentration gradient to a low one<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              53. What are the MAIN categories of drugs under FDA jurisdiction?<\/span><\/p>\n

                                                                                                                                                                              A. active drugs and active placebos<\/span><\/p>\n

                                                                                                                                                                              B. biopharmaceuticals and nutraceuticals<\/span><\/p>\n

                                                                                                                                                                              C. non-prescription and nutraceuticals<\/span><\/p>\n

                                                                                                                                                                              D. prescription and non prescription<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              54. Answer: Oxytocin<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              55. What are all metabolites?<\/span><\/p>\n

                                                                                                                                                                              A. active substances<\/span><\/p>\n

                                                                                                                                                                              B. inactive substances<\/span><\/p>\n

                                                                                                                                                                              C. injections<\/span><\/p>\n

                                                                                                                                                                              D. products of metabolism<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              56. When a drug is administered orally, where does first-pass metabolism occur?<\/span><\/p>\n

                                                                                                                                                                              A. intestine<\/span><\/p>\n

                                                                                                                                                                              B. liver<\/span><\/p>\n

                                                                                                                                                                              C. pancreas<\/span><\/p>\n

                                                                                                                                                                              D. stomach<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              57. What is the medical term for swelling?<\/span><\/p>\n

                                                                                                                                                                              A. assay<\/span><\/p>\n

                                                                                                                                                                              B. edema<\/span><\/p>\n

                                                                                                                                                                              C. instillation<\/span><\/p>\n

                                                                                                                                                                              D. protease<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              58. Which of the following is NOT part of the Seven Step Cascade of Emotion?<\/span><\/p>\n

                                                                                                                                                                              A. be a consultant. not a rep<\/span><\/p>\n

                                                                                                                                                                              B. identify what your product does<\/span><\/p>\n

                                                                                                                                                                              C. reflect<\/span><\/p>\n

                                                                                                                                                                              D. visualize the power of 10<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              59. Which part of a clinical research paper is frequently referred to as the road map?<\/span><\/p>\n

                                                                                                                                                                              A. abstract<\/span><\/p>\n

                                                                                                                                                                              B. findings<\/span><\/p>\n

                                                                                                                                                                              C. letter to the editor<\/span><\/p>\n

                                                                                                                                                                              D . methods<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              60. Which of the following is a main active ingredient in lung surfactants?<\/span><\/p>\n

                                                                                                                                                                              A. animal lung extract<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 germicides<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 sympathomimetic drugs<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 theophylline<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              61. What does parenteral mean?<\/span><\/p>\n

                                                                                                                                                                              A. child prescriptions<\/span><\/p>\n

                                                                                                                                                                              B. injection<\/span><\/p>\n

                                                                                                                                                                              C. oral<\/span><\/p>\n

                                                                                                                                                                              D. tablet<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              62. Which term denotes a type of substance that enhances the action of a drug or antigen?<\/span><\/p>\n

                                                                                                                                                                              A. adjuvant<\/span><\/p>\n

                                                                                                                                                                              B. indicated<\/span><\/p>\n

                                                                                                                                                                              C. ligase<\/span><\/p>\n

                                                                                                                                                                              D peptide<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              63. If a sales representative’s product is placed on the second tier of a standard three-tier formulary, which of the following is most likely true?<\/span><\/p>\n

                                                                                                                                                                              A. It has not been reviewed by the P&T committee.<\/span><\/p>\n

                                                                                                                                                                              B. It is in a neutral position unless it is at parity with other drugs.<\/span><\/p>\n

                                                                                                                                                                              C. It probably has exclusive preferred status if it is not at parity with any other drugs.<\/span><\/p>\n

                                                                                                                                                                              D. It will essentially sell itself if it is granted exclusive preferred status.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              64. Which of the following is NOT one of the four basic transport mechanisms?<\/span><\/p>\n

                                                                                                                                                                              A. active transport<\/span><\/p>\n

                                                                                                                                                                              B. homeostasis<\/span><\/p>\n

                                                                                                                                                                              C. passive diffusion<\/span><\/p>\n

                                                                                                                                                                              D. pinocytosis<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              65. Which statement accurately describes a relationship between drug agonists and antagonists?<\/span><\/p>\n

                                                                                                                                                                              A. Agonists and antagonists can be used together.<\/span><\/p>\n

                                                                                                                                                                              B. Agonists and antagonists should not be used together.<\/span><\/p>\n

                                                                                                                                                                              C. Antagonist drugs activate receptors. while agonists block access to receptors.<\/span><\/p>\n

                                                                                                                                                                              D. Antagonists are endogenous whereas agonists are man-made.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              66. What is the study of the effects and movement of drugs in the human body?<\/span><\/p>\n

                                                                                                                                                                              A. anatomy<\/span><\/p>\n

                                                                                                                                                                              B. antology<\/span><\/p>\n

                                                                                                                                                                              C. clinical pharmacology<\/span><\/p>\n

                                                                                                                                                                              D. pathology<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              67. According to your manual, what is a common complaint that physicians have about traditional sampling methods?<\/span><\/p>\n

                                                                                                                                                                              A. that drug sample supply is too unpredictable<\/span><\/p>\n

                                                                                                                                                                              B. that patients are less likely to take free samples because they think they are lower quality<\/span><\/p>\n

                                                                                                                                                                              C. that patients do not like seeing drug representatives in their offices<\/span><\/p>\n

                                                                                                                                                                              D. that they receive too many drug samples<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              68. Which of these entities is formed by two or more hospitals or other healthcare entities to negotiate reduced rates with its aggregated purchasing power?<\/span><\/p>\n

                                                                                                                                                                              A. GPO<\/span><\/p>\n

                                                                                                                                                                              B. In-state wholesaler<\/span><\/p>\n

                                                                                                                                                                              C. PPO<\/span><\/p>\n

                                                                                                                                                                              D. RPO<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              69. What is another name for a drug derived from a biologic compound?<\/span><\/p>\n

                                                                                                                                                                              A. large molecule\u00a0 <\/span><\/p>\n

                                                                                                                                                                              B. oligonucleotide<\/span><\/p>\n

                                                                                                                                                                              C. orgaanism<\/span><\/p>\n

                                                                                                                                                                              D. small molecule<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              70. What is the most common policy regarding pharmaceutical reps dispensing drug samples in hospitals?<\/span><\/p>\n

                                                                                                                                                                              A. By federal law. drug sampling is permitted in all hospitals.<\/span><\/p>\n

                                                                                                                                                                              B. By federal law. it is up to individual physicians. not the hospital.<\/span><\/p>\n

                                                                                                                                                                              C. Drug sampling is encouraged. but not required.<\/span><\/p>\n

                                                                                                                                                                              D. Drug sampling is often forbidden.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              71 Which of the following would help you build trust with a physician?<\/span><\/p>\n

                                                                                                                                                                              A. asking if he or she is having any problems with the managed care coverage of your products<\/span><\/p>\n

                                                                                                                                                                              B. repeating a question you already asked<\/span><\/p>\n

                                                                                                                                                                              C. surprising the office staff with a new poster in the break room<\/span><\/p>\n

                                                                                                                                                                              D. None of these would help you build trust with a physician.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              72. What term denotes the difference between the usual effective dose and the dose that induces severe or life-threatening side effects?<\/span><\/p>\n

                                                                                                                                                                              A. dose-response relationship<\/span><\/p>\n

                                                                                                                                                                              B. margin of safety<\/span><\/p>\n

                                                                                                                                                                              C. the placebo effect<\/span><\/p>\n

                                                                                                                                                                              D. therapeutic window<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              73. What are excipients?<\/span><\/p>\n

                                                                                                                                                                              A. a type of cell receptor to which antagonists bind to decrease the effects of the body’s natural agonists<\/span><\/p>\n

                                                                                                                                                                              B. another term for generic equivalents<\/span><\/p>\n

                                                                                                                                                                              C. sites of action besides the target sites of action<\/span><\/p>\n

                                                                                                                                                                              D. the inert ingredients in a drug formulation<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              74. What is another term for the AWP?<\/span><\/p>\n

                                                                                                                                                                              A. dock-to-dock price<\/span><\/p>\n

                                                                                                                                                                              B. float price<\/span><\/p>\n

                                                                                                                                                                              C. list price<\/span><\/p>\n

                                                                                                                                                                              D. non-stock price<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              75. Which of these is the most likely use for a uterotonic agent?<\/span><\/p>\n

                                                                                                                                                                              A. to induce labor<\/span><\/p>\n

                                                                                                                                                                              B. to make the urine more alkaline<\/span><\/p>\n

                                                                                                                                                                              C. to supplement oral food intake<\/span><\/p>\n

                                                                                                                                                                              D. to treat hyperthyroidism<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              76. As of November 2013, which of these countries has legalized DTC advertising of prescription drugs?<\/span><\/p>\n

                                                                                                                                                                              A. Canada<\/span><\/p>\n

                                                                                                                                                                              B. Japan<\/span><\/p>\n

                                                                                                                                                                              C. Spain<\/span><\/p>\n

                                                                                                                                                                              D. none of these<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              77. Why are oral drugs often taken on an empty stomach?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 to be more wholly absorbed by the stomach<\/span><\/p>\n

                                                                                                                                                                              B. to minimize absorption by the intestine<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 to minimize nausea<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              D. to pass through the stomach more quickly<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              78. What is one factor that differentiates community health centers from hospitals?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 Community health center formularies are more restrictive.<\/span><\/p>\n

                                                                                                                                                                              B. Community health centers have higher reimbursement rates.<\/span><\/p>\n

                                                                                                                                                                              C. Newer brand name drugs are easier to access at community health centers.<\/span><\/p>\n

                                                                                                                                                                              D. None of these<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              79. How does drug sampling provide a social benefit?<\/span><\/p>\n

                                                                                                                                                                              A. Doctors donate their unused drug samples to charities.<\/span><\/p>\n

                                                                                                                                                                              B. Doctors often use drug samples to treat patients who otherwise could not afford it.<\/span><\/p>\n

                                                                                                                                                                              C. It allows patients to try out different prescription medications before consulting with physicians.<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 Drug sampling provides a social benefit in all of these ways.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              80. Which medical term denotes the use of a stethoscope to listen to the heart?<\/span><\/p>\n

                                                                                                                                                                              A. auscultation<\/span><\/p>\n

                                                                                                                                                                              B. cardioversion<\/span><\/p>\n

                                                                                                                                                                              C. catheterization<\/span><\/p>\n

                                                                                                                                                                              D. echocardiography<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              81. What do enteric coatings do?<\/span><\/p>\n

                                                                                                                                                                              A. facilitate vomiting<\/span><\/p>\n

                                                                                                                                                                              B. help drugs dissolve in the stomach<\/span><\/p>\n

                                                                                                                                                                              C. help drugs enter the bloodstream more quickly<\/span><\/p>\n

                                                                                                                                                                              D. prevent dissolution in the stomach<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              82. What is the duration of exclusivity for orphan drugs?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 6 months<\/span><\/p>\n

                                                                                                                                                                              B. 1 year<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 7 years<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 15 years<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              83. What do National Account Managers do?<\/span><\/p>\n

                                                                                                                                                                              A. act as the sales reps’ primary point of contact with the rest of the corporation<\/span><\/p>\n

                                                                                                                                                                              B. manage the FDA approval process<\/span><\/p>\n

                                                                                                                                                                              C. negotiate contracts with MCOs and PBMs<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 sell only to pharmacies<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              84. What does it usually mean if a drug recall is voluntary?<\/span><\/p>\n

                                                                                                                                                                              A. Pharmacies may choose whether to return the drug or dispense it.<\/span><\/p>\n

                                                                                                                                                                              B. The FDA has determined that the drug is perfectly safe. but ineffective.<\/span><\/p>\n

                                                                                                                                                                              C. The manufacturer has recalled the product on its own. but negotiated with the FDA beforehand.<\/span><\/p>\n

                                                                                                                                                                              D. The manufacturer has recalled the product without negotiating with the FDA.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              85. Which phase of clinical trials is also known as the pivotal phase?<\/span><\/p>\n

                                                                                                                                                                              A. Phase I<\/span><\/p>\n

                                                                                                                                                                              B. Phase III<\/span><\/p>\n

                                                                                                                                                                              C Phase IV<\/span><\/p>\n

                                                                                                                                                                              D. Phase IX<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              86. During which phase of clinical trials is the new drug’s safety and effectiveness first tested in the target group?<\/span><\/p>\n

                                                                                                                                                                              A. preclinical<\/span><\/p>\n

                                                                                                                                                                              B. Phase I<\/span><\/p>\n

                                                                                                                                                                              C. Phase II<\/span><\/p>\n

                                                                                                                                                                              D. Phase III<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              87. How do antacids work?<\/span><\/p>\n

                                                                                                                                                                              A. by increasing blood flow to the stomach<\/span><\/p>\n

                                                                                                                                                                              B. by lowering gastric pH<\/span><\/p>\n

                                                                                                                                                                              C. by raising gastric pH<\/span><\/p>\n

                                                                                                                                                                              D. by suppressing cholesterol formation by the liver<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              88. What is one of the biggest time wasters for a pharmaceutical sales rep?<\/span><\/p>\n

                                                                                                                                                                              A. Caterers<\/span><\/p>\n

                                                                                                                                                                              B. Pharcists<\/span><\/p>\n

                                                                                                                                                                              C. receptionists<\/span><\/p>\n

                                                                                                                                                                              D. travel time<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              89. What happens when equilibrium is reached?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 equal numbers of molecules cross the membrane in both directions<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 molecules stop moving<\/span><\/p>\n

                                                                                                                                                                              C. the concentration gradient decreases indefinitely<\/span><\/p>\n

                                                                                                                                                                              D. the concentration gradient increases indefinitely<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              90. What are the most common vectors used in gene therapy?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 autologous antigens<\/span><\/p>\n

                                                                                                                                                                              B. liposomes<\/span><\/p>\n

                                                                                                                                                                              C. naked DNA<\/span><\/p>\n

                                                                                                                                                                              D. viruses<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              91. What is the percentage fee that the dispenser pays the wholesaler for distribution?<\/span><\/p>\n

                                                                                                                                                                              A. margin fee<\/span><\/p>\n

                                                                                                                                                                              B. recharge<\/span><\/p>\n

                                                                                                                                                                              C. standard fee<\/span><\/p>\n

                                                                                                                                                                              D. upcharge<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              92. What is the difference between a chronic (or continuing) reaction, and a delayed reaction?<\/span><\/p>\n

                                                                                                                                                                              A. Chronic reactions are exaggerated. whereas delayed reactions are idiosyncratic.<\/span><\/p>\n

                                                                                                                                                                              B. Chronic reactions occur only during treatment. whereas delayed reactions only occur during withdrawal.<\/span><\/p>\n

                                                                                                                                                                              C. Chronic reactions persist for a long time. whereas delayed reactions take some time to develop.<\/span><\/p>\n

                                                                                                                                                                              D. Delayed reactions are always idiosyncratic. but chronic reactions are not.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              93 What is clinical effect?<\/span><\/p>\n

                                                                                                                                                                              A. federally funded research condition<\/span><\/p>\n

                                                                                                                                                                              B. the effect of maximum dosage<\/span><\/p>\n

                                                                                                                                                                              C. the response produced by a medication<\/span><\/p>\n

                                                                                                                                                                              D. the use of treatment drugs in chemotherapy<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              94. Which of the following is an example of noncompliance?<\/span><\/p>\n

                                                                                                                                                                              A. a patient forgetting to take a drug at a specified time of day<\/span><\/p>\n

                                                                                                                                                                              B. a patient taking a drug. but only because it has been court-mandated<\/span><\/p>\n

                                                                                                                                                                              C. a pharmacist dispensing a generic equivalent of a drug instead of the brand name<\/span><\/p>\n

                                                                                                                                                                              D. a physician refusing to prescribe a drug because he or she does not trust the clinical studies on it<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              95. What is the average circulation time of blood?<\/span><\/p>\n

                                                                                                                                                                              A. about a minute<\/span><\/p>\n

                                                                                                                                                                              B. about 5 minutes<\/span><\/p>\n

                                                                                                                                                                              C. about 5 to 10 minutes depending on the patient’s age and health conditions<\/span><\/p>\n

                                                                                                                                                                              D. about 10 minutes<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              96. What is one way in which pharmaceutical selling is different from selling in most other industries?<\/span><\/p>\n

                                                                                                                                                                              A. In pharmaceutical sales. the decisions-makers. consumers. and payers are usually the same entity.<\/span><\/p>\n

                                                                                                                                                                              B. Pharmaceutical selling takes less time because doctors are so busy.<\/span><\/p>\n

                                                                                                                                                                              C. Representatives do NOT sell to the end user of the product.<\/span><\/p>\n

                                                                                                                                                                              D. Representatives DO sell to the end user of the product.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              97. From what types of entities do primary wholesale distributors buy most of their drugs?<\/span><\/p>\n

                                                                                                                                                                              A. brokerages<\/span><\/p>\n

                                                                                                                                                                              B. buying clubs<\/span><\/p>\n

                                                                                                                                                                              C. manufacturers<\/span><\/p>\n

                                                                                                                                                                              D. physicians<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              98.What is the Office of the Inspector General (01G)?<\/span><\/p>\n

                                                                                                                                                                              A. a department in pharmaceutical companies<\/span><\/p>\n

                                                                                                                                                                              B. an arm of the Department of Health and Human Services<\/span><\/p>\n

                                                                                                                                                                              C. an arm of the European Medicines Agency<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0D an arm of the FDA<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              99. What are doctors required to consider when deciding whether or not to prescribe a particular drug?<\/span><\/p>\n

                                                                                                                                                                              A. quantity of life over quality of life<\/span><\/p>\n

                                                                                                                                                                              B. that no drugs with adverse effects should ever be used<\/span><\/p>\n

                                                                                                                                                                              C. the inferiority of OTC drugs<\/span><\/p>\n

                                                                                                                                                                              D. the severity of the disorder being treated and the effect it has on the patient’s quality of life<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              100. Which entity assigns a new drug its generic names?<\/span><\/p>\n

                                                                                                                                                                              A. the drug’s inventor<\/span><\/p>\n

                                                                                                                                                                              B. the Food and Drug Administration<\/span><\/p>\n

                                                                                                                                                                              C. the United States Adopted Name Council<\/span><\/p>\n

                                                                                                                                                                              D. the United States Pharmaceutical Council<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              101. Drugs can be used days beyond their expiration date.<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 2-7 days. depending on the most current monograph.<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 2-90 days. depending on state laws<\/span><\/p>\n

                                                                                                                                                                              C. 7-90 days. depending on the type of drug and its therapeutic class.<\/span><\/p>\n

                                                                                                                                                                              D. none of these<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              102. What is necessary for a drug to be excreted extensively via the kidneys?<\/span><\/p>\n

                                                                                                                                                                              A. The drug must be water-soluble. and not bind too tightly to proteins in the bloodstream.<\/span><\/p>\n

                                                                                                                                                                              B. The drug must have a phospholipid bilayer and be non-water-soluble.<\/span><\/p>\n

                                                                                                                                                                              C. The drug must have a phospholipid bilayer and bind well to proteins in the bloodstream.<\/span><\/p>\n

                                                                                                                                                                              D. The drug must not be water-soluble.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              103. Which organization or individual initiates the clinical trial and finances the study?<\/span><\/p>\n

                                                                                                                                                                              A. clinical research organization<\/span><\/p>\n

                                                                                                                                                                              B. investigator<\/span><\/p>\n

                                                                                                                                                                              C. researcher<\/span><\/p>\n

                                                                                                                                                                              D. sponsor<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              104. The name describes the atomic or molecular structure of a drug.<\/span><\/p>\n

                                                                                                                                                                              A. chemical<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 generic<\/span><\/p>\n

                                                                                                                                                                              C. pharmaceutical<\/span><\/p>\n

                                                                                                                                                                              D. proprietary<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              105. Under PhRMA Code, is it acceptable or unacceptable for a pharmaceutical sales rep to take a physician and the physician’s spouse to a fundraising dinner?<\/span><\/p>\n

                                                                                                                                                                              A. acceptable if only the physician attends<\/span><\/p>\n

                                                                                                                                                                              B. acceptable if only the physician attends. and the total is under $100<\/span><\/p>\n

                                                                                                                                                                              C. acceptable if the total is under $100<\/span><\/p>\n

                                                                                                                                                                              D. unacceptable<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              106. The Hatch-Waxman Act is considered the most significant drug-related affecting the pharmaceutical industry since 1962.<\/span><\/p>\n

                                                                                                                                                                              A. experiment<\/span><\/p>\n

                                                                                                                                                                              B. legislation<\/span><\/p>\n

                                                                                                                                                                              C. process<\/span><\/p>\n

                                                                                                                                                                              D. research<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              107. What term denotes the the extent, quality, or degree to which a substance is poisonous or harmful to the body?<\/span><\/p>\n

                                                                                                                                                                              A. caliber<\/span><\/p>\n

                                                                                                                                                                              B. chronicity<\/span><\/p>\n

                                                                                                                                                                              C. indication<\/span><\/p>\n

                                                                                                                                                                              D. toxicity<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              108. What issue has MOST encouraged consumers’ desire to see more OTC medications?<\/span><\/p>\n

                                                                                                                                                                              A. a weaker patients’ rights movement<\/span><\/p>\n

                                                                                                                                                                              B. lack of insurance coverage<\/span><\/p>\n

                                                                                                                                                                              C. less reliance on the Internet<\/span><\/p>\n

                                                                                                                                                                              D. proliferation of herbal remedies<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              109. What is the degree to which a medication produces a therapeutic effect?<\/span><\/p>\n

                                                                                                                                                                              A. diffusion<\/span><\/p>\n

                                                                                                                                                                              B. efficacy<\/span><\/p>\n

                                                                                                                                                                              C. protease<\/span><\/p>\n

                                                                                                                                                                              D. vector<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              110. What is the most important benefit of electronic prescribing?<\/span><\/p>\n

                                                                                                                                                                              A. Choice<\/span><\/p>\n

                                                                                                                                                                              B. cost<\/span><\/p>\n

                                                                                                                                                                              C. inquiries<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 safety\u00a0\u00a0 <\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              111. When does the FDA regulate generic drugs?<\/span><\/p>\n

                                                                                                                                                                              A. only if they are branded generics<\/span><\/p>\n

                                                                                                                                                                              B. only if they have been contested<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 always<\/span><\/p>\n

                                                                                                                                                                              D never<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              112. Which phase of trials largely determines the clinical dose?<\/span><\/p>\n

                                                                                                                                                                              A. preclinical trials<\/span><\/p>\n

                                                                                                                                                                              B. Phase II trials<\/span><\/p>\n

                                                                                                                                                                              C. Phase III trials<\/span><\/p>\n

                                                                                                                                                                              D. Phase IV trials<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              113. What is an advantage of inactivated vaccines over attenuated vaccines?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 Inactivated vaccines are less expensive to prepare.<\/span><\/p>\n

                                                                                                                                                                              B. Inactivated vaccines have a higher probability of eliciting the desired immunological response.<\/span><\/p>\n

                                                                                                                                                                              C. Inactivated vaccines have a more stable shelf life.<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 Inactivated vaccines only require a single dose.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              114. Which medical term denotes a low supply of oxygen due to low blood flow?<\/span><\/p>\n

                                                                                                                                                                              A. potentiation<\/span><\/p>\n

                                                                                                                                                                              B. ischemia<\/span><\/p>\n

                                                                                                                                                                              C. TID<\/span><\/p>\n

                                                                                                                                                                              D. titration<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              115. What are the two main types of prescription drug marketing?<\/span><\/p>\n

                                                                                                                                                                              A. (1) marketing to insurance companies. and (2) marketing to pharmacies<\/span><\/p>\n

                                                                                                                                                                              B. (1) PBM marketing. and (2) marketing to governments<\/span><\/p>\n

                                                                                                                                                                              C. (1) professional physician promotions. and (2) direct-to-consumer advertising<\/span><\/p>\n

                                                                                                                                                                              D. (1) publicly-funded marketing. and (2) physician-funded marketing<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              116. What is the site of delivery for subcutaneous injections?<\/span><\/p>\n

                                                                                                                                                                              A. fatty tissue beneath the surface of the skin<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 lymphatic tissue<\/span><\/p>\n

                                                                                                                                                                              C. muscle tissue<\/span><\/p>\n

                                                                                                                                                                              D. the stomach, via a special type of needle<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              117. What must be contained in the Description section of a pharmaceutical package insert?<\/span><\/p>\n

                                                                                                                                                                              A. adverse effects<\/span><\/p>\n

                                                                                                                                                                              B. mechanism of action<\/span><\/p>\n

                                                                                                                                                                              C. pharmacokinetics<\/span><\/p>\n

                                                                                                                                                                              D. the proprietary name and the established name<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              118. What is the study of a medication’s effects as it travels through the body?<\/span><\/p>\n

                                                                                                                                                                              A. pharmacodynamics<\/span><\/p>\n

                                                                                                                                                                              B. pharmacogenetics<\/span><\/p>\n

                                                                                                                                                                              C. pharmacogenomics<\/span><\/p>\n

                                                                                                                                                                              D. pharmacokinetics<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              119. Customers purchase products from people they like, trust, and respect. This is called the\u00a0 <\/span><\/p>\n

                                                                                                                                                                              A. closing of the sale<\/span><\/p>\n

                                                                                                                                                                              B. first time advantage<\/span><\/p>\n

                                                                                                                                                                              C. likeability factor<\/span><\/p>\n

                                                                                                                                                                              D. power of knowledge<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              120. What is penicillin’s primary mechanism of action?<\/span><\/p>\n

                                                                                                                                                                              A. It disturbs bacterial cell wall synthesis.<\/span><\/p>\n

                                                                                                                                                                              B It inhibits the production of viruses.<\/span><\/p>\n

                                                                                                                                                                              C. It prevents proper DNA replication.<\/span><\/p>\n

                                                                                                                                                                              D. It sends a messenger to the bone marrow to produce extra white blood cells<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              121. According to your manual, how has the U.S. healthcare marketplace changed in the last few decades?<\/span><\/p>\n

                                                                                                                                                                              A. Fewer and fewer prescription drugs have been made available as OTCs.<\/span><\/p>\n

                                                                                                                                                                              B. Managed care has been increasingly replaced by more patient-centered approaches.<\/span><\/p>\n

                                                                                                                                                                              C. The aging Baby Boomer generation has begun demanding more personalized attention.<\/span><\/p>\n

                                                                                                                                                                              D. There has been decreased emphasis on preventive health.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              122. How does pharmaceutical marketing help narrow the treatment gap?<\/span><\/p>\n

                                                                                                                                                                              A. It encourages patients to take more active roles in their healthcare.<\/span><\/p>\n

                                                                                                                                                                              B. It makes doctors more skeptical of the pharmaceutical industry.<\/span><\/p>\n

                                                                                                                                                                              C. It makes patients more skeptical of their doctors’ opinions.<\/span><\/p>\n

                                                                                                                                                                              D. all of these<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              123. What do immunosuppressive agents do?<\/span><\/p>\n

                                                                                                                                                                              A. decrease risk of infection<\/span><\/p>\n

                                                                                                                                                                              B. increase risk of infection<\/span><\/p>\n

                                                                                                                                                                              C. reduce the risk of rejection of foreign bodies<\/span><\/p>\n

                                                                                                                                                                              D. treat psoriasis<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              124. What types of drugs are EGFR inhibitors?<\/span><\/p>\n

                                                                                                                                                                              A. antineoplastics<\/span><\/p>\n

                                                                                                                                                                              B. cardiovascular agents<\/span><\/p>\n

                                                                                                                                                                              C. CNS agents<\/span><\/p>\n

                                                                                                                                                                              D. mitotic inhibitors<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              125. Which of the following means outside of the living body?<\/span><\/p>\n

                                                                                                                                                                              A. en vivo<\/span><\/p>\n

                                                                                                                                                                              B. ex vitro<\/span><\/p>\n

                                                                                                                                                                              C. ex vivo<\/span><\/p>\n

                                                                                                                                                                              D. intra vivo<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              126. The FDA requirements for nutraceuticals and medicinal herbs are just as stringent as for pharmaceuticals.<\/span><\/p>\n

                                                                                                                                                                              A. TRUE<\/span><\/p>\n

                                                                                                                                                                              B. FALSE<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              127. What is the estimated net gain of private-sector healthcare’s contributions to increased U.S. life expectancy?<\/span><\/p>\n

                                                                                                                                                                              A. $5-10 billion<\/span><\/p>\n

                                                                                                                                                                              B. $40-50 billion<\/span><\/p>\n

                                                                                                                                                                              C. $800-900 billion<\/span><\/p>\n

                                                                                                                                                                              D.$ 2-5 trillion\u00a0 <\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              128. Which statement is TRUE regarding post-approval drug monitoring?<\/span><\/p>\n

                                                                                                                                                                              A. All side effects are determined during clinical trials.<\/span><\/p>\n

                                                                                                                                                                              B. Drug manufacturers are only required to report adverse effects if they are severe or life-threatening.<\/span><\/p>\n

                                                                                                                                                                              C. Drug manufacturers are only required to report adverse effects if they have been proven in clinical studies.<\/span><\/p>\n

                                                                                                                                                                              D. The FDA can choose to withdraw their approval if new evidence arises.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              129. Which term denotes when tolerance to one medication causes increased tolerance to another medication?<\/span><\/p>\n

                                                                                                                                                                              A. cell tolerance<\/span><\/p>\n

                                                                                                                                                                              B. cross-tolerance<\/span><\/p>\n

                                                                                                                                                                              C. indicated tolerance<\/span><\/p>\n

                                                                                                                                                                              D. minimized tolerance<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              130. Patents expire __ years from the date of filing.<\/span><\/p>\n

                                                                                                                                                                              A. ten<\/span><\/p>\n

                                                                                                                                                                              B. fifteen<\/span><\/p>\n

                                                                                                                                                                              C. twenty<\/span><\/p>\n

                                                                                                                                                                              D. thirty<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              131. After a trade-name drug’s patent expires, how may generic versions of it be sold?<\/span><\/p>\n

                                                                                                                                                                              A. only under the branded generic name<\/span><\/p>\n

                                                                                                                                                                              B. only under the generic name<\/span><\/p>\n

                                                                                                                                                                              C. only under the original trade name<\/span><\/p>\n

                                                                                                                                                                              D. under the original trade name or a generic name<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              132. What is required for a new pharmaceutical to be considered a viable therapy?<\/span><\/p>\n

                                                                                                                                                                              A. It causes no serious adverse effects.<\/span><\/p>\n

                                                                                                                                                                              B. It causes no side effects.<\/span><\/p>\n

                                                                                                                                                                              C. It has an active placebo.<\/span><\/p>\n

                                                                                                                                                                              D. It is more effective and\/or causes fewer serious adverse effects than other drugs on the market.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              133. Under the AMA guidelines, who is ultimately responsible for minimizing conflicts of interest?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 doctors<\/span><\/p>\n

                                                                                                                                                                              B. lawyers and office managers<\/span><\/p>\n

                                                                                                                                                                              C. pharmaceutical companies<\/span><\/p>\n

                                                                                                                                                                              D. sales representatives<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              134. The act of dispensing a pharmaceutical alternative for the product prescribed is<\/span><\/p>\n

                                                                                                                                                                              A. alternative licensure<\/span><\/p>\n

                                                                                                                                                                              B. equivalence practice<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 necessitated substitution<\/span><\/p>\n

                                                                                                                                                                              D. pharmaceutical substitution<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              135. What does it mean if a drug is said to have a wide margin of safety?<\/span><\/p>\n

                                                                                                                                                                              A. Its safety levels have yet to be adequately verified.<\/span><\/p>\n

                                                                                                                                                                              B. Its safety varies widely among different types of patients.<\/span><\/p>\n

                                                                                                                                                                              C. There is a greater chance of severe or life-threatening side effects.<\/span><\/p>\n

                                                                                                                                                                              D. There is a lower chance of severe or life-threatening side effects.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              136. Which of the following is the correct medical acronym for effective dose?<\/span><\/p>\n

                                                                                                                                                                              A. DE<\/span><\/p>\n

                                                                                                                                                                              B. ED<\/span><\/p>\n

                                                                                                                                                                              C. EFD<\/span><\/p>\n

                                                                                                                                                                              D. eff D<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              137. Why is one group of subjects given an active drug, while another group only receives a placebo?<\/span><\/p>\n

                                                                                                                                                                              A. to assess patients’ expectations<\/span><\/p>\n

                                                                                                                                                                              B. to assess the drug’s effectiveness<\/span><\/p>\n

                                                                                                                                                                              C. to assess the professionalism of the study staff<\/span><\/p>\n

                                                                                                                                                                              D. to assess the subjects’ demographics<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              138. A generic version is likely to have some inactive ingredients that are different from those of the original drug.<\/span><\/p>\n

                                                                                                                                                                              A. TRUE<\/span><\/p>\n

                                                                                                                                                                              B. FALSE<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              139. Which of the following is an example of a functional value?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 I drink Coca-Cola because I am a citizen of the world.<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 I drink Coca-Cola because I like looking like a traditionalist.<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 I drink Coca-Cola because I like the taste.<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 I drink Coca-Cola because it is an international brand.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              140. Where are most drugs metabolized?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 interstitial spaces<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 liver<\/span><\/p>\n

                                                                                                                                                                              C. stomach<\/span><\/p>\n

                                                                                                                                                                              D . the bloodstream<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              141. What is essential to the ethical requirement that subjects be selected fairly?<\/span><\/p>\n

                                                                                                                                                                              A. Selection criteria should be well-supported by documented evidence.<\/span><\/p>\n

                                                                                                                                                                              B. Studies should make every attempt to conduct research on subjects who are underprivileged and in need of medical attention.<\/span><\/p>\n

                                                                                                                                                                              C. Subjects should be selected based on scientific objectives.<\/span><\/p>\n

                                                                                                                                                                              D. all of these<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              142. Which of the following is the most appropriate salutation for a cover letter if you cannot find a contact name?<\/span><\/p>\n

                                                                                                                                                                              A. Dear Personnel Department.<\/span><\/p>\n

                                                                                                                                                                              B. Dear Sir or Madam,<\/span><\/p>\n

                                                                                                                                                                              C. Dear Sir<\/span><\/p>\n

                                                                                                                                                                              D.To Whom It May Concern.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              143. What is part of becoming an indispensable pharmaceutical sales rep?<\/span><\/p>\n

                                                                                                                                                                              A. asking for feedback<\/span><\/p>\n

                                                                                                                                                                              B. giving the doctors anything they ask for to prescribe your products<\/span><\/p>\n

                                                                                                                                                                              C. keeping your market share goals the same each term<\/span><\/p>\n

                                                                                                                                                                              D. not bothering busy doctors in hospitals<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              144. Which of the following is NOT typically included in the indications and usage section of the package insert information?<\/span><\/p>\n

                                                                                                                                                                              A. diseases or conditions that the drug is approved to treat<\/span><\/p>\n

                                                                                                                                                                              B. the drug’s active metabolites<\/span><\/p>\n

                                                                                                                                                                              C. the drug’s recommended usual dosage<\/span><\/p>\n

                                                                                                                                                                              D. the drug’s usual dosage range<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              145. Which term denotes the practice of classifying physicians and other potential prescribers by anticipated prescription volume?<\/span><\/p>\n

                                                                                                                                                                              A. conditioning<\/span><\/p>\n

                                                                                                                                                                              B. deciling<\/span><\/p>\n

                                                                                                                                                                              C. detailing<\/span><\/p>\n

                                                                                                                                                                              D. private labeling<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              146. What makes a drug eligible for fast track approval from the FDA?<\/span><\/p>\n

                                                                                                                                                                              A. It is a generic that has already been approved as a branded drug.<\/span><\/p>\n

                                                                                                                                                                              B. It is a new drug.<\/span><\/p>\n

                                                                                                                                                                              C. It is less expensive than what is currently on the market.<\/span><\/p>\n

                                                                                                                                                                              D. It treats patients with a serious. life-threatening condition.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              147. In the gastrointestinal tract, help break up tablets to ensure full release of the active pharmaceutical ingredient.<\/span><\/p>\n

                                                                                                                                                                              A. binders<\/span><\/p>\n

                                                                                                                                                                              B. disintegrants<\/span><\/p>\n

                                                                                                                                                                              C. dispersing agents<\/span><\/p>\n

                                                                                                                                                                              D. lubricants<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              148. According to your manual, what does the PDRP do?<\/span><\/p>\n

                                                                                                                                                                              A. It educates patients on their treatment options.<\/span><\/p>\n

                                                                                                                                                                              B. It expands sales representatives’ access to patient information.<\/span><\/p>\n

                                                                                                                                                                              C. It improves communication between sales representatives and patients in doctors’ offices.<\/span><\/p>\n

                                                                                                                                                                              D. It limits sales representatives’ abilities to see individual physicians’ prescribing data.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              149. What are the components of the central nervous system?<\/span><\/p>\n

                                                                                                                                                                              A. the brain and sense organs<\/span><\/p>\n

                                                                                                                                                                              B. the brain and spinal cord<\/span><\/p>\n

                                                                                                                                                                              C. the brain. spinal cord. and peripheral nervous system<\/span><\/p>\n

                                                                                                                                                                              D. the spinal cord and sense organs<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              150. Which term denotes the origin or cause of a medical condition?<\/span><\/p>\n

                                                                                                                                                                              A. cytology<\/span><\/p>\n

                                                                                                                                                                              B. discovery<\/span><\/p>\n

                                                                                                                                                                              C. etiology<\/span><\/p>\n

                                                                                                                                                                              D. pathology<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              151. Patients diagnosed with Type 1 diabetes…<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 …do not produce enough insulin because they do not have enough B cells.<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 …have an autoimmune disease.<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 …produce enough insulin. but it is not as effective.<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 …rely on insulin from porcine sources.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              152. Which DTC pharmaceutical marketing tactic is permitted in European countries?<\/span><\/p>\n

                                                                                                                                                                              A. disease state ads<\/span><\/p>\n

                                                                                                                                                                              B. branded billboards and disease state ads<\/span><\/p>\n

                                                                                                                                                                              C. branded highway billboards<\/span><\/p>\n

                                                                                                                                                                              D. branded radio ads<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              153. What is one way in which psychologists DIFFER from psychiatrists?<\/span><\/p>\n

                                                                                                                                                                              A. Psychologists are more concerned with subconscious memories than conscious ones.<\/span><\/p>\n

                                                                                                                                                                              B. Psychologists deal more with emotional than physical issues.<\/span><\/p>\n

                                                                                                                                                                              C. Psychologists deal more with physical issues than emotional ones.<\/span><\/p>\n

                                                                                                                                                                              D. Psychologists do not have graduate degrees.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              154. What are PBMs?<\/span><\/p>\n

                                                                                                                                                                              A. governmental organizations that provide healthcare<\/span><\/p>\n

                                                                                                                                                                              B. organizations that design marketing campaigns<\/span><\/p>\n

                                                                                                                                                                              C. organizations that negotiate between pharmaceutical companies and large drug purchasers<\/span><\/p>\n

                                                                                                                                                                              D. organizations that write FDA new drug applications<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              155. How does the Hatch-Waxman Act protect research-based drug manufacturers?<\/span><\/p>\n

                                                                                                                                                                              A. by limiting the competition<\/span><\/p>\n

                                                                                                                                                                              B. by making it easier to bring generic drugs to market<\/span><\/p>\n

                                                                                                                                                                              C. by providing a 30-month cooling off period<\/span><\/p>\n

                                                                                                                                                                              D. by requiring the FDA to only look at bioavailability studies when approving an ANDA\u00a0 <\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              156. What is the process of adjusting drug doses to achieve the maximum positive therapeutic effects while minimizing adverse or side effects?<\/span><\/p>\n

                                                                                                                                                                              A.homeostatic maximization<\/span><\/p>\n

                                                                                                                                                                              B.steady state administration<\/span><\/p>\n

                                                                                                                                                                              C.Sustained release<\/span><\/p>\n

                                                                                                                                                                              D.Titration<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              157. Which of the following is studied more in pharmacodynamics than in pharmacokinetics?<\/span><\/p>\n

                                                                                                                                                                              A. absorption. Distribution metabolism and excretion<\/span><\/p>\n

                                                                                                                                                                              B. dose-response effects<\/span><\/p>\n

                                                                                                                                                                              C. the transportation of the drug to the specific site for drug-receptor interaction<\/span><\/p>\n

                                                                                                                                                                              D. the way the human body deals with a drug after it has been administered<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              158. How does the healthy human immune system use MHC markers?<\/span><\/p>\n

                                                                                                                                                                              A. Substances with MHC markers are discerned as foreign and targeted for destruction.<\/span><\/p>\n

                                                                                                                                                                              B. Substances with MHC markers as discerned as foreign and quarantined in the liver.<\/span><\/p>\n

                                                                                                                                                                              C. Substances with MHC markers as discerned as foreign and quarantined in the pancreas.<\/span><\/p>\n

                                                                                                                                                                              D. Substances without MHC markers are discerned as foreign and targeted for destruction.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              159. What is a behind-the-counter drug?<\/span><\/p>\n

                                                                                                                                                                              A. an OTC drug that must be closely monitored by the pharmacist<\/span><\/p>\n

                                                                                                                                                                              B. another term for a generic prescription drug<\/span><\/p>\n

                                                                                                                                                                              C. another term for a prescription drug<\/span><\/p>\n

                                                                                                                                                                              D. another term for an OTC drug<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              160. When do MSLs meet with clinicians?<\/span><\/p>\n

                                                                                                                                                                              A. at nearly any stage of the product’s life cycle<\/span><\/p>\n

                                                                                                                                                                              B. only after the district’s sales representatives<\/span><\/p>\n

                                                                                                                                                                              C. only prior to launch<\/span><\/p>\n

                                                                                                                                                                              D. MSLs do not meet with physicians.<\/span><\/p>\n

                                                                                                                                                                              NAPSRx Final Exam<\/span><\/p>\n

                                                                                                                                                                              NAPSRx Final Exam<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              1. How are drugs sorted into therapeutic groups and classes?<\/span><\/p>\n

                                                                                                                                                                              A. first by the conditions that they are used to treat. and then by their mechanisms of action<\/span><\/p>\n

                                                                                                                                                                              B. first by their mechanisms of action. and then by their therapeutic effects<\/span><\/p>\n

                                                                                                                                                                              C. first by their side effects. and then by their therapeutic effects<\/span><\/p>\n

                                                                                                                                                                              D. first by their toxicity. and then by their effectiveness<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              2. Bone marrow transplants…<\/span><\/p>\n

                                                                                                                                                                              A. require that the patient first undergo chemotherapy or radiation to kill the diseased stem cells and promote white blood cell production.<\/span><\/p>\n

                                                                                                                                                                              B. are a type of stem cell therapy. unless patient’s own cells are reinjected.<\/span><\/p>\n

                                                                                                                                                                              C. are always a type of stem cell therapy.<\/span><\/p>\n

                                                                                                                                                                              D. can help people with leukemia. a condition in which the body does not produce enough white blood cells.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              3. What does AMA stand for?<\/span><\/p>\n

                                                                                                                                                                              A. American Medical Academy<\/span><\/p>\n

                                                                                                                                                                              B. American Medical Accreditation<\/span><\/p>\n

                                                                                                                                                                              C. American Medical Association<\/span><\/p>\n

                                                                                                                                                                              D. Association of Medical Assistants<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              4. What section of a drug’s package insert describes situations in which the drug should not be used because the risks outweigh the therapeutic benefits?<\/span><\/p>\n

                                                                                                                                                                              A. adverse reactions<\/span><\/p>\n

                                                                                                                                                                              B. contraindications<\/span><\/p>\n

                                                                                                                                                                              C. overdosage<\/span><\/p>\n

                                                                                                                                                                              D. warning\/precautions<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              5 What is tertiary care?<\/span><\/p>\n

                                                                                                                                                                              A. adding medications together to achieve a better clinical effect<\/span><\/p>\n

                                                                                                                                                                              B. highly specialized medical and surgical care provided by a large medical center for unusual or complex medical problems<\/span><\/p>\n

                                                                                                                                                                              C. receiving medical or surgical care that does not require an overnight stay in the treatment facility<\/span><\/p>\n

                                                                                                                                                                              D. seeing a physician for routine checkups and general healthcare<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              6. Which of the following is NOT one of the stages in the classic approach to brand development strategy covered in your manual?<\/span><\/p>\n

                                                                                                                                                                              A. brand personality<\/span><\/p>\n

                                                                                                                                                                              B. brand positoning<\/span><\/p>\n

                                                                                                                                                                              C. brand quality<\/span><\/p>\n

                                                                                                                                                                              D. brand values<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              7 What are vasodilators used to do?<\/span><\/p>\n

                                                                                                                                                                              A. decrease vascular resistance and increase blood flow<\/span><\/p>\n

                                                                                                                                                                              B. mimic pathogens to stimulate the immune system<\/span><\/p>\n

                                                                                                                                                                              C. narrow the blood vessels<\/span><\/p>\n

                                                                                                                                                                              D.stimulate the CNS to make the heart beat faster<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              8. What is the name of the condition that occurs after a specific dose of a drug is given at such regular intervals that absorption and elimination (and therefore drug plasma concentration) have become fairly constant?<\/span><\/p>\n

                                                                                                                                                                              A. homeostasis<\/span><\/p>\n

                                                                                                                                                                              B. steady state<\/span><\/p>\n

                                                                                                                                                                              C. titration<\/span><\/p>\n

                                                                                                                                                                              D. tolerance<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              9. Which statement is TRUE about ocular administration?<\/span><\/p>\n

                                                                                                                                                                              A. Ocular administration is primarily for drugs that must cross the blood-brain barrier.<\/span><\/p>\n

                                                                                                                                                                              B. Ocular administration is used primarily to treat the eye.<\/span><\/p>\n

                                                                                                                                                                              C. Ocular administration is used when a drug must enter the bloodstream immediately.<\/span><\/p>\n

                                                                                                                                                                              D. Ocular administration is used when a drug must produce immediate effects on the brain or spinal cord.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              10. Which entities invest’s the most money in pharmaceutical R&D?<\/span><\/p>\n

                                                                                                                                                                              A. Canadian pharmaceutical companies<\/span><\/p>\n

                                                                                                                                                                              B. the NIH<\/span><\/p>\n

                                                                                                                                                                              C. the U.S. Government<\/span><\/p>\n

                                                                                                                                                                              D. U.S. pharmaceutical companies<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              11. How are most drugs excreted?<\/span><\/p>\n

                                                                                                                                                                              A. via the bloodstream<\/span><\/p>\n

                                                                                                                                                                              B. via the heart<\/span><\/p>\n

                                                                                                                                                                              C. via the kidneys<\/span><\/p>\n

                                                                                                                                                                              D. via the skin<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              12. Over the last few decades, what has happened to legal limitations on sales’ reps discussions about off label uses?\u00a0 <\/span><\/p>\n

                                                                                                                                                                              A. Limitations have decreased.<\/span><\/p>\n

                                                                                                                                                                              B. Limitations have increased significantly.<\/span><\/p>\n

                                                                                                                                                                              C. Limitations have increased slightly.<\/span><\/p>\n

                                                                                                                                                                              D. Limitations have remained about the same.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              13. Answer: Branding name<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              14. What does it mean if two drugs are at parity?<\/span><\/p>\n

                                                                                                                                                                              A. Both drugs are essentially in a neutral position.<\/span><\/p>\n

                                                                                                                                                                              B. Both drugs are generics.<\/span><\/p>\n

                                                                                                                                                                              C. Both drugs have exclusive preferred status.<\/span><\/p>\n

                                                                                                                                                                              D. The two drugs are bioequivalent.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              15 Who is most likely to benefit from electronic sampling programs?<\/span><\/p>\n

                                                                                                                                                                              A. Everyone would benefit equally from electronic sampling programs<\/span><\/p>\n

                                                                                                                                                                              B. physicians in hospitals who are too busy to see representatives<\/span><\/p>\n

                                                                                                                                                                              C. physicians in rural areas who are not as frequently visited by representatives<\/span><\/p>\n

                                                                                                                                                                              D. physicians in urban areas who are too busy to see representatives<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              16. When referring to medication dosage, which abbreviation means “one-half’:<\/span><\/p>\n

                                                                                                                                                                              A. MS<\/span><\/p>\n

                                                                                                                                                                              B. OH<\/span><\/p>\n

                                                                                                                                                                              C. SM<\/span><\/p>\n

                                                                                                                                                                              D. SS<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              17 What is an internist?<\/span><\/p>\n

                                                                                                                                                                              A. a physician who practices internal medicine<\/span><\/p>\n

                                                                                                                                                                              B. a physician’s intern<\/span><\/p>\n

                                                                                                                                                                              C. a type of oncologist who specializes in chemotherapy<\/span><\/p>\n

                                                                                                                                                                              D. an internal sales representative<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              18. Which of the following is a type of white blood cell?<\/span><\/p>\n

                                                                                                                                                                              A. erythrocytes<\/span><\/p>\n

                                                                                                                                                                              B. insulin<\/span><\/p>\n

                                                                                                                                                                              C. Lymphocytes<\/span><\/p>\n

                                                                                                                                                                              D.HCs<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              19. Why are novice sales representatives often placed in charge of negotiating MCO formularies?<\/span><\/p>\n

                                                                                                                                                                              A. to become more familiar with the healthcare industry<\/span><\/p>\n

                                                                                                                                                                              B. to become more familiar with their territories<\/span><\/p>\n

                                                                                                                                                                              C. P&T committees are more receptive to new faces.<\/span><\/p>\n

                                                                                                                                                                              D. They are not. This job is usually reserved for more experienced reps.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              20. What distinguishes pharmacodynamics from pharmacokinetics?<\/span><\/p>\n

                                                                                                                                                                              A. Pharmacodynamics studies a drug’s ex vivo effects.<\/span><\/p>\n

                                                                                                                                                                              B. Pharmacodynamics studies how drugs affect the body.<\/span><\/p>\n

                                                                                                                                                                              C. Pharmacodynamics studies the how the body affects drugs.<\/span><\/p>\n

                                                                                                                                                                              D. Pharmacodynamics studies the time required for a drug’s absorption.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              21 What proportion of the drugs tested on human subjects are eventually approved by the FDA?<\/span><\/p>\n

                                                                                                                                                                              A. about 20%<\/span><\/p>\n

                                                                                                                                                                              B. about 60%<\/span><\/p>\n

                                                                                                                                                                              C. about 70%<\/span><\/p>\n

                                                                                                                                                                              D. about 95%<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              22. According to a study discussed in your manual, how do most physicians prefer to receive their drug samples?<\/span><\/p>\n

                                                                                                                                                                              A. by borrowing them from hospitals<\/span><\/p>\n

                                                                                                                                                                              B. by ordering them over the Internet<\/span><\/p>\n

                                                                                                                                                                              C. by trading them for services<\/span><\/p>\n

                                                                                                                                                                              D. directly from sales representatives<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              23. Which of the following is an example of a central value?<\/span><\/p>\n

                                                                                                                                                                              A. I buy Advil to show that I’m a modern consumer.<\/span><\/p>\n

                                                                                                                                                                              B. I like Advil because we were both born in the 80s.<\/span><\/p>\n

                                                                                                                                                                              C. I prefer Advil because I like the flavor.<\/span><\/p>\n

                                                                                                                                                                              D. I prefer Advil because it’s easier to swallow.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              24. Which of the following specialties likely has the MOST emergency calls?<\/span><\/p>\n

                                                                                                                                                                              A. cardiology<\/span><\/p>\n

                                                                                                                                                                              B. psychiatry<\/span><\/p>\n

                                                                                                                                                                              C. urology<\/span><\/p>\n

                                                                                                                                                                              D. All specialists have the same number of emergency calls.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              25. What affects the rate of active transport?<\/span><\/p>\n

                                                                                                                                                                              A. the availability of carriers. but not energy<\/span><\/p>\n

                                                                                                                                                                              B. the availability of energy. but not carriers<\/span><\/p>\n

                                                                                                                                                                              C. the availability of carriers and energy<\/span><\/p>\n

                                                                                                                                                                              D. neither the availability of carriers nor the availability of energy<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              26. Over the last few decades, what has happened to the FDA approval time for new drugs?<\/span><\/p>\n

                                                                                                                                                                              A. It has been lengthened to ensure safer drug products.<\/span><\/p>\n

                                                                                                                                                                              B. It has been lengthened to limit DTC marketing<\/span><\/p>\n

                                                                                                                                                                              C. It has been shortened to improve drug quality<\/span><\/p>\n

                                                                                                                                                                              D. It has been shortened to reduce the cost of new drug development.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              27. Which of the following would NOT help improve compliance?<\/span><\/p>\n

                                                                                                                                                                              A. patients liking their providers<\/span><\/p>\n

                                                                                                                                                                              B. patients using only one pharmacist<\/span><\/p>\n

                                                                                                                                                                              C. pharmacists understanding how generics differ from brand name drugs<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 support groups<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              28. Which entity chooses a drug’s trade name?<\/span><\/p>\n

                                                                                                                                                                              A. the drug’s inventor<\/span><\/p>\n

                                                                                                                                                                              B. the drug’s manufacturer<\/span><\/p>\n

                                                                                                                                                                              C. the FDA<\/span><\/p>\n

                                                                                                                                                                              D. the United States Pharmaceutical Council<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              29. What type of stem cells are obtained from embryos and can develop into any cell type?<\/span><\/p>\n

                                                                                                                                                                              A. multipotent<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 pluripotent<\/span><\/p>\n

                                                                                                                                                                              C. totipotent<\/span><\/p>\n

                                                                                                                                                                              D. All stem cells can develop into any cell type.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              30. As the price a patient pays for a prescription increases, what happens to the likelihood that the patient will fill it?<\/span><\/p>\n

                                                                                                                                                                              A. It decreases.<\/span><\/p>\n

                                                                                                                                                                              B. It increases.<\/span><\/p>\n

                                                                                                                                                                              C. It remains unaffected because the prescription is needed.<\/span><\/p>\n

                                                                                                                                                                              D. It remains unaffected because the prescription’s increased cost is offset by its perceived value.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              31. Most involuntary movements come from which type of muscle tissue?<\/span><\/p>\n

                                                                                                                                                                              A. cardiac and smooth<\/span><\/p>\n

                                                                                                                                                                              B. only skeletal<\/span><\/p>\n

                                                                                                                                                                              C. skeletal and cardiac<\/span><\/p>\n

                                                                                                                                                                              D. skeletal and smooth<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              32. Which of the following is NOT one of the body’s major organ systems?<\/span><\/p>\n

                                                                                                                                                                              A. the cardiovascular system<\/span><\/p>\n

                                                                                                                                                                              B. the cellular system<\/span><\/p>\n

                                                                                                                                                                              C. the gastrointestinal system<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 the musculoskeletal system<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              33. How do most drugs exert their primary physiological effects?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 by activating synapses between different types of tissues<\/span><\/p>\n

                                                                                                                                                                              B. by binding to cell receptors that are sensitive to their presence<\/span><\/p>\n

                                                                                                                                                                              C. by inhibiting synapses between different types of tissues<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 through genetic mutation<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              34. What is the most reliable source of information for determining therapeutically equivalent drug products?<\/span><\/p>\n

                                                                                                                                                                              A. AMA guide<\/span><\/p>\n

                                                                                                                                                                              B. Blue Book<\/span><\/p>\n

                                                                                                                                                                              C. FDA drug list<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 Orange Book<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              35. What does subcutaneous mean?<\/span><\/p>\n

                                                                                                                                                                              A. beneath the intervention<\/span><\/p>\n

                                                                                                                                                                              B. beneath the muscle tissue<\/span><\/p>\n

                                                                                                                                                                              C. beneath the outer skin<\/span><\/p>\n

                                                                                                                                                                              D. beneath the suture<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              36. What should a sales representative do if all of the prime spaces in a drug cabinet are coccupied?<\/span><\/p>\n

                                                                                                                                                                              A. ask staff for permission to move some of the other products in the cabinet<\/span><\/p>\n

                                                                                                                                                                              B. ask staff for permission to throw away expired products in the cabinet<\/span><\/p>\n

                                                                                                                                                                              C. ask the doctor if he still needs some of the other products in the cabinet<\/span><\/p>\n

                                                                                                                                                                              D. surreptitiously move your largest competitors’ products out of the way<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              37. It is inappropriate for physicians’ prescribing behaviors to be educated by their personal tastes and idiosyncrasies<\/span><\/p>\n

                                                                                                                                                                              A. TRUE<\/span><\/p>\n

                                                                                                                                                                              B. FALSE<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              38.The FDA defines API as the active__ ingredient in a drug, which produces the desired change in the body.<\/span><\/p>\n

                                                                                                                                                                              A. pharmaceutical<\/span><\/p>\n

                                                                                                                                                                              B. positive<\/span><\/p>\n

                                                                                                                                                                              C. potent<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 primary<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              39. What are the 2 legal classifications of wholesalers?<\/span><\/p>\n

                                                                                                                                                                              A. distributors and supply chains<\/span><\/p>\n

                                                                                                                                                                              B. pharmacists and NAMs<\/span><\/p>\n

                                                                                                                                                                              C. primary and secondary wholesale distributors<\/span><\/p>\n

                                                                                                                                                                              D. retailers and institutions<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              40.What term describes the usage of a medication for purposes other than the FDA-approved indications on the labeling?<\/span><\/p>\n

                                                                                                                                                                              A. contraindicative indication<\/span><\/p>\n

                                                                                                                                                                              B. off-indication usage<\/span><\/p>\n

                                                                                                                                                                              C or D. off-label<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              41. What is the acronym for pharmacokinetics?<\/span><\/p>\n

                                                                                                                                                                              A. KN<\/span><\/p>\n

                                                                                                                                                                              B. PC<\/span><\/p>\n

                                                                                                                                                                              C. PK<\/span><\/p>\n

                                                                                                                                                                              D. pT<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              42. The dosage range of a drug that is both safe and beneficial is known as the therapeutic window.<\/span><\/p>\n

                                                                                                                                                                              A. TRUE<\/span><\/p>\n

                                                                                                                                                                              B. FALSE<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              43. What is typically NOT a characteristic of a pharmaceutical sales rep?<\/span><\/p>\n

                                                                                                                                                                              A. Pharmaceutical sales reps are authentic and real.<\/span><\/p>\n

                                                                                                                                                                              B. Pharmaceutical sales reps are creative.<\/span><\/p>\n

                                                                                                                                                                              C. Pharmaceutical sales reps are focused.<\/span><\/p>\n

                                                                                                                                                                              D. Pharmaceutical sales reps are not concerned about competitors.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              44. What entity grants drug patents?<\/span><\/p>\n

                                                                                                                                                                              A. the FDA<\/span><\/p>\n

                                                                                                                                                                              B. the FDA if the drug is over-the-counter and the U.S. Patent and Trademark Office if the drug is prescription<\/span><\/p>\n

                                                                                                                                                                              C. the FDA if the drug is prescription and the U.S. Patent and Trademark Office if the drug is over-the-counter<\/span><\/p>\n

                                                                                                                                                                              D. the U.S. Patent and Trademark Office<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              45. Which of the following refers to all active and inert pharmaceutical ingredients in a drug, including fillers and colors?<\/span><\/p>\n

                                                                                                                                                                              A. formulation<\/span><\/p>\n

                                                                                                                                                                              B. mycoplasma<\/span><\/p>\n

                                                                                                                                                                              C. peptide<\/span><\/p>\n

                                                                                                                                                                              D. saccharide<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              46. What is the difference between potency and efficacy?<\/span><\/p>\n

                                                                                                                                                                              A. Doctors prefer more potent drugs.<\/span><\/p>\n

                                                                                                                                                                              B. Drug manufacturers prefer more potent drugs.<\/span><\/p>\n

                                                                                                                                                                              C. Potency refers to the drug’s effectiveness. while efficacy refers to its strength.<\/span><\/p>\n

                                                                                                                                                                              D. Potency refers to the drug’s strength, while efficacy refers to its effectiveness.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              47. What is the minimum level of education required for a nurse practitioner?<\/span><\/p>\n

                                                                                                                                                                              A. a certification program<\/span><\/p>\n

                                                                                                                                                                              B. an associate’s degree\u00a0\u00a0\u00a0\u00a0 <\/span><\/p>\n

                                                                                                                                                                              C. a bachelor’s degree<\/span><\/p>\n

                                                                                                                                                                              D. a graduate degree<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              48. How many names must a drug have?<\/span><\/p>\n

                                                                                                                                                                              A. at most three<\/span><\/p>\n

                                                                                                                                                                              B. at least three<\/span><\/p>\n

                                                                                                                                                                              C. at most five<\/span><\/p>\n

                                                                                                                                                                              D. at least five<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              49. How has a longer development time increased the cost of bringing a new drug to market?<\/span><\/p>\n

                                                                                                                                                                              Answer: Increasing the cost of capital<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              50. Senior citizens consume over times as many pharmaceuticals as people under 65.<\/span><\/p>\n

                                                                                                                                                                              A. three<\/span><\/p>\n

                                                                                                                                                                              B. five<\/span><\/p>\n

                                                                                                                                                                              C. ten<\/span><\/p>\n

                                                                                                                                                                              D. fifteen<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              51. What agency regulates the distribution and use of narcotics?<\/span><\/p>\n

                                                                                                                                                                              A. DEA<\/span><\/p>\n

                                                                                                                                                                              B. FTC<\/span><\/p>\n

                                                                                                                                                                              C. OIG<\/span><\/p>\n

                                                                                                                                                                              D.TSA<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              52. What is passive diffusion?<\/span><\/p>\n

                                                                                                                                                                              A. a type of pinocytosis<\/span><\/p>\n

                                                                                                                                                                              B. membrane transport via vesicles<\/span><\/p>\n

                                                                                                                                                                              C. the use of energy to help a substance pass from a low concentration gradient to a high one<\/span><\/p>\n

                                                                                                                                                                              D. when a substance freely moves through a membrane from a high concentration gradient to a low one<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              53. What are the MAIN categories of drugs under FDA jurisdiction?<\/span><\/p>\n

                                                                                                                                                                              A. active drugs and active placebos<\/span><\/p>\n

                                                                                                                                                                              B. biopharmaceuticals and nutraceuticals<\/span><\/p>\n

                                                                                                                                                                              C. non-prescription and nutraceuticals<\/span><\/p>\n

                                                                                                                                                                              D. prescription and non prescription<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              54. Answer: Oxytocin<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              55. What are all metabolites?<\/span><\/p>\n

                                                                                                                                                                              A. active substances<\/span><\/p>\n

                                                                                                                                                                              B. inactive substances<\/span><\/p>\n

                                                                                                                                                                              C. injections<\/span><\/p>\n

                                                                                                                                                                              D. products of metabolism<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              56. When a drug is administered orally, where does first-pass metabolism occur?<\/span><\/p>\n

                                                                                                                                                                              A. intestine<\/span><\/p>\n

                                                                                                                                                                              B. liver<\/span><\/p>\n

                                                                                                                                                                              C. pancreas<\/span><\/p>\n

                                                                                                                                                                              D. stomach<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              57. What is the medical term for swelling?<\/span><\/p>\n

                                                                                                                                                                              A. assay<\/span><\/p>\n

                                                                                                                                                                              B. edema<\/span><\/p>\n

                                                                                                                                                                              C. instillation<\/span><\/p>\n

                                                                                                                                                                              D. protease<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              58. Which of the following is NOT part of the Seven Step Cascade of Emotion?<\/span><\/p>\n

                                                                                                                                                                              A. be a consultant. not a rep<\/span><\/p>\n

                                                                                                                                                                              B. identify what your product does<\/span><\/p>\n

                                                                                                                                                                              C. reflect<\/span><\/p>\n

                                                                                                                                                                              D. visualize the power of 10<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              59. Which part of a clinical research paper is frequently referred to as the road map?<\/span><\/p>\n

                                                                                                                                                                              A. abstract<\/span><\/p>\n

                                                                                                                                                                              B. findings<\/span><\/p>\n

                                                                                                                                                                              C. letter to the editor<\/span><\/p>\n

                                                                                                                                                                              D . methods<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              60. Which of the following is a main active ingredient in lung surfactants?<\/span><\/p>\n

                                                                                                                                                                              A. animal lung extract<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 germicides<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 sympathomimetic drugs<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 theophylline<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              61. What does parenteral mean?<\/span><\/p>\n

                                                                                                                                                                              A. child prescriptions<\/span><\/p>\n

                                                                                                                                                                              B. injection<\/span><\/p>\n

                                                                                                                                                                              C. oral<\/span><\/p>\n

                                                                                                                                                                              D. tablet<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              62. Which term denotes a type of substance that enhances the action of a drug or antigen?<\/span><\/p>\n

                                                                                                                                                                              A. adjuvant<\/span><\/p>\n

                                                                                                                                                                              B. indicated<\/span><\/p>\n

                                                                                                                                                                              C. ligase<\/span><\/p>\n

                                                                                                                                                                              D peptide<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              63. If a sales representative’s product is placed on the second tier of a standard three-tier formulary, which of the following is most likely true?<\/span><\/p>\n

                                                                                                                                                                              A. It has not been reviewed by the P&T committee.<\/span><\/p>\n

                                                                                                                                                                              B. It is in a neutral position unless it is at parity with other drugs.<\/span><\/p>\n

                                                                                                                                                                              C. It probably has exclusive preferred status if it is not at parity with any other drugs.<\/span><\/p>\n

                                                                                                                                                                              D. It will essentially sell itself if it is granted exclusive preferred status.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              64. Which of the following is NOT one of the four basic transport mechanisms?<\/span><\/p>\n

                                                                                                                                                                              A. active transport<\/span><\/p>\n

                                                                                                                                                                              B. homeostasis<\/span><\/p>\n

                                                                                                                                                                              C. passive diffusion<\/span><\/p>\n

                                                                                                                                                                              D. pinocytosis<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              65. Which statement accurately describes a relationship between drug agonists and antagonists?<\/span><\/p>\n

                                                                                                                                                                              A. Agonists and antagonists can be used together.<\/span><\/p>\n

                                                                                                                                                                              B. Agonists and antagonists should not be used together.<\/span><\/p>\n

                                                                                                                                                                              C. Antagonist drugs activate receptors. while agonists block access to receptors.<\/span><\/p>\n

                                                                                                                                                                              D. Antagonists are endogenous whereas agonists are man-made.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              66. What is the study of the effects and movement of drugs in the human body?<\/span><\/p>\n

                                                                                                                                                                              A. anatomy<\/span><\/p>\n

                                                                                                                                                                              B. antology<\/span><\/p>\n

                                                                                                                                                                              C. clinical pharmacology<\/span><\/p>\n

                                                                                                                                                                              D. pathology<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              67. According to your manual, what is a common complaint that physicians have about traditional sampling methods?<\/span><\/p>\n

                                                                                                                                                                              A. that drug sample supply is too unpredictable<\/span><\/p>\n

                                                                                                                                                                              B. that patients are less likely to take free samples because they think they are lower quality<\/span><\/p>\n

                                                                                                                                                                              C. that patients do not like seeing drug representatives in their offices<\/span><\/p>\n

                                                                                                                                                                              D. that they receive too many drug samples<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              68. Which of these entities is formed by two or more hospitals or other healthcare entities to negotiate reduced rates with its aggregated purchasing power?<\/span><\/p>\n

                                                                                                                                                                              A. GPO<\/span><\/p>\n

                                                                                                                                                                              B. In-state wholesaler<\/span><\/p>\n

                                                                                                                                                                              C. PPO<\/span><\/p>\n

                                                                                                                                                                              D. RPO<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              69. What is another name for a drug derived from a biologic compound?<\/span><\/p>\n

                                                                                                                                                                              A. large molecule\u00a0 <\/span><\/p>\n

                                                                                                                                                                              B. oligonucleotide<\/span><\/p>\n

                                                                                                                                                                              C. orgaanism<\/span><\/p>\n

                                                                                                                                                                              D. small molecule<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              70. What is the most common policy regarding pharmaceutical reps dispensing drug samples in hospitals?<\/span><\/p>\n

                                                                                                                                                                              A. By federal law. drug sampling is permitted in all hospitals.<\/span><\/p>\n

                                                                                                                                                                              B. By federal law. it is up to individual physicians. not the hospital.<\/span><\/p>\n

                                                                                                                                                                              C. Drug sampling is encouraged. but not required.<\/span><\/p>\n

                                                                                                                                                                              D. Drug sampling is often forbidden.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              71 Which of the following would help you build trust with a physician?<\/span><\/p>\n

                                                                                                                                                                              A. asking if he or she is having any problems with the managed care coverage of your products<\/span><\/p>\n

                                                                                                                                                                              B. repeating a question you already asked<\/span><\/p>\n

                                                                                                                                                                              C. surprising the office staff with a new poster in the break room<\/span><\/p>\n

                                                                                                                                                                              D. None of these would help you build trust with a physician.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              72. What term denotes the difference between the usual effective dose and the dose that induces severe or life-threatening side effects?<\/span><\/p>\n

                                                                                                                                                                              A. dose-response relationship<\/span><\/p>\n

                                                                                                                                                                              B. margin of safety<\/span><\/p>\n

                                                                                                                                                                              C. the placebo effect<\/span><\/p>\n

                                                                                                                                                                              D. therapeutic window<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              73. What are excipients?<\/span><\/p>\n

                                                                                                                                                                              A. a type of cell receptor to which antagonists bind to decrease the effects of the body’s natural agonists<\/span><\/p>\n

                                                                                                                                                                              B. another term for generic equivalents<\/span><\/p>\n

                                                                                                                                                                              C. sites of action besides the target sites of action<\/span><\/p>\n

                                                                                                                                                                              D. the inert ingredients in a drug formulation<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              74. What is another term for the AWP?<\/span><\/p>\n

                                                                                                                                                                              A. dock-to-dock price<\/span><\/p>\n

                                                                                                                                                                              B. float price<\/span><\/p>\n

                                                                                                                                                                              C. list price<\/span><\/p>\n

                                                                                                                                                                              D. non-stock price<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              75. Which of these is the most likely use for a uterotonic agent?<\/span><\/p>\n

                                                                                                                                                                              A. to induce labor<\/span><\/p>\n

                                                                                                                                                                              B. to make the urine more alkaline<\/span><\/p>\n

                                                                                                                                                                              C. to supplement oral food intake<\/span><\/p>\n

                                                                                                                                                                              D. to treat hyperthyroidism<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              76. As of November 2013, which of these countries has legalized DTC advertising of prescription drugs?<\/span><\/p>\n

                                                                                                                                                                              A. Canada<\/span><\/p>\n

                                                                                                                                                                              B. Japan<\/span><\/p>\n

                                                                                                                                                                              C. Spain<\/span><\/p>\n

                                                                                                                                                                              D. none of these<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              77. Why are oral drugs often taken on an empty stomach?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 to be more wholly absorbed by the stomach<\/span><\/p>\n

                                                                                                                                                                              B. to minimize absorption by the intestine<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 to minimize nausea<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              D. to pass through the stomach more quickly<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              78. What is one factor that differentiates community health centers from hospitals?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 Community health center formularies are more restrictive.<\/span><\/p>\n

                                                                                                                                                                              B. Community health centers have higher reimbursement rates.<\/span><\/p>\n

                                                                                                                                                                              C. Newer brand name drugs are easier to access at community health centers.<\/span><\/p>\n

                                                                                                                                                                              D. None of these<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              79. How does drug sampling provide a social benefit?<\/span><\/p>\n

                                                                                                                                                                              A. Doctors donate their unused drug samples to charities.<\/span><\/p>\n

                                                                                                                                                                              B. Doctors often use drug samples to treat patients who otherwise could not afford it.<\/span><\/p>\n

                                                                                                                                                                              C. It allows patients to try out different prescription medications before consulting with physicians.<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 Drug sampling provides a social benefit in all of these ways.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              80. Which medical term denotes the use of a stethoscope to listen to the heart?<\/span><\/p>\n

                                                                                                                                                                              A. auscultation<\/span><\/p>\n

                                                                                                                                                                              B. cardioversion<\/span><\/p>\n

                                                                                                                                                                              C. catheterization<\/span><\/p>\n

                                                                                                                                                                              D. echocardiography<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              81. What do enteric coatings do?<\/span><\/p>\n

                                                                                                                                                                              A. facilitate vomiting<\/span><\/p>\n

                                                                                                                                                                              B. help drugs dissolve in the stomach<\/span><\/p>\n

                                                                                                                                                                              C. help drugs enter the bloodstream more quickly<\/span><\/p>\n

                                                                                                                                                                              D. prevent dissolution in the stomach<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              82. What is the duration of exclusivity for orphan drugs?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 6 months<\/span><\/p>\n

                                                                                                                                                                              B. 1 year<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 7 years<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 15 years<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              83. What do National Account Managers do?<\/span><\/p>\n

                                                                                                                                                                              A. act as the sales reps’ primary point of contact with the rest of the corporation<\/span><\/p>\n

                                                                                                                                                                              B. manage the FDA approval process<\/span><\/p>\n

                                                                                                                                                                              C. negotiate contracts with MCOs and PBMs<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 sell only to pharmacies<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              84. What does it usually mean if a drug recall is voluntary?<\/span><\/p>\n

                                                                                                                                                                              A. Pharmacies may choose whether to return the drug or dispense it.<\/span><\/p>\n

                                                                                                                                                                              B. The FDA has determined that the drug is perfectly safe. but ineffective.<\/span><\/p>\n

                                                                                                                                                                              C. The manufacturer has recalled the product on its own. but negotiated with the FDA beforehand.<\/span><\/p>\n

                                                                                                                                                                              D. The manufacturer has recalled the product without negotiating with the FDA.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              85. Which phase of clinical trials is also known as the pivotal phase?<\/span><\/p>\n

                                                                                                                                                                              A. Phase I<\/span><\/p>\n

                                                                                                                                                                              B. Phase III<\/span><\/p>\n

                                                                                                                                                                              C Phase IV<\/span><\/p>\n

                                                                                                                                                                              D. Phase IX<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              86. During which phase of clinical trials is the new drug’s safety and effectiveness first tested in the target group?<\/span><\/p>\n

                                                                                                                                                                              A. preclinical<\/span><\/p>\n

                                                                                                                                                                              B. Phase I<\/span><\/p>\n

                                                                                                                                                                              C. Phase II<\/span><\/p>\n

                                                                                                                                                                              D. Phase III<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              87. How do antacids work?<\/span><\/p>\n

                                                                                                                                                                              A. by increasing blood flow to the stomach<\/span><\/p>\n

                                                                                                                                                                              B. by lowering gastric pH<\/span><\/p>\n

                                                                                                                                                                              C. by raising gastric pH<\/span><\/p>\n

                                                                                                                                                                              D. by suppressing cholesterol formation by the liver<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              88. What is one of the biggest time wasters for a pharmaceutical sales rep?<\/span><\/p>\n

                                                                                                                                                                              A. Caterers<\/span><\/p>\n

                                                                                                                                                                              B. Pharcists<\/span><\/p>\n

                                                                                                                                                                              C. receptionists<\/span><\/p>\n

                                                                                                                                                                              D. travel time<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              89. What happens when equilibrium is reached?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 equal numbers of molecules cross the membrane in both directions<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 molecules stop moving<\/span><\/p>\n

                                                                                                                                                                              C. the concentration gradient decreases indefinitely<\/span><\/p>\n

                                                                                                                                                                              D. the concentration gradient increases indefinitely<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              90. What are the most common vectors used in gene therapy?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 autologous antigens<\/span><\/p>\n

                                                                                                                                                                              B. liposomes<\/span><\/p>\n

                                                                                                                                                                              C. naked DNA<\/span><\/p>\n

                                                                                                                                                                              D. viruses<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              91. What is the percentage fee that the dispenser pays the wholesaler for distribution?<\/span><\/p>\n

                                                                                                                                                                              A. margin fee<\/span><\/p>\n

                                                                                                                                                                              B. recharge<\/span><\/p>\n

                                                                                                                                                                              C. standard fee<\/span><\/p>\n

                                                                                                                                                                              D. upcharge<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              92. What is the difference between a chronic (or continuing) reaction, and a delayed reaction?<\/span><\/p>\n

                                                                                                                                                                              A. Chronic reactions are exaggerated. whereas delayed reactions are idiosyncratic.<\/span><\/p>\n

                                                                                                                                                                              B. Chronic reactions occur only during treatment. whereas delayed reactions only occur during withdrawal.<\/span><\/p>\n

                                                                                                                                                                              C. Chronic reactions persist for a long time. whereas delayed reactions take some time to develop.<\/span><\/p>\n

                                                                                                                                                                              D. Delayed reactions are always idiosyncratic. but chronic reactions are not.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              93 What is clinical effect?<\/span><\/p>\n

                                                                                                                                                                              A. federally funded research condition<\/span><\/p>\n

                                                                                                                                                                              B. the effect of maximum dosage<\/span><\/p>\n

                                                                                                                                                                              C. the response produced by a medication<\/span><\/p>\n

                                                                                                                                                                              D. the use of treatment drugs in chemotherapy<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              94. Which of the following is an example of noncompliance?<\/span><\/p>\n

                                                                                                                                                                              A. a patient forgetting to take a drug at a specified time of day<\/span><\/p>\n

                                                                                                                                                                              B. a patient taking a drug. but only because it has been court-mandated<\/span><\/p>\n

                                                                                                                                                                              C. a pharmacist dispensing a generic equivalent of a drug instead of the brand name<\/span><\/p>\n

                                                                                                                                                                              D. a physician refusing to prescribe a drug because he or she does not trust the clinical studies on it<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              95. What is the average circulation time of blood?<\/span><\/p>\n

                                                                                                                                                                              A. about a minute<\/span><\/p>\n

                                                                                                                                                                              B. about 5 minutes<\/span><\/p>\n

                                                                                                                                                                              C. about 5 to 10 minutes depending on the patient’s age and health conditions<\/span><\/p>\n

                                                                                                                                                                              D. about 10 minutes<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              96. What is one way in which pharmaceutical selling is different from selling in most other industries?<\/span><\/p>\n

                                                                                                                                                                              A. In pharmaceutical sales. the decisions-makers. consumers. and payers are usually the same entity.<\/span><\/p>\n

                                                                                                                                                                              B. Pharmaceutical selling takes less time because doctors are so busy.<\/span><\/p>\n

                                                                                                                                                                              C. Representatives do NOT sell to the end user of the product.<\/span><\/p>\n

                                                                                                                                                                              D. Representatives DO sell to the end user of the product.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              97. From what types of entities do primary wholesale distributors buy most of their drugs?<\/span><\/p>\n

                                                                                                                                                                              A. brokerages<\/span><\/p>\n

                                                                                                                                                                              B. buying clubs<\/span><\/p>\n

                                                                                                                                                                              C. manufacturers<\/span><\/p>\n

                                                                                                                                                                              D. physicians<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              98.What is the Office of the Inspector General (01G)?<\/span><\/p>\n

                                                                                                                                                                              A. a department in pharmaceutical companies<\/span><\/p>\n

                                                                                                                                                                              B. an arm of the Department of Health and Human Services<\/span><\/p>\n

                                                                                                                                                                              C. an arm of the European Medicines Agency<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0D an arm of the FDA<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              99. What are doctors required to consider when deciding whether or not to prescribe a particular drug?<\/span><\/p>\n

                                                                                                                                                                              A. quantity of life over quality of life<\/span><\/p>\n

                                                                                                                                                                              B. that no drugs with adverse effects should ever be used<\/span><\/p>\n

                                                                                                                                                                              C. the inferiority of OTC drugs<\/span><\/p>\n

                                                                                                                                                                              D. the severity of the disorder being treated and the effect it has on the patient’s quality of life<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              100. Which entity assigns a new drug its generic names?<\/span><\/p>\n

                                                                                                                                                                              A. the drug’s inventor<\/span><\/p>\n

                                                                                                                                                                              B. the Food and Drug Administration<\/span><\/p>\n

                                                                                                                                                                              C. the United States Adopted Name Council<\/span><\/p>\n

                                                                                                                                                                              D. the United States Pharmaceutical Council<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              101. Drugs can be used days beyond their expiration date.<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 2-7 days. depending on the most current monograph.<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 2-90 days. depending on state laws<\/span><\/p>\n

                                                                                                                                                                              C. 7-90 days. depending on the type of drug and its therapeutic class.<\/span><\/p>\n

                                                                                                                                                                              D. none of these<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              102. What is necessary for a drug to be excreted extensively via the kidneys?<\/span><\/p>\n

                                                                                                                                                                              A. The drug must be water-soluble. and not bind too tightly to proteins in the bloodstream.<\/span><\/p>\n

                                                                                                                                                                              B. The drug must have a phospholipid bilayer and be non-water-soluble.<\/span><\/p>\n

                                                                                                                                                                              C. The drug must have a phospholipid bilayer and bind well to proteins in the bloodstream.<\/span><\/p>\n

                                                                                                                                                                              D. The drug must not be water-soluble.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              103. Which organization or individual initiates the clinical trial and finances the study?<\/span><\/p>\n

                                                                                                                                                                              A. clinical research organization<\/span><\/p>\n

                                                                                                                                                                              B. investigator<\/span><\/p>\n

                                                                                                                                                                              C. researcher<\/span><\/p>\n

                                                                                                                                                                              D. sponsor<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              104. The name describes the atomic or molecular structure of a drug.<\/span><\/p>\n

                                                                                                                                                                              A. chemical<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 generic<\/span><\/p>\n

                                                                                                                                                                              C. pharmaceutical<\/span><\/p>\n

                                                                                                                                                                              D. proprietary<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              105. Under PhRMA Code, is it acceptable or unacceptable for a pharmaceutical sales rep to take a physician and the physician’s spouse to a fundraising dinner?<\/span><\/p>\n

                                                                                                                                                                              A. acceptable if only the physician attends<\/span><\/p>\n

                                                                                                                                                                              B. acceptable if only the physician attends. and the total is under $100<\/span><\/p>\n

                                                                                                                                                                              C. acceptable if the total is under $100<\/span><\/p>\n

                                                                                                                                                                              D. unacceptable<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              106. The Hatch-Waxman Act is considered the most significant drug-related affecting the pharmaceutical industry since 1962.<\/span><\/p>\n

                                                                                                                                                                              A. experiment<\/span><\/p>\n

                                                                                                                                                                              B. legislation<\/span><\/p>\n

                                                                                                                                                                              C. process<\/span><\/p>\n

                                                                                                                                                                              D. research<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              107. What term denotes the the extent, quality, or degree to which a substance is poisonous or harmful to the body?<\/span><\/p>\n

                                                                                                                                                                              A. caliber<\/span><\/p>\n

                                                                                                                                                                              B. chronicity<\/span><\/p>\n

                                                                                                                                                                              C. indication<\/span><\/p>\n

                                                                                                                                                                              D. toxicity<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              108. What issue has MOST encouraged consumers’ desire to see more OTC medications?<\/span><\/p>\n

                                                                                                                                                                              A. a weaker patients’ rights movement<\/span><\/p>\n

                                                                                                                                                                              B. lack of insurance coverage<\/span><\/p>\n

                                                                                                                                                                              C. less reliance on the Internet<\/span><\/p>\n

                                                                                                                                                                              D. proliferation of herbal remedies<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              109. What is the degree to which a medication produces a therapeutic effect?<\/span><\/p>\n

                                                                                                                                                                              A. diffusion<\/span><\/p>\n

                                                                                                                                                                              B. efficacy<\/span><\/p>\n

                                                                                                                                                                              C. protease<\/span><\/p>\n

                                                                                                                                                                              D. vector<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              110. What is the most important benefit of electronic prescribing?<\/span><\/p>\n

                                                                                                                                                                              A. Choice<\/span><\/p>\n

                                                                                                                                                                              B. cost<\/span><\/p>\n

                                                                                                                                                                              C. inquiries<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 safety\u00a0\u00a0 <\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              111. When does the FDA regulate generic drugs?<\/span><\/p>\n

                                                                                                                                                                              A. only if they are branded generics<\/span><\/p>\n

                                                                                                                                                                              B. only if they have been contested<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 always<\/span><\/p>\n

                                                                                                                                                                              D never<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              112. Which phase of trials largely determines the clinical dose?<\/span><\/p>\n

                                                                                                                                                                              A. preclinical trials<\/span><\/p>\n

                                                                                                                                                                              B. Phase II trials<\/span><\/p>\n

                                                                                                                                                                              C. Phase III trials<\/span><\/p>\n

                                                                                                                                                                              D. Phase IV trials<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              113. What is an advantage of inactivated vaccines over attenuated vaccines?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 Inactivated vaccines are less expensive to prepare.<\/span><\/p>\n

                                                                                                                                                                              B. Inactivated vaccines have a higher probability of eliciting the desired immunological response.<\/span><\/p>\n

                                                                                                                                                                              C. Inactivated vaccines have a more stable shelf life.<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 Inactivated vaccines only require a single dose.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              114. Which medical term denotes a low supply of oxygen due to low blood flow?<\/span><\/p>\n

                                                                                                                                                                              A. potentiation<\/span><\/p>\n

                                                                                                                                                                              B. ischemia<\/span><\/p>\n

                                                                                                                                                                              C. TID<\/span><\/p>\n

                                                                                                                                                                              D. titration<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              115. What are the two main types of prescription drug marketing?<\/span><\/p>\n

                                                                                                                                                                              A. (1) marketing to insurance companies. and (2) marketing to pharmacies<\/span><\/p>\n

                                                                                                                                                                              B. (1) PBM marketing. and (2) marketing to governments<\/span><\/p>\n

                                                                                                                                                                              C. (1) professional physician promotions. and (2) direct-to-consumer advertising<\/span><\/p>\n

                                                                                                                                                                              D. (1) publicly-funded marketing. and (2) physician-funded marketing<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              116. What is the site of delivery for subcutaneous injections?<\/span><\/p>\n

                                                                                                                                                                              A. fatty tissue beneath the surface of the skin<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 lymphatic tissue<\/span><\/p>\n

                                                                                                                                                                              C. muscle tissue<\/span><\/p>\n

                                                                                                                                                                              D. the stomach, via a special type of needle<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              117. What must be contained in the Description section of a pharmaceutical package insert?<\/span><\/p>\n

                                                                                                                                                                              A. adverse effects<\/span><\/p>\n

                                                                                                                                                                              B. mechanism of action<\/span><\/p>\n

                                                                                                                                                                              C. pharmacokinetics<\/span><\/p>\n

                                                                                                                                                                              D. the proprietary name and the established name<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              118. What is the study of a medication’s effects as it travels through the body?<\/span><\/p>\n

                                                                                                                                                                              A. pharmacodynamics<\/span><\/p>\n

                                                                                                                                                                              B. pharmacogenetics<\/span><\/p>\n

                                                                                                                                                                              C. pharmacogenomics<\/span><\/p>\n

                                                                                                                                                                              D. pharmacokinetics<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              119. Customers purchase products from people they like, trust, and respect. This is called the\u00a0 <\/span><\/p>\n

                                                                                                                                                                              A. closing of the sale<\/span><\/p>\n

                                                                                                                                                                              B. first time advantage<\/span><\/p>\n

                                                                                                                                                                              C. likeability factor<\/span><\/p>\n

                                                                                                                                                                              D. power of knowledge<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              120. What is penicillin’s primary mechanism of action?<\/span><\/p>\n

                                                                                                                                                                              A. It disturbs bacterial cell wall synthesis.<\/span><\/p>\n

                                                                                                                                                                              B It inhibits the production of viruses.<\/span><\/p>\n

                                                                                                                                                                              C. It prevents proper DNA replication.<\/span><\/p>\n

                                                                                                                                                                              D. It sends a messenger to the bone marrow to produce extra white blood cells<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              121. According to your manual, how has the U.S. healthcare marketplace changed in the last few decades?<\/span><\/p>\n

                                                                                                                                                                              A. Fewer and fewer prescription drugs have been made available as OTCs.<\/span><\/p>\n

                                                                                                                                                                              B. Managed care has been increasingly replaced by more patient-centered approaches.<\/span><\/p>\n

                                                                                                                                                                              C. The aging Baby Boomer generation has begun demanding more personalized attention.<\/span><\/p>\n

                                                                                                                                                                              D. There has been decreased emphasis on preventive health.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              122. How does pharmaceutical marketing help narrow the treatment gap?<\/span><\/p>\n

                                                                                                                                                                              A. It encourages patients to take more active roles in their healthcare.<\/span><\/p>\n

                                                                                                                                                                              B. It makes doctors more skeptical of the pharmaceutical industry.<\/span><\/p>\n

                                                                                                                                                                              C. It makes patients more skeptical of their doctors’ opinions.<\/span><\/p>\n

                                                                                                                                                                              D. all of these<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              123. What do immunosuppressive agents do?<\/span><\/p>\n

                                                                                                                                                                              A. decrease risk of infection<\/span><\/p>\n

                                                                                                                                                                              B. increase risk of infection<\/span><\/p>\n

                                                                                                                                                                              C. reduce the risk of rejection of foreign bodies<\/span><\/p>\n

                                                                                                                                                                              D. treat psoriasis<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              124. What types of drugs are EGFR inhibitors?<\/span><\/p>\n

                                                                                                                                                                              A. antineoplastics<\/span><\/p>\n

                                                                                                                                                                              B. cardiovascular agents<\/span><\/p>\n

                                                                                                                                                                              C. CNS agents<\/span><\/p>\n

                                                                                                                                                                              D. mitotic inhibitors<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              125. Which of the following means outside of the living body?<\/span><\/p>\n

                                                                                                                                                                              A. en vivo<\/span><\/p>\n

                                                                                                                                                                              B. ex vitro<\/span><\/p>\n

                                                                                                                                                                              C. ex vivo<\/span><\/p>\n

                                                                                                                                                                              D. intra vivo<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              126. The FDA requirements for nutraceuticals and medicinal herbs are just as stringent as for pharmaceuticals.<\/span><\/p>\n

                                                                                                                                                                              A. TRUE<\/span><\/p>\n

                                                                                                                                                                              B. FALSE<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              127. What is the estimated net gain of private-sector healthcare’s contributions to increased U.S. life expectancy?<\/span><\/p>\n

                                                                                                                                                                              A. $5-10 billion<\/span><\/p>\n

                                                                                                                                                                              B. $40-50 billion<\/span><\/p>\n

                                                                                                                                                                              C. $800-900 billion<\/span><\/p>\n

                                                                                                                                                                              D.$ 2-5 trillion\u00a0 <\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              128. Which statement is TRUE regarding post-approval drug monitoring?<\/span><\/p>\n

                                                                                                                                                                              A. All side effects are determined during clinical trials.<\/span><\/p>\n

                                                                                                                                                                              B. Drug manufacturers are only required to report adverse effects if they are severe or life-threatening.<\/span><\/p>\n

                                                                                                                                                                              C. Drug manufacturers are only required to report adverse effects if they have been proven in clinical studies.<\/span><\/p>\n

                                                                                                                                                                              D. The FDA can choose to withdraw their approval if new evidence arises.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              129. Which term denotes when tolerance to one medication causes increased tolerance to another medication?<\/span><\/p>\n

                                                                                                                                                                              A. cell tolerance<\/span><\/p>\n

                                                                                                                                                                              B. cross-tolerance<\/span><\/p>\n

                                                                                                                                                                              C. indicated tolerance<\/span><\/p>\n

                                                                                                                                                                              D. minimized tolerance<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              130. Patents expire __ years from the date of filing.<\/span><\/p>\n

                                                                                                                                                                              A. ten<\/span><\/p>\n

                                                                                                                                                                              B. fifteen<\/span><\/p>\n

                                                                                                                                                                              C. twenty<\/span><\/p>\n

                                                                                                                                                                              D. thirty<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              131. After a trade-name drug’s patent expires, how may generic versions of it be sold?<\/span><\/p>\n

                                                                                                                                                                              A. only under the branded generic name<\/span><\/p>\n

                                                                                                                                                                              B. only under the generic name<\/span><\/p>\n

                                                                                                                                                                              C. only under the original trade name<\/span><\/p>\n

                                                                                                                                                                              D. under the original trade name or a generic name<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              132. What is required for a new pharmaceutical to be considered a viable therapy?<\/span><\/p>\n

                                                                                                                                                                              A. It causes no serious adverse effects.<\/span><\/p>\n

                                                                                                                                                                              B. It causes no side effects.<\/span><\/p>\n

                                                                                                                                                                              C. It has an active placebo.<\/span><\/p>\n

                                                                                                                                                                              D. It is more effective and\/or causes fewer serious adverse effects than other drugs on the market.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              133. Under the AMA guidelines, who is ultimately responsible for minimizing conflicts of interest?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 doctors<\/span><\/p>\n

                                                                                                                                                                              B. lawyers and office managers<\/span><\/p>\n

                                                                                                                                                                              C. pharmaceutical companies<\/span><\/p>\n

                                                                                                                                                                              D. sales representatives<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              134. The act of dispensing a pharmaceutical alternative for the product prescribed is<\/span><\/p>\n

                                                                                                                                                                              A. alternative licensure<\/span><\/p>\n

                                                                                                                                                                              B. equivalence practice<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 necessitated substitution<\/span><\/p>\n

                                                                                                                                                                              D. pharmaceutical substitution<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              135. What does it mean if a drug is said to have a wide margin of safety?<\/span><\/p>\n

                                                                                                                                                                              A. Its safety levels have yet to be adequately verified.<\/span><\/p>\n

                                                                                                                                                                              B. Its safety varies widely among different types of patients.<\/span><\/p>\n

                                                                                                                                                                              C. There is a greater chance of severe or life-threatening side effects.<\/span><\/p>\n

                                                                                                                                                                              D. There is a lower chance of severe or life-threatening side effects.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              136. Which of the following is the correct medical acronym for effective dose?<\/span><\/p>\n

                                                                                                                                                                              A. DE<\/span><\/p>\n

                                                                                                                                                                              B. ED<\/span><\/p>\n

                                                                                                                                                                              C. EFD<\/span><\/p>\n

                                                                                                                                                                              D. eff D<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              137. Why is one group of subjects given an active drug, while another group only receives a placebo?<\/span><\/p>\n

                                                                                                                                                                              A. to assess patients’ expectations<\/span><\/p>\n

                                                                                                                                                                              B. to assess the drug’s effectiveness<\/span><\/p>\n

                                                                                                                                                                              C. to assess the professionalism of the study staff<\/span><\/p>\n

                                                                                                                                                                              D. to assess the subjects’ demographics<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              138. A generic version is likely to have some inactive ingredients that are different from those of the original drug.<\/span><\/p>\n

                                                                                                                                                                              A. TRUE<\/span><\/p>\n

                                                                                                                                                                              B. FALSE<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              139. Which of the following is an example of a functional value?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 I drink Coca-Cola because I am a citizen of the world.<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 I drink Coca-Cola because I like looking like a traditionalist.<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 I drink Coca-Cola because I like the taste.<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 I drink Coca-Cola because it is an international brand.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              140. Where are most drugs metabolized?<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 interstitial spaces<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 liver<\/span><\/p>\n

                                                                                                                                                                              C. stomach<\/span><\/p>\n

                                                                                                                                                                              D . the bloodstream<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              141. What is essential to the ethical requirement that subjects be selected fairly?<\/span><\/p>\n

                                                                                                                                                                              A. Selection criteria should be well-supported by documented evidence.<\/span><\/p>\n

                                                                                                                                                                              B. Studies should make every attempt to conduct research on subjects who are underprivileged and in need of medical attention.<\/span><\/p>\n

                                                                                                                                                                              C. Subjects should be selected based on scientific objectives.<\/span><\/p>\n

                                                                                                                                                                              D. all of these<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              142. Which of the following is the most appropriate salutation for a cover letter if you cannot find a contact name?<\/span><\/p>\n

                                                                                                                                                                              A. Dear Personnel Department.<\/span><\/p>\n

                                                                                                                                                                              B. Dear Sir or Madam,<\/span><\/p>\n

                                                                                                                                                                              C. Dear Sir<\/span><\/p>\n

                                                                                                                                                                              D.To Whom It May Concern.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              143. What is part of becoming an indispensable pharmaceutical sales rep?<\/span><\/p>\n

                                                                                                                                                                              A. asking for feedback<\/span><\/p>\n

                                                                                                                                                                              B. giving the doctors anything they ask for to prescribe your products<\/span><\/p>\n

                                                                                                                                                                              C. keeping your market share goals the same each term<\/span><\/p>\n

                                                                                                                                                                              D. not bothering busy doctors in hospitals<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              144. Which of the following is NOT typically included in the indications and usage section of the package insert information?<\/span><\/p>\n

                                                                                                                                                                              A. diseases or conditions that the drug is approved to treat<\/span><\/p>\n

                                                                                                                                                                              B. the drug’s active metabolites<\/span><\/p>\n

                                                                                                                                                                              C. the drug’s recommended usual dosage<\/span><\/p>\n

                                                                                                                                                                              D. the drug’s usual dosage range<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              145. Which term denotes the practice of classifying physicians and other potential prescribers by anticipated prescription volume?<\/span><\/p>\n

                                                                                                                                                                              A. conditioning<\/span><\/p>\n

                                                                                                                                                                              B. deciling<\/span><\/p>\n

                                                                                                                                                                              C. detailing<\/span><\/p>\n

                                                                                                                                                                              D. private labeling<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              146. What makes a drug eligible for fast track approval from the FDA?<\/span><\/p>\n

                                                                                                                                                                              A. It is a generic that has already been approved as a branded drug.<\/span><\/p>\n

                                                                                                                                                                              B. It is a new drug.<\/span><\/p>\n

                                                                                                                                                                              C. It is less expensive than what is currently on the market.<\/span><\/p>\n

                                                                                                                                                                              D. It treats patients with a serious. life-threatening condition.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              147. In the gastrointestinal tract, help break up tablets to ensure full release of the active pharmaceutical ingredient.<\/span><\/p>\n

                                                                                                                                                                              A. binders<\/span><\/p>\n

                                                                                                                                                                              B. disintegrants<\/span><\/p>\n

                                                                                                                                                                              C. dispersing agents<\/span><\/p>\n

                                                                                                                                                                              D. lubricants<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              148. According to your manual, what does the PDRP do?<\/span><\/p>\n

                                                                                                                                                                              A. It educates patients on their treatment options.<\/span><\/p>\n

                                                                                                                                                                              B. It expands sales representatives’ access to patient information.<\/span><\/p>\n

                                                                                                                                                                              C. It improves communication between sales representatives and patients in doctors’ offices.<\/span><\/p>\n

                                                                                                                                                                              D. It limits sales representatives’ abilities to see individual physicians’ prescribing data.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              149. What are the components of the central nervous system?<\/span><\/p>\n

                                                                                                                                                                              A. the brain and sense organs<\/span><\/p>\n

                                                                                                                                                                              B. the brain and spinal cord<\/span><\/p>\n

                                                                                                                                                                              C. the brain. spinal cord. and peripheral nervous system<\/span><\/p>\n

                                                                                                                                                                              D. the spinal cord and sense organs<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              150. Which term denotes the origin or cause of a medical condition?<\/span><\/p>\n

                                                                                                                                                                              A. cytology<\/span><\/p>\n

                                                                                                                                                                              B. discovery<\/span><\/p>\n

                                                                                                                                                                              C. etiology<\/span><\/p>\n

                                                                                                                                                                              D. pathology<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              151. Patients diagnosed with Type 1 diabetes…<\/span><\/p>\n

                                                                                                                                                                              A.\u00a0 …do not produce enough insulin because they do not have enough B cells.<\/span><\/p>\n

                                                                                                                                                                              B.\u00a0 …have an autoimmune disease.<\/span><\/p>\n

                                                                                                                                                                              C.\u00a0 …produce enough insulin. but it is not as effective.<\/span><\/p>\n

                                                                                                                                                                              D.\u00a0 …rely on insulin from porcine sources.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              152. Which DTC pharmaceutical marketing tactic is permitted in European countries?<\/span><\/p>\n

                                                                                                                                                                              A. disease state ads<\/span><\/p>\n

                                                                                                                                                                              B. branded billboards and disease state ads<\/span><\/p>\n

                                                                                                                                                                              C. branded highway billboards<\/span><\/p>\n

                                                                                                                                                                              D. branded radio ads<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              153. What is one way in which psychologists DIFFER from psychiatrists?<\/span><\/p>\n

                                                                                                                                                                              A. Psychologists are more concerned with subconscious memories than conscious ones.<\/span><\/p>\n

                                                                                                                                                                              B. Psychologists deal more with emotional than physical issues.<\/span><\/p>\n

                                                                                                                                                                              C. Psychologists deal more with physical issues than emotional ones.<\/span><\/p>\n

                                                                                                                                                                              D. Psychologists do not have graduate degrees.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              154. What are PBMs?<\/span><\/p>\n

                                                                                                                                                                              A. governmental organizations that provide healthcare<\/span><\/p>\n

                                                                                                                                                                              B. organizations that design marketing campaigns<\/span><\/p>\n

                                                                                                                                                                              C. organizations that negotiate between pharmaceutical companies and large drug purchasers<\/span><\/p>\n

                                                                                                                                                                              D. organizations that write FDA new drug applications<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              155. How does the Hatch-Waxman Act protect research-based drug manufacturers?<\/span><\/p>\n

                                                                                                                                                                              A. by limiting the competition<\/span><\/p>\n

                                                                                                                                                                              B. by making it easier to bring generic drugs to market<\/span><\/p>\n

                                                                                                                                                                              C. by providing a 30-month cooling off period<\/span><\/p>\n

                                                                                                                                                                              D. by requiring the FDA to only look at bioavailability studies when approving an ANDA\u00a0 <\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              156. What is the process of adjusting drug doses to achieve the maximum positive therapeutic effects while minimizing adverse or side effects?<\/span><\/p>\n

                                                                                                                                                                              A.homeostatic maximization<\/span><\/p>\n

                                                                                                                                                                              B.steady state administration<\/span><\/p>\n

                                                                                                                                                                              C.Sustained release<\/span><\/p>\n

                                                                                                                                                                              D.Titration<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              157. Which of the following is studied more in pharmacodynamics than in pharmacokinetics?<\/span><\/p>\n

                                                                                                                                                                              A. absorption. Distribution metabolism and excretion<\/span><\/p>\n

                                                                                                                                                                              B. dose-response effects<\/span><\/p>\n

                                                                                                                                                                              C. the transportation of the drug to the specific site for drug-receptor interaction<\/span><\/p>\n

                                                                                                                                                                              D. the way the human body deals with a drug after it has been administered<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              158. How does the healthy human immune system use MHC markers?<\/span><\/p>\n

                                                                                                                                                                              A. Substances with MHC markers are discerned as foreign and targeted for destruction.<\/span><\/p>\n

                                                                                                                                                                              B. Substances with MHC markers as discerned as foreign and quarantined in the liver.<\/span><\/p>\n

                                                                                                                                                                              C. Substances with MHC markers as discerned as foreign and quarantined in the pancreas.<\/span><\/p>\n

                                                                                                                                                                              D. Substances without MHC markers are discerned as foreign and targeted for destruction.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              159. What is a behind-the-counter drug?<\/span><\/p>\n

                                                                                                                                                                              A. an OTC drug that must be closely monitored by the pharmacist<\/span><\/p>\n

                                                                                                                                                                              B. another term for a generic prescription drug<\/span><\/p>\n

                                                                                                                                                                              C. another term for a prescription drug<\/span><\/p>\n

                                                                                                                                                                              D. another term for an OTC drug<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              160. When do MSLs meet with clinicians?<\/span><\/p>\n

                                                                                                                                                                              A. at nearly any stage of the product’s life cycle<\/span><\/p>\n

                                                                                                                                                                              B. only after the district’s sales representatives<\/span><\/p>\n

                                                                                                                                                                              C. only prior to launch<\/span><\/p>\n

                                                                                                                                                                              D. MSLs do not meet with physicians.<\/span><\/p>\n

                                                                                                                                                                              Walden NURS6501 Week 7 Quiz<\/span><\/p>\n

                                                                                                                                                                              Walden NURS6501 Week 7 Quiz <\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 1<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 52-year-old male IV drug user was diagnosed with hepatitis C 5 years ago. He is now experiencing impaired blood clotting. The nurse suspects a decrease in which of the following vitamins?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. K<\/span><\/p>\n

                                                                                                                                                                              b. D<\/span><\/p>\n

                                                                                                                                                                              c. E<\/span><\/p>\n

                                                                                                                                                                              d. B12<\/span><\/p>\n

                                                                                                                                                                              Question 2<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 5-year-old male was diagnosed with normocytic-normochromic anemia. Which of the following anemias does the nurse suspect the patient has?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Sideroblastic anemia<\/span><\/p>\n

                                                                                                                                                                              b. Hemolytic anemia<\/span><\/p>\n

                                                                                                                                                                              c. Pernicious anemia<\/span><\/p>\n

                                                                                                                                                                              d. Iron deficiency anemia<\/span><\/p>\n

                                                                                                                                                                              Question 3<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              For a patient experiencing hypersplenism, the nurse expects the erythrocytes to be:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Proliferated<\/span><\/p>\n

                                                                                                                                                                              b. Activated<\/span><\/p>\n

                                                                                                                                                                              c. Sequestered<\/span><\/p>\n

                                                                                                                                                                              d. Infected<\/span><\/p>\n

                                                                                                                                                                              Question 4<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A nurse is caring for a patient who cannot clot. Which end product of the clotting cascade is this patient unable to make?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A. Collagen<\/span><\/p>\n

                                                                                                                                                                              B. Fibrinogen<\/span><\/p>\n

                                                                                                                                                                              C. Thrombin<\/span><\/p>\n

                                                                                                                                                                              D. Fibrin<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 5<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 45-year-old male is diagnosed with macrocytic, normochromic anemia. The nurse suspects the most likely cause of this condition is:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Defective DNA synthesis<\/span><\/p>\n

                                                                                                                                                                              b. Abnormal synthesis of hemoglobin<\/span><\/p>\n

                                                                                                                                                                              c. Defective use of vitamin C<\/span><\/p>\n

                                                                                                                                                                              d. Blocked protein synthesis<\/span><\/p>\n

                                                                                                                                                                              Question 6<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 62-year-old female tells her health care provider she has been experiencing regular night sweats that cause her to wake up drenched. She also remarks that she has been unintentionally losing weight. Physical exam reveals enlarged lymph nodes on her neck that do not appear to be painful. She should be screened for which of the following cancers?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Epstein-Barr virus<\/span><\/p>\n

                                                                                                                                                                              b. Hodgkin lymphoma<\/span><\/p>\n

                                                                                                                                                                              c. Acute leukemia<\/span><\/p>\n

                                                                                                                                                                              d. Burkitt lymphoma<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 7<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A nurse checks individuals with liver disease for clotting problems because:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. The liver is often the site of platelet pooling.<\/span><\/p>\n

                                                                                                                                                                              b. Clotting factors are produced in the liver.<\/span><\/p>\n

                                                                                                                                                                              c. High levels of bilirubin interfere with the clotting system.<\/span><\/p>\n

                                                                                                                                                                              d. Treatment medications for liver failure cause fibrinolysis.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 8<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 60-year-old female emphysema patient experiences a rapid and pounding heart, dizziness, and fatigue with exertion. Which of the following respiratory assessment findings indicate the respiratory system is compensating for the increased oxygen demand?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Bronchoconstriction<\/span><\/p>\n

                                                                                                                                                                              b. Increased rate and depth of breathing<\/span><\/p>\n

                                                                                                                                                                              c. Dyspnea<\/span><\/p>\n

                                                                                                                                                                              d. Activation of the renin-angiotensin response<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 9<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A hematologist is discussing hematopoiesis. Which information should be included? ________ participate in hematopoiesis.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Colony-stimulating factors (CSFs)<\/span><\/p>\n

                                                                                                                                                                              b. Eosinophils<\/span><\/p>\n

                                                                                                                                                                              c. Basophils<\/span><\/p>\n

                                                                                                                                                                              d. Neutrophils<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 10<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              While checking lab results, the nurse remembers the normal leukocyte count is:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. 1,000-2,000\/mm3 <\/span><\/p>\n

                                                                                                                                                                              b. 5,000-10,000\/mm3 <\/span><\/p>\n

                                                                                                                                                                              c. 4.2-6.2 million\/mm3 <\/span><\/p>\n

                                                                                                                                                                              d. 1.2-2.2 million\/mm3<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 11<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 65-year-old male experienced loss of appetite, weight loss, lemon-yellow skin, liver enlargement, and a beefy red tongue shortly before his death. Autopsy suggested pernicious anemia, and the cause of death would most likely reveal:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Brain hypoxia<\/span><\/p>\n

                                                                                                                                                                              b. Liver hypoxia<\/span><\/p>\n

                                                                                                                                                                              c. Heart failure<\/span><\/p>\n

                                                                                                                                                                              d. Kidney failure<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 12<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 34-year-old male presents in the emergency room with extreme fatigue and shortness of breath. His skin and sclera appear to have a yellowish discoloration. These assessment findings are consistent with which type of anemia?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Posthemorrhagic anemia<\/span><\/p>\n

                                                                                                                                                                              b. Iron deficiency anemia<\/span><\/p>\n

                                                                                                                                                                              c. Aplastic anemia<\/span><\/p>\n

                                                                                                                                                                              d. Hemolytic anemia<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 13<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              The people from which country have the lowest risk for Hodgkin lymphoma?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. United States<\/span><\/p>\n

                                                                                                                                                                              b. Japan<\/span><\/p>\n

                                                                                                                                                                              c. Denmark<\/span><\/p>\n

                                                                                                                                                                              d. Great Britain<\/span><\/p>\n

                                                                                                                                                                              Question 14<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              After initial compensation, what hemodynamic change should the nurse monitor for in a patient who has a reduction in the number of circulating erythrocytes?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Increased viscosity of blood<\/span><\/p>\n

                                                                                                                                                                              b. Decreased cardiac output<\/span><\/p>\n

                                                                                                                                                                              c. Altered coagulation<\/span><\/p>\n

                                                                                                                                                                              d. Hyperdynamic circulatory state<\/span><\/p>\n

                                                                                                                                                                              Question 15<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Thrombocytopenia may be:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Transient or consistent<\/span><\/p>\n

                                                                                                                                                                              b. Normal or abnormal<\/span><\/p>\n

                                                                                                                                                                              c. Congenital or acquired<\/span><\/p>\n

                                                                                                                                                                              d. Active or inactive<\/span><\/p>\n

                                                                                                                                                                              Question 16<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A group of cells isolated in the laboratory have membrane-bound granules in their cytoplasm and they show phagocytic activity.Which of the following cells is most similar?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Monocyte <\/span><\/p>\n

                                                                                                                                                                              b. Macrophage <\/span><\/p>\n

                                                                                                                                                                              c. Lymphocyte <\/span><\/p>\n

                                                                                                                                                                              d. Eosinophils<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 17<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A nurse monitors for the most common childhood cancer, which is:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Non-Hodgkin lymphoma <\/span><\/p>\n

                                                                                                                                                                              b. Chronic myelocytic leukemia (CML) <\/span><\/p>\n

                                                                                                                                                                              c. Hodgkin lymphoma <\/span><\/p>\n

                                                                                                                                                                              d. Acute lymphoblastic leukemia (ALL)<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 18<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 25-year-old female has a heavy menses during which she loses a profuse amount of blood.Which of the following adaptations should the nurse expect?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Movement of fluid into the cell<\/span><\/p>\n

                                                                                                                                                                              b. Decreased cardiac output<\/span><\/p>\n

                                                                                                                                                                              c. Decreased oxygen release from hemoglobin<\/span><\/p>\n

                                                                                                                                                                              d. Peripheral vasoconstriction<\/span><\/p>\n

                                                                                                                                                                              Question 19<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A newborn is diagnosed with congenital intrinsic factor deficiency. Which of the following types of anemia will the nurse see documented on the chart?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Iron deficiency anemia<\/span><\/p>\n

                                                                                                                                                                              b. Pernicious anemia<\/span><\/p>\n

                                                                                                                                                                              c. Sideroblastic anemia<\/span><\/p>\n

                                                                                                                                                                              d. Hemolytic anemia<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 20<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A staff member wants to know where the greatest proportion of iron is located. How should the nurse respond? The greatest proportion of total body iron is located in the:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Erythrocytes <\/span><\/p>\n

                                                                                                                                                                              b. Spleen pulp <\/span><\/p>\n

                                                                                                                                                                              c. Bone marrow <\/span><\/p>\n

                                                                                                                                                                              d. Liver tissue<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 21<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 67-year-old female has chronic gastrointestinal bleeding.A nurse recalls the primary cause of her anemia is:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Vitamin B12 deficiency<\/span><\/p>\n

                                                                                                                                                                              b. Iron deficiency<\/span><\/p>\n

                                                                                                                                                                              c. Folate deficiency<\/span><\/p>\n

                                                                                                                                                                              d. Bone marrow failure<\/span><\/p>\n

                                                                                                                                                                              Question 22<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              During an infection, the nurse assesses the lymph nodes.Lymph nodes enlarge and become tender because:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Lymphocytes are rapidly dividing. <\/span><\/p>\n

                                                                                                                                                                              b. Edema accumulates within the fibrous capsule. <\/span><\/p>\n

                                                                                                                                                                              c. Microorganisms are accumulating. <\/span><\/p>\n

                                                                                                                                                                              d. The nodes are not functioning properly.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 23<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              How should the nurse prepare a patient who is to receive a Schilling test for pernicious anemia?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Administer radioactive cobalamin and measure its excretion in the urine.<\/span><\/p>\n

                                                                                                                                                                              b. Measure antigen-antibody immune complexes.<\/span><\/p>\n

                                                                                                                                                                              c. Measure serum ferritin and total iron-binding capacity.<\/span><\/p>\n

                                                                                                                                                                              d. Administer folate and evaluate folate content in a blood serum sample.<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 24<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 5-year-old female is diagnosed with acute leukemia. The nurse will most likely treat this patient with:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Bone marrow transplant<\/span><\/p>\n

                                                                                                                                                                              b. Immunotherapy<\/span><\/p>\n

                                                                                                                                                                              c. Chemotherapy<\/span><\/p>\n

                                                                                                                                                                              d. Localized radiation therapy<\/span><\/p>\n

                                                                                                                                                                              Question 25<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 35-year-old male with hyperthyroidism begins treatment to decrease thyroid activity. A nurse monitors for which of the following conditions that could result secondary to the treatment?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Eosinophilia<\/span><\/p>\n

                                                                                                                                                                              b. Basophilia<\/span><\/p>\n

                                                                                                                                                                              c. Monocytosis<\/span><\/p>\n

                                                                                                                                                                              d. Lymphocytosis<\/span><\/p>\n

                                                                                                                                                                              Question 26<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              While reviewing lab results, the nurse recalls the most abundant cells in the blood are:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Leukocytes <\/span><\/p>\n

                                                                                                                                                                              b. Lymphocytes <\/span><\/p>\n

                                                                                                                                                                              c. Erythrocytes <\/span><\/p>\n

                                                                                                                                                                              d. Thrombocytes<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 27<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 10-year-old male presents with abdominal swelling, night sweats, fever, and weight loss. He is diagnosed with Burkitt lymphoma. Upon obtaining the history, which of the following is the most likely cause?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Cytomegalovirus (CMV)<\/span><\/p>\n

                                                                                                                                                                              b. Adenovirus<\/span><\/p>\n

                                                                                                                                                                              c. Human papillomavirus (HPV)<\/span><\/p>\n

                                                                                                                                                                              d. Epstein-Barr virus (EBV)<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 28<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 15-year-old male is diagnosed with infectious mononucleosis. When the patient asks how he got this disease, how should the nurse respond? The most likely cause is:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Lymph node enlargement.<\/span><\/p>\n

                                                                                                                                                                              b. Fever and sore throat<\/span><\/p>\n

                                                                                                                                                                              c. Rash on the trunk and extremities<\/span><\/p>\n

                                                                                                                                                                              d. Fatigue<\/span><\/p>\n

                                                                                                                                                                              e. Enlargement of liver and spleen<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 29<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A nurse is teaching the staff about platelets. Which information should the nurse include? In addition to playing a role in hemostasis, platelets have the ability to:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Stimulate bone marrow production of erythrocytes <\/span><\/p>\n

                                                                                                                                                                              b. Release biochemical mediators of inflammation <\/span><\/p>\n

                                                                                                                                                                              c. Undergo cell division in response to bleeding <\/span><\/p>\n

                                                                                                                                                                              d. Activate a humoral response<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 30<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 20-year-old female undergoes lab testing for anemia.Results show high iron, bilirubin, and transferrin and low hemoglobin and hematocrit. Which of the following is the most likely diagnosis to be documented on the chart?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Pernicious anemia<\/span><\/p>\n

                                                                                                                                                                              b. Folate deficiency anemia<\/span><\/p>\n

                                                                                                                                                                              c. Iron deficiency anemia<\/span><\/p>\n

                                                                                                                                                                              d. Sideroblastic anemia<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 31<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 45-year-old female undergoes a splenectomy to remove a tumor. Which of the following assessment finding is most likely to occur following surgery?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Leukocytosis <\/span><\/p>\n

                                                                                                                                                                              b. Hypoglycemia <\/span><\/p>\n

                                                                                                                                                                              c. Decreased red blood cell count <\/span><\/p>\n

                                                                                                                                                                              d. Decreased platelets<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 32<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              When a nurse is reviewing lab results and notices that the erythrocytes contain an abnormally low concentration of hemoglobin, the nurse calls these erythrocytes:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Hyperchromic<\/span><\/p>\n

                                                                                                                                                                              b. Hypochromic<\/span><\/p>\n

                                                                                                                                                                              c. Macrocytic<\/span><\/p>\n

                                                                                                                                                                              d. Microcytic<\/span><\/p>\n

                                                                                                                                                                              Question 33<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              In disseminated intravascular coagulation (DIC), the nurse assesses for active bleeding after intravascular clotting because:<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Prothrombin is activated.<\/span><\/p>\n

                                                                                                                                                                              b. Clotting factors are depleted.<\/span><\/p>\n

                                                                                                                                                                              c. Inflammatory mediators are released.<\/span><\/p>\n

                                                                                                                                                                              d. Tissue factor (TF) is inactivated.<\/span><\/p>\n

                                                                                                                                                                              Question 34<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              A 21-year-old female was recently diagnosed with iron deficiency anemia. In addition to fatigue and weakness, which of the following clinical signs and symptoms would she most likely exhibit?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Hyperactivity<\/span><\/p>\n

                                                                                                                                                                              b. Spoon-shaped nails<\/span><\/p>\n

                                                                                                                                                                              c. Gait problems<\/span><\/p>\n

                                                                                                                                                                              d. Petechiae<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 35<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              The nurse will check which of the following tests to directly measure iron stores?<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              a. Serum ferritin<\/span><\/p>\n

                                                                                                                                                                              b. Transferrin saturation<\/span><\/p>\n

                                                                                                                                                                              c. Bone marrow biopsy<\/span><\/p>\n

                                                                                                                                                                              d. Total iron-binding capacity<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              PAD 599 Competency Assessment\u00a0<\/span><\/p>\n

                                                                                                                                                                              PAD 599 Competency Assessment<\/span><\/p>\n

                                                                                                                                                                              Question 1
                                                                                                                                                                              \n1. A process-oriented definition of “democracy” emphasizes
                                                                                                                                                                              \nequality of result.
                                                                                                                                                                              \nthe ways in which government works,
                                                                                                                                                                              \nthat everyone is equal.
                                                                                                                                                                              \nthe ambiguity of the term “democracy.”
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 2
                                                                                                                                                                              \n1. Benchmarking performance improvement programs means
                                                                                                                                                                              \ntargeted specific programs or functions.
                                                                                                                                                                              \nachieved some dramatic results.
                                                                                                                                                                              \nattempted to combine reduction of costs with increases in quality and timeliness.
                                                                                                                                                                              \nusing standards and points of comparisons
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 3
                                                                                                                                                                              \n1. The idea of equality in American democratic thought generally refers to
                                                                                                                                                                              \nequality of talent and ability.
                                                                                                                                                                              \nequality of material possessions as an ideal.
                                                                                                                                                                              \nan equal claim to life, liberty and the pursuit of happiness.
                                                                                                                                                                              \nthe idea that the integrity of the individual is of supreme importance.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 4
                                                                                                                                                                              \n1. The unusual visibility of the public administrator
                                                                                                                                                                              \nis rooted in the public purposes that are pursued.
                                                                                                                                                                              \nis rooted in the tendency toward corruption.
                                                                                                                                                                              \nis similar to the business administrator’s visibility.
                                                                                                                                                                              \ndoes not affect efficiency and responsiveness issues.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 5
                                                                                                                                                                              \n1. Which of the following is NOT a principle of New Public Management?
                                                                                                                                                                              \norganizations need to be mission-driven
                                                                                                                                                                              \norganizations need to be incentive-based.
                                                                                                                                                                              \norganizations need to be centralized.
                                                                                                                                                                              \norganizations need to be responsive inter-organizational networks
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 6
                                                                                                                                                                              \n1. In a democratic society, which is NOT a characteristic of pluralistic decision making?
                                                                                                                                                                              \nis a common feature of government.
                                                                                                                                                                              \ninvolves the participation by many groups and officials in governmental decisions.
                                                                                                                                                                              \nis a distinguishing feature that differentiates public and business administration.
                                                                                                                                                                              \nreduces the accountability of public officials
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 7
                                                                                                                                                                              \n1. The Office of Management and Budget is
                                                                                                                                                                              \na feature of each state’s budget-making apparatus.
                                                                                                                                                                              \nconcerned solely with evaluation of the fiscal efficiency of management practices.
                                                                                                                                                                              \nlocated in the Congress as an advisory body.
                                                                                                                                                                              \nthe White House office charged with the actual preparation of the executive budget proposal that is conveyed to Congress.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 8
                                                                                                                                                                              \n1. An example of “clientele support” is
                                                                                                                                                                              \nthe American Association of Retired Persons’ lobbying of Congress in support of Social Security Administration budgets.
                                                                                                                                                                              \nwhen the supervisors of the budget officer support that person.
                                                                                                                                                                              \nthe National Rifle Association’s lobbying of Congress in support of better urban transportation systems.
                                                                                                                                                                              \nWhen the budget officer enjoys the support of the chief executive.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 9
                                                                                                                                                                              \n1. As a management tool, the budget steps include
                                                                                                                                                                              \nproposal, amendment, passage.
                                                                                                                                                                              \nincremental, rational, bargained agreements.
                                                                                                                                                                              \nbudget formation, approval, execution, and audit.
                                                                                                                                                                              \ncommittee hearings, mark-up, and report of budgets.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 10
                                                                                                                                                                              \n1. Fiscal policy is concerned principally with
                                                                                                                                                                              \nthe amount of money in circulation in the economy.
                                                                                                                                                                              \nfunding of government programs.
                                                                                                                                                                              \nthe impact of government taxation and expenditures of the economy.
                                                                                                                                                                              \nthe business cycle.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 11
                                                                                                                                                                              \n1. A grant by the federal government to a state or locality may be in the form of a block grant, which is
                                                                                                                                                                              \nfunding provided for a specific purpose or project.
                                                                                                                                                                              \nfor any purpose officials may select (within the law).
                                                                                                                                                                              \nfunding provided for a general program or functional area.
                                                                                                                                                                              \nfunding for a specific city block or neighborhood.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 12
                                                                                                                                                                              \n1. About half of all local government revenue is obtained from the ______.
                                                                                                                                                                              \nproperty tax
                                                                                                                                                                              \nincome tax
                                                                                                                                                                              \nsales tax
                                                                                                                                                                              \npayroll tax
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 13
                                                                                                                                                                              \n1. Internal sources of bureaucratic power include
                                                                                                                                                                              \nclientele groups.
                                                                                                                                                                              \ninformation and expertise.
                                                                                                                                                                              \nvague legislative enactments.
                                                                                                                                                                              \npower-hungry administrators.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 14
                                                                                                                                                                              \n1. The writing of vague policy and law by the Congress implies what for government agencies?
                                                                                                                                                                              \nHighly restricted agency action.
                                                                                                                                                                              \nThe lack of administrative discretion.
                                                                                                                                                                              \nA highly accountable government agency.
                                                                                                                                                                              \nAn opportunity for government agencies to shape policy through implementation.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 15
                                                                                                                                                                              \n1. The strong mayor system of city government
                                                                                                                                                                              \nis rarely used in larger American cities.
                                                                                                                                                                              \nprovides for the mayor to have a great deal of administrative and budgetary authority.
                                                                                                                                                                              \nis most common in small mid-western towns.
                                                                                                                                                                              \ndoes not give city councils policymaking authority
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 16
                                                                                                                                                                              \n1. Inputs into the systems model of politics and policy include
                                                                                                                                                                              \nLaws, regulations, and decisions.
                                                                                                                                                                              \nElection results, public opinion, communication to elected officials, and personal experiences of decision makers.
                                                                                                                                                                              \nRules developed by administrative agencies.
                                                                                                                                                                              \nNone of the above.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 17
                                                                                                                                                                              \n1. Any issue, problem or idea that could be considered in the policy process that does not fall outside various social and political norms in a particular society is found on the
                                                                                                                                                                              \nagenda universe.
                                                                                                                                                                              \nsystemic agenda.
                                                                                                                                                                              \ninstitutional agenda.
                                                                                                                                                                              \ndecision agenda.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 18
                                                                                                                                                                              \n1. Public agencies
                                                                                                                                                                              \nwrite public policy proposals.
                                                                                                                                                                              \ndo not provide testimony in support of policy proposals.
                                                                                                                                                                              \nhave no role in formulating public policy.
                                                                                                                                                                              \nare not involved in the policy process
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 19
                                                                                                                                                                              \n1. Public policies are
                                                                                                                                                                              \nthe laws.
                                                                                                                                                                              \nmade only in Congress.
                                                                                                                                                                              \nnever made by public administrators.
                                                                                                                                                                              \nauthoritative statements by legitimate governmental actors about public problems.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 20
                                                                                                                                                                              \n1. Viewing public service in an ethical dimension involves recognition that actions taken by public administrators to carry out public policy
                                                                                                                                                                              \ninclude an effort to discover or clarify the public interest.
                                                                                                                                                                              \nare always subject to examination by legislators.
                                                                                                                                                                              \nwill always involve moral dilemmas.
                                                                                                                                                                              \nare amoral, since they involve power.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 21
                                                                                                                                                                              \n1. The Pendleton Act of 1883 prohibited
                                                                                                                                                                              \nactive participation in political campaigns by federal employees.
                                                                                                                                                                              \npolitical contributions by any federal employee.
                                                                                                                                                                              \nstate employees from engaging in election campaign work.
                                                                                                                                                                              \nfederal employees from serving as delegates to a party convention.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 22
                                                                                                                                                                              \n1. The tension between efficiency and responsiveness is rooted in
                                                                                                                                                                              \nissues of effectiveness versus equity.
                                                                                                                                                                              \nissues of bureaucracy versus democracy.
                                                                                                                                                                              \nresponsibility and irresponsibility.
                                                                                                                                                                              \nfederalism
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 23
                                                                                                                                                                              \n1. The idea that a bureaucracy of professionals, who follow the mandates of a legislature, can meet the administrative requirements of a democracy is called the doctrine of
                                                                                                                                                                              \nhierarchical organization.
                                                                                                                                                                              \nthe spoils system.
                                                                                                                                                                              \nneutral competency.
                                                                                                                                                                              \nthe iron law of oligarchy.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 24
                                                                                                                                                                              \n1. When the administrator attempts to make a judgment concerning the desires of the public with respect to his\/her tasks, this is an example of_____.
                                                                                                                                                                              \nobjective responsibility
                                                                                                                                                                              \nsubjective responsibility
                                                                                                                                                                              \nrepresentative bureaucracy
                                                                                                                                                                              \nparticipatory decision making
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 25
                                                                                                                                                                              \n1. A way of insuring administrative responsiveness that focuses on strict legislative supervision and tightly drawn statutes is ______.
                                                                                                                                                                              \nsubjective responsibility
                                                                                                                                                                              \nrepresentative bureaucracy
                                                                                                                                                                              \nobjective responsibility
                                                                                                                                                                              \nparticipatory decision making
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 26
                                                                                                                                                                              \n1. The cost-effectiveness approach involves
                                                                                                                                                                              \na focus on identifying the impacts of alternative proposals.
                                                                                                                                                                              \ntranslating “effective” approaches into their dollar values.
                                                                                                                                                                              \navoiding the use of dollar values in assessing either the effectiveness or costs associated with a proposal.
                                                                                                                                                                              \nidentifying the critical path in a project.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 27
                                                                                                                                                                              \n1. A common limitation of quantitative techniques for selecting a policy alternative is
                                                                                                                                                                              \nthe difficulty of assigning dollar value to such variables as pain, suffering, and lives saved.
                                                                                                                                                                              \nthe inability to take account of the effects of inflation.
                                                                                                                                                                              \nlack of access to computers.
                                                                                                                                                                              \nthe lack of quantitative methods
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 28
                                                                                                                                                                              \n1. In the effort to contract out governmental activities
                                                                                                                                                                              \nnon-governmental organizations have taken on governmental roles.
                                                                                                                                                                              \nno new ethical questions concerning the motives of service-providers are raised.
                                                                                                                                                                              \nexisting mechanisms for control and accountability will continue to work well.
                                                                                                                                                                              \nlittle challenge to issues of democratic values is involved.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 29
                                                                                                                                                                              \n1. Which of the following is NOT a problem faced by researchers involved in the conduct of a true experiment in a social program?
                                                                                                                                                                              \nidentifying the treatment or intervention
                                                                                                                                                                              \ndifficulty in establishing two comparable groups, one experimental, the other a control group.
                                                                                                                                                                              \nethical concern for the fate of participants in the experimental group.
                                                                                                                                                                              \nestablishing randomness in assignment of persons to the experimental or control group.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 30
                                                                                                                                                                              \n1. In an experiment, the control group is
                                                                                                                                                                              \nthe recipient of intervention or treatment.
                                                                                                                                                                              \nunnecessary.
                                                                                                                                                                              \nunknown to the experimenter.
                                                                                                                                                                              \nnot the recipient of intervention or treatment.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 31
                                                                                                                                                                              \n1. Someone studying the number of lives saved as a result of the national government’s automobile safety regulations would conduct
                                                                                                                                                                              \nan outcomes evaluation.
                                                                                                                                                                              \na process evaluation.
                                                                                                                                                                              \nan experiment.
                                                                                                                                                                              \nintensive interviews.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 32
                                                                                                                                                                              \n1. The compilation of all federal rules currently in effect is:
                                                                                                                                                                              \nCode of Federal Regulations
                                                                                                                                                                              \nU.S. Code
                                                                                                                                                                              \nFederal Register
                                                                                                                                                                              \nU.S. Code Annotated
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 33
                                                                                                                                                                              \n1. The U.S. Supreme Court has held that local zoning regulations are constitutional if:
                                                                                                                                                                              \nThey bear a rational relation to the health and safety of the community
                                                                                                                                                                              \nThey are uniformly applied throughout the state
                                                                                                                                                                              \nThey do not restrict commercial development
                                                                                                                                                                              \nOwners are paid fair market value compensation if the uses of their property are restricted
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 34
                                                                                                                                                                              \n1. Which of the following most accurately describes how to read a statute:
                                                                                                                                                                              \nAll relevant statutory provisions will be collected into a single section
                                                                                                                                                                              \nAlthough there may be multiple publications containing statutes only the official publication will always be up to date
                                                                                                                                                                              \nInternet versions are always more reliable than the print versions
                                                                                                                                                                              \nBoth print and Internet versions should be checked for later changes
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 35
                                                                                                                                                                              \n1. On what basis did the U.S. Supreme Court find that the Equal Protection Clause applied to the federal government?
                                                                                                                                                                              \nThe express terms of the Constitution
                                                                                                                                                                              \nCombined with due process it is part of basic fairness
                                                                                                                                                                              \nThe Ninth Amendment
                                                                                                                                                                              \nThe Sixth Amendment
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 36
                                                                                                                                                                              \n1. To what extent must criminal trials be open to the public?
                                                                                                                                                                              \nThey may be closed only to protect a compelling governmental interest in a manner narrowly tailored to that purpose
                                                                                                                                                                              \nThey may never be closed
                                                                                                                                                                              \nThey may be closed at the judge\u2019s discretion
                                                                                                                                                                              \nThey may be closed except for a right of press access
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 37
                                                                                                                                                                              \n1. Corpus Juris Secundum is:
                                                                                                                                                                              \nA legal encyclopedia with broad coverage of most legal subjects
                                                                                                                                                                              \nAn Internet update service
                                                                                                                                                                              \nThe principle that an opinion should be followed unless the law has changed
                                                                                                                                                                              \nThe principle that statutes should always be double-checked
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 38
                                                                                                                                                                              \n1. An agency rule that explains an agency\u2019s understanding of the law or its regulations is known as:
                                                                                                                                                                              \nSubstantive
                                                                                                                                                                              \nInterpretive
                                                                                                                                                                              \nProcedural
                                                                                                                                                                              \nAppellate
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 39
                                                                                                                                                                              \n1. POSDCORB
                                                                                                                                                                              \nis an acronym developed by Woodrow Wilson
                                                                                                                                                                              \nrefers to the functions of public management.
                                                                                                                                                                              \nrefers to the functions of the post office.
                                                                                                                                                                              \nis a type of organizational structure
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 40
                                                                                                                                                                              \n1. Arbitration in labor-management negotiations
                                                                                                                                                                              \nuses a neutral third party to negotiate a settlement.
                                                                                                                                                                              \nuses a third party to investigate and issue specific recommendations concerning a settlement.
                                                                                                                                                                              \nis a fact-finding process, normally followed by binding recommendations.
                                                                                                                                                                              \ndoes not occur in the governmental sector.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 41
                                                                                                                                                                              \n1. Mediation in labor management negotiations
                                                                                                                                                                              \nuses a neutral third party to negotiate a settlement.
                                                                                                                                                                              \nuses a third party to investigate and issue specific recommendations concerning a settlement.
                                                                                                                                                                              \nis a fact-finding process, normally followed by binding recommendations.
                                                                                                                                                                              \ndoes not occur in the governmental sector.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 42
                                                                                                                                                                              \n1. In recent years state and local merit systems in the personnel function
                                                                                                                                                                              \nhave contracted as a result of due process requirements based on court decisions.
                                                                                                                                                                              \nhave become weaker as a result of pressure from the federal government.
                                                                                                                                                                              \nhave been strengthened as a result of expanding public employee due process protection provided by courts.
                                                                                                                                                                              \nhave been dominated by political party machines.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 43
                                                                                                                                                                              \n1. The Pendleton Act provided for
                                                                                                                                                                              \nestablishment of a Human Rights Commission.
                                                                                                                                                                              \nmandated federal employee contributions to election campaigns.
                                                                                                                                                                              \nmerit-based selection of government employees.
                                                                                                                                                                              \nthe spoils system
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 44
                                                                                                                                                                              \n1. Employers are responsible for the acts of their employees\u2019 negligence:
                                                                                                                                                                              \nOnly if the employee\u2019s act was intentional
                                                                                                                                                                              \nOnly if the employer failed to give warnings of foreseeable harm
                                                                                                                                                                              \nIf the negligent act was within the scope of authority associated with the work
                                                                                                                                                                              \nOnly if the negligent act was not within the scope of authority associated with the work
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 45
                                                                                                                                                                              \n1. One of the main criticisms of globalization is that it
                                                                                                                                                                              \nmakes the powerful more powerful and wealthy.
                                                                                                                                                                              \nactually makes everyone less well off.
                                                                                                                                                                              \noutsources jobs from developing to developed countries.
                                                                                                                                                                              \nprevents poorer countries from expanding their economies.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 46
                                                                                                                                                                              \n1. Democratic peace theory asserts that
                                                                                                                                                                              \nthere is a connection between regime type and war.
                                                                                                                                                                              \nthe balance of power in the international system is predictive of conflict.
                                                                                                                                                                              \ncountries with stagnant economies are more likely to engage in war.
                                                                                                                                                                              \nreligious fundamentalism is an important factor behind conflict.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 47
                                                                                                                                                                              \n1. A primary objective for both insurgency and guerilla warfare is to
                                                                                                                                                                              \ndefeat the enemy on the field of battle.
                                                                                                                                                                              \nraise the costs of conflict as higher than any benefit to the attacker.
                                                                                                                                                                              \nforce the intervention of the UN to end the conflict.
                                                                                                                                                                              \nuse high-tech weapons against the attacker.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 48
                                                                                                                                                                              \n1. International politics is an area in which vital decisions are made based on
                                                                                                                                                                              \nunderstandings of cause and effect.
                                                                                                                                                                              \nfear and misunderstanding.
                                                                                                                                                                              \npolitical will.
                                                                                                                                                                              \nmoral guidance.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 49
                                                                                                                                                                              \n1. The U.S. government wants China to allow its currency to increase in value in order to
                                                                                                                                                                              \nraise the value of the U.S. dollar.
                                                                                                                                                                              \nhelp moderate the American trade deficit with China.
                                                                                                                                                                              \nlower American interest rates.
                                                                                                                                                                              \ncreate competitive devaluation.
                                                                                                                                                                              \n1 points
                                                                                                                                                                              \nQuestion 50
                                                                                                                                                                              \n1. The evolution of today\u2019s international system has been dominated by
                                                                                                                                                                              \nthe expansion of colonialism.
                                                                                                                                                                              \nthe development of a system of sovereign states in Europe and its spread to the rest of the world.
                                                                                                                                                                              \nthe establishment of the United Nations and its growing influence.
                                                                                                                                                                              \nthe development of the Cold War in the twentieth century.<\/span><\/p>\n

                                                                                                                                                                              Walden NURS6501 Week 8<\/span><\/p>\n

                                                                                                                                                                              Walden NURS6501 Week 8 Quiz latest\u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 1<\/span><\/p>\n

                                                                                                                                                                              A 40-year-old female presents complaining of pain near the midline in the epigastrium. Assuming the pain is caused by a stimulus acting on an abdominal organ, the pain felt is classified as:<\/span><\/p>\n

                                                                                                                                                                              a. Visceral
                                                                                                                                                                              \nb. Somatic
                                                                                                                                                                              \nc. Parietal
                                                                                                                                                                              \nd. Referred<\/span><\/p>\n

                                                                                                                                                                              Question 2<\/span><\/p>\n

                                                                                                                                                                              An 8-week-old male was recently diagnosed with cystic fibrosis. Which of the following digestive alterations would be expected?<\/span><\/p>\n

                                                                                                                                                                              a. Insufficient bile production
                                                                                                                                                                              \nb. Gastric atrophy
                                                                                                                                                                              \nc. Hypersecretion of stomach acid
                                                                                                                                                                              \nd. Nutrient malabsorption<\/span><\/p>\n

                                                                                                                                                                              Question 3<\/span><\/p>\n

                                                                                                                                                                              In alcoholic cirrhosis, hepatocellular damage is caused by:<\/span><\/p>\n

                                                                                                                                                                              a. acetaldehyde accumulation.
                                                                                                                                                                              \nb. bile toxicity.
                                                                                                                                                                              \nc. acidosis.
                                                                                                                                                                              \nd. fatty infiltrations.<\/span><\/p>\n

                                                                                                                                                                              Question 4<\/span><\/p>\n

                                                                                                                                                                              Where does the nurse expect the obstruction to be in a patient with extrahepatic portal hypertension?<\/span><\/p>\n

                                                                                                                                                                              a. Sinusoids
                                                                                                                                                                              \nb. Bile ducts
                                                                                                                                                                              \nc. Hepatic portal vein
                                                                                                                                                                              \nd. Hepatic artery<\/span><\/p>\n

                                                                                                                                                                              Question 5<\/span><\/p>\n

                                                                                                                                                                              Kwashiorkor is a severe dietary deficiency of:<\/span><\/p>\n

                                                                                                                                                                              a. fat-soluble vitamins.
                                                                                                                                                                              \nb. carbohydrates.
                                                                                                                                                                              \nc. protein.
                                                                                                                                                                              \nd. calcium and magnesium.<\/span><\/p>\n

                                                                                                                                                                              Question 6<\/span><\/p>\n

                                                                                                                                                                              A 27-year-old male presents with fever, GI bleeding, hepatomegaly, and transient joint pain. He reports that as a child he received blood transfusions following a motor vehicle accident. He also indicates he was vaccinated against hepatitis B. Which of the following types of hepatitis does the clinician think he most likely has?<\/span><\/p>\n

                                                                                                                                                                              a. A
                                                                                                                                                                              \nb. B
                                                                                                                                                                              \nc. C
                                                                                                                                                                              \nd. D<\/span><\/p>\n

                                                                                                                                                                              Question 7<\/span><\/p>\n

                                                                                                                                                                              Prolonged diarrhea is more serious in children than adults because:<\/span><\/p>\n

                                                                                                                                                                              a. children have lower adipose reserves.
                                                                                                                                                                              \nb. fluid reserves are lower in children.
                                                                                                                                                                              \nc. children have a lower metabolic rate.
                                                                                                                                                                              \nd. children are more resistant to antimicrobial therapy.<\/span><\/p>\n

                                                                                                                                                                              Question 8<\/span><\/p>\n

                                                                                                                                                                              A 40-year-old male develops an intestinal obstruction related to protrusion of the intestine through the inguinal ring. This condition is referred to as:<\/span><\/p>\n

                                                                                                                                                                              a. Intussusception
                                                                                                                                                                              \nb. A volvulus
                                                                                                                                                                              \nc. A hernia
                                                                                                                                                                              \nd. Adhesions<\/span><\/p>\n

                                                                                                                                                                              Question 9<\/span><\/p>\n

                                                                                                                                                                              A 60-year-old male presents with GI bleeding and abdominal pain. He reports that he takes NSAIDs daily to prevent heart attack. Tests reveal that he has a peptic ulcer. The most likely cause of this disease is:<\/span><\/p>\n

                                                                                                                                                                              a. Increasing subepithelial bicarbonate production
                                                                                                                                                                              \nb. Accelerating the H+ (proton) pump in parietal cells
                                                                                                                                                                              \nc. Inhibiting mucosal prostaglandin synthesis
                                                                                                                                                                              \nd. Stimulating a shunt of mucosal blood flow<\/span><\/p>\n

                                                                                                                                                                              Question 10<\/span><\/p>\n

                                                                                                                                                                              Acute pancreatitis often manifests with pain to which of the following regions?<\/span><\/p>\n

                                                                                                                                                                              a. Right lower quadrant
                                                                                                                                                                              \nb. Right upper quadrant
                                                                                                                                                                              \nc. Epigastric
                                                                                                                                                                              \nd. Suprapubic<\/span><\/p>\n

                                                                                                                                                                              Question 11<\/span><\/p>\n

                                                                                                                                                                              A 60-year-old male is diagnosed with cancer of the esophagus. Which of the following factors most likely contributed to his disease?<\/span><\/p>\n

                                                                                                                                                                              a. Reflux esophagitis
                                                                                                                                                                              \nb. Intestinal parasites
                                                                                                                                                                              \nc. Ingestion of salty foods
                                                                                                                                                                              \nd. Frequent use of antacids<\/span><\/p>\n

                                                                                                                                                                              Question 12<\/span><\/p>\n

                                                                                                                                                                              The primary complication of enterocolitis associated with Hirschsprung disease is related to which finding?<\/span><\/p>\n

                                                                                                                                                                              a. Fecal impaction
                                                                                                                                                                              \nb. Pancreatic insufficiency
                                                                                                                                                                              \nc. Hyperactive peristalsis
                                                                                                                                                                              \nd. Ileal atresia<\/span><\/p>\n

                                                                                                                                                                              Question 13<\/span><\/p>\n

                                                                                                                                                                              The most common cause of chronic vascular insufficiency among the elderly is:<\/span><\/p>\n

                                                                                                                                                                              a. Anemia
                                                                                                                                                                              \nb. Aneurysm
                                                                                                                                                                              \nc. Lack of nutrition in gut lumen
                                                                                                                                                                              \nd. Atherosclerosis<\/span><\/p>\n

                                                                                                                                                                              Question 14<\/span><\/p>\n

                                                                                                                                                                              The most common clinical manifestation of portal hypertension is _____ bleeding.<\/span><\/p>\n

                                                                                                                                                                              a. rectal
                                                                                                                                                                              \nb. duodenal
                                                                                                                                                                              \nc. esophageal
                                                                                                                                                                              \nd. intestinal<\/span><\/p>\n

                                                                                                                                                                              Question 15<\/span><\/p>\n

                                                                                                                                                                              A 54-year-old male is diagnosed with peptic ulcer disease.This condition is most likely caused by:<\/span><\/p>\n

                                                                                                                                                                              a. Hereditary hormonal imbalances with high gastrin levels
                                                                                                                                                                              \nb. Breaks in the mucosa and presence of corrosive secretions
                                                                                                                                                                              \nc. Decreased vagal activity and vascular engorgement
                                                                                                                                                                              \nd. Gastric erosions related to high ammonia levels and bile reflux<\/span><\/p>\n

                                                                                                                                                                              Question 16<\/span><\/p>\n

                                                                                                                                                                              The cardinal sign of pyloric stenosis caused by ulceration or tumors is:<\/span><\/p>\n

                                                                                                                                                                              a. Constipation
                                                                                                                                                                              \nb. Diarrhea
                                                                                                                                                                              \nc. Vomiting
                                                                                                                                                                              \nd. Heartburn<\/span><\/p>\n

                                                                                                                                                                              Question 17<\/span><\/p>\n

                                                                                                                                                                              A 55-year-old male died in a motor vehicle accident. Autopsy revealed an enlarged liver caused by fatty infiltration, testicular atrophy, and mild jaundice secondary to cirrhosis. The most likely cause of his condition is:<\/span><\/p>\n

                                                                                                                                                                              a. Bacterial infection
                                                                                                                                                                              \nb. Viral infection
                                                                                                                                                                              \nc. Alcoholism
                                                                                                                                                                              \nd. Drug overdose<\/span><\/p>\n

                                                                                                                                                                              Question 18<\/span><\/p>\n

                                                                                                                                                                              Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of:<\/span><\/p>\n

                                                                                                                                                                              a. hyperbilirubinemia and jaundice.
                                                                                                                                                                              \nb. fluid and electrolyte imbalances.
                                                                                                                                                                              \nc. impaired ammonia metabolism.
                                                                                                                                                                              \nd. decreased cerebral blood flow.<\/span><\/p>\n

                                                                                                                                                                              Question 19<\/span><\/p>\n

                                                                                                                                                                              The most common disorder associated with upper GI bleeding is:<\/span><\/p>\n

                                                                                                                                                                              a. diverticulosis.
                                                                                                                                                                              \nb. hemorrhoids.
                                                                                                                                                                              \nc. esophageal varices.
                                                                                                                                                                              \nd. cancer.<\/span><\/p>\n

                                                                                                                                                                              Question 20<\/span><\/p>\n

                                                                                                                                                                              A 3-month-old female develops colicky pain, abdominal distention, and diarrhea after drinking cow\u2019s milk. The best explanation for her symptoms is:<\/span><\/p>\n

                                                                                                                                                                              a. Deficiency of bile that stimulates digestive secretions and bowel motility
                                                                                                                                                                              \nb. Excess of amylase, which increases the breakdown of starch and causes an osmotic diarrhea
                                                                                                                                                                              \nc. Overgrowth of bacteria from undigested fat molecules, which leads to gas formation and de creased bowel motility
                                                                                                                                                                              \nd. Excess of undigested lactose in her digestive tract, resulting in increased fluid movement into the digestive lumen and increased bowel motility<\/span><\/p>\n

                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 21<\/span><\/p>\n

                                                                                                                                                                              A 55-year-old female has general symptoms of gallstones but is also jaundiced. IV cholangiography would most likely reveal that the gallstones are obstructing the:<\/span><\/p>\n

                                                                                                                                                                              a. Intrahepatic bile canaliculi
                                                                                                                                                                              \nb. Gallbladder
                                                                                                                                                                              \nc. Cystic duct
                                                                                                                                                                              \nd. Common bile duct<\/span><\/p>\n

                                                                                                                                                                              Question 22<\/span><\/p>\n

                                                                                                                                                                              A 1-week-old female is brought to her pediatrician for abdominal distention and unstable temperature. Physical examination reveals bradycardia and apnea. Tests reveal hypoxic injury to the bowel resulting in bacterial invasion and perforation. This condition is referred to as:<\/span><\/p>\n

                                                                                                                                                                              a. Infective enteropathy
                                                                                                                                                                              \nb. Necrotizing enterocolitis (NEC)
                                                                                                                                                                              \nc. Mucoviscidosis
                                                                                                                                                                              \nd. Ileus<\/span><\/p>\n

                                                                                                                                                                              Question 23<\/span><\/p>\n

                                                                                                                                                                              For the patient experiencing esophageal reflux, the nurse would expect which sphincter to be malfunctioning?<\/span><\/p>\n

                                                                                                                                                                              a. Pyloric
                                                                                                                                                                              \nb. Lower esophageal
                                                                                                                                                                              \nc. Upper esophageal
                                                                                                                                                                              \nd. Gastric<\/span><\/p>\n

                                                                                                                                                                              Question 24<\/span><\/p>\n

                                                                                                                                                                              Cholecystitis is inflammation of the gallbladder wall usually caused by:<\/span><\/p>\n

                                                                                                                                                                              a. accumulation of bile in the hepatic duct.
                                                                                                                                                                              \nb. obstruction of the cystic duct by a gall-stone.
                                                                                                                                                                              \nc. accumulation of fat in the wall of the gallbladder.
                                                                                                                                                                              \nd. viral infection of the gallbladder.<\/span><\/p>\n

                                                                                                                                                                              Question 25<\/span><\/p>\n

                                                                                                                                                                              A 6-month-old male infant is brought to the ER after the sudden development of abdominal pain, irritability, and vomiting followed by passing of \u201ccurrant jelly\u201d stool. Ultrasound reveals intestinal obstruction in which the ileum collapsed through the ileocecal valve and invaginated into the large intestine. This type of obstruction is referred to as:<\/span><\/p>\n

                                                                                                                                                                              a. Prolapse
                                                                                                                                                                              \nb. Pyloric stenosis
                                                                                                                                                                              \nc. Intussusception
                                                                                                                                                                              \nd. Imperforation<\/span><\/p>\n

                                                                                                                                                                              Question 26<\/span><\/p>\n

                                                                                                                                                                              A 22-year-old male underwent brain surgery to remove a tumor. Following surgery, he experienced a peptic ulcer. His ulcer is referred to as a(n) _____ ulcer.<\/span><\/p>\n

                                                                                                                                                                              a. Infectious
                                                                                                                                                                              \nb. Cushing
                                                                                                                                                                              \nc. Ischemic
                                                                                                                                                                              \nd. Curling<\/span><\/p>\n

                                                                                                                                                                              Question 27<\/span><\/p>\n

                                                                                                                                                                              Chronic gastritis is classified according to the:<\/span><\/p>\n

                                                                                                                                                                              a. severity.
                                                                                                                                                                              \nb. location of lesions.
                                                                                                                                                                              \nc. patient’s age.
                                                                                                                                                                              \nd. signs and symptoms.<\/span><\/p>\n

                                                                                                                                                                              Question 28<\/span><\/p>\n

                                                                                                                                                                              Reflux esophagitis is defined as a(n):<\/span><\/p>\n

                                                                                                                                                                              a. Immune response to gastroesophageal reflux
                                                                                                                                                                              \nb. Inflammatory response to gastroesophageal reflux
                                                                                                                                                                              \nc. Congenital anomaly
                                                                                                                                                                              \nd. Secretory response to hiatal hernia<\/span><\/p>\n

                                                                                                                                                                              Question 29<\/span><\/p>\n

                                                                                                                                                                              The cardinal signs of small bowel obstruction are:<\/span><\/p>\n

                                                                                                                                                                              a. Vomiting and distention
                                                                                                                                                                              \nb. Diarrhea and excessive thirst
                                                                                                                                                                              \nc. Dehydration and epigastric pain
                                                                                                                                                                              \nd. Abdominal pain and rectal bleeding<\/span><\/p>\n

                                                                                                                                                                              Question 30<\/span><\/p>\n

                                                                                                                                                                              The nurse assessing the patient with biliary atresia would expect to find which primary clinical manifestation?<\/span><\/p>\n

                                                                                                                                                                              a. Anemia
                                                                                                                                                                              \nb. Jaundice
                                                                                                                                                                              \nc. Hypobilirubinemia
                                                                                                                                                                              \nd. Ascites<\/span><\/p>\n

                                                                                                                                                                              Question 31<\/span><\/p>\n

                                                                                                                                                                              A 20-year-old male was recently diagnosed with lactose intolerance. He eats an ice cream cone and develops diarrhea. His diarrhea can be classified as _____ diarrhea.<\/span><\/p>\n

                                                                                                                                                                              a. Motility
                                                                                                                                                                              \nb. Hypotonic
                                                                                                                                                                              \nc. Secretory
                                                                                                                                                                              \nd. Osmotic<\/span><\/p>\n

                                                                                                                                                                              Question 32<\/span><\/p>\n

                                                                                                                                                                              Which of the following symptoms would help a health care provider distinguish between ulcerative colitis and Crohn disease?<\/span><\/p>\n

                                                                                                                                                                              a. Pattern of remission\/exacerbations
                                                                                                                                                                              \nb. Abdominal pain
                                                                                                                                                                              \nc. Malabsorption
                                                                                                                                                                              \nd. Diarrhea<\/span><\/p>\n

                                                                                                                                                                              Question 33<\/span><\/p>\n

                                                                                                                                                                              A 45-year-old male complains of heartburn after eating and difficulty swallowing. He probably has:<\/span><\/p>\n

                                                                                                                                                                              a. Pyloric stenosis
                                                                                                                                                                              \nb. Hiatal hernia
                                                                                                                                                                              \nc. Gastric cancer
                                                                                                                                                                              \nd. Achalasia<\/span><\/p>\n

                                                                                                                                                                              Question 34<\/span><\/p>\n

                                                                                                                                                                              The exocrine portion of the pancreas contains:<\/span><\/p>\n

                                                                                                                                                                              a. alpha cells.
                                                                                                                                                                              \nb. beta cells.
                                                                                                                                                                              \nc. acinar cells.
                                                                                                                                                                              \nd. islets of Langerhans.<\/span><\/p>\n

                                                                                                                                                                              Question 35<\/span><\/p>\n

                                                                                                                                                                              Outbreaks of hepatitis _____ often occur in young children attending day care centers and can be attributed to poor hand washing.<\/span><\/p>\n

                                                                                                                                                                              a. A
                                                                                                                                                                              \nb. B
                                                                                                                                                                              \nc. C
                                                                                                                                                                              \nd. D<\/span><\/p>\n

                                                                                                                                                                              \u00a0Walden NURS6501 Week 7 Quiz<\/span><\/p>\n

                                                                                                                                                                              Walden NURS6501 Week 7 Quiz\u00a0<\/span><\/p>\n

                                                                                                                                                                              Question 1<\/span><\/p>\n

                                                                                                                                                                              A 52-year-old male IV drug user was diagnosed with hepatitis C 5 years ago.\u00a0He is now experiencing impaired blood clotting.\u00a0The nurse suspects a decrease in which of the following vitamins?<\/span><\/p>\n

                                                                                                                                                                              a. K
                                                                                                                                                                              \nb. D
                                                                                                                                                                              \nc. E
                                                                                                                                                                              \nd. B12
                                                                                                                                                                              \nQuestion 2<\/span><\/p>\n

                                                                                                                                                                              A 5-year-old male was diagnosed with normocytic-normochromic anemia.\u00a0Which of the following anemias does the nurse suspect the patient has?<\/span><\/p>\n

                                                                                                                                                                              a. Sideroblastic anemia
                                                                                                                                                                              \nb. Hemolytic anemia
                                                                                                                                                                              \nc. Pernicious anemia
                                                                                                                                                                              \nd. Iron deficiency anemia
                                                                                                                                                                              \nQuestion 3<\/span><\/p>\n

                                                                                                                                                                              For a patient experiencing hypersplenism, the nurse expects the erythrocytes to be:<\/span><\/p>\n

                                                                                                                                                                              a. Proliferated
                                                                                                                                                                              \nb. Activated
                                                                                                                                                                              \nc. Sequestered
                                                                                                                                                                              \nd. Infected
                                                                                                                                                                              \nQuestion 4<\/span><\/p>\n

                                                                                                                                                                              A nurse is caring for a patient who cannot clot.\u00a0Which end product of the clotting cascade is this patient unable to make?<\/span><\/p>\n

                                                                                                                                                                              A. Collagen
                                                                                                                                                                              \nB. Fibrinogen
                                                                                                                                                                              \nC. Thrombin
                                                                                                                                                                              \nD. Fibrin<\/span><\/p>\n

                                                                                                                                                                              Question 5<\/span><\/p>\n

                                                                                                                                                                              A 45-year-old male is diagnosed with macrocytic, normochromic anemia.\u00a0The nurse suspects the most likely cause of this condition is:<\/span><\/p>\n

                                                                                                                                                                              a. Defective DNA synthesis
                                                                                                                                                                              \nb. Abnormal synthesis of hemoglobin
                                                                                                                                                                              \nc. Defective use of vitamin C
                                                                                                                                                                              \nd. Blocked protein synthesis
                                                                                                                                                                              \nQuestion 6<\/span><\/p>\n

                                                                                                                                                                              A 62-year-old female tells her health care provider she has been experiencing regular night sweats that cause her to wake up drenched.\u00a0She also remarks that she has been unintentionally losing weight.\u00a0Physical exam reveals enlarged lymph nodes on her neck that do not appear to be painful.\u00a0She should be screened for which of the following cancers?<\/span><\/p>\n

                                                                                                                                                                              a. Epstein-Barr virus
                                                                                                                                                                              \nb. Hodgkin lymphoma
                                                                                                                                                                              \nc. Acute leukemia
                                                                                                                                                                              \nd. Burkitt lymphoma<\/span><\/p>\n

                                                                                                                                                                              Question 7<\/span><\/p>\n

                                                                                                                                                                              A nurse checks individuals with liver disease for clotting problems because:<\/span><\/p>\n

                                                                                                                                                                              a. The liver is often the site of platelet pooling.
                                                                                                                                                                              \nb. Clotting factors are produced in the liver.
                                                                                                                                                                              \nc. High levels of bilirubin interfere with the clotting system.
                                                                                                                                                                              \nd. Treatment medications for liver failure cause fibrinolysis.<\/span><\/p>\n

                                                                                                                                                                              Question 8<\/span><\/p>\n

                                                                                                                                                                              A 60-year-old female emphysema patient experiences a rapid and pounding heart, dizziness, and fatigue with exertion.\u00a0Which of the following respiratory assessment findings indicate the respiratory system is compensating for the increased oxygen demand?<\/span><\/p>\n

                                                                                                                                                                              a. Bronchoconstriction
                                                                                                                                                                              \nb. Increased rate and depth of breathing
                                                                                                                                                                              \nc. Dyspnea
                                                                                                                                                                              \nd. Activation of the renin-angiotensin response<\/span><\/p>\n

                                                                                                                                                                              Question 9<\/span><\/p>\n

                                                                                                                                                                              A hematologist is discussing hematopoiesis.\u00a0Which information should be included? ________ participate in hematopoiesis.<\/span><\/p>\n

                                                                                                                                                                              a. Colony-stimulating factors (CSFs)
                                                                                                                                                                              \nb. Eosinophils
                                                                                                                                                                              \nc. Basophils
                                                                                                                                                                              \nd. Neutrophils<\/span><\/p>\n

                                                                                                                                                                              Question 10<\/span><\/p>\n

                                                                                                                                                                              While checking lab results, the nurse remembers the normal leukocyte count is:<\/span><\/p>\n

                                                                                                                                                                              a. 1,000-2,000\/mm3
                                                                                                                                                                              \nb. 5,000-10,000\/mm3
                                                                                                                                                                              \nc. 4.2-6.2 million\/mm3
                                                                                                                                                                              \nd. 1.2-2.2 million\/mm3<\/span><\/p>\n

                                                                                                                                                                              Question 11<\/span><\/p>\n

                                                                                                                                                                              A 65-year-old male experienced loss of appetite, weight loss, lemon-yellow skin, liver enlargement, and a beefy red tongue shortly before his death.\u00a0Autopsy suggested pernicious anemia, and the cause of death would most likely reveal:<\/span><\/p>\n

                                                                                                                                                                              a. Brain hypoxia
                                                                                                                                                                              \nb. Liver hypoxia
                                                                                                                                                                              \nc. Heart failure
                                                                                                                                                                              \nd. Kidney failure<\/span><\/p>\n

                                                                                                                                                                              Question 12<\/span><\/p>\n

                                                                                                                                                                              A 34-year-old male presents in the emergency room with extreme fatigue and shortness of breath.\u00a0His skin and sclera appear to have a yellowish discoloration.\u00a0These assessment findings are consistent with which type of anemia?<\/span><\/p>\n

                                                                                                                                                                              a. Posthemorrhagic anemia
                                                                                                                                                                              \nb. Iron deficiency anemia
                                                                                                                                                                              \nc. Aplastic anemia
                                                                                                                                                                              \nd. Hemolytic anemia<\/span><\/p>\n

                                                                                                                                                                              Question 13<\/span><\/p>\n

                                                                                                                                                                              The people from which country have the lowest risk for Hodgkin lymphoma?<\/span><\/p>\n

                                                                                                                                                                              a. United States
                                                                                                                                                                              \nb. Japan
                                                                                                                                                                              \nc. Denmark
                                                                                                                                                                              \nd. Great Britain
                                                                                                                                                                              \nQuestion 14<\/span><\/p>\n

                                                                                                                                                                              After initial compensation, what hemodynamic change should the nurse monitor for in a patient who has a reduction in the number of circulating erythrocytes?<\/span><\/p>\n

                                                                                                                                                                              a. Increased viscosity of blood
                                                                                                                                                                              \nb. Decreased cardiac output
                                                                                                                                                                              \nc. Altered coagulation
                                                                                                                                                                              \nd. Hyperdynamic circulatory state
                                                                                                                                                                              \nQuestion 15<\/span><\/p>\n

                                                                                                                                                                              Thrombocytopenia may be:<\/span><\/p>\n

                                                                                                                                                                              a. Transient or consistent
                                                                                                                                                                              \nb. Normal or abnormal
                                                                                                                                                                              \nc. Congenital or acquired
                                                                                                                                                                              \nd. Active or inactive
                                                                                                                                                                              \nQuestion 16<\/span><\/p>\n

                                                                                                                                                                              A group of cells isolated in the laboratory have membrane-bound granules in their cytoplasm and they show phagocytic activity.Which of the following cells is most similar?<\/span><\/p>\n

                                                                                                                                                                              a. Monocyte
                                                                                                                                                                              \nb. Macrophage
                                                                                                                                                                              \nc. Lymphocyte
                                                                                                                                                                              \nd. Eosinophils<\/span><\/p>\n

                                                                                                                                                                              Question 17<\/span><\/p>\n

                                                                                                                                                                              A nurse monitors for the most common childhood cancer, which is:<\/span><\/p>\n

                                                                                                                                                                              a. Non-Hodgkin lymphoma
                                                                                                                                                                              \nb. Chronic myelocytic leukemia (CML)
                                                                                                                                                                              \nc. Hodgkin lymphoma
                                                                                                                                                                              \nd. Acute lymphoblastic leukemia (ALL)<\/span><\/p>\n

                                                                                                                                                                              Question 18<\/span><\/p>\n

                                                                                                                                                                              A 25-year-old female has a heavy menses during which she loses a profuse amount of blood.Which of the following adaptations should the nurse expect?<\/span><\/p>\n

                                                                                                                                                                              a. Movement of fluid into the cell
                                                                                                                                                                              \nb. Decreased cardiac output
                                                                                                                                                                              \nc. Decreased oxygen release from hemoglobin
                                                                                                                                                                              \nd. Peripheral vasoconstriction
                                                                                                                                                                              \nQuestion 19<\/span><\/p>\n

                                                                                                                                                                              A newborn is diagnosed with congenital intrinsic factor deficiency.\u00a0Which of the following types of anemia will the nurse see documented on the chart?<\/span><\/p>\n

                                                                                                                                                                              a. Iron deficiency anemia
                                                                                                                                                                              \nb. Pernicious anemia
                                                                                                                                                                              \nc. Sideroblastic anemia
                                                                                                                                                                              \nd. Hemolytic anemia<\/span><\/p>\n

                                                                                                                                                                              Question 20<\/span><\/p>\n

                                                                                                                                                                              A staff member wants to know where the greatest proportion of iron is located.\u00a0How should the nurse respond? The greatest proportion of total body iron is located in the:<\/span><\/p>\n

                                                                                                                                                                              a. Erythrocytes
                                                                                                                                                                              \nb. Spleen pulp
                                                                                                                                                                              \nc. Bone marrow
                                                                                                                                                                              \nd. Liver tissue<\/span><\/p>\n

                                                                                                                                                                              Question 21<\/span><\/p>\n

                                                                                                                                                                              A 67-year-old female has chronic gastrointestinal bleeding.A nurse recalls the primary cause of her anemia is:<\/span><\/p>\n

                                                                                                                                                                              a. Vitamin B12 deficiency
                                                                                                                                                                              \nb. Iron deficiency
                                                                                                                                                                              \nc. Folate deficiency
                                                                                                                                                                              \nd. Bone marrow failure
                                                                                                                                                                              \nQuestion 22<\/span><\/p>\n

                                                                                                                                                                              During an infection, the nurse assesses the lymph nodes. Lymph nodes enlarge and become tender b<\/span><\/p>\n

                                                                                                                                                                              because:<\/p>\n

                                                                                                                                                                                \n
                                                                                                                                                                              1. Lymphocytes are rapidly dividing.
                                                                                                                                                                                \nb. Edema accumulates within the fibrous capsule.
                                                                                                                                                                                \nc. Microorganisms are accumulating.
                                                                                                                                                                                \nd. The nodes are not functioning properly.<\/li>\n<\/ol>\n

                                                                                                                                                                                Question 23<\/p>\n

                                                                                                                                                                                How should the nurse prepare a patient who is to receive a Schilling test for pernicious anemia?<\/p>\n

                                                                                                                                                                                  \n
                                                                                                                                                                                1. Administer radioactive cobalamin and measure its excretion in the urine.
                                                                                                                                                                                  \nb. Measure antigen-antibody immune complexes.
                                                                                                                                                                                  \nc. Measure serum ferritin and total iron-binding capacity.
                                                                                                                                                                                  \nd. Administer folate and evaluate folate content in a blood serum sample.<\/li>\n<\/ol>\n

                                                                                                                                                                                  Question 24<\/p>\n

                                                                                                                                                                                  A 5-year-old female is diagnosed with acute leukemia.\u00a0The nurse will most likely treat this patient with:<\/p>\n

                                                                                                                                                                                    \n
                                                                                                                                                                                  1. Bone marrow transplant
                                                                                                                                                                                    \nb. Immunotherapy
                                                                                                                                                                                    \nc. Chemotherapy
                                                                                                                                                                                    \nd. Localized radiation therapy
                                                                                                                                                                                    \nQuestion 25<\/li>\n<\/ol>\n

                                                                                                                                                                                    A 35-year-old male with hyperthyroidism begins treatment to decrease thyroid activity.\u00a0A nurse monitors for which of the following conditions that could result secondary to the treatment?<\/p>\n

                                                                                                                                                                                      \n
                                                                                                                                                                                    1. Eosinophilia
                                                                                                                                                                                      \nb. Basophilia
                                                                                                                                                                                      \nc. Monocytosis
                                                                                                                                                                                      \nd. Lymphocytosis
                                                                                                                                                                                      \nQuestion 26<\/li>\n<\/ol>\n

                                                                                                                                                                                      While reviewing lab results, the nurse recalls the most abundant cells in the blood are:<\/p>\n

                                                                                                                                                                                        \n
                                                                                                                                                                                      1. Leukocytes
                                                                                                                                                                                        \nb. Lymphocytes
                                                                                                                                                                                        \nc. Erythrocytes
                                                                                                                                                                                        \nd. Thrombocytes<\/li>\n<\/ol>\n

                                                                                                                                                                                        Question 27<\/p>\n

                                                                                                                                                                                        A 10-year-old male presents with abdominal swelling, night sweats, fever, and weight loss.\u00a0He is diagnosed with Burkitt lymphoma.\u00a0Upon obtaining the history, which of the following is the most likely cause?<\/p>\n

                                                                                                                                                                                          \n
                                                                                                                                                                                        1. Cytomegalovirus (CMV)
                                                                                                                                                                                          \nb. Adenovirus
                                                                                                                                                                                          \nc. Human papillomavirus (HPV)
                                                                                                                                                                                          \nd. Epstein-Barr virus (EBV)<\/li>\n<\/ol>\n

                                                                                                                                                                                          Question 28<\/p>\n

                                                                                                                                                                                          A 15-year-old male is diagnosed with infectious mononucleosis.\u00a0When the patient asks how he got this disease, how should the nurse respond? The most likely cause is:<\/p>\n

                                                                                                                                                                                            \n
                                                                                                                                                                                          1. Lymph node enlargement.
                                                                                                                                                                                            \nb. Fever and sore throat
                                                                                                                                                                                            \nc. Rash on the trunk and extremities
                                                                                                                                                                                            \nd. Fatigue
                                                                                                                                                                                            \ne. Enlargement of liver and spleen<\/li>\n<\/ol>\n

                                                                                                                                                                                            Question 29<\/p>\n

                                                                                                                                                                                            A nurse is teaching the staff about platelets.\u00a0Which information should the nurse include? In addition to playing a role in hemostasis, platelets have the ability to:<\/p>\n

                                                                                                                                                                                              \n
                                                                                                                                                                                            1. Stimulate bone marrow production of erythrocytes
                                                                                                                                                                                              \nb. Release biochemical mediators of inflammation
                                                                                                                                                                                              \nc. Undergo cell division in response to bleeding
                                                                                                                                                                                              \nd. Activate a humoral response<\/li>\n<\/ol>\n

                                                                                                                                                                                              Question 30<\/p>\n

                                                                                                                                                                                              A 20-year-old female undergoes lab testing for anemia.Results show high iron, bilirubin, and transferrin and low hemoglobin and hematocrit.\u00a0Which of the following is the most likely diagnosis to be documented on the chart?<\/p>\n

                                                                                                                                                                                                \n
                                                                                                                                                                                              1. Pernicious anemia
                                                                                                                                                                                                \nb. Folate deficiency anemia
                                                                                                                                                                                                \nc. Iron deficiency anemia
                                                                                                                                                                                                \nd. Sideroblastic anemia<\/li>\n<\/ol>\n

                                                                                                                                                                                                Question 31<\/p>\n

                                                                                                                                                                                                A 45-year-old female undergoes a splenectomy to remove a tumor.\u00a0Which of the following assessment finding is most likely to occur following surgery?<\/p>\n

                                                                                                                                                                                                  \n
                                                                                                                                                                                                1. Leukocytosis
                                                                                                                                                                                                  \nb. Hypoglycemia
                                                                                                                                                                                                  \nc. Decreased red blood cell count
                                                                                                                                                                                                  \nd. Decreased platelets<\/li>\n<\/ol>\n

                                                                                                                                                                                                  Question 32<\/p>\n

                                                                                                                                                                                                  When a nurse is reviewing lab results and notices that the erythrocytes contain an abnormally low concentration of hemoglobin, the nurse calls these erythrocytes:<\/p>\n

                                                                                                                                                                                                    \n
                                                                                                                                                                                                  1. Hyperchromic
                                                                                                                                                                                                    \nb. Hypochromic
                                                                                                                                                                                                    \nc. Macrocytic
                                                                                                                                                                                                    \nd. Microcytic
                                                                                                                                                                                                    \nQuestion 33<\/li>\n<\/ol>\n

                                                                                                                                                                                                    In disseminated intravascular coagulation (DIC), the nurse assesses for active bleeding after intravascular clotting because:<\/p>\n

                                                                                                                                                                                                      \n
                                                                                                                                                                                                    1. Prothrombin is activated.
                                                                                                                                                                                                      \nb. Clotting factors are depleted.
                                                                                                                                                                                                      \nc. Inflammatory mediators are released.
                                                                                                                                                                                                      \nd. Tissue factor (TF) is inactivated.
                                                                                                                                                                                                      \nQuestion 34<\/li>\n<\/ol>\n

                                                                                                                                                                                                      A 21-year-old female was recently diagnosed with iron deficiency anemia.\u00a0In addition to fatigue and weakness, which of the following clinical signs and symptoms would she most likely exhibit?<\/p>\n

                                                                                                                                                                                                        \n
                                                                                                                                                                                                      1. Hyperactivity
                                                                                                                                                                                                        \nb. Spoon-shaped nails
                                                                                                                                                                                                        \nc. Gait problems
                                                                                                                                                                                                        \nd. Petechiae<\/li>\n<\/ol>\n

                                                                                                                                                                                                        Question 35<\/p>\n

                                                                                                                                                                                                        The nurse will check which of the following tests to directly measure iron stores?<\/p>\n

                                                                                                                                                                                                          \n
                                                                                                                                                                                                        1. Serum ferritin
                                                                                                                                                                                                          \nb. Transferrin saturation
                                                                                                                                                                                                          \nc. Bone marrow biopsy
                                                                                                                                                                                                          \nd. Total iron-binding capacity<\/li>\n<\/ol>\n

                                                                                                                                                                                                          Walden NURS6501 Week 7 Quiz<\/p>\n

                                                                                                                                                                                                          Walden NURS6501 Week 7 Quiz<\/p>\n

                                                                                                                                                                                                          Question 1<\/p>\n

                                                                                                                                                                                                          A 52-year-old male IV drug user was diagnosed with hepatitis C 5 years ago.\u00a0He is now experiencing impaired blood clotting.\u00a0The nurse suspects a decrease in which of the following vitamins?<\/p>\n

                                                                                                                                                                                                            \n
                                                                                                                                                                                                          1. K
                                                                                                                                                                                                            \nb. D
                                                                                                                                                                                                            \nc. E
                                                                                                                                                                                                            \nd. B12
                                                                                                                                                                                                            \nQuestion 2<\/li>\n<\/ol>\n

                                                                                                                                                                                                            A 5-year-old male was diagnosed with normocytic-normochromic anemia.\u00a0Which of the following anemias does the nurse suspect the patient has?<\/p>\n

                                                                                                                                                                                                              \n
                                                                                                                                                                                                            1. Sideroblastic anemia
                                                                                                                                                                                                              \nb. Hemolytic anemia
                                                                                                                                                                                                              \nc. Pernicious anemia
                                                                                                                                                                                                              \nd. Iron deficiency anemia
                                                                                                                                                                                                              \nQuestion 3<\/li>\n<\/ol>\n

                                                                                                                                                                                                              For a patient experiencing hypersplenism, the nurse expects the erythrocytes to be:<\/p>\n

                                                                                                                                                                                                                \n
                                                                                                                                                                                                              1. Proliferated
                                                                                                                                                                                                                \nb. Activated
                                                                                                                                                                                                                \nc. Sequestered
                                                                                                                                                                                                                \nd. Infected
                                                                                                                                                                                                                \nQuestion 4<\/li>\n<\/ol>\n

                                                                                                                                                                                                                A nurse is caring for a patient who cannot clot.\u00a0Which end product of the clotting cascade is this patient unable to make?<\/p>\n

                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                1. Collagen
                                                                                                                                                                                                                  \nB. Fibrinogen
                                                                                                                                                                                                                  \nC. Thrombin
                                                                                                                                                                                                                  \nD. Fibrin<\/li>\n<\/ol>\n

                                                                                                                                                                                                                  Question 5<\/p>\n

                                                                                                                                                                                                                  A 45-year-old male is diagnosed with macrocytic, normochromic anemia.\u00a0The nurse suspects the most likely cause of this condition is:<\/p>\n

                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                  1. Defective DNA synthesis
                                                                                                                                                                                                                    \nb. Abnormal synthesis of hemoglobin
                                                                                                                                                                                                                    \nc. Defective use of vitamin C
                                                                                                                                                                                                                    \nd. Blocked protein synthesis
                                                                                                                                                                                                                    \nQuestion 6<\/li>\n<\/ol>\n

                                                                                                                                                                                                                    A 62-year-old female tells her health care provider she has been experiencing regular night sweats that cause her to wake up drenched.\u00a0She also remarks that she has been unintentionally losing weight.\u00a0Physical exam reveals enlarged lymph nodes on her neck that do not appear to be painful.\u00a0She should be screened for which of the following cancers?<\/p>\n

                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                    1. Epstein-Barr virus
                                                                                                                                                                                                                      \nb. Hodgkin lymphoma
                                                                                                                                                                                                                      \nc. Acute leukemia
                                                                                                                                                                                                                      \nd. Burkitt lymphoma<\/li>\n<\/ol>\n

                                                                                                                                                                                                                      Question 7<\/p>\n

                                                                                                                                                                                                                      A nurse checks individuals with liver disease for clotting problems because:<\/p>\n

                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                      1. The liver is often the site of platelet pooling.
                                                                                                                                                                                                                        \nb. Clotting factors are produced in the liver.
                                                                                                                                                                                                                        \nc. High levels of bilirubin interfere with the clotting system.
                                                                                                                                                                                                                        \nd. Treatment medications for liver failure cause fibrinolysis.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                        Question 8<\/p>\n

                                                                                                                                                                                                                        A 60-year-old female emphysema patient experiences a rapid and pounding heart, dizziness, and fatigue with exertion.\u00a0Which of the following respiratory assessment findings indicate the respiratory system is compensating for the increased oxygen demand?<\/p>\n

                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                        1. Bronchoconstriction
                                                                                                                                                                                                                          \nb. Increased rate and depth of breathing
                                                                                                                                                                                                                          \nc. Dyspnea
                                                                                                                                                                                                                          \nd. Activation of the renin-angiotensin response<\/li>\n<\/ol>\n

                                                                                                                                                                                                                          Question 9<\/p>\n

                                                                                                                                                                                                                          A hematologist is discussing hematopoiesis.\u00a0Which information should be included? ________ participate in hematopoiesis.<\/p>\n

                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                          1. Colony-stimulating factors (CSFs)
                                                                                                                                                                                                                            \nb. Eosinophils
                                                                                                                                                                                                                            \nc. Basophils
                                                                                                                                                                                                                            \nd. Neutrophils<\/li>\n<\/ol>\n

                                                                                                                                                                                                                            Question 10<\/p>\n

                                                                                                                                                                                                                            While checking lab results, the nurse remembers the normal leukocyte count is:<\/p>\n

                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                            1. 1,000-2,000\/mm3
                                                                                                                                                                                                                              \nb. 5,000-10,000\/mm3
                                                                                                                                                                                                                              \nc. 4.2-6.2 million\/mm3
                                                                                                                                                                                                                              \nd. 1.2-2.2 million\/mm3<\/li>\n<\/ol>\n

                                                                                                                                                                                                                              Question 11<\/p>\n

                                                                                                                                                                                                                              A 65-year-old male experienced loss of appetite, weight loss, lemon-yellow skin, liver enlargement, and a beefy red tongue shortly before his death.\u00a0Autopsy suggested pernicious anemia, and the cause of death would most likely reveal:<\/p>\n

                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                              1. Brain hypoxia
                                                                                                                                                                                                                                \nb. Liver hypoxia
                                                                                                                                                                                                                                \nc. Heart failure
                                                                                                                                                                                                                                \nd. Kidney failure<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                Question 12<\/p>\n

                                                                                                                                                                                                                                A 34-year-old male presents in the emergency room with extreme fatigue and shortness of breath.\u00a0His skin and sclera appear to have a yellowish discoloration.\u00a0These assessment findings are consistent with which type of anemia?<\/p>\n

                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                1. Posthemorrhagic anemia
                                                                                                                                                                                                                                  \nb. Iron deficiency anemia
                                                                                                                                                                                                                                  \nc. Aplastic anemia
                                                                                                                                                                                                                                  \nd. Hemolytic anemia<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                  Question 13<\/p>\n

                                                                                                                                                                                                                                  The people from which country have the lowest risk for Hodgkin lymphoma?<\/p>\n

                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                  1. United States
                                                                                                                                                                                                                                    \nb. Japan
                                                                                                                                                                                                                                    \nc. Denmark
                                                                                                                                                                                                                                    \nd. Great Britain
                                                                                                                                                                                                                                    \nQuestion 14<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                    After initial compensation, what hemodynamic change should the nurse monitor for in a patient who has a reduction in the number of circulating erythrocytes?<\/p>\n

                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                    1. Increased viscosity of blood
                                                                                                                                                                                                                                      \nb. Decreased cardiac output
                                                                                                                                                                                                                                      \nc. Altered coagulation
                                                                                                                                                                                                                                      \nd. Hyperdynamic circulatory state
                                                                                                                                                                                                                                      \nQuestion 15<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                      Thrombocytopenia may be:<\/p>\n

                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                      1. Transient or consistent
                                                                                                                                                                                                                                        \nb. Normal or abnormal
                                                                                                                                                                                                                                        \nc. Congenital or acquired
                                                                                                                                                                                                                                        \nd. Active or inactive
                                                                                                                                                                                                                                        \nQuestion 16<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                        A group of cells isolated in the laboratory have membrane-bound granules in their cytoplasm and they show phagocytic activity.Which of the following cells is most similar?<\/p>\n

                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                        1. Monocyte
                                                                                                                                                                                                                                          \nb. Macrophage
                                                                                                                                                                                                                                          \nc. Lymphocyte
                                                                                                                                                                                                                                          \nd. Eosinophils<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                          Question 17<\/p>\n

                                                                                                                                                                                                                                          A nurse monitors for the most common childhood cancer, which is:<\/p>\n

                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                          1. Non-Hodgkin lymphoma
                                                                                                                                                                                                                                            \nb. Chronic myelocytic leukemia (CML)
                                                                                                                                                                                                                                            \nc. Hodgkin lymphoma
                                                                                                                                                                                                                                            \nd. Acute lymphoblastic leukemia (ALL)<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                            Question 18<\/p>\n

                                                                                                                                                                                                                                            A 25-year-old female has a heavy menses during which she loses a profuse amount of blood.Which of the following adaptations should the nurse expect?<\/p>\n

                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                            1. Movement of fluid into the cell
                                                                                                                                                                                                                                              \nb. Decreased cardiac output
                                                                                                                                                                                                                                              \nc. Decreased oxygen release from hemoglobin
                                                                                                                                                                                                                                              \nd. Peripheral vasoconstriction
                                                                                                                                                                                                                                              \nQuestion 19<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                              A newborn is diagnosed with congenital intrinsic factor deficiency.\u00a0Which of the following types of anemia will the nurse see documented on the chart?<\/p>\n

                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                              1. Iron deficiency anemia
                                                                                                                                                                                                                                                \nb. Pernicious anemia
                                                                                                                                                                                                                                                \nc. Sideroblastic anemia
                                                                                                                                                                                                                                                \nd. Hemolytic anemia<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                Question 20<\/p>\n

                                                                                                                                                                                                                                                A staff member wants to know where the greatest proportion of iron is located.\u00a0How should the nurse respond? The greatest proportion of total body iron is located in the:<\/p>\n

                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                1. Erythrocytes
                                                                                                                                                                                                                                                  \nb. Spleen pulp
                                                                                                                                                                                                                                                  \nc. Bone marrow
                                                                                                                                                                                                                                                  \nd. Liver tissue<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                  Question 21<\/p>\n

                                                                                                                                                                                                                                                  A 67-year-old female has chronic gastrointestinal bleeding.A nurse recalls the primary cause of her anemia is:<\/p>\n

                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                  1. Vitamin B12 deficiency
                                                                                                                                                                                                                                                    \nb. Iron deficiency
                                                                                                                                                                                                                                                    \nc. Folate deficiency
                                                                                                                                                                                                                                                    \nd. Bone marrow failure
                                                                                                                                                                                                                                                    \nQuestion 22<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                    During an infection, the nurse assesses the lymph nodes.Lymph nodes enlarge and become tender because:<\/p>\n

                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                    1. Lymphocytes are rapidly dividing.
                                                                                                                                                                                                                                                      \nb. Edema accumulates within the fibrous capsule.
                                                                                                                                                                                                                                                      \nc. Microorganisms are accumulating.
                                                                                                                                                                                                                                                      \nd. The nodes are not functioning properly.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                      Question 23<\/p>\n

                                                                                                                                                                                                                                                      How should the nurse prepare a patient who is to receive a Schilling test for pernicious anemia?<\/p>\n

                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                      1. Administer radioactive cobalamin and measure its excretion in the urine.
                                                                                                                                                                                                                                                        \nb. Measure antigen-antibody immune complexes.
                                                                                                                                                                                                                                                        \nc. Measure serum ferritin and total iron-binding capacity.
                                                                                                                                                                                                                                                        \nd. Administer folate and evaluate folate content in a blood serum sample.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                        Question 24<\/p>\n

                                                                                                                                                                                                                                                        A 5-year-old female is diagnosed with acute leukemia.\u00a0The nurse will most likely treat this patient with:<\/p>\n

                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                        1. Bone marrow transplant
                                                                                                                                                                                                                                                          \nb. Immunotherapy
                                                                                                                                                                                                                                                          \nc. Chemotherapy
                                                                                                                                                                                                                                                          \nd. Localized radiation therapy
                                                                                                                                                                                                                                                          \nQuestion 25<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                          A 35-year-old male with hyperthyroidism begins treatment to decrease thyroid activity.\u00a0A nurse monitors for which of the following conditions that could result secondary to the treatment?<\/p>\n

                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                          1. Eosinophilia
                                                                                                                                                                                                                                                            \nb. Basophilia
                                                                                                                                                                                                                                                            \nc. Monocytosis
                                                                                                                                                                                                                                                            \nd. Lymphocytosis
                                                                                                                                                                                                                                                            \nQuestion 26<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                            While reviewing lab results, the nurse recalls the most abundant cells in the blood are:<\/p>\n

                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                            1. Leukocytes
                                                                                                                                                                                                                                                              \nb. Lymphocytes
                                                                                                                                                                                                                                                              \nc. Erythrocytes
                                                                                                                                                                                                                                                              \nd. Thrombocytes<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                              Question 27<\/p>\n

                                                                                                                                                                                                                                                              A 10-year-old male presents with abdominal swelling, night sweats, fever, and weight loss.\u00a0He is diagnosed with Burkitt lymphoma.\u00a0Upon obtaining the history, which of the following is the most likely cause?<\/p>\n

                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                              1. Cytomegalovirus (CMV)
                                                                                                                                                                                                                                                                \nb. Adenovirus
                                                                                                                                                                                                                                                                \nc. Human papillomavirus (HPV)
                                                                                                                                                                                                                                                                \nd. Epstein-Barr virus (EBV)<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                Question 28<\/p>\n

                                                                                                                                                                                                                                                                A 15-year-old male is diagnosed with infectious mononucleosis.\u00a0When the patient asks how he got this disease, how should the nurse respond? The most likely cause is:<\/p>\n

                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                1. Lymph node enlargement.
                                                                                                                                                                                                                                                                  \nb. Fever and sore throat
                                                                                                                                                                                                                                                                  \nc. Rash on the trunk and extremities
                                                                                                                                                                                                                                                                  \nd. Fatigue
                                                                                                                                                                                                                                                                  \ne. Enlargement of liver and spleen<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                  Question 29<\/p>\n

                                                                                                                                                                                                                                                                  A nurse is teaching the staff about platelets.\u00a0Which information should the nurse include? In addition to playing a role in hemostasis, platelets have the ability to:<\/p>\n

                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                  1. Stimulate bone marrow production of erythrocytes
                                                                                                                                                                                                                                                                    \nb. Release biochemical mediators of inflammation
                                                                                                                                                                                                                                                                    \nc. Undergo cell division in response to bleeding
                                                                                                                                                                                                                                                                    \nd. Activate a humoral response<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                    Question 30<\/p>\n

                                                                                                                                                                                                                                                                    A 20-year-old female undergoes lab testing for anemia.Results show high iron, bilirubin, and transferrin and low hemoglobin and hematocrit.\u00a0Which of the following is the most likely diagnosis to be documented on the chart?<\/p>\n

                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                    1. Pernicious anemia
                                                                                                                                                                                                                                                                      \nb. Folate deficiency anemia
                                                                                                                                                                                                                                                                      \nc. Iron deficiency anemia
                                                                                                                                                                                                                                                                      \nd. Sideroblastic anemia<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                      Question 31<\/p>\n

                                                                                                                                                                                                                                                                      A 45-year-old female undergoes a splenectomy to remove a tumor.\u00a0Which of the following assessment finding is most likely to occur following surgery?<\/p>\n

                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                      1. Leukocytosis
                                                                                                                                                                                                                                                                        \nb. Hypoglycemia
                                                                                                                                                                                                                                                                        \nc. Decreased red blood cell count
                                                                                                                                                                                                                                                                        \nd. Decreased platelets<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                        Question 32<\/p>\n

                                                                                                                                                                                                                                                                        When a nurse is reviewing lab results and notices that the erythrocytes contain an abnormally low concentration of hemoglobin, the nurse calls these erythrocytes:<\/p>\n

                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                        1. Hyperchromic
                                                                                                                                                                                                                                                                          \nb. Hypochromic
                                                                                                                                                                                                                                                                          \nc. Macrocytic
                                                                                                                                                                                                                                                                          \nd. Microcytic
                                                                                                                                                                                                                                                                          \nQuestion 33<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                          In disseminated intravascular coagulation (DIC), the nurse assesses for active bleeding after intravascular clotting because:<\/p>\n

                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                          1. Prothrombin is activated.
                                                                                                                                                                                                                                                                            \nb. Clotting factors are depleted.
                                                                                                                                                                                                                                                                            \nc. Inflammatory mediators are released.
                                                                                                                                                                                                                                                                            \nd. Tissue factor (TF) is inactivated.
                                                                                                                                                                                                                                                                            \nQuestion 34<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                            A 21-year-old female was recently diagnosed with iron deficiency anemia.\u00a0In addition to fatigue and weakness, which of the following clinical signs and symptoms would she most likely exhibit?<\/p>\n

                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                            1. Hyperactivity
                                                                                                                                                                                                                                                                              \nb. Spoon-shaped nails
                                                                                                                                                                                                                                                                              \nc. Gait problems
                                                                                                                                                                                                                                                                              \nd. Petechiae<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                              Question 35<\/p>\n

                                                                                                                                                                                                                                                                              The nurse will check which of the following tests to directly measure iron stores?<\/p>\n

                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                              1. Serum ferritin
                                                                                                                                                                                                                                                                                \nb. Transferrin saturation
                                                                                                                                                                                                                                                                                \nc. Bone marrow biopsy
                                                                                                                                                                                                                                                                                \nd. Total iron-binding capacity<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                PAD 599 Competency Assessment<\/p>\n

                                                                                                                                                                                                                                                                                PAD 599 Competency Assessment<\/p>\n

                                                                                                                                                                                                                                                                                Question 1
                                                                                                                                                                                                                                                                                \n1. A process-oriented definition of “democracy” emphasizes
                                                                                                                                                                                                                                                                                \nequality of result.
                                                                                                                                                                                                                                                                                \nthe ways in which government works,
                                                                                                                                                                                                                                                                                \nthat everyone is equal.
                                                                                                                                                                                                                                                                                \nthe ambiguity of the term “democracy.”
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 2
                                                                                                                                                                                                                                                                                \n1. Benchmarking performance improvement programs means
                                                                                                                                                                                                                                                                                \ntargeted specific programs or functions.
                                                                                                                                                                                                                                                                                \nachieved some dramatic results.
                                                                                                                                                                                                                                                                                \nattempted to combine reduction of costs with increases in quality and timeliness.
                                                                                                                                                                                                                                                                                \nusing standards and points of comparisons
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 3
                                                                                                                                                                                                                                                                                \n1. The idea of equality in American democratic thought generally refers to
                                                                                                                                                                                                                                                                                \nequality of talent and ability.
                                                                                                                                                                                                                                                                                \nequality of material possessions as an ideal.
                                                                                                                                                                                                                                                                                \nan equal claim to life, liberty and the pursuit of happiness.
                                                                                                                                                                                                                                                                                \nthe idea that the integrity of the individual is of supreme importance.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 4
                                                                                                                                                                                                                                                                                \n1. The unusual visibility of the public administrator
                                                                                                                                                                                                                                                                                \nis rooted in the public purposes that are pursued.
                                                                                                                                                                                                                                                                                \nis rooted in the tendency toward corruption.
                                                                                                                                                                                                                                                                                \nis similar to the business administrator’s visibility.
                                                                                                                                                                                                                                                                                \ndoes not affect efficiency and responsiveness issues.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 5
                                                                                                                                                                                                                                                                                \n1. Which of the following is NOT a principle of New Public Management?
                                                                                                                                                                                                                                                                                \norganizations need to be mission-driven
                                                                                                                                                                                                                                                                                \norganizations need to be incentive-based.
                                                                                                                                                                                                                                                                                \norganizations need to be centralized.
                                                                                                                                                                                                                                                                                \norganizations need to be responsive inter-organizational networks
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 6
                                                                                                                                                                                                                                                                                \n1. In a democratic society, which is NOT a characteristic of pluralistic decision making?
                                                                                                                                                                                                                                                                                \nis a common feature of government.
                                                                                                                                                                                                                                                                                \ninvolves the participation by many groups and officials in governmental decisions.
                                                                                                                                                                                                                                                                                \nis a distinguishing feature that differentiates public and business administration.
                                                                                                                                                                                                                                                                                \nreduces the accountability of public officials
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 7
                                                                                                                                                                                                                                                                                \n1. The Office of Management and Budget is
                                                                                                                                                                                                                                                                                \na feature of each state’s budget-making apparatus.
                                                                                                                                                                                                                                                                                \nconcerned solely with evaluation of the fiscal efficiency of management practices.
                                                                                                                                                                                                                                                                                \nlocated in the Congress as an advisory body.
                                                                                                                                                                                                                                                                                \nthe White House office charged with the actual preparation of the executive budget proposal that is conveyed to Congress.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 8
                                                                                                                                                                                                                                                                                \n1. An example of “clientele support” is
                                                                                                                                                                                                                                                                                \nthe American Association of Retired Persons’ lobbying of Congress in support of Social Security Administration budgets.
                                                                                                                                                                                                                                                                                \nwhen the supervisors of the budget officer support that person.
                                                                                                                                                                                                                                                                                \nthe National Rifle Association’s lobbying of Congress in support of better urban transportation systems.
                                                                                                                                                                                                                                                                                \nWhen the budget officer enjoys the support of the chief executive.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 9
                                                                                                                                                                                                                                                                                \n1. As a management tool, the budget steps include
                                                                                                                                                                                                                                                                                \nproposal, amendment, passage.
                                                                                                                                                                                                                                                                                \nincremental, rational, bargained agreements.
                                                                                                                                                                                                                                                                                \nbudget formation, approval, execution, and audit.
                                                                                                                                                                                                                                                                                \ncommittee hearings, mark-up, and report of budgets.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 10
                                                                                                                                                                                                                                                                                \n1. Fiscal policy is concerned principally with
                                                                                                                                                                                                                                                                                \nthe amount of money in circulation in the economy.
                                                                                                                                                                                                                                                                                \nfunding of government programs.
                                                                                                                                                                                                                                                                                \nthe impact of government taxation and expenditures of the economy.
                                                                                                                                                                                                                                                                                \nthe business cycle.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 11
                                                                                                                                                                                                                                                                                \n1. A grant by the federal government to a state or locality may be in the form of a block grant, which is
                                                                                                                                                                                                                                                                                \nfunding provided for a specific purpose or project.
                                                                                                                                                                                                                                                                                \nfor any purpose officials may select (within the law).
                                                                                                                                                                                                                                                                                \nfunding provided for a general program or functional area.
                                                                                                                                                                                                                                                                                \nfunding for a specific city block or neighborhood.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 12
                                                                                                                                                                                                                                                                                \n1. About half of all local government revenue is obtained from the ______.
                                                                                                                                                                                                                                                                                \nproperty tax
                                                                                                                                                                                                                                                                                \nincome tax
                                                                                                                                                                                                                                                                                \nsales tax
                                                                                                                                                                                                                                                                                \npayroll tax
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 13
                                                                                                                                                                                                                                                                                \n1. Internal sources of bureaucratic power include
                                                                                                                                                                                                                                                                                \nclientele groups.
                                                                                                                                                                                                                                                                                \ninformation and expertise.
                                                                                                                                                                                                                                                                                \nvague legislative enactments.
                                                                                                                                                                                                                                                                                \npower-hungry administrators.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 14
                                                                                                                                                                                                                                                                                \n1. The writing of vague policy and law by the Congress implies what for government agencies?
                                                                                                                                                                                                                                                                                \nHighly restricted agency action.
                                                                                                                                                                                                                                                                                \nThe lack of administrative discretion.
                                                                                                                                                                                                                                                                                \nA highly accountable government agency.
                                                                                                                                                                                                                                                                                \nAn opportunity for government agencies to shape policy through implementation.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 15
                                                                                                                                                                                                                                                                                \n1. The strong mayor system of city government
                                                                                                                                                                                                                                                                                \nis rarely used in larger American cities.
                                                                                                                                                                                                                                                                                \nprovides for the mayor to have a great deal of administrative and budgetary authority.
                                                                                                                                                                                                                                                                                \nis most common in small mid-western towns.
                                                                                                                                                                                                                                                                                \ndoes not give city councils policymaking authority
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 16
                                                                                                                                                                                                                                                                                \n1. Inputs into the systems model of politics and policy include
                                                                                                                                                                                                                                                                                \nLaws, regulations, and decisions.
                                                                                                                                                                                                                                                                                \nElection results, public opinion, communication to elected officials, and personal experiences of decision makers.
                                                                                                                                                                                                                                                                                \nRules developed by administrative agencies.
                                                                                                                                                                                                                                                                                \nNone of the above.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 17
                                                                                                                                                                                                                                                                                \n1. Any issue, problem or idea that could be considered in the policy process that does not fall outside various social and political norms in a particular society is found on the
                                                                                                                                                                                                                                                                                \nagenda universe.
                                                                                                                                                                                                                                                                                \nsystemic agenda.
                                                                                                                                                                                                                                                                                \ninstitutional agenda.
                                                                                                                                                                                                                                                                                \ndecision agenda.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 18
                                                                                                                                                                                                                                                                                \n1. Public agencies
                                                                                                                                                                                                                                                                                \nwrite public policy proposals.
                                                                                                                                                                                                                                                                                \ndo not provide testimony in support of policy proposals.
                                                                                                                                                                                                                                                                                \nhave no role in formulating public policy.
                                                                                                                                                                                                                                                                                \nare not involved in the policy process
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 19
                                                                                                                                                                                                                                                                                \n1. Public policies are
                                                                                                                                                                                                                                                                                \nthe laws.
                                                                                                                                                                                                                                                                                \nmade only in Congress.
                                                                                                                                                                                                                                                                                \nnever made by public administrators.
                                                                                                                                                                                                                                                                                \nauthoritative statements by legitimate governmental actors about public problems.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 20
                                                                                                                                                                                                                                                                                \n1. Viewing public service in an ethical dimension involves recognition that actions taken by public administrators to carry out public policy
                                                                                                                                                                                                                                                                                \ninclude an effort to discover or clarify the public interest.
                                                                                                                                                                                                                                                                                \nare always subject to examination by legislators.
                                                                                                                                                                                                                                                                                \nwill always involve moral dilemmas.
                                                                                                                                                                                                                                                                                \nare amoral, since they involve power.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 21
                                                                                                                                                                                                                                                                                \n1. The Pendleton Act of 1883 prohibited
                                                                                                                                                                                                                                                                                \nactive participation in political campaigns by federal employees.
                                                                                                                                                                                                                                                                                \npolitical contributions by any federal employee.
                                                                                                                                                                                                                                                                                \nstate employees from engaging in election campaign work.
                                                                                                                                                                                                                                                                                \nfederal employees from serving as delegates to a party convention.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 22
                                                                                                                                                                                                                                                                                \n1. The tension between efficiency and responsiveness is rooted in
                                                                                                                                                                                                                                                                                \nissues of effectiveness versus equity.
                                                                                                                                                                                                                                                                                \nissues of bureaucracy versus democracy.
                                                                                                                                                                                                                                                                                \nresponsibility and irresponsibility.
                                                                                                                                                                                                                                                                                \nfederalism
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 23
                                                                                                                                                                                                                                                                                \n1. The idea that a bureaucracy of professionals, who follow the mandates of a legislature, can meet the administrative requirements of a democracy is called the doctrine of
                                                                                                                                                                                                                                                                                \nhierarchical organization.
                                                                                                                                                                                                                                                                                \nthe spoils system.
                                                                                                                                                                                                                                                                                \nneutral competency.
                                                                                                                                                                                                                                                                                \nthe iron law of oligarchy.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 24
                                                                                                                                                                                                                                                                                \n1. When the administrator attempts to make a judgment concerning the desires of the public with respect to his\/her tasks, this is an example of_____.
                                                                                                                                                                                                                                                                                \nobjective responsibility
                                                                                                                                                                                                                                                                                \nsubjective responsibility
                                                                                                                                                                                                                                                                                \nrepresentative bureaucracy
                                                                                                                                                                                                                                                                                \nparticipatory decision making
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 25
                                                                                                                                                                                                                                                                                \n1. A way of insuring administrative responsiveness that focuses on strict legislative supervision and tightly drawn statutes is ______.
                                                                                                                                                                                                                                                                                \nsubjective responsibility
                                                                                                                                                                                                                                                                                \nrepresentative bureaucracy
                                                                                                                                                                                                                                                                                \nobjective responsibility
                                                                                                                                                                                                                                                                                \nparticipatory decision making
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 26
                                                                                                                                                                                                                                                                                \n1. The cost-effectiveness approach involves
                                                                                                                                                                                                                                                                                \na focus on identifying the impacts of alternative proposals.
                                                                                                                                                                                                                                                                                \ntranslating “effective” approaches into their dollar values.
                                                                                                                                                                                                                                                                                \navoiding the use of dollar values in assessing either the effectiveness or costs associated with a proposal.
                                                                                                                                                                                                                                                                                \nidentifying the critical path in a project.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 27
                                                                                                                                                                                                                                                                                \n1. A common limitation of quantitative techniques for selecting a policy alternative is
                                                                                                                                                                                                                                                                                \nthe difficulty of assigning dollar value to such variables as pain, suffering, and lives saved.
                                                                                                                                                                                                                                                                                \nthe inability to take account of the effects of inflation.
                                                                                                                                                                                                                                                                                \nlack of access to computers.
                                                                                                                                                                                                                                                                                \nthe lack of quantitative methods
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 28
                                                                                                                                                                                                                                                                                \n1. In the effort to contract out governmental activities
                                                                                                                                                                                                                                                                                \nnon-governmental organizations have taken on governmental roles.
                                                                                                                                                                                                                                                                                \nno new ethical questions concerning the motives of service-providers are raised.
                                                                                                                                                                                                                                                                                \nexisting mechanisms for control and accountability will continue to work well.
                                                                                                                                                                                                                                                                                \nlittle challenge to issues of democratic values is involved.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 29
                                                                                                                                                                                                                                                                                \n1. Which of the following is NOT a problem faced by researchers involved in the conduct of a true experiment in a social program?
                                                                                                                                                                                                                                                                                \nidentifying the treatment or intervention
                                                                                                                                                                                                                                                                                \ndifficulty in establishing two comparable groups, one experimental, the other a control group.
                                                                                                                                                                                                                                                                                \nethical concern for the fate of participants in the experimental group.
                                                                                                                                                                                                                                                                                \nestablishing randomness in assignment of persons to the experimental or control group.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 30
                                                                                                                                                                                                                                                                                \n1. In an experiment, the control group is
                                                                                                                                                                                                                                                                                \nthe recipient of intervention or treatment.
                                                                                                                                                                                                                                                                                \nunnecessary.
                                                                                                                                                                                                                                                                                \nunknown to the experimenter.
                                                                                                                                                                                                                                                                                \nnot the recipient of intervention or treatment.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 31
                                                                                                                                                                                                                                                                                \n1. Someone studying the number of lives saved as a result of the national government’s automobile safety regulations would conduct
                                                                                                                                                                                                                                                                                \nan outcomes evaluation.
                                                                                                                                                                                                                                                                                \na process evaluation.
                                                                                                                                                                                                                                                                                \nan experiment.
                                                                                                                                                                                                                                                                                \nintensive interviews.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 32
                                                                                                                                                                                                                                                                                \n1. The compilation of all federal rules currently in effect is:
                                                                                                                                                                                                                                                                                \nCode of Federal Regulations
                                                                                                                                                                                                                                                                                \nU.S. Code
                                                                                                                                                                                                                                                                                \nFederal Register
                                                                                                                                                                                                                                                                                \nU.S. Code Annotated
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 33
                                                                                                                                                                                                                                                                                \n1. The U.S. Supreme Court has held that local zoning regulations are constitutional if:
                                                                                                                                                                                                                                                                                \nThey bear a rational relation to the health and safety of the community
                                                                                                                                                                                                                                                                                \nThey are uniformly applied throughout the state
                                                                                                                                                                                                                                                                                \nThey do not restrict commercial development
                                                                                                                                                                                                                                                                                \nOwners are paid fair market value compensation if the uses of their property are restricted
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 34
                                                                                                                                                                                                                                                                                \n1. Which of the following most accurately describes how to read a statute:
                                                                                                                                                                                                                                                                                \nAll relevant statutory provisions will be collected into a single section
                                                                                                                                                                                                                                                                                \nAlthough there may be multiple publications containing statutes only the official publication will always be up to date
                                                                                                                                                                                                                                                                                \nInternet versions are always more reliable than the print versions
                                                                                                                                                                                                                                                                                \nBoth print and Internet versions should be checked for later changes
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 35
                                                                                                                                                                                                                                                                                \n1. On what basis did the U.S. Supreme Court find that the Equal Protection Clause applied to the federal government?
                                                                                                                                                                                                                                                                                \nThe express terms of the Constitution
                                                                                                                                                                                                                                                                                \nCombined with due process it is part of basic fairness
                                                                                                                                                                                                                                                                                \nThe Ninth Amendment
                                                                                                                                                                                                                                                                                \nThe Sixth Amendment
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 36
                                                                                                                                                                                                                                                                                \n1. To what extent must criminal trials be open to the public?
                                                                                                                                                                                                                                                                                \nThey may be closed only to protect a compelling governmental interest in a manner narrowly tailored to that purpose
                                                                                                                                                                                                                                                                                \nThey may never be closed
                                                                                                                                                                                                                                                                                \nThey may be closed at the judge\u2019s discretion
                                                                                                                                                                                                                                                                                \nThey may be closed except for a right of press access
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 37
                                                                                                                                                                                                                                                                                \n1. Corpus Juris Secundum is:
                                                                                                                                                                                                                                                                                \nA legal encyclopedia with broad coverage of most legal subjects
                                                                                                                                                                                                                                                                                \nAn Internet update service
                                                                                                                                                                                                                                                                                \nThe principle that an opinion should be followed unless the law has changed
                                                                                                                                                                                                                                                                                \nThe principle that statutes should always be double-checked
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 38
                                                                                                                                                                                                                                                                                \n1. An agency rule that explains an agency\u2019s understanding of the law or its regulations is known as:
                                                                                                                                                                                                                                                                                \nSubstantive
                                                                                                                                                                                                                                                                                \nInterpretive
                                                                                                                                                                                                                                                                                \nProcedural
                                                                                                                                                                                                                                                                                \nAppellate
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 39
                                                                                                                                                                                                                                                                                \n1. POSDCORB
                                                                                                                                                                                                                                                                                \nis an acronym developed by Woodrow Wilson
                                                                                                                                                                                                                                                                                \nrefers to the functions of public management.
                                                                                                                                                                                                                                                                                \nrefers to the functions of the post office.
                                                                                                                                                                                                                                                                                \nis a type of organizational structure
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 40
                                                                                                                                                                                                                                                                                \n1. Arbitration in labor-management negotiations
                                                                                                                                                                                                                                                                                \nuses a neutral third party to negotiate a settlement.
                                                                                                                                                                                                                                                                                \nuses a third party to investigate and issue specific recommendations concerning a settlement.
                                                                                                                                                                                                                                                                                \nis a fact-finding process, normally followed by binding recommendations.
                                                                                                                                                                                                                                                                                \ndoes not occur in the governmental sector.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 41
                                                                                                                                                                                                                                                                                \n1. Mediation in labor management negotiations
                                                                                                                                                                                                                                                                                \nuses a neutral third party to negotiate a settlement.
                                                                                                                                                                                                                                                                                \nuses a third party to investigate and issue specific recommendations concerning a settlement.
                                                                                                                                                                                                                                                                                \nis a fact-finding process, normally followed by binding recommendations.
                                                                                                                                                                                                                                                                                \ndoes not occur in the governmental sector.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 42
                                                                                                                                                                                                                                                                                \n1. In recent years state and local merit systems in the personnel function
                                                                                                                                                                                                                                                                                \nhave contracted as a result of due process requirements based on court decisions.
                                                                                                                                                                                                                                                                                \nhave become weaker as a result of pressure from the federal government.
                                                                                                                                                                                                                                                                                \nhave been strengthened as a result of expanding public employee due process protection provided by courts.
                                                                                                                                                                                                                                                                                \nhave been dominated by political party machines.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 43
                                                                                                                                                                                                                                                                                \n1. The Pendleton Act provided for
                                                                                                                                                                                                                                                                                \nestablishment of a Human Rights Commission.
                                                                                                                                                                                                                                                                                \nmandated federal employee contributions to election campaigns.
                                                                                                                                                                                                                                                                                \nmerit-based selection of government employees.
                                                                                                                                                                                                                                                                                \nthe spoils system
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 44
                                                                                                                                                                                                                                                                                \n1. Employers are responsible for the acts of their employees\u2019 negligence:
                                                                                                                                                                                                                                                                                \nOnly if the employee\u2019s act was intentional
                                                                                                                                                                                                                                                                                \nOnly if the employer failed to give warnings of foreseeable harm
                                                                                                                                                                                                                                                                                \nIf the negligent act was within the scope of authority associated with the work
                                                                                                                                                                                                                                                                                \nOnly if the negligent act was not within the scope of authority associated with the work
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 45
                                                                                                                                                                                                                                                                                \n1. One of the main criticisms of globalization is that it
                                                                                                                                                                                                                                                                                \nmakes the powerful more powerful and wealthy.
                                                                                                                                                                                                                                                                                \nactually makes everyone less well off.
                                                                                                                                                                                                                                                                                \noutsources jobs from developing to developed countries.
                                                                                                                                                                                                                                                                                \nprevents poorer countries from expanding their economies.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 46
                                                                                                                                                                                                                                                                                \n1. Democratic peace theory asserts that
                                                                                                                                                                                                                                                                                \nthere is a connection between regime type and war.
                                                                                                                                                                                                                                                                                \nthe balance of power in the international system is predictive of conflict.
                                                                                                                                                                                                                                                                                \ncountries with stagnant economies are more likely to engage in war.
                                                                                                                                                                                                                                                                                \nreligious fundamentalism is an important factor behind conflict.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 47
                                                                                                                                                                                                                                                                                \n1. A primary objective for both insurgency and guerilla warfare is to
                                                                                                                                                                                                                                                                                \ndefeat the enemy on the field of battle.
                                                                                                                                                                                                                                                                                \nraise the costs of conflict as higher than any benefit to the attacker.
                                                                                                                                                                                                                                                                                \nforce the intervention of the UN to end the conflict.
                                                                                                                                                                                                                                                                                \nuse high-tech weapons against the attacker.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 48
                                                                                                                                                                                                                                                                                \n1. International politics is an area in which vital decisions are made based on
                                                                                                                                                                                                                                                                                \nunderstandings of cause and effect.
                                                                                                                                                                                                                                                                                \nfear and misunderstanding.
                                                                                                                                                                                                                                                                                \npolitical will.
                                                                                                                                                                                                                                                                                \nmoral guidance.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 49
                                                                                                                                                                                                                                                                                \n1. The U.S. government wants China to allow its currency to increase in value in order to
                                                                                                                                                                                                                                                                                \nraise the value of the U.S. dollar.
                                                                                                                                                                                                                                                                                \nhelp moderate the American trade deficit with China.
                                                                                                                                                                                                                                                                                \nlower American interest rates.
                                                                                                                                                                                                                                                                                \ncreate competitive devaluation.
                                                                                                                                                                                                                                                                                \n1 points
                                                                                                                                                                                                                                                                                \nQuestion 50
                                                                                                                                                                                                                                                                                \n1. The evolution of today\u2019s international system has been dominated by
                                                                                                                                                                                                                                                                                \nthe expansion of colonialism.
                                                                                                                                                                                                                                                                                \nthe development of a system of sovereign states in Europe and its spread to the rest of the world.
                                                                                                                                                                                                                                                                                \nthe establishment of the United Nations and its growing influence.
                                                                                                                                                                                                                                                                                \nthe development of the Cold War in the twentieth century.<\/p>\n

                                                                                                                                                                                                                                                                                NURS6521 Week 2 Quiz latest 2017<\/p>\n

                                                                                                                                                                                                                                                                                NURS6521 Week 2 Quiz latest 2017<\/p>\n

                                                                                                                                                                                                                                                                                Question 1 A patient has been prescribed a Scheduled 5 drug, an example of this drug is A.Antianxiety<\/p>\n

                                                                                                                                                                                                                                                                                B.Narcotic Analgesics<\/p>\n

                                                                                                                                                                                                                                                                                C.Barbituates<\/p>\n

                                                                                                                                                                                                                                                                                D.Antitussives<\/p>\n

                                                                                                                                                                                                                                                                                Question 2 A nurse has just completed a medication history on a newly admitted patient. In order to complete medication\u00a0reconciliation for this patient the nurse will<\/p>\n

                                                                                                                                                                                                                                                                                A.Provide instructions pertaining to each medication the patient is currently taking and thenadd the medications ordered during the hospitalization.<\/p>\n

                                                                                                                                                                                                                                                                                B.compare the medications ordered by the health care provider with the list of medicationsobtained from the patient and communicate discrepancies to the health care provider.<\/p>\n

                                                                                                                                                                                                                                                                                C.explain to the patient the pharmacokinetics of each drug he will be taking in the hospital. D.determine the best pharmacy for the patient to buy his medications<\/p>\n

                                                                                                                                                                                                                                                                                Question 3 A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a<\/p>\n

                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                1. C-I drug.<\/li>\n
                                                                                                                                                                                                                                                                                2. C-II drug.<\/li>\n
                                                                                                                                                                                                                                                                                3. C-III drug.<\/li>\n
                                                                                                                                                                                                                                                                                4. C-IV drug<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                  Question 4 A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting?<\/p>\n

                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                  1. Narcotics are banned in private settings and cannot be used.<\/li>\n
                                                                                                                                                                                                                                                                                  2. Narcotics can be used in the hospital after obtaining written approval from the Joint Commission for Accreditation of Hospitals and Healthcare Organizations(JCAHO).<\/li>\n
                                                                                                                                                                                                                                                                                  3. Narcotics to be used in the hospital are dispensed only with a written prescription.<\/li>\n
                                                                                                                                                                                                                                                                                  4. Narcotics can be used in the hospital according to patient preferences<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                    Question 5 Drugs have a valid medical use but a high potential for abuse, both psychological and physiologic. In an emergency, a Schedule 2 drug may be prescribed by telephone if a written prescription cannot be provided at the time. However, a written prescription must be provided within 72 hours with the words authorization for emergency dispensing written on the prescription. These prescriptions cannot be refilled. A new prescription must be written each time. Examples include certain amphetamines and barbiturates. This is scheduled drug<\/p>\n

                                                                                                                                                                                                                                                                                    A.Schedule 1<\/p>\n

                                                                                                                                                                                                                                                                                    B.Schedule 2<\/p>\n

                                                                                                                                                                                                                                                                                    C.Schedule 3<\/p>\n

                                                                                                                                                                                                                                                                                    D.Schedule 4<\/p>\n

                                                                                                                                                                                                                                                                                    Question 6 A nurse receives an order to administer a critically ill patient two drugs immediately (stat). The nurse begins the process by<\/p>\n

                                                                                                                                                                                                                                                                                    A.washing his or her hands before handling the medications.<\/p>\n

                                                                                                                                                                                                                                                                                    B.consulting a drug guide for compatibility.<\/p>\n

                                                                                                                                                                                                                                                                                    C.identifying the patient by checking the armband and asking the patient to state his name.<\/p>\n

                                                                                                                                                                                                                                                                                    D.questioning the patient concerning allergies.<\/p>\n

                                                                                                                                                                                                                                                                                    Question 7 A nurse working for a drug company is involved in phase III drug evaluation studies. Which of the following might the nurse be responsible for during this stage of drug development?<\/p>\n

                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                    1. Working with animals who are given experimental drugs<\/li>\n
                                                                                                                                                                                                                                                                                    2. Monitoring drug effects in patients who are selected to participate in a study, whohave the disease that the drug is meant to treat<\/li>\n
                                                                                                                                                                                                                                                                                    3. Administering investigational drugs to patients<\/li>\n
                                                                                                                                                                                                                                                                                    4. Informing healthy, young volunteer participants of possible risks that could occurfrom taking an experimental drug<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                      Question 8 Federal legislation dictates a lengthy and rigorous process of testing for new drugs. What is the primary purpose of this testing process?<\/p>\n

                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                      1. To protect state and federal departments from legal liability<\/li>\n
                                                                                                                                                                                                                                                                                      2. To maximize autonomy and treatment options for citizens<\/li>\n
                                                                                                                                                                                                                                                                                      3. To facilitate the efficiency of health care delivery<\/li>\n
                                                                                                                                                                                                                                                                                      4. To ensure the safety of the public<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                        Question 9 These drugs have a potential for abuse, but the potential is lower than for drugs on Schedule 2. These drugs contain a combination of controlled and noncontrolled substances. Use of these drugs can cause a moderate to low physiologic dependence and a higher psychological dependence. A verbal order can be given to the pharmacy and the prescription can be refilled up to five times within 6 months. Examples include certain narcotics (codeine) and nonbarbiturate sedatives. This is scheduled drug<\/p>\n

                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                        1. Schedule 3<\/li>\n
                                                                                                                                                                                                                                                                                        2. Schedule 4<\/li>\n
                                                                                                                                                                                                                                                                                        3. Schedule 5<\/li>\n
                                                                                                                                                                                                                                                                                        4. Schedule 2<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                          Question 10 Which of the following patients should be advised by the nurse to avoid over-the-counter cold and allergy preparations that contain phenylephrine?<\/p>\n

                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                          1. A 47-year-old female with hypertension<\/li>\n
                                                                                                                                                                                                                                                                                          2. A 52-year-old male with adult-onset diabetes<\/li>\n
                                                                                                                                                                                                                                                                                          3. A 17-year-old female with symptoms of an upper respiratory infection<\/li>\n
                                                                                                                                                                                                                                                                                          4. A 62-year-old male with gout<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                            Question 11 Drugs have a high potential for abuse. There is no routine therapeutic use for these drugs and they are not available for regular use.They may be obtained for \u201cinvestigational use only\u201d by applying to the U.S. Drug Enforcement Agency. Examples include heroin and LSD. Which scheduled drug is this?<\/p>\n

                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                            1. Schedule 1<\/li>\n
                                                                                                                                                                                                                                                                                            2. Schedule 2<\/li>\n
                                                                                                                                                                                                                                                                                            3. Schedule 3<\/li>\n
                                                                                                                                                                                                                                                                                            4. Schedule 4<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                              Question 12 A patient has taken an overdose of a vitamin\/mineral supplement containing magnesium. The nurse will be sure to assess<\/p>\n

                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                              1. blood pressure.<\/li>\n
                                                                                                                                                                                                                                                                                              2. body temperature.<\/li>\n
                                                                                                                                                                                                                                                                                              3. fluid intake.<\/li>\n
                                                                                                                                                                                                                                                                                              4. skin changes<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                Question 13 A nurse practitioner understands when prescribing a medication that there are certain questions to address. Check all that apply.<\/p>\n

                                                                                                                                                                                                                                                                                                A.Is there a need for the drug in treating the presenting problem?<\/p>\n

                                                                                                                                                                                                                                                                                                B.Is this the best drug for the presenting problem?<\/p>\n

                                                                                                                                                                                                                                                                                                C.Can the patient take the prescribed drug?<\/p>\n

                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                1. None of the above<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                  Question 14 A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a<\/p>\n

                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                  1. higher-than-normal dose.<\/li>\n
                                                                                                                                                                                                                                                                                                  2. weight-based protocol dose.<\/li>\n
                                                                                                                                                                                                                                                                                                  3. lower-than-normal dose.<\/li>\n
                                                                                                                                                                                                                                                                                                  4. child’s dose<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                    Question 15 The nurse practitioner orders Amoxicillin 250 mg\/5 ml tid for 10 days? The nurse practitioner would expect the pharmacist to fill the prescription bottle with how many ml?<\/p>\n

                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                    1. 50 ml<\/li>\n
                                                                                                                                                                                                                                                                                                    2. 100 ml<\/li>\n
                                                                                                                                                                                                                                                                                                    3. 120 ml<\/li>\n
                                                                                                                                                                                                                                                                                                    4. 150 ml<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                      Question 16 A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states<\/p>\n

                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                      1. Many medications can be potentially harmful if taken by someone other than the person the medication was prescribed.<\/li>\n
                                                                                                                                                                                                                                                                                                      2. Consult with several pharmacists to determine the cost of each drug.<\/li>\n
                                                                                                                                                                                                                                                                                                      3. educate the patient to discard syringes in recycle bin<\/li>\n
                                                                                                                                                                                                                                                                                                      4. consult with the physician concerning choice of medications for the patient.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                        Question 17 A nurse is providing a patient with a list of drugs as a part of the patient’s plan of care. Which of the following drug nomenclatures should the nurse use to list the drugs?<\/p>\n

                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                        1. The drugs’ chemical names<\/li>\n
                                                                                                                                                                                                                                                                                                        2. The drugs’ generic names<\/li>\n
                                                                                                                                                                                                                                                                                                        3. The drugs’ trade names<\/li>\n
                                                                                                                                                                                                                                                                                                        4. The drugs’ biologic names<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                          Question 18 A nurse is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting off a bus and fractured her hip. How should the woman’s nurse best exemplify cultural competence in the care of this patient?<\/p>\n

                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                          1. Ensure that the woman receives care solely from Spanish-speaking caregivers.<\/li>\n
                                                                                                                                                                                                                                                                                                          2. Consider dimensions of the woman’s cultural background when planning care.<\/li>\n
                                                                                                                                                                                                                                                                                                          3. Integrate teaching about American culture when interacting with the patient.<\/li>\n
                                                                                                                                                                                                                                                                                                          4. Address the woman’s children first when explaining her care and changes in her health status.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                            Question 19 Which of the following serves to protect the public by ensuring the purity of a drug and its contents?<\/p>\n

                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                            1. American Pharmaceutical Association<\/li>\n
                                                                                                                                                                                                                                                                                                            2. United States Adopted Names Council<\/li>\n
                                                                                                                                                                                                                                                                                                            3. Nursing drug guides<\/li>\n
                                                                                                                                                                                                                                                                                                            4. Federal legislation<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                              Question 20 A nurse is admitting a Mexican woman to the hospital who cannot speak or understand English. The patient is alone, and there is no interpreter available. When trying to communicate with the patient the nurse will<\/p>\n

                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                              1. Speak loudly<\/li>\n
                                                                                                                                                                                                                                                                                                              2. Exaggerate her mouth movements<\/li>\n
                                                                                                                                                                                                                                                                                                              3. Use nonverbal language<\/li>\n
                                                                                                                                                                                                                                                                                                              4. Speak fast<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                Question 21 A patient comes to primary clinic for strep throat. A throat swab culture is sent to lab. What information is required for the nurse practitioner to disclose on lab transmittal?<\/p>\n

                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                1. National Provider Identification (NPI)<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                  B.Centers for Medicare & Medicaid Services (CMS)<\/p>\n

                                                                                                                                                                                                                                                                                                                  C.Health Insurance Portability and Accountability Act of 1996 (HIPPA)<\/p>\n

                                                                                                                                                                                                                                                                                                                  D.None of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                  Question 22 A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe’s medicine man perform a ritual before the patient goes to surgery. The nurse’s response to this request should be<\/p>\n

                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                  1. “I’m sorry, but that will not be possible.”<\/li>\n
                                                                                                                                                                                                                                                                                                                  2. “I will need to inform the doctor and see if he will allow this.”<\/li>\n
                                                                                                                                                                                                                                                                                                                  3. “As long as the ritual does not interfere with the patient’s preoperative care, it will be okay.”<\/li>\n
                                                                                                                                                                                                                                                                                                                  4. “I don’t think that will help, but you have the right to perform the ritual.”<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                    Question 23 A patient with seasonal allergies is exasperated by her recent nasal congestion and has expressed her desire to treat it by using pseudoephedrine. The nurse should inform the patient that<\/p>\n

                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                    1. under the Combat Methamphetamine Abuse Act, pseudoephedrine now requires a prescription.<\/li>\n
                                                                                                                                                                                                                                                                                                                    2. drugs containing pseudoephedrine are available without a prescription but are kept off pharmacy shelves.<\/li>\n
                                                                                                                                                                                                                                                                                                                    3. she must be prepared to show identification when buying a drug that contains pseudoephedrine.<\/li>\n
                                                                                                                                                                                                                                                                                                                    4. pseudoephedrine is being phased out of the marketplace in order to combat illegal use.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                      Question 24 A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive<\/p>\n

                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                      1. a higher-than-normal dose of drugs that bind to acid glycoproteins.<\/li>\n
                                                                                                                                                                                                                                                                                                                      2. a lower-than-normal dose of drugs that bind to acid glycoproteins.<\/li>\n
                                                                                                                                                                                                                                                                                                                      3. the recommended normal dose of drugs that bind to acid glycoproteins.<\/li>\n
                                                                                                                                                                                                                                                                                                                      4. one half the recommended dose of drugs that bind to acid glycoproteins.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                        Question 25 A nurse is a member of a research team that is exploring unique differences in responses to drugs that each individual possesses, based on genetic make-up. This area of study is called<\/p>\n

                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                        1. pharmacotherapeutics.<\/li>\n
                                                                                                                                                                                                                                                                                                                        2. pharmacodynamics.<\/li>\n
                                                                                                                                                                                                                                                                                                                        3. pharmacoeconomics.<\/li>\n
                                                                                                                                                                                                                                                                                                                        4. pharmacogenomics<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                          NUR6550 Final Exam<\/p>\n

                                                                                                                                                                                                                                                                                                                          NUR6550 Final Exam<\/p>\n

                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                          1. The Valsalva maneuver and the squat-to-stand maneuver are likely to increase the sound of a cardiac murmur associated with which of these conditions?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                            1. Which of the following conditions may result in lower extremity edema?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                              Nephrotic syndrome<\/p>\n

                                                                                                                                                                                                                                                                                                                              Decompensated congestive heart failure<\/p>\n

                                                                                                                                                                                                                                                                                                                              Cirrhosis<\/p>\n

                                                                                                                                                                                                                                                                                                                              Renal failure<\/p>\n

                                                                                                                                                                                                                                                                                                                              Deep venous thrombosis<\/p>\n

                                                                                                                                                                                                                                                                                                                              Late-stage pregnancy<\/p>\n

                                                                                                                                                                                                                                                                                                                              All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                              1. Art Bakke is a 46-year-old male who is being treated for an acute myocardial infarction.\u00a0He has now developed significant dyspnea at rest and, per physical exam, has coarse rales involving the lower 2\/3 of the lung fields bilaterally.\u00a0You suspect acute pulmonary edema due to papillary-muscle rupture and acute mitral-valve regurgitation.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                Question: Which of the following physical findings would support this diagnostic hypothesis?<\/p>\n

                                                                                                                                                                                                                                                                                                                                A palpable diastolic murmur maximal in the second intercostal space (ICS) at the left sternal border<\/p>\n

                                                                                                                                                                                                                                                                                                                                A harsh, rumbling, diastolic murmur heard maximally in the fourth ICS at the left sternal border<\/p>\n

                                                                                                                                                                                                                                                                                                                                A holosystolic systolic murmur heard maximally in the fifth ICS at the midclavicular line<\/p>\n

                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                1. The most common ECG finding in a patient with a cardiomyopathy is an ST-elevation MI.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                  True<\/p>\n

                                                                                                                                                                                                                                                                                                                                  False<\/p>\n

                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                  1. Nina Martinez is a 70-year-old female who experienced an episode of acute pulmonary edema following an endovascular aneurysm repair.\u00a0She was discharged on furosemide 60 mg daily and instructed to follow up with cardiology.\u00a0She is now seen in the office at 2 weeks post discharge.\u00a0Her metabolic panel includes the following lab values:<\/li>\n<\/ol>\n
                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                    • Na 126 mEq\/L<\/li>\n
                                                                                                                                                                                                                                                                                                                                    • K 4.0 mEq\/L<\/li>\n
                                                                                                                                                                                                                                                                                                                                    • Cl 93 mEq\/L<\/li>\n
                                                                                                                                                                                                                                                                                                                                    • CO2 28 mEq\/L<\/li>\n
                                                                                                                                                                                                                                                                                                                                    • BUN 40 mg\/dL<\/li>\n
                                                                                                                                                                                                                                                                                                                                    • Cr 1.3 mg\/dL<\/li>\n<\/ul>\n

                                                                                                                                                                                                                                                                                                                                      Question: This patient has which of the following abnormalities as a likely consequence of diuretic overuse?<\/p>\n

                                                                                                                                                                                                                                                                                                                                      Hyponatremia<\/p>\n

                                                                                                                                                                                                                                                                                                                                      Hypokalemia<\/p>\n

                                                                                                                                                                                                                                                                                                                                      Metabolic acidosis<\/p>\n

                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                      1. Which of the following are primary cardiomyopathy categories, as described by the World Health Organization (WHO) in 1995?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                        Dilated cardiomyopathy<\/p>\n

                                                                                                                                                                                                                                                                                                                                        Symbol Hypertrophic cardiomyopathy (HCM)<\/p>\n

                                                                                                                                                                                                                                                                                                                                        Symbol Restrictive cardiomyopathy<\/p>\n

                                                                                                                                                                                                                                                                                                                                        Symbol Arrhythmogenic right ventricular dysplasia<\/p>\n

                                                                                                                                                                                                                                                                                                                                        Symbol Unclassified<\/p>\n

                                                                                                                                                                                                                                                                                                                                        All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                        1. What is the most common cause of sudden cardiac death in young people?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                          What is the most common cause of sudden cardiac death in young people?<\/p>\n

                                                                                                                                                                                                                                                                                                                                          Myocardial infarction<\/p>\n

                                                                                                                                                                                                                                                                                                                                          Hypertrophic cardiomyopathy<\/p>\n

                                                                                                                                                                                                                                                                                                                                          Supraventricular tachycardia<\/p>\n

                                                                                                                                                                                                                                                                                                                                          Arrhythmogenic right ventricular dysplasia; aka arrhythmogenic right ventricular cardiomyopathy (ARVC)<\/p>\n

                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                          1. Which of the following are treatment options for a patient who presents with peripartum cardiomyopathy while still carrying the fetus? (Select all that apply.)<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                            ACE inhibitors<\/p>\n

                                                                                                                                                                                                                                                                                                                                            Induction if stable<\/p>\n

                                                                                                                                                                                                                                                                                                                                            Emergent cesarean section if unstable<\/p>\n

                                                                                                                                                                                                                                                                                                                                            Digoxin<\/p>\n

                                                                                                                                                                                                                                                                                                                                            Nitroglycerin<\/p>\n

                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                            1. What are the 3 major clinical complications related to cardiomyopathies?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                              Arrhythmias; including ventricular tachycardia and ventricular fibrillation<\/p>\n

                                                                                                                                                                                                                                                                                                                                              Thromboembolic complications; including DVT, PE, and ventricular thrombi<\/p>\n

                                                                                                                                                                                                                                                                                                                                              Acute pulmonary edema<\/p>\n

                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                              1. Some patients with primary cardiomyopathies remain asymptomatic throughout their lifetime.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                True<\/p>\n

                                                                                                                                                                                                                                                                                                                                                False<\/p>\n

                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                1. A 38-year -old woman comes to the emergency department complaining of a rapid heartbeat, tremors, and chest tightness.\u00a0She reports earlier in the day she was feeling a migraine starting so she took a pill given to her by her friend who also experiences migraines.\u00a0Her medical history reveals that she is currently taking a monoamine oxidase inhibitor for depression.\u00a0Which migraine medication did she most likely take?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                  Acetaminophen and caffeine (Excedrin \u00ae Migraine)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                  Naproxen sodium (Aleve \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                  Almotriptan (Axert \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                  Butalbital, acetaminophen and caffeine (Fioricet \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                  1. You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection (UTI). She has well-controlled hypertension, type 2 diabetes mellitus, and dyslipidemia and takes an angiotensin-converting enzyme inhibitor (ACEI), statin, biguanide, and low-dose aspirin (ASA).\u00a0She worked in a dry cleaning facility until approximately 8 years ago.\u00a0During her evaluation, she mentions that she sometimes has difficulty understanding conversation, especially in noisy environments.\u00a0This is likely a:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                    Drug-related reaction.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                    Consequence of occupational chemical exposure.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                    Early sign of dementia.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                    Normal age-related change in hearing<\/p>\n

                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                    1. While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following findings in urinalysis is most suggestive of urinary tract infection (UTI) caused by a Gram-negative organism?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                      Nitrites<\/p>\n

                                                                                                                                                                                                                                                                                                                                                      30 mg\/dL protein<\/p>\n

                                                                                                                                                                                                                                                                                                                                                      Epithelial cells<\/p>\n

                                                                                                                                                                                                                                                                                                                                                      pH>8<\/p>\n

                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                      1. All of the following are examples of primary prevention strategies except:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                        Counseling an elderly patient prior to discharge about fall risk at home and how to prevent falls through adequate illumination.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                        Performing a hemoglobin A1C for all patients admitted to the hospital.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                        Conducting a study to identify the leading cause of mortality in teenagers and how to reduce risk.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                        Immunizing all adults ?60 years with zoster vaccine.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                        1. A 23-year-old woman is being evaluated for an upper respiratory tract infection.\u00a0As you prepare for auscultation, the patient states \u201cI have a benign murmur that has been with me my whole life\u201d.\u00a0Anticipating a physiologic murmur, you would expect which of the following characteristics?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                          Usually obliterates S2.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                          Becomes softer when going from a supine to standing position.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                          Occurs late in systole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                          Has localized area of auscultation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                          1. You see a 73-year-old woman with a 40 pack- year smoking history, chronic obstructive pulmonary disease (COPD) and peripheral arterial disease (PAD) who presents with an ulcer on the sole of her left foot.\u00a0The ulcer has an irregular edge and pale base and a punched out appearance, with the surrounding skin white and shiny.\u00a0The patient states that the pain is worse at night in bed and when the legs are elevated.\u00a0The most likely diagnosis is:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                            Pressure ulcer<\/p>\n

                                                                                                                                                                                                                                                                                                                                                            Pyoderma gangrenosum<\/p>\n

                                                                                                                                                                                                                                                                                                                                                            Venous ulcer<\/p>\n

                                                                                                                                                                                                                                                                                                                                                            Arterial ulcer<\/p>\n

                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                            1. You see a 76-year-old woman living at home who is accompanied by her home care provider.\u00a0She has COPD and type 2 diabetes mellitus.\u00a0An example of a secondary prevention strategy is:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                              Administering the seasonal influenza vaccine.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                              Screening for physical or financial abuse\/Checking her blood glucose level.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                              Checking her blood pressure.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                              Adjusting her insulin dosing regimen.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                              1. A 43-year-old woman is being evaluated in the emergency department with a complaint of a severe headache.\u00a0She describes a unilateral, pulsing headache that was preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm.\u00a0The patient stated she noticed a \u201cfunny smell\u201d prior to the symptoms starting.\u00a0This description is most typical of:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                Migraine with aura.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                Cluster headache.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                Transient ischemic attack.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                Tension-type headache.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                1. You see a 54-year-old man living in subsidized housing with a history of hypertension.\u00a0He states that he stopped taking his blood pressure medication about 4 months ago because of costs.\u00a0He is concerned because his blood pressure is high whenever he checks it, though he does not report any symptoms.\u00a0His BP at this visit is 196\/104 mm Hg.\u00a0Upon examination of this patient, you would expect to detect an S 4 sound heard during:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                  Early systole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                  Late systole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                  Early diastole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                  Late diastole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                  1. 32-year-old man requires evaluation for hepatitis infection prior to taking a job as a restaurant cook.\u00a0He presents with the following laboratory results:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                    Hepatitis A Panel Hepatitis B Panel Hepatitis C Panel<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                    Anti-HAV Negative HBsAg Negative Anti-HCV Positive<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                    IgM Negative Anti-HBc Negative HCV RNA Negative<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                    IgM NegativeAnti-HBs Positive<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                    You recognize the patient is susceptible to:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                    Hepatitis A and B<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                    Hepatitis B and C<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                    Hepatitis B only<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                    Hepatitis A only<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                    1. When evaluating illness symptoms in older patients, the disease will often present differently from younger adults due to:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                      The likelihood of polypharmacy.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                      Decreased compensatory mechanisms in the elderly.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                      An increased physiologic response to illness in the elderly.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                      Presence of comorbid conditions.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                      1. When prioritizing risk factors for bacterial endocarditis, the nurse practitioner knows who among the following patients has the highest risk.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                        A 55-year-old man with 3-vessel coronary artery bypass grafts with stents.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                        A 23-year-old woman with mitral valve prolapse without tissue redundancy.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                        A 65-year-old man with nonobstructive cardiomyopathy.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                        A 75-year-old woman with a nonorganic prosthetic aortic valve.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                        1. The legal authority for NPs to perform healthcare services as defined by state law is called:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                          Duty of care.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                          Non-malfeasance.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                          Autonomy.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                          Scope of practice.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                          1. When developing a management plan for patients with genitourinary infections, which of the following would you most likely recommend for follow-up imaging following resolution of their infection?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                            A 27-year-old nonpregnant woman with acute, uncomplicated urinary tract infection (UTI).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                            A 38-year-old nonpregnant woman with 2 acute, uncomplicated UTIs in the past 9 months.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                            A 57-year-old man with acute bacterial prostatitis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                            A 43-year-old man with type 2 diabetes mellitus and recurrent pyelonephritis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                            1. The NP is called to evaluate Jane, a 43-year- old woman, who presents with a diffuse maculopapular rash that began on the trunk but now covers the entire body, including the palms and soles.\u00a0The rash is not itchy but wart-like sores are present in the mouth and genital area as well as skin folds.\u00a0Initial evaluation reveals generalized lymphadenopathy and a low-grade fever, and she complains of lethargy and headache.\u00a0The patient reports that she had a painless genital ulcer that healed on its own about 3 weeks earlier.\u00a0Which of the following is the most likely diagnosis?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                              Primary syphilis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                              Secondary syphilis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                              Genital herpes.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                              Gonorrhea.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                              1. A 27-year-old man presents with a chief concern of an abnormal mass within his left scrotum.\u00a0He describes it as feeling like a \u201cbag of worms\u201d and is present when he is standing but disappears when he lies down.\u00a0His past medical history is unremarkable and his BMI is 29 kg\/m 2\u00a0.\u00a0He has been in a monogamous relationship for the past 4months.\u00a0The most likely diagnosis is:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                Testicular torsion.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                Syphilis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                Varicocele.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                Testicular cancer.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                1. An 18-year-old man is being evaluated for a severe exacerbation of asthma.\u00a0He is currently taking an inhaled corticosteroid, a long- acting beta-agonist, and a short-acting beta-agonist on an as needed basis.\u00a0The most important component of the initial assessment includes a(n):<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                  Continuous pulse oximetry reading<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                  Peak expiratory flow reading<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                  Chest X-ray<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                  Arterial Blood Gas<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                  1. A 67-year-old man is being evaluated for shortness of breath.\u00a0His medical history reveals that he experienced a myocardial infarction about 2 years ago and a history of hypertension, which is well controlled by diet..\u00a0Otherwise, his medical history is unremarkable.\u00a0Which of the following would you expect to find on electrocardiogram (ECG)?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                    T wave inversion.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                    Pathologic Q wave.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                    ST segment elevation.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                    Tall R wave.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                    1. A 74-year-old male with asymptomatic atrial fibrillation underwent electrical cardioversion that successfully restored the heart\u2019s rhythm.\u00a0Which of the following medications can be considered for the purpose of maintaining the heart\u2019s rhythm?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                      Sotalol (Betapace \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                      Digoxin (Lanoxin \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                      Dabigatran (Pradaxa \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                      Enalapri<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                      1. A 14-year-old male is brought in for evaluation after he reportedly collapsed during a tennis match, though he quickly regained consciousness.\u00a0His medical history is otherwise unremarkable.\u00a0You suspect hypertrophic cardiomyopathy.\u00a0Which of the following heart murmur characteristics would support the diagnosis?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                        Occurs late in systole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                        Widely split S?.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                        Becomes louder when going from a supine to standing position.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                        Murmur follows mid-systolic click.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                        1. You see a 64-year-old man with an area of erythema concentrated on the left side of his neck with clusters of vesicles forming a line.\u00a0He reported pain in the area a couple of days before the eruption of the lesions.\u00a0He states that he recently initiated biologic therapy for rheumatoid arthritis.\u00a0Which of the following is the most likely diagnosis?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                          Impetigo.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                          Herpes zoster.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                          Drug-related adverse reaction.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                          Viral exanthem.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                          1. An NP\u2019s duty of care can be established:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                            Only in the setting of a healthcare institution (e.g., hospital, clinic, etc.).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                            When the NP gives professional advice or treatment in any setting.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                            Only when a fee is charged, either to the patient or third-party payer, for services.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                            Only when both the NP and patient acknowledge a patient-provider relationship.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                            1. In managing a 58-year- old woman who is admitted for deep vein thrombosis, caution should be used with which of the following medications due to a risk of drug-induced thrombocytopenia?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                              Warfarin (Coumadin\u00ae)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                              Clopidogrel (Plavix\u00ae)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                              Dabigatran (Pradaxa\u00ae)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                              Unfractionated heparin<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                              1. An 84-year-old female patient is admitted from a local long-term care facility (illnes).\u00a0The patient is normally awake, alert, and oriented.\u00a0She resides in the LTCF because she has not fully recovered from a broken hip resulting from a fall 4 months ago; otherwise she is in relatively good health.\u00a0She can walk short distances with a walker, though she primarily stays in a wheelchair.\u00a0Today, however, the nursing staff found her to be acutely confused and unable to ambulate without falling.\u00a0She was transferred to the emergency department for evaluation.\u00a0Initial laboratory testing must include:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                2 sets of blood cultures.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                Serum thyroid stimulating hormone (TSH) level.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                Urinalysis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                Lumbar puncture.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                1. A 23-year-old college student presents with a 2-day history of severe sore throat and difficulty eating or drinking due to trouble swallowing.\u00a0A physical examination reveals exudative pharyngitis and minimally tender anterior and posterior cervical lymphadenopathy.\u00a0The NP suspects infectious mononucleosis and would expect which of the following laboratory findings?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                  Neutrophilia with reactive forms.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                  Thrombocytosis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                  Lymphocytosis with atypical lymphocytes.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                  Diminished ALT\/AST levels.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                  1. “Incident-to” services are defined as those which are “an integral, although incidental, part of the physician’s personal professional services in the course of diagnosis or treatment of an injury or illness”.\u00a0As long as certain criteria are met, \u201cincident to\u201d billing is an option in all of the following settings except:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                    Office visits.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                    Hospital.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                    Nursing home.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                    Home visits.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                    1. A 78-year- old male is being treated for a hypoglycemic episode.\u00a0He has a long history of type 2 diabetes mellitus as well as congestive heart failure and COPD.\u00a0He is currently taking basal insulin with a sulfonylurea.\u00a0What is the acceptable A1C goal for this patient?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                      \u2264 6.5%<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                      \u2264 7.0%<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                      \u2264 8.0%<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                      \u2264 9.0%<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                      1. You see a 74- year-old male who is accompanied by his granddaughter who lives with him.\u00a0He has hypertension, a prior myocardial infarction, long-standing type 2 diabetes, and recently underwent a lower limb amputation secondary to diabetes.\u00a0He is currently taking an ACE inhibitor, statin, low-dose aspirin, biguanide, and insulin.\u00a0The granddaughter reports that since the amputation, her grandfather sometimes becomes withdrawn, irritable and moody for no apparent reason, does not want to participate in the typical activities he enjoys, and often does not appear to eat much during the day.\u00a0She also states that he often complains of being tired but normally wakes up in the early morning hours.\u00a0The most appropriate action is to evaluate the patient for:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                        Dementia.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                        Depression.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                        Delirium.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                        Drug interaction.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                        1. You see a 58-year-old man who complains of a persistent dry, hacking cough.\u00a0He reports that he recently started taking a medication to treat high blood pressure.\u00a0He is most likely taking a(n):<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                          Angiotensin-converting enzyme (ACE) inhibitor<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                          Alpha-adrenergic antagonist<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                          Angiotensin receptor blocker<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                          Beta-adrenergic antagonist<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                          1. A 77-year-old woman is accompanied by her husband for evaluation.\u00a0She is currently being treated with metoprolol (Lopressor \u00ae ) for hypertension and digoxin (Lanoxin \u00ae ) for atrial fibrillation.\u00a0He reports that his wife is becoming increasingly forgetful over the past year, failing to note important family events such as birthdays, and sometimes becomes confused with driving directions to familiar locations.\u00a0She has no previous psychiatric history.\u00a0The most likely diagnosis is:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                            Parkinson\u2019s disease.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                            Delirium.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                            Dementia.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                            Early stage of congestive heart failure.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                            1. Mrs.\u00a0Conner is a 76- year-old woman living in a long-term care facility and has been bedridden with a respiratory infection for the past 4 days.\u00a0She is brought in for evaluation and you note signs of dehydration as well as a section of epidermal skin loss about 3 cm in diameter on her right hip.\u00a0The dermal layer appears intact.\u00a0This would be considered a pressure ulcer of Stage:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                              1<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                              2<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                              3<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                              4<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                              1. Which of the following represents the highest level of scientific evidence when evaluating clinical research?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                A randomized controlled trial.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                Systematic review\/ Meta-analysis of randomized controlled troals.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                Observational study.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                Cohort study.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                1. A 64-year- old woman with chronic kidney disease presents with a chief complaint of lethargy.\u00a0His hemogram is as follows:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                  -Hemoglobin (Hg)=9.9 g\/dL (12\u201314 g\/dL<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                  -Hematocrit (Hct)=30% (36%\u201342%)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                  -Mean cell volume (MCV)=81 fL (80\u201396 fL<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                  -Reticulocytes=0.7% (1%\u20132%)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                  These findings are most consistent with:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                  Iron deficiency anemia.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                  Anemia of chronic disease.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                  Folate deficiency anemia.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                  Thalassemia trait.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                  1. You see a 68-year-old woman who is being treated for moderate depression.\u00a0She complains that her medication is causing symptoms of dry mouth and constipation.\u00a0She is most likely taking which of the following medications?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                    Venlafaxine (Effexor \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                    Citalopram (Celexa \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                    Fluoxetine (Prozac \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                    Nortriptyline (Pamelor \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                    1. All of the following persons are eligible for Medicare services except:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                      A 74-year-old ex-smoker with COPD and high income from assets.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                      A 69-year-old undocumented resident in the US with atrial fibrillation.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                      A 62-year-old with a permanent physical disability due to a motor vehicle accident.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                      A 72-year-old permanent legal resident (non-US citizen) with type 1 diabetes mellitus.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                      1. When initiating therapy with spironolactone for a patient who is also on an ACE inhibitor, you advise the patient to return in 5 days to check which of the following laboratory parameters?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                        Sodium<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                        Calcium<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                        Potassium<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                        Chloride<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                        1. When considering an end-of-life decision for a terminally ill person with Alzheimer-type dementia who can no longer communicate, all of the following can be used as an advanced directive except:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                          Testimony from a family member or close friend<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                          A living will.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                          A \u201cdo not resuscitate\u201d order.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                          A durable power of attorney for healthcare.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                          1. Which of the following types of clinical studies represents the lowest level of evidence used to guide medical decisions?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                            Clinical experience of renowned expert in field.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                            Non-randomized controlled study.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                            Observational study.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                            Case-control study.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                            1. Which of the following electrocardiogram (ECG) changes do you expect to find in a person with myocardial ischemia?calcium<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                              Pathologic Q wave<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                              Tall R wave<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                              T wave inversion<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                              ST segment elevation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                              1. Which of the following statements is false regarding end-of-life decision-making for a patient that is hopelessly and terminally ill?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                A durable power of attorney for healthcare can be used to authorize another person to make healthcare decisions.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                A videotaped or audiotaped discussion with the patient can include advanced directives.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                Advanced directives are legally binding and recognized in all 50 states.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                Living wills and do not resuscitate orders are examples of advanced directives.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                1. The nurse practitioner is evaluating a 19-year- old male suffering from a severe headache.\u00a0He has a history of headaches that tend to occur in clusters over a few days.\u00a0He has unsuccessfully tried several therapeutic modalities.\u00a0A positive response to which of the following interventions supports the diagnosis of cluster headache?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                  Oxygen therapy.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                  Beta-adrenergic blockade.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                  Tricyclic antidepressant.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                  Dietary reduction of amines.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                  1. All of the following are required Medicare terms and conditions for paying NP services except:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                    The services are within the NP\u2019s scope of practice as defined by state law.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                    The services performed are those for which a physician would be able to bill Medicare.\u00a0The services are performed in collaboration with a physician.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                    Separate charges are billed for NP services and facility charges.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                    1. A 28- year- old male with asthma presents with a chief complaint that he has to use his rescue inhaler multiple times each day.\u00a0An evaluation reveals that he has moderate-to-severe asthma and requires Step 4 treatment.\u00a0An appropriate regimen would include:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                      Low-dose inhaled corticosteroid (ICS)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                      Medium-dose ICS<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                      Medium-dose ICS plus a long-acting beta?-agonist (LABA)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                      High-dose ICS plus LABA plus omalizumab (Xolair \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                      1. A 62-year-old woman presents in the emergency department complaining of severe toe pain that originated overnight.\u00a0She has a history of renal disease and is currently taking a thiazide diuretic.\u00a0Her BMI is 37 kg\/m 2\u00a0.\u00a0In considering a diagnosis of acute gouty arthritis, the nurse practitioner knows that the best diagnostic indicator is:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                        Serum uric acid.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                        Joint X-ray.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                        Erythrocyte sedimentation rate (ESR).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                        Analysis of joint aspirate for urate crystals.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                        1. Which of the following is the most appropriate antibiotic for a 57-year-old man with acute bacterial rhinosinusitis and who has type 2 diabetes mellitus, COPD and a beta-lactam allergy?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                          Cephalexin (Keflex \u00ae ).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                          Amoxicillin-clavulanate (Augmentin \u00ae ).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                          Trimethoprim with or without sulfamethoxazole (Primsol \u00ae , Bactrim \u00ae ).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                          Levofloxacin (Levaquin \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                          Community Health Project<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                          Review your state public health department and environmental quality departments online to identify vector-related diseases affecting your community.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                          In a report format of 1,250-1,500 words, address the following:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                          1. Describe the health concerns of the community.<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                          2. Identify current environmental risk assessment methods which apply to public health issues.<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                          3. Suggest a modifier or new prevention or intervention program based on your research.<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                          4. Create a sample program budget.<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                          5. Complete a SWOT analysis of the proposed program.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                            APA format is not required, but solid academic writing\u00a0is expected.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                            This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                            Community Health Project<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                            Review your state public health department and environmental quality departments online to identify vector-related diseases affecting your community.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                            In a report format of 1,250-1,500 words, address the following:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Describe the health concerns of the community.<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                            2. Identify current environmental risk assessment methods which apply to public health issues.<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                            3. Suggest a modifier or new prevention or intervention program based on your research.<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                            4. Create a sample program budget.<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                            5. Complete a SWOT analysis of the proposed program.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                              APA format is not required, but solid academic writing\u00a0is expected.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                              This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                              NUR6550 Final Exam<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                              NUR6550 Final Exam<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                              1. The Valsalva maneuver and the squat-to-stand maneuver are likely to increase the sound of a cardiac murmur associated with which of these conditions?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Which of the following conditions may result in lower extremity edema?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                  Nephrotic syndrome<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                  Decompensated congestive heart failure<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                  Cirrhosis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                  Renal failure<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                  Deep venous thrombosis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                  Late-stage pregnancy<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                  All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. Art Bakke is a 46-year-old male who is being treated for an acute myocardial infarction.\u00a0He has now developed significant dyspnea at rest and, per physical exam, has coarse rales involving the lower 2\/3 of the lung fields bilaterally.\u00a0You suspect acute pulmonary edema due to papillary-muscle rupture and acute mitral-valve regurgitation.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                    Question: Which of the following physical findings would support this diagnostic hypothesis?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                    A palpable diastolic murmur maximal in the second intercostal space (ICS) at the left sternal border<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                    A harsh, rumbling, diastolic murmur heard maximally in the fourth ICS at the left sternal border<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                    A holosystolic systolic murmur heard maximally in the fifth ICS at the midclavicular line<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. The most common ECG finding in a patient with a cardiomyopathy is an ST-elevation MI.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                      True<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                      False<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Nina Martinez is a 70-year-old female who experienced an episode of acute pulmonary edema following an endovascular aneurysm repair.\u00a0She was discharged on furosemide 60 mg daily and instructed to follow up with cardiology.\u00a0She is now seen in the office at 2 weeks post discharge.\u00a0Her metabolic panel includes the following lab values:<\/li>\n<\/ol>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Na 126 mEq\/L<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                        • K 4.0 mEq\/L<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Cl 93 mEq\/L<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                        • CO2 28 mEq\/L<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                        • BUN 40 mg\/dL<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Cr 1.3 mg\/dL<\/li>\n<\/ul>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                          Question: This patient has which of the following abnormalities as a likely consequence of diuretic overuse?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                          Hyponatremia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                          Hypokalemia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                          Metabolic acidosis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. Which of the following are primary cardiomyopathy categories, as described by the World Health Organization (WHO) in 1995?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                            Dilated cardiomyopathy<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                            Symbol Hypertrophic cardiomyopathy (HCM)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                            Symbol Restrictive cardiomyopathy<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                            Symbol Arrhythmogenic right ventricular dysplasia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                            Symbol Unclassified<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                            All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. What is the most common cause of sudden cardiac death in young people?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                              What is the most common cause of sudden cardiac death in young people?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                              Myocardial infarction<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hypertrophic cardiomyopathy<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                              Supraventricular tachycardia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                              Arrhythmogenic right ventricular dysplasia; aka arrhythmogenic right ventricular cardiomyopathy (ARVC)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Which of the following are treatment options for a patient who presents with peripartum cardiomyopathy while still carrying the fetus? (Select all that apply.)<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                ACE inhibitors<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                Induction if stable<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                Emergent cesarean section if unstable<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                Digoxin<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                Nitroglycerin<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. What are the 3 major clinical complications related to cardiomyopathies?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Arrhythmias; including ventricular tachycardia and ventricular fibrillation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Thromboembolic complications; including DVT, PE, and ventricular thrombi<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Acute pulmonary edema<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. Some patients with primary cardiomyopathies remain asymptomatic throughout their lifetime.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                    True<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                    False<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. A 38-year -old woman comes to the emergency department complaining of a rapid heartbeat, tremors, and chest tightness.\u00a0She reports earlier in the day she was feeling a migraine starting so she took a pill given to her by her friend who also experiences migraines.\u00a0Her medical history reveals that she is currently taking a monoamine oxidase inhibitor for depression.\u00a0Which migraine medication did she most likely take?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Acetaminophen and caffeine (Excedrin \u00ae Migraine)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Naproxen sodium (Aleve \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Almotriptan (Axert \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Butalbital, acetaminophen and caffeine (Fioricet \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. You are seeing a 68-year-old woman for treatment of an uncomplicated urinary tract infection (UTI). She has well-controlled hypertension, type 2 diabetes mellitus, and dyslipidemia and takes an angiotensin-converting enzyme inhibitor (ACEI), statin, biguanide, and low-dose aspirin (ASA).\u00a0She worked in a dry cleaning facility until approximately 8 years ago.\u00a0During her evaluation, she mentions that she sometimes has difficulty understanding conversation, especially in noisy environments.\u00a0This is likely a:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Drug-related reaction.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Consequence of occupational chemical exposure.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Early sign of dementia.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Normal age-related change in hearing<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. While evaluating a 33-year-old female with a 2-day history of dysuria, which of the following findings in urinalysis is most suggestive of urinary tract infection (UTI) caused by a Gram-negative organism?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Nitrites<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                          30 mg\/dL protein<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Epithelial cells<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                          pH>8<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. All of the following are examples of primary prevention strategies except:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Counseling an elderly patient prior to discharge about fall risk at home and how to prevent falls through adequate illumination.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Performing a hemoglobin A1C for all patients admitted to the hospital.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Conducting a study to identify the leading cause of mortality in teenagers and how to reduce risk.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Immunizing all adults ?60 years with zoster vaccine.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. A 23-year-old woman is being evaluated for an upper respiratory tract infection.\u00a0As you prepare for auscultation, the patient states \u201cI have a benign murmur that has been with me my whole life\u201d.\u00a0Anticipating a physiologic murmur, you would expect which of the following characteristics?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Usually obliterates S2.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Becomes softer when going from a supine to standing position.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Occurs late in systole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Has localized area of auscultation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. You see a 73-year-old woman with a 40 pack- year smoking history, chronic obstructive pulmonary disease (COPD) and peripheral arterial disease (PAD) who presents with an ulcer on the sole of her left foot.\u00a0The ulcer has an irregular edge and pale base and a punched out appearance, with the surrounding skin white and shiny.\u00a0The patient states that the pain is worse at night in bed and when the legs are elevated.\u00a0The most likely diagnosis is:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Pressure ulcer<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Pyoderma gangrenosum<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Venous ulcer<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Arterial ulcer<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. You see a 76-year-old woman living at home who is accompanied by her home care provider.\u00a0She has COPD and type 2 diabetes mellitus.\u00a0An example of a secondary prevention strategy is:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Administering the seasonal influenza vaccine.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Screening for physical or financial abuse\/Checking her blood glucose level.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Checking her blood pressure.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Adjusting her insulin dosing regimen.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. A 43-year-old woman is being evaluated in the emergency department with a complaint of a severe headache.\u00a0She describes a unilateral, pulsing headache that was preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm.\u00a0The patient stated she noticed a \u201cfunny smell\u201d prior to the symptoms starting.\u00a0This description is most typical of:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Migraine with aura.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Cluster headache.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Transient ischemic attack.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Tension-type headache.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. You see a 54-year-old man living in subsidized housing with a history of hypertension.\u00a0He states that he stopped taking his blood pressure medication about 4 months ago because of costs.\u00a0He is concerned because his blood pressure is high whenever he checks it, though he does not report any symptoms.\u00a0His BP at this visit is 196\/104 mm Hg.\u00a0Upon examination of this patient, you would expect to detect an S 4 sound heard during:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Early systole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Late systole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Early diastole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Late diastole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. 32-year-old man requires evaluation for hepatitis infection prior to taking a job as a restaurant cook.\u00a0He presents with the following laboratory results:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Hepatitis A Panel Hepatitis B Panel Hepatitis C Panel<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Anti-HAV Negative HBsAg Negative Anti-HCV Positive<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        IgM Negative Anti-HBc Negative HCV RNA Negative<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        IgM NegativeAnti-HBs Positive<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        You recognize the patient is susceptible to:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Hepatitis A and B<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Hepatitis B and C<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Hepatitis B only<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Hepatitis A only<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. When evaluating illness symptoms in older patients, the disease will often present differently from younger adults due to:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          The likelihood of polypharmacy.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Decreased compensatory mechanisms in the elderly.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          An increased physiologic response to illness in the elderly.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Presence of comorbid conditions.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. When prioritizing risk factors for bacterial endocarditis, the nurse practitioner knows who among the following patients has the highest risk.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            A 55-year-old man with 3-vessel coronary artery bypass grafts with stents.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            A 23-year-old woman with mitral valve prolapse without tissue redundancy.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            A 65-year-old man with nonobstructive cardiomyopathy.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            A 75-year-old woman with a nonorganic prosthetic aortic valve.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. The legal authority for NPs to perform healthcare services as defined by state law is called:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Duty of care.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Non-malfeasance.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Autonomy.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Scope of practice.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. When developing a management plan for patients with genitourinary infections, which of the following would you most likely recommend for follow-up imaging following resolution of their infection?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                A 27-year-old nonpregnant woman with acute, uncomplicated urinary tract infection (UTI).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                A 38-year-old nonpregnant woman with 2 acute, uncomplicated UTIs in the past 9 months.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                A 57-year-old man with acute bacterial prostatitis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                A 43-year-old man with type 2 diabetes mellitus and recurrent pyelonephritis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. The NP is called to evaluate Jane, a 43-year- old woman, who presents with a diffuse maculopapular rash that began on the trunk but now covers the entire body, including the palms and soles.\u00a0The rash is not itchy but wart-like sores are present in the mouth and genital area as well as skin folds.\u00a0Initial evaluation reveals generalized lymphadenopathy and a low-grade fever, and she complains of lethargy and headache.\u00a0The patient reports that she had a painless genital ulcer that healed on its own about 3 weeks earlier.\u00a0Which of the following is the most likely diagnosis?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Primary syphilis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Secondary syphilis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Genital herpes.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Gonorrhea.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. A 27-year-old man presents with a chief concern of an abnormal mass within his left scrotum.\u00a0He describes it as feeling like a \u201cbag of worms\u201d and is present when he is standing but disappears when he lies down.\u00a0His past medical history is unremarkable and his BMI is 29 kg\/m 2\u00a0.\u00a0He has been in a monogamous relationship for the past 4months.\u00a0The most likely diagnosis is:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Testicular torsion.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Syphilis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Varicocele.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Testicular cancer.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. An 18-year-old man is being evaluated for a severe exacerbation of asthma.\u00a0He is currently taking an inhaled corticosteroid, a long- acting beta-agonist, and a short-acting beta-agonist on an as needed basis.\u00a0The most important component of the initial assessment includes a(n):<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Continuous pulse oximetry reading<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Peak expiratory flow reading<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Chest X-ray<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Arterial Blood Gas<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. A 67-year-old man is being evaluated for shortness of breath.\u00a0His medical history reveals that he experienced a myocardial infarction about 2 years ago and a history of hypertension, which is well controlled by diet..\u00a0Otherwise, his medical history is unremarkable.\u00a0Which of the following would you expect to find on electrocardiogram (ECG)?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        T wave inversion.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Pathologic Q wave.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ST segment elevation.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Tall R wave.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. A 74-year-old male with asymptomatic atrial fibrillation underwent electrical cardioversion that successfully restored the heart\u2019s rhythm.\u00a0Which of the following medications can be considered for the purpose of maintaining the heart\u2019s rhythm?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Sotalol (Betapace \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Digoxin (Lanoxin \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Dabigatran (Pradaxa \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Enalapri<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. A 14-year-old male is brought in for evaluation after he reportedly collapsed during a tennis match, though he quickly regained consciousness.\u00a0His medical history is otherwise unremarkable.\u00a0You suspect hypertrophic cardiomyopathy.\u00a0Which of the following heart murmur characteristics would support the diagnosis?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Occurs late in systole.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Widely split S?.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Becomes louder when going from a supine to standing position.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Murmur follows mid-systolic click.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. You see a 64-year-old man with an area of erythema concentrated on the left side of his neck with clusters of vesicles forming a line.\u00a0He reported pain in the area a couple of days before the eruption of the lesions.\u00a0He states that he recently initiated biologic therapy for rheumatoid arthritis.\u00a0Which of the following is the most likely diagnosis?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Impetigo.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Herpes zoster.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Drug-related adverse reaction.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Viral exanthem.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. An NP\u2019s duty of care can be established:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Only in the setting of a healthcare institution (e.g., hospital, clinic, etc.).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                When the NP gives professional advice or treatment in any setting.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Only when a fee is charged, either to the patient or third-party payer, for services.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Only when both the NP and patient acknowledge a patient-provider relationship.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. In managing a 58-year- old woman who is admitted for deep vein thrombosis, caution should be used with which of the following medications due to a risk of drug-induced thrombocytopenia?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Warfarin (Coumadin\u00ae)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Clopidogrel (Plavix\u00ae)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Dabigatran (Pradaxa\u00ae)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Unfractionated heparin<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. An 84-year-old female patient is admitted from a local long-term care facility (illnes).\u00a0The patient is normally awake, alert, and oriented.\u00a0She resides in the LTCF because she has not fully recovered from a broken hip resulting from a fall 4 months ago; otherwise she is in relatively good health.\u00a0She can walk short distances with a walker, though she primarily stays in a wheelchair.\u00a0Today, however, the nursing staff found her to be acutely confused and unable to ambulate without falling.\u00a0She was transferred to the emergency department for evaluation.\u00a0Initial laboratory testing must include:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    2 sets of blood cultures.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Serum thyroid stimulating hormone (TSH) level.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Urinalysis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Lumbar puncture.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. A 23-year-old college student presents with a 2-day history of severe sore throat and difficulty eating or drinking due to trouble swallowing.\u00a0A physical examination reveals exudative pharyngitis and minimally tender anterior and posterior cervical lymphadenopathy.\u00a0The NP suspects infectious mononucleosis and would expect which of the following laboratory findings?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Neutrophilia with reactive forms.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Thrombocytosis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Lymphocytosis with atypical lymphocytes.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Diminished ALT\/AST levels.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. “Incident-to” services are defined as those which are “an integral, although incidental, part of the physician’s personal professional services in the course of diagnosis or treatment of an injury or illness”.\u00a0As long as certain criteria are met, \u201cincident to\u201d billing is an option in all of the following settings except:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Office visits.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Hospital.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Nursing home.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Home visits.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. A 78-year- old male is being treated for a hypoglycemic episode.\u00a0He has a long history of type 2 diabetes mellitus as well as congestive heart failure and COPD.\u00a0He is currently taking basal insulin with a sulfonylurea.\u00a0What is the acceptable A1C goal for this patient?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \u2264 6.5%<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \u2264 7.0%<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \u2264 8.0%<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \u2264 9.0%<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. You see a 74- year-old male who is accompanied by his granddaughter who lives with him.\u00a0He has hypertension, a prior myocardial infarction, long-standing type 2 diabetes, and recently underwent a lower limb amputation secondary to diabetes.\u00a0He is currently taking an ACE inhibitor, statin, low-dose aspirin, biguanide, and insulin.\u00a0The granddaughter reports that since the amputation, her grandfather sometimes becomes withdrawn, irritable and moody for no apparent reason, does not want to participate in the typical activities he enjoys, and often does not appear to eat much during the day.\u00a0She also states that he often complains of being tired but normally wakes up in the early morning hours.\u00a0The most appropriate action is to evaluate the patient for:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Dementia.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Depression.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Delirium.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Drug interaction.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. You see a 58-year-old man who complains of a persistent dry, hacking cough.\u00a0He reports that he recently started taking a medication to treat high blood pressure.\u00a0He is most likely taking a(n):<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Angiotensin-converting enzyme (ACE) inhibitor<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Alpha-adrenergic antagonist<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Angiotensin receptor blocker<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Beta-adrenergic antagonist<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. A 77-year-old woman is accompanied by her husband for evaluation.\u00a0She is currently being treated with metoprolol (Lopressor \u00ae ) for hypertension and digoxin (Lanoxin \u00ae ) for atrial fibrillation.\u00a0He reports that his wife is becoming increasingly forgetful over the past year, failing to note important family events such as birthdays, and sometimes becomes confused with driving directions to familiar locations.\u00a0She has no previous psychiatric history.\u00a0The most likely diagnosis is:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Parkinson\u2019s disease.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Delirium.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Dementia.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Early stage of congestive heart failure.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Mrs.\u00a0Conner is a 76- year-old woman living in a long-term care facility and has been bedridden with a respiratory infection for the past 4 days.\u00a0She is brought in for evaluation and you note signs of dehydration as well as a section of epidermal skin loss about 3 cm in diameter on her right hip.\u00a0The dermal layer appears intact.\u00a0This would be considered a pressure ulcer of Stage:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  2<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  3<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  4<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. Which of the following represents the highest level of scientific evidence when evaluating clinical research?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    A randomized controlled trial.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Systematic review\/ Meta-analysis of randomized controlled troals.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Observational study.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Cohort study.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. A 64-year- old woman with chronic kidney disease presents with a chief complaint of lethargy.\u00a0His hemogram is as follows:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      -Hemoglobin (Hg)=9.9 g\/dL (12\u201314 g\/dL<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      -Hematocrit (Hct)=30% (36%\u201342%)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      -Mean cell volume (MCV)=81 fL (80\u201396 fL<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      -Reticulocytes=0.7% (1%\u20132%)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      These findings are most consistent with:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Iron deficiency anemia.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Anemia of chronic disease.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Folate deficiency anemia.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Thalassemia trait.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. You see a 68-year-old woman who is being treated for moderate depression.\u00a0She complains that her medication is causing symptoms of dry mouth and constipation.\u00a0She is most likely taking which of the following medications?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Venlafaxine (Effexor \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Citalopram (Celexa \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Fluoxetine (Prozac \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Nortriptyline (Pamelor \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. All of the following persons are eligible for Medicare services except:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          A 74-year-old ex-smoker with COPD and high income from assets.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          A 69-year-old undocumented resident in the US with atrial fibrillation.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          A 62-year-old with a permanent physical disability due to a motor vehicle accident.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          A 72-year-old permanent legal resident (non-US citizen) with type 1 diabetes mellitus.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. When initiating therapy with spironolactone for a patient who is also on an ACE inhibitor, you advise the patient to return in 5 days to check which of the following laboratory parameters?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Sodium<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Calcium<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Potassium<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Chloride<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. When considering an end-of-life decision for a terminally ill person with Alzheimer-type dementia who can no longer communicate, all of the following can be used as an advanced directive except:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Testimony from a family member or close friend<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A living will.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A \u201cdo not resuscitate\u201d order.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A durable power of attorney for healthcare.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Which of the following types of clinical studies represents the lowest level of evidence used to guide medical decisions?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Clinical experience of renowned expert in field.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Non-randomized controlled study.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Observational study.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Case-control study.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Which of the following electrocardiogram (ECG) changes do you expect to find in a person with myocardial ischemia?calcium<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Pathologic Q wave<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Tall R wave<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  T wave inversion<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ST segment elevation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. Which of the following statements is false regarding end-of-life decision-making for a patient that is hopelessly and terminally ill?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    A durable power of attorney for healthcare can be used to authorize another person to make healthcare decisions.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    A videotaped or audiotaped discussion with the patient can include advanced directives.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Advanced directives are legally binding and recognized in all 50 states.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Living wills and do not resuscitate orders are examples of advanced directives.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. The nurse practitioner is evaluating a 19-year- old male suffering from a severe headache.\u00a0He has a history of headaches that tend to occur in clusters over a few days.\u00a0He has unsuccessfully tried several therapeutic modalities.\u00a0A positive response to which of the following interventions supports the diagnosis of cluster headache?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Oxygen therapy.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Beta-adrenergic blockade.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Tricyclic antidepressant.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Dietary reduction of amines.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. All of the following are required Medicare terms and conditions for paying NP services except:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        The services are within the NP\u2019s scope of practice as defined by state law.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        The services performed are those for which a physician would be able to bill Medicare.\u00a0The services are performed in collaboration with a physician.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Separate charges are billed for NP services and facility charges.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. A 28- year- old male with asthma presents with a chief complaint that he has to use his rescue inhaler multiple times each day.\u00a0An evaluation reveals that he has moderate-to-severe asthma and requires Step 4 treatment.\u00a0An appropriate regimen would include:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Low-dose inhaled corticosteroid (ICS)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Medium-dose ICS<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Medium-dose ICS plus a long-acting beta?-agonist (LABA)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          High-dose ICS plus LABA plus omalizumab (Xolair \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. A 62-year-old woman presents in the emergency department complaining of severe toe pain that originated overnight.\u00a0She has a history of renal disease and is currently taking a thiazide diuretic.\u00a0Her BMI is 37 kg\/m 2\u00a0.\u00a0In considering a diagnosis of acute gouty arthritis, the nurse practitioner knows that the best diagnostic indicator is:<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Serum uric acid.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Joint X-ray.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Erythrocyte sedimentation rate (ESR).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Analysis of joint aspirate for urate crystals.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Which of the following is the most appropriate antibiotic for a 57-year-old man with acute bacterial rhinosinusitis and who has type 2 diabetes mellitus, COPD and a beta-lactam allergy?<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cephalexin (Keflex \u00ae ).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Amoxicillin-clavulanate (Augmentin \u00ae ).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Trimethoprim with or without sulfamethoxazole (Primsol \u00ae , Bactrim \u00ae ).<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Levofloxacin (Levaquin \u00ae )<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 8 Quiz Latest 2017<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 8 Quiz Latest 2017<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 1. Which of the following best describes the pain associated with osteoarthritis?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Constant, burning, and throbbing with an acute onset<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Dull and primarily affected by exposure to cold and barometric pressure<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Begins upon arising and after prolonged weight bearing and\/or use of the joint<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Begins in the morning and limits continued ambulation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 2.\u00a0Your 63-year-old Caucasian woman with polymyalgia rheumatica (PMR) will begin treatment with corticosteroids until the condition has resolved.\u00a0You look over her records and it has been 2 years since her last physical examination and any laboratory or diagnostic tests as she relocated and had not yet identified a health-care provider.\u00a0In prioritizing your management plan, your first orders should include:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Recommending she increase her dietary intake of Calcium and Vitamin D<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Ordering once a year bisphosphonate and a proton pump inhibitor<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Participate in a fall prevention program<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Dual-energy X-ray (DEXA) scan and updating immunizations<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 3.\u00a0In providing health teaching related to dietary restrictions, the nurse practitioner should advise a patient with gout to avoid which of the following dietary items:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Green leafy vegetables<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Beer, sausage, fried seafood<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Sugar<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Gluten and bread items<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 4.\u00a0A 33-year-old female reports general malaise, fatigue, stiffness, and pain in multiple joints of the body.\u00a0There is no history of systemic disease and no history of trauma.\u00a0On physical examination, the patient has no swelling or decreased range of motion in any of the joints.\u00a0She indicates specific points on the neck and shoulders that are particularly affected.\u00a0She complains of tenderness upon palpation of the neck, both shoulders, hips, and medial regions of the knees.\u00a0The clinician should include the following disorder in the list of potential diagnoses:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Osteoarthritis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Rheumatoid arthritis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Fibromyalgia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Polymyalgia rheumatica<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 5.\u00a0A 46-year-old female complains of fatigue, general malaise, and pain and swelling in her hands that has gradually worsened over the last few weeks.\u00a0She reports that pain, stiffness, and swelling of her hands are most severe in the morning.\u00a0On physical examination, you note swelling of the metacarpophalangeal joints bilaterally.\u00a0These are common signs of:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Osteoarthritis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Rheumatoid arthritis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Scleroderma<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Sarcoidosis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 6.\u00a0Which of the following statements about osteoarthritis is true?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              It affects primarily weight-bearing joints<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              It is a systemic inflammatory illness<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              The metacarpal phalangeal joints are commonly involved<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Prolonged morning stiffness is common<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 7.\u00a0The most appropriate first-line treatment for an acute gout flare is (assuming no kidney disease or elevated bleeding risk):<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Indomethacin 50 mg thrice daily for 2 days; then 25 mg thrice daily for 3 days<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Doxycycline 100 mg twice daily for 5 days<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Prednisolone 35 mg four times a day for 5 days<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Ice therapy<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 8.\u00a0A 34-year-old female presents with fever, general malaise, fatigue, arthralgias and rash for the last 2 weeks.\u00a0On physical examination, you note facial erythema across the nose and cheeks.\u00a0Serum diagnostic tests reveal positive antinuclear antibodies, anti-DNA antibodies, elevated C-reactive protein and erythrocyte sedimentation rate.\u00a0The clinician should include the following disorder in the list of potential problems:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Fibromyalgia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Sarcoidosis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Systemic lupus erythematosus<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Rheumatoid arthritis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 9.\u00a0Your 66-year-old male patient has recently started treatment for metabolic syndrome and is currently taking the following medications: an ACE inhibitor and beta blocker for treatment of hypertension.\u00a0He is also taking a statin medication, simvastatin for hyperlipidemia, and a biguanide, metformin, for type 2 diabetes.\u00a0The patient complains of myalgias of the legs bilaterally and blood work shows elevated serum creatine kinase.\u00a0Which of the medications can cause such a side effect?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Beta blocker<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              ACE inhibitor<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Statin medication<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Metformin<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 10.\u00a0A 20-year-old male construction worker is experiencing new onset of knee pain.\u00a0He complains of right knee pain when kneeling, squatting, or walking up and down stairs.\u00a0On physical examination, there is swelling and crepitus of the right knee and obvious pain with resisted range of motion of the knee.\u00a0He is unable to squat due to pain.\u00a0Which of the following disorders should be considered in the differential diagnosis?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Joint infection<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Chondromalacia patella<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Prepatellar bursitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 11.\u00a0A 17-year-old male complains of severe right knee pain.\u00a0He was playing football when he heard a \u201cpop\u201d at the moment of being tackled and his knee \u201cgave away\u201d from under him.\u00a0On physical examination, there is right knee swelling and decreased range of motion.\u00a0There is a positive anterior drawer sign.\u00a0These findings indicate:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Knee ligament injury<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Osgood-Schlatter disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Prepatellar bursitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Chondromalacia patella<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 12.\u00a0A 55-year-old patient complains of lower back pain due to heavy lifting at work yesterday.\u00a0He reports weakness of the left leg and paresthesias in the left foot.\u00a0On physical examination, the patient has diminished ability to dorsiflex the left ankle.\u00a0Which of the following symptoms should prompt the clinician to make immediate referral to a neurosurgeon?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Straight leg raising sign<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Lumbar herniated disc on X-ray<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Loss of left sided patellar reflex<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Urinary incontinence<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 13.\u00a0Your patient is a 43-year-old female golfer who complains of arm pain.\u00a0On physical examination, there is point tenderness on the elbow and pain when the patient is asked to flex the wrist against the clinician\u2019s resistance.\u00a0These are typical signs of:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Carpal tunnel syndrome<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Osteoarthritis of the wrist<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Epicondylitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cervical osteoarthritis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 14.\u00a0Which of the following describes the pathology of De Quervain\u2019s tenosynovitis?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Irritation of a tendon located on the radial side of the wrist, near the thumb<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Impingement of the median nerve, causing pain in the palm and fingers<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Fluid-filled cyst that typically develops adjacent to a tendon sheath in the wrist<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Ulnar nerve compression at the olecranon process<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 15.\u00a0What is the most common cause of hip pain in older adults?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Osteoporosis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Osteoarthritis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Trauma due to fall<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Trochanteric bursitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 16.\u00a0A 43-year-old female was in a bicycling accident and complains of severe pain of the right foot.\u00a0The patient limps into the emergency room.\u00a0On physical examination, there is no point tenderness over the medial or lateral ankle malleolus.\u00a0There is no foot tenderness except at the base of the fifth metatarsal bone.\u00a0According to the Ottawa foot rules, should an X-ray of the feet be ordered?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Yes, there is tenderness over the fifth metatarsal<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              No, there is not tenderness over the navicular bone<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Yes, the patient cannot bear weight on the foot<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A and C<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 17.\u00a038-year-old Asian male, Mr.\u00a0Chen, with past medical history significant for prehypertension who has recently taken up softball presents with three to five weeks of shoulder pain when throwing overhead.\u00a0Ice minimally alleviates pain.\u00a0Medications: Naproxen minimally alleviates shoulder pain.\u00a0Allergies: Penicillin-associated rash.\u00a0Family history: Brother has rheumatoid arthritis.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Which of the following musculoskeletal causes of shoulder pain would merit urgent diagnosis and management?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Adhesive capsulitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Septic subacromial bursitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Impingement of the supraspinatus tendon<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Calcific tendinopathy<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 18.\u00a0If Mr.\u00a0Chen had restricted passive as well as active ROM of the shoulder, what problems involving the shoulder might you consider?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Adhesive capsulitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Rotator cuff tear<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tendinopathy of the long head of the biceps<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Rotator cuff impingment<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 19.\u00a0What is the essential dynamic stabilizer of the shoulder joint?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Labrum<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Rotator muscle group<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Glenohumeral ligaments<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Teres major muscle<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 20.\u00a0Given Mr.\u00a0Chen\u2019s repetitive overhead activities, some injury to his rotator cuff muscle group is most likely.\u00a0Of the following exam findings, which one would not support the diagnosis of rotator cuff tendinopathy?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Positive Apley\u2019s Scratch test<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Weakness and pain with empty can testing<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Limited active ROM<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Inability to raise arm above his head<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 7 Quiz<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 7 Quiz Latest 2017<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 1.When a patient presents with a skin-related complaint, it is important to first:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Fully inspect all skin lesions before asking the patient how the lesion in question developed<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Obtain a full history about the development of the skin lesion prior to the physical examination<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Complete a full physical examination of the body prior to inspecting the skin lesion<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Examine the skin lesion without hearing a health history in order to not prejudice the diagnosis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 2.\u00a0Which of the following dermatological conditions results from reactivation of the dormant varicella virus?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tinea versicolor<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Seborrheic keratosis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Verruca<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Herpes zoster<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 3.\u00a0An older adult male presents with pain in his right chest wall for the past 48 hours.\u00a0Upon examination, the nurse practitioner notices a vesicular eruption along the dermatome and identifies this as herpes zoster.\u00a0The NP informs the gentleman that:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All symptoms should disappear within three days<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Oral medications can dramatically reduce the duration and intensity of his symptoms<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              He has chickenpox and can be contagious to his grandchildren<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              He has a sexually transmitted disease<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 4.\u00a0A 70-year-old white male comes to the clinic with a slightly raised, scaly, pink, and irregular lesion on his scalp.\u00a0He is a farmer and works outside all day.\u00a0You suspect actinic keratosis, but cannot rule out other lesions.\u00a0What recommendation would you give him?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Ignore the lesion, as it is associated with aging.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Instruct him to use a nonprescription hydrocortisone cream to dry up the lesion.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Perform a biopsy or refer to a dermatologist.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Advise him to use a dandruff shampoo and return in one month if the lesion has not gone away.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 5.\u00a0The appearance of a 2-10 cm.\u00a0herald patch with subsequent development of parallel oval lesions on the trunk in a christmas tree distribution involving the upper arms and upper legs are common in:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pityriasis Rosea<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Shingles<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Psoriasis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Lymes Disease<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 6.\u00a0Mr.\u00a0Fitzgerald is a 68-year-old previously healthy man with a history of significant sun exposure who presents with a progressively enlarging 18 x 16 mm erythematous pruritic oval patch on his left forearm that has been present for three to four years.\u00a0Your differential would include all of the following EXCEPT:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Fungal skin infection<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Eczema<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Seborrheic Keratosis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Squamous cell carcinoma of the skin<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 7.\u00a0What kind of lesions are caused by the herpes simplex virus?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Scales<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Vesicles<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Plaques<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Urticaria<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 8. Among the following conditions, which needs to be treated with systemic antifungal agents?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tinea pedis\/tinea magnum<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tinea corporis\/tinea cruris<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tinea capitis\/Tinea unguium (onychomycosis)<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tinea pedis \/tinea faciale<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 9.\u00a0Which lesions are typically located along the distribution of dermatome?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Scabies<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Herpes zoster<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tinea<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Dyshidrosis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 10.\u00a0A smooth round nodule with a pearly gray border and central induration best describes which skin lesion?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Seborrheic keratosis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Malignant melanoma<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Herpes zoster<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Basal cell carcinoma<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 11.\u00a0Cellulitis is a deep skin infection involving the dermis and subcutaneous tissues.\u00a0The nurse practitioner suspects cellulitis in a 70-year-old Asian diabetic male presenting with reddened edematous skin around his nares.\u00a0Which statement below will the nurse practitioner use in her decision-making process for the differential diagnosis pertaining to reddened edematous skin?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cellulitis is two times more common in women<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Facial cellulitis is more common in people >55<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              There is low incidence of cellulitis in patients with diabetes<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cellulitis is only a disease of the lower extremities of patients with known arterial insufficiency<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 12.\u00a0Folliculitis is most commonly due to:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Contact dermatitis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Varicella zoster<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Dermatophytes<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Staphylococcal infection<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 13.\u00a0The anti-inflammatory properties of topical corticosteroids result in part from their ability to induce vasoconstriction to the small blood vessels in the upper dermis.\u00a0Of the following, which is the most potent topical corticosteroid?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hydrocortisone 2.5%<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Triamcinolone acetonide 0.1%<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Betamethasone dipropionate 0.05%<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Alclometasone dipropionate 0.05%<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 14.\u00a0Which of the following descriptions accurately documents cellulitis?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cool, erythematous, shiny hairless extremity with decreased pulse<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Scattered, erythematous ring-like lesions with clear centers<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Clearly demarcated, raised erythematous area of face<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Diffusely inflamed skin that is warm and tender to palpation<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 15.\u00a0Asymmetrical bi-color lesion with irregular border measuring 8 mm is found on the right lower arm of an adult patient.\u00a0This assessment finding is consistent with:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Melanoma<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Basal cell carcinoma<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Leukoplakia<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Senile lentigines<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 16.\u00a0Which of the following descriptions best illustrates assessment findings consistent with tinea capitis?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Circular erythematous patches with papular, scaly annular borders and clear discharge<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Inflamed scaly dry patches with broken hairs<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Web lesions with erythema and scaling borders<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Scaly pruritic erythematous lesions on inguinal creases<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 17.\u00a0A patient has a tender, firm, nodular cystic lesion on his scalp that produces cheesy discharge with foul odor.\u00a0This is most likely a:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bacterial folliculitis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Basal cell carcinoma<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bullous impetigo<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Epidermoid cyst<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 18.\u00a0Patient presents with complaint of a \u201cswollen node\u201d under his arm.\u00a0The area is tender and the node has progressed in size over the past few days.\u00a0Which of the following should be included in your differential diagnosis?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hidradenitis suppurativa<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Epidermoid cyst<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Furuncle<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Both A and C<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 19.\u00a0A patient suffered a laceration of the shin three days ago, and today presents with a painful, warm, red swollen region around the area.\u00a0The laceration has a purulent exudate.\u00a0The clinician should recognize that the infected region is called:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Contact dermatitis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Folliculitis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hidradenitis suppurativa<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cellulitis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 20.\u00a0A woman complains of malaise and arthralgias.\u00a0You note a butterfly-shaped, macular, erythematous rash across her cheeks and nose.\u00a0These conditions are common in:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Psoriasis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Lichen planus<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Systemic lupus erythematosus<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Erythema nodosum<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 6 Quiz\u00a0<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 6 Quiz Latest 2017<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 1.Which ethnic group has the highest incidence of prostate cancer?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Asians<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hispanics<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              African Americans<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              American Indians<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 2.Men with an initial PSA level below 2.5 ng\/ml can reduce their screening frequency to what intervals?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Every 6 months<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Yearly<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Every 2 years<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Every 2 to 4 years<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 3.\u00a0Your 55-year-old male patient presents to your office with complaints of sudden development of severe right-sided, colicky lower abdominal pain.\u00a0He cannot sit still on the examining table.\u00a0The patient has previously been in good health.\u00a0On physical examination, there are no signs of peritoneal inflammation.\u00a0A urine sample reveals hematuria and crystalluria.\u00a0Which is the next diagnostic test that should be done immediately?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Ultrasound of the abdomen<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Abdominal X-ray<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Digital rectal examination<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Spiral CT scan<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 4.\u00a0The most common complication of an untreated urinary obstruction due to a ureteral calculus is:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Ureteral rupture<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hydronephrosis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Kidney mass<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Renal artery stenosis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 5.\u00a0A 43-year-old male patient complains of right-sided abdominal and pain in the back in the right costovertebral angle region, fever, chills, dysuria, and nausea.\u00a0On physical examination, there is 102 degree fever, tachycardia, and right costovertebral angle tenderness to percussion.\u00a0The most likely condition is:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Lower urinary tract infection<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Nephrolithiasis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hydronephrosis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pyelonephritis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 6.\u00a0On a physical examination for employment, a 45-year-old male shows no significant findings and takes no medications.\u00a0Past medical history and surgery are unremarkable.\u00a0On urinalysis, hematuria is present.\u00a0The urinalysis is repeated on another day and still reveals microscopic hematuria.\u00a0It is important to recognize that painless hematuria can be diagnostic of:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Urinary tract infection<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bladder cancer<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Nephrolithiasis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pyelonephritis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 7.\u00a0On DRE, you note that a 45-year-old patient has a firm, smooth, non-tender but asymmetrically shaped prostate.\u00a0The patient has no symptoms and has a normal urinalysis.\u00a0The patient\u2019s PSA is within normal limits for the patient\u2019s age.\u00a0The clinician should:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Refer the patient for transrectal ultrasound guided prostate biopsy<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Obtain an abdominal X-ray of kidneys, ureter, and bladder<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Recognize this as a normal finding that requires periodic follow up<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Obtain urine culture and sensitivity for prostatitis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 8.\u00a0Age-related changes in the bladder, urethra, and ureters include all of the following in older women except:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Increased estrogen production\u2019s influence on the bladder and ureter<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Decline in bladder outlet function<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Decline in ureteral resistance pressure<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Laxity of the pelvic muscle<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 9.\u00a0Mr.\u00a0Jones is a 68-year-old retired Air Force pilot that has been diagnosed with prostate cancer in the past week.\u00a0He has never had a surgical procedure in his life and seeks clarification on the availability of treatments for prostate cancer.\u00a0He asks the nurse practitioner to tell him the side effects of a radical prostatectomy.\u00a0Which of the following is not a potential side effect of this procedure?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Urinary incontinence<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Impotence<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Dribbling urine<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Selected low back pain<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 10.\u00a0Your 77-year-old patient complains of frequent urination, hesitation in getting the stream started, and nocturnal frequency of urination that is bothersome.\u00a0On DRE, there is an enlarged, firm, non-tender, smooth prostate.\u00a0The clinician should recognize these as symptoms of:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Urethritis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Benign prostatic hyperplasia<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Prostatitis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Prostate cancer<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 11.\u00a0Your 24-year-old female patient complains of dysuria as well as frequency and urgency of urination that develops the day after she uses her diaphragm.\u00a0Urine culture reveals a bacterial count of 100 CFU\/mL.\u00a0These signs and symptoms indicate:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Upper urinary tract infection<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Normal bacteriuria<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Lower urinary tract infection<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Urethritis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 12.\u00a0A 79-year-old man is being evaluated for frequent urinary dribbling without burning.\u00a0Physical examination reveals a smooth but slightly enlarged prostate gland.\u00a0His PSA level is 3.3 ng\/ml.\u00a0The patient undergoes formal urodynamic studies, and findings are as follows: a decreased bladder capacity of 370 ml; a few involuntary detrusor contractions at a low bladder volume of 246 mL; an increased postvoid residual urine volume of 225 ml; and a slightly decreased urinary flow rate.\u00a0Which of the following is not consistent with a normal age-associated change?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              PSA level of 3.3 ng\/ml<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Decreased bladder capacity<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Involuntary detrusor contradictions<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Increased postvoid residual urine volume<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 13.\u00a0Mrs.\u00a0L.\u00a0Billings is a 77-year-old Caucasian female who has a history of breast cancer.\u00a0She has been in remission for 6 years.\u00a0As her primary care provider, you are seeing her for follow-up of her recent complaint of intermittent abdominal pain of a 3-month duration and some general malaise.\u00a0Given the brief history above, what will you direct your assessment at during physical examination?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Examination of her thyroid to rule out thyroid nodules that may contribute to her feeling fatigued.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Auscultation of her abdomen for abnormal bowel sounds to rule out peritonitis.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Thorough abdominal and gynecological exam to rule out masses and identify any tenderness.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A rectal examination to rule out colon cancer as a secondary site for breast cancer.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 14.\u00a0A 27-year-old male comes in to the clinic for symptoms of dysuria, urinary frequency, as well as urgency and perineal pain. Transrectal palpation of the\u00a0 prostate reveals a very tender, boggy, swollen prostate.\u00a0The clinician should recognize these as signs of:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Prostatitis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Prostate cancer<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Urethritis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Benign prostatic hyperplasia<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 15.\u00a0Which of the following males would be at greatest risk for testicular cancer?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              John, a 52-year-old, married African American Attorney who lives in Detroit, MI<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Jacob, a 22-year-old, homosexual male, who works as an accountant, resides in Cumming GA, and has a history of cryptorchidism<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Andy, a 27-year-old, Caucasian, single male who resides in Waukesha, WI and works as a maintenance mechanic<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Ryan, a 34-year-old healthy, married man from Sweden, who works as a Registered Nurse in Boston, MA<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 16.\u00a0A 43-year-old male patient complains of right-sided abdominal and pain in the back in the right costovertebral angle region, fever, chills, dysuria, and nausea.\u00a0On physical examination, there is 102 degree fever, tachycardia, and right costovertebral angle tenderness to percussion.\u00a0The most likely condition is:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Lower urinary tract infection<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pyelonephritis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Nephrolithiasis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hydonephrosis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 17.\u00a0Which of the following disorders can cause urinary incontinence?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cystocele<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Overactive bladder<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Uterine prolapse<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 18.\u00a0Your 18 year old sexually active patient presents with sudden right sided groin pain that is sharp and constant.\u00a0Inspection of his genitals reveals a swollen and erythematous right scrotum.\u00a0His right testicle is exquisitely tender, swollen and has no palpable masses.\u00a0Elevation of the testis results in no reduction in pain.\u00a0The left scrotum and the testicle are normal.\u00a0Epididymis and other scrotal contents were within normal limits.\u00a0The scrotum does not transilluminate.\u00a0Cremasteric reflex is present on the left side but absent on the right.\u00a0There is no penile discharge, inguinal lymphadenopathy, or hernias.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Based on the history and physical exam your immediate concern is for:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Torsion<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Infection<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cancer<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Rupture<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 19.\u00a0The Prehn sign is utilized to distinguish epididymitis from testicular torsion.\u00a0Epididymitis is considered when the Prehn sign is positive.\u00a0When is the Prehn sign determined to be positive?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pain is relieved by lifting of the testicle.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tenderness is limited to the upper pole of the testis.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Lightly stroking or pinching the superior medial aspect of the thigh causes testicular retraction.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A small bluish discoloration is visible through the skin in the upper pole.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 20.\u00a0Which of the following exam findings makes the diagnosis of testicular tumor more likely?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A scrotal mass that is accompanied by exquisite tenderness.<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Testicular swelling is mostly fluid and transilluminates easily<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A testicular mass that is non-tender to palpation<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Dilated and tortuous veins in the pampiniform plexus<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 5 Midterm Quiz<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 5 Midterm Quiz Latest 2017<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \u00a0<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 1: Which of the following symptoms is common with acute otitis media?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bulging tympanic membrane<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bright light reflex of tympanic membrane<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Increased tympanic membrane mobility<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 2.\u00a0The cytochrome p system involves enzymes that are generally:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Inhibited by drugs<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Induced by drugs<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Inhibited or induced by drugs<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Associated with decreased liver perfusion<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 3.\u00a0In AR disorders, carriers have:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Two mutated genes; one from each parent that cause disease<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A mutation on a sex chromosome that causes a disease<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A single gene mutation that causes the disease<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              One copy of a gene mutation but not the disease<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 4.\u00a0A 56-year-old male complains of anorexia, changes in bowel habits, extreme fatigue, and unintentional weight loss.\u00a0At times he is constipated and other times he has episodes of diarrhea.\u00a0His physical examination is unremarkable.\u00a0It is important for the clinician to recognize the importance of:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              CBC with differential<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Stool culture and sensitivity<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Abdominal X-ray<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Colonoscopy<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 5.\u00a0Which of the following findings should trigger an urgent referral to a cardiologist or neurologist?<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              History of bright flash of light followed by significantly blurred vision<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              History of transient and painless monocular loss of vision<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              History of monocular severe eye pain, blurred vision, and ciliary flush<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 6.\u00a0In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge.\u00a0This is most likely indicative of:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bacterial sinusitis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Allergic rhinitis<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Drug abuse<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Skull fracture<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 7.\u00a0An 82-year-old female presents to the emergency department with epigastric pain and weakness.\u00a0She admits to having dark, tarry stools for the last few days.\u00a0She reports a long history of pain due to osteoarthritis.\u00a0She self-medicates daily with ibuprofen, naprosyn, and aspirin for joint pain.\u00a0On physical examination, she has orthostatic hypotension and pallor.\u00a0Fecal occult blood test is positive.\u00a0A likely etiology of the patient\u2019s problem is:<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Mallory-Weiss tear<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Esophageal varices<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Gastric ulcer\u00a0<\/span><\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 1. Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary care practice for evaluation of a persistent, daily cough with increased sputum production, worse in the morning, occurring over the past three months.\u00a0She tells you, \u201cI have the same thing, year after year.\u201d Which of the following choices would you consider strongly in your critical thinking process?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Seasonal allergies<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Acute bronchitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bronchial asthma<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Chronic bronchitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 2.\u00a0A patient presents complaining of a 5 day history of upper respiratory symptoms including nasal congestion and drainage.\u00a0On the day the symptoms began he had a low-grade fever that has now resolved.\u00a0His nasal congestion persisted and he has had yellow nasal drainage for three days associated with mild headaches.\u00a0On exam he is afebrile and in no distress.\u00a0Examination of his tympanic membranes and throat are normal.\u00a0Examination of his nose is unremarkable although a slight yellowish-clear drainage is noted.\u00a0There is tenderness when you lightly percuss his maxillary sinus.\u00a0What would your treatment plan for this patient be?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Observation and reassurance<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Treatment with an antibiotic such as amoxicillin<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Treatment with an antibiotic such as a fluoroquinoline or amoxicillin-clavulanate<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Combination of a low dose inhaled corticosteroid and a long acting beta2 agonist inhaler.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 3.Emphysematous changes in the lungs produce the following characteristic in COPD patients?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Asymmetric chest expansion<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Increased lateral diameter<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Increased anterior-posterior diameter<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pectus excavatum<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 4.\u00a0When palpating the posterior chest, the clinician notes increased tactile fremitus over the left lower lobe.\u00a0This can be indicative of pneumonia.\u00a0Areas of increased fremitus should raise the suspicion of conditions resulting in increased solidity or consolidation in the underlying lung tissue, such as in pneumonia, tumor, or pulmonary fibrosis.\u00a0In the instance of an extensive bronchial obstruction:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              No palpable vibration is felt<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Decreased fremitus is felt<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Increased fremitus is felt<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Vibration is referred to the non-obstructed lobe<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 5.\u00a0Your patient presents with complaint of persistent cough.\u00a0After you have finished obtaining the History of Present Illness, you realize that the patient may be having episodes of wheezing, in addition to his cough.\u00a0The most common cause of cough with wheezing is asthma.\u00a0What of the following physical exam findings will support your tentative diagnosis of asthma?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Clear, watery nasal drainage with nasal turbinate swelling<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pharyngeal exudate and lymphadenopathy<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Clubbing, cyanosis and edema.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Diminished lung sounds with rales in both bases<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 6.Which of the following imaging studies should be considered if a pulmonary malignancy is suspected?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Computed tomography (CT) scan<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Chest X-ray with PA, lateral, and lordotic views<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Ultrasound<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Positron emission tomography (PET) scan<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 7.\u00a0A 26-year-old, non-smoker, male presented to your clinic with SOB with exertion.\u00a0This could be due to:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Exercise-induced cough<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bronchiectasis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Alpha-1 deficiency<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pericarditis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 8.\u00a0Upon assessment of respiratory excursion, the clinician notes asymmetric expansion of the chest.\u00a0One side expands greater than the other.\u00a0This could be due to:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pneumothorax<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pleural effusion<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pneumonia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pulmonary embolism<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 9.\u00a0A 72-year-old woman and her husband are on a cross-country driving vacation.\u00a0After a long day of driving, they stop for dinner.Midway through the meal, the\u00a0 woman becomes very short of breath, with chest pain and a feeling of panic.\u00a0Which of the following problems is most likely?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pulmonary edema<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Heart failure<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pulmonary embolism<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pneumonia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 10.\u00a0A cough is described as chronic if it has been present for:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              2 weeks or more<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              8 weeks or more<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              3 months or more<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              6 months or more<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 11.\u00a0Testing is necessary for the diagnosis of asthma because history and physical are not reliable means of excluding other diagnoses or determining the extent of lung impairment.\u00a0What is the study that is used to evaluate upper respiratory symptoms with new onset wheeze?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Chest X-ray<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Methacholine challenge test<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Spirometry, both with and without bronchodilation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Ventilation\/perfusion scan<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 12.\u00a0In classifying the severity of your patient presenting with an acute exacerbation of asthma.\u00a0You determine that they have moderate persistent symptoms based on the report of symptoms and spirometry readings of the last 3 weeks.\u00a0The findings that support moderate persistent symptoms include:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Symptoms daily with nighttime awakening more than 1 time a week.\u00a0FEV1 >60%, but predicted <80%.\u00a0FEV1\/FVC reduced 5%<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Symptoms less than twice a week and less than twice a week nighttime awakening.\u00a0FEV1 >80% predicted.\u00a0FEV1\/FVC normal<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Symptoms more than 2 days a week, but not daily.\u00a0Nighttime awakenings 3-4 times a month.\u00a0FEV1 >80% predicted.\u00a0FEV1\/FVC normal<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Symptoms throughout the day with nighttime awakenings every night.\u00a0FEV1< 60% predicted.\u00a0FEV1\/FVC reduced >5%<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 13.\u00a0The following criterion is considered a positive finding when determining whether a patient with asthma can be safely monitored and treated at home:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Age over 40<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Fever greater than 101<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tachypnea greater than 30 breaths\/minute<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Productive cough<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 14.\u00a0Medications are chosen based on the severity of asthma.\u00a0Considering the patient that is diagnosed with moderate persistent asthma, the preferred option for maintenance medication is:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              High-dose inhaled corticosteroid and leukotriene receptor antagonist<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Oral corticosteroid\u2014high and low dose as appropriate<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Short acting beta2 agonist inhaler and theophylline<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Low dose inhaled corticosteroid and long acting beta2 agonist inhaler<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 15.\u00a0A 75-year-old patient with community-acquired pneumonia presents with chills, productive cough, temperature of 102.1, pulse 100, respiration 18, BP 90\/52, WBC 12,000, and blood urea nitrogen (BUN) 22 mg\/dl.\u00a0He has a history of mild dementia and his mental status is unchanged from his last visit.\u00a0These findings indicate that the patient:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Can be treated as an outpatient<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Requires hospitalization for treatment<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Requires a high dose of parenteral antibiotic<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Can be treated with oral antibiotics<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 16.\u00a0Which of the following is considered a \u201cred flag\u201d when diagnosing a patient with pneumonia?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Fever of 102<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Infiltrates on chest X-ray<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pleural effusion on chest X-ray<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Elevated white blood cell count<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 17.\u00a0A 23-year-old patient who has had bronchiectasis since childhood is likely to have which of the following:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Barrel-shaped chest<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Clubbing<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pectus excavatum<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Prolonged capillary refill<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 18.\u00a0Your patient has just returned from a 6-month missionary trip to Southeast Asia.\u00a0He reports unremitting cough, hemoptysis, and an unintentional weight loss of 10 pounds over the last month.\u00a0These symptoms should prompt the clinician to suspect:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Legionnaires’ disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Malaria<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tuberculosis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pneumonia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 19.\u00a0A 76-year-old patient with a 200-pack year smoking history presents with complaints of chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months.\u00a0The physical exam reveals decreased breath sounds and dullness to percussion over the left lower lung field.\u00a0The chest X-ray demonstrates shift of the mediastinum and trachea to the left.\u00a0These are classic signs of:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Lung cancer<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tuberculosis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pneumonia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              COPD<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 20.\u00a0A 24-year-old patient presents to the emergency department after sustaining multiple traumatic injuries after a motorcycle accident.Upon examination, you note tachypnea, use of intercostal muscles to breathe, asymmetric chest\u00a0 expansion, and no breath sounds over the left lower lobe.\u00a0It is most important to suspect:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pulmonary embolism<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pleural effusion<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pneumothorax<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Fracture of ribs<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 2<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 2 Quiz latest 2017<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 1. An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear.\u00a0In addition to possible hearing aid malfunction, this condition is often due to:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Acoustic neuroma<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cerumen impaction<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Otitis media<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              M\u00e9ni\u00e8re\u2019s disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 2.\u00a0In examination of the nose, the clinician observes gray, pale mucous membranes with clear, serous discharge.\u00a0This is most likely indicative of:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bacterial sinusitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Allergic rhinitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Drug abuse<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Skull fractur<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 3.\u00a0A 45 year old patient presents with \u2018sore throat\u2019 and fever for one week.\u00a0After a quick strep screen you determine the patient has Strep throat.\u00a0You know that streptococcal pharyngitis should be treated with antibiotics to prevent complications and to shorten the course of disease.\u00a0Which of the following antibiotics should be considered when a patient is allergic to Penicillin?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Amoxicillin<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              EES (erythromycin)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bicillin L-A<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Dicloxacillin<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 4.\u00a0Presbycusis is the hearing impairment that is associated with:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Physiologic aging<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              M\u00e9ni\u00e8re\u2019s disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cerumen impaction<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Herpes zoster<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 5.\u00a0Epistaxis can be a symptom of:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Over-anticoagulation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hematologic malignancy<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cocaine abuse<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 6.\u00a0Your patient has been using chewing tobacco for 10 years.\u00a0On physical examination, you observe a white ulceration surrounded by erythematous base on the side of his tongue.\u00a0The clinician should recognize that very often this is:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Malignant melanoma<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Squamous cell carcinoma<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Aphthous ulceration<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Behcet\u2019s syndrome<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 7.\u00a0A 26 year old patient presents with cough and general malaise for 3 days.\u00a0They note that their eyes have been watering clear fluid and a \u2018runny nose\u2019 since yesterday.\u00a0They note they \u2018feel miserable\u2019 and demand something to make them feel better.\u00a0What would be the best first plan of treatment?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Saline nasal spray for congestion and acetaminophen as needed for pain.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Z-pack (azithromycin) for infection and Cromolyn nasal for congestion<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hydrococone\/acetaminophen as needed for pain and Guaifensin for congestion<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cephalexin for infection and Cromolyn ophthalmic for congestion<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 8.\u00a0Which of the following findings should trigger an urgent referral to a cardiologist or neurologist?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              History of bright flash of light followed by significantly blurred vision<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              History of transient and painless monocular loss of vision<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              History of monocular severe eye pain, blurred vision, and ciliary flush<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 9.\u00a0Dizziness that is described as “lightheaded” or, “like I’m going to faint,” is usually caused by inadequate cerebral perfusion and is classified as?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Presyncope<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Disequilibrium<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Vertigo<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Syncope<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 10.\u00a0It is important to not dilate the eye if ____ is suspected.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Cataract<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Macular degeneration<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Acute closed-angle glaucoma<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Chronic open-angle glaucoma<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 11.\u00a0Mr.\u00a0GC presents to the clinic with nausea and vomiting for 2 days, prior to that time he reports occasional \u2018dizziness\u2019 that got better with change in position.\u00a0He denies a recent history of URI or any history of headaches or migraines.\u00a0What would the most likely diagnosis be?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Vestibular neruitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Benign paroxysmal positional vertigo<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Vestibular migraine<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Benign hypertensive central vertigo<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 12.\u00a0Which of the following patients with vertigo would require neurologic imaging?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A 68-year-old woman with a history of hypertension and sudden acute onset constant vertigo.\u00a0She has right nystagmus that changes direction with gaze and that does not disappear when she focuses.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A 45-year-old man with recurrent episodes of brief intense vertigo every time he turns his head rapidly.\u00a0He has no other neurologic signs or symptoms.\u00a0He has a positive Dix-Hallpike maneuver.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A 66-year-old man with recurrent episodes of vertigo associated with tinnitus and hearing loss.\u00a0His head thrust test is positive.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A 28-year-old otherwise well woman with new onset constant vertigo with no other neurologic symptoms.\u00a0On physical exam, she has unidirectional nystagmus that disappears when her gaze is fixed.<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 13.A patient presents with eye redness, scant discharge, and a gritty sensation.\u00a0Your examination reveals the palpable preauricular nodes, which are most likely with:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bacterial conjunctivitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Allergic conjunctivitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Chemical conjunctivitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Viral conjunctivitis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 14.\u00a0In assessing the eyes, which of the following is considered a \u201cred flag\u201d finding when associated with eye redness?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              History of prior red-eye episodes<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Grossly visible corneal defect<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Exophthalmos<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Photophobia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 15.\u00a0A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of the eyes.\u00a0The symptoms occur intermittently throughout the year and he has associated clear nasal discharge.\u00a0Which of the following is most likely because of the inflammation?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bacterium<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Allergen<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Virus<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Fungi<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 16.\u00a0Patients that have atopic disorders are mediated by the production of Immunoglobulin E (IgE) will have histamine stimulated as an immediate phase response.\u00a0This release of histamine results in which of the following?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Sinus pain, increased vascular permeability, and bronchodilation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Bronchospasm, vascular permeability, and vasodilatation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Contraction of smooth muscle, decreased vascular permeability, and vasoconstriction<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Vasodilatation, bronchodilation, and increased vascular permeability<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 17.\u00a0You have a patient complaining of vertigo and want to know what could be the cause.\u00a0Knowing there are many causes for vertigo, you question the length of time the sensation lasts.\u00a0She tells you several hours to days and is accompanied by tinnitus and hearing loss.\u00a0You suspect which of the following conditions?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              M\u00e9ni\u00e8re\u2019s disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Benign paroxysmal positional vertigo<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Transient ischemic attack (TIA)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Migraine<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 18.\u00a0In examining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion.\u00a0The patient has been referred for a biopsy to be sent for pathology.\u00a0Which is the most common oral precancerous lesion?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Fictional keratosis<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Keratoacanthoma<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Lichen planus<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Leukoplakia<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 19.\u00a0Rheumatic heart disease is a complication that can arise from which type of infection?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Epstein-Barr virus<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Diphtheria<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Group A beta hemolytic streptococcus<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Streptococcus pneumoniae<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 20.\u00a0A patient complains of fever, fatigue, and pharyngitis.\u00a0On physical examination there is pronounced cervical lymphadenopathy.Which of the following diagnostic\u00a0 tests should be considered?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Mono spot<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Strep test<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Throat culture<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 1<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NSG6420 Week 1 Quiz latest 2017<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 1. The major impact of the physiological changes that occur with aging is:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Reduced physiological reserve<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Reduced homeostatic mechanisms<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Impaired immunological response<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 2.\u00a0Men have faster and more efficient biotransformation of drugs and this is thought to be due to:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Less obesity rates than women<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Prostate enlargement<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Testosterone<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Less estrogen than women<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 3.\u00a0The cytochrome p system involves enzymes that are generally:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Inhibited by drugs<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Induced by drugs<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Inhibited or induced by drugs<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Associated with decreased liver perfusion<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 4.\u00a0Functional abilities are best assessed by:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Self-report of function<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Observed assessment of function<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A comprehensive head-to-toe examination<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Family report of function<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 5.\u00a0Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia.\u00a0This classification refers to which of the following laboratory data?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hemoglobin and Hematocrit<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Mean Corpuscular Volume (MCV) and Mean Corpuscular Hemoglobin (MCH)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Serum ferritin and serum iron<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Total iron binding capacity and transferrin saturation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 6.\u00a0When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic Disease (ACD):<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hemoglobin <12 g\/dl, MCV decreased, MCH decreased<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hemoglobin >12 g\/dl, MCV increased, MCH increased<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hemoglobin <12 g\/dl, MCV normal, MCH normal<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Hemoglobin >12 g\/dl, MCV decreased, MCH increased<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 7.\u00a0The pathophysiological hallmark of ACD is:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Depleted iron stores<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Impaired ability to use iron stores<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Chronic unable bleeding<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Reduced intestinal absorption of iron<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 8.\u00a0The main focus of treatment of patients with ACD is:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Replenishing iron stores<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Providing for adequate nutrition high in iron<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Management of the underlying disorder<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Administration of monthly vitamin B12 injections<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 9.\u00a0In addition to the complete blood count (CBC) with differential, which of the following laboratory tests is considered to be most useful in diagnosing ACD and IDA?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Serum iron<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Total iron binding capacity<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Transferrin saturation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Serum ferritin<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 10.\u00a0Symptoms in the initial human immunodeficiency virus (HIV) infection include all of the following except:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Sore throat<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Fever<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Weight loss<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Headache<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 11.\u00a0Essential parts of a health history include all of the following except:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Chief complaint<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              History of the present illness<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Current vital signs<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above are essential history components<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 12.Which of the following clinical reasoning tools is defined as evidence-based resource based on mathematical modeling to express the likelihood of a condition in select situations, settings, and\/or patients?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Clinical practice guideline<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Clinical decision rule<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Clinical algorithm<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Clinical recommendation<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 13.\u00a0The first step in the genomic assessment of a patient is obtaining information regarding:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Family history<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Environmental exposures<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Lifestyle and behaviors<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Current medications<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 14.In autosomal recessive (AR) disorders, individuals need:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Only one mutated gene on the sex chromosomes to acquire the disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Only one mutated gene to acquire the disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Two mutated genes to acquire the disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Two mutated genes to become carriers<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 15.\u00a0In AR disorders, carriers have:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Two mutated genes; two from one parent that cause disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A mutation on a sex chromosome that causes a disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              A single gene mutation that causes the disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              One copy of a gene mutation but not the disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 16.\u00a0A woman with an X-linked dominant disorder will:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Not be affected by the disorder herself<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Transmit the disorder to 50% of her offspring (male or female)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Not transmit the disorder to her daughters<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Transmit the disorder to only her daughters<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 17.\u00a0According to the Genetic Information Nondiscrimination Act (GINA):<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Nurse Practitioners (NPs) should keep all genetic information of patients confidential<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NPs must obtain informed consent prior to genetic testing of all patients<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Employers cannot inquire about an employee\u2019s genetic information<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 18.\u00a0Which of the following would be considered a \u201cred flag\u201d that requires more investigation in a patient assessment?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Colon cancer in family member at age 70<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Breast cancer in family member at age 75<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Myocardial infarction in family member at age 35<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 19.\u00a0Your 2-year-old patient shows facial features, such as epicanthal folds, up-slanted palpebral fissures, single transverse palmar crease, and a low nasal bridge.\u00a0These are referred to as:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Variable expressivity related to inherited disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Dysmorphic features related to genetic disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              De novo mutations of genetic disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Different penetrant signs of genetic disease<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 20.In order to provide a comprehensive genetic history of a patient, the NP should:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Ask patients to complete a family history worksheet<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Seek out pathology reports related to the patient\u2019s disorder<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Interview family members regarding genetic disorders<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NR 511 Week 4<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              NR 511 Week 4 Midterm Exam Version 5<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question\u00a01: How often should the clinician examine the feet of a person with diabetes?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Once a year
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nb. Every 6 months
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nc. Every 3 months
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nd. Every visit<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Question\u00a02: Which drug for Alzheimer\u2019s disease\u00a0should be administered beginning at the time of diagnosis?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Cholinesterase inhibitors
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nb. Anxiolytics
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nc. Antidepressants
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nd. Atypical antipsychotics<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Question\u00a03: Most adult poisonings are:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. intentional and self-inflicted.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nb. accidental.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nc. caused by someone wishing to do harm to the person.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nd. not attributed to any reason.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Question\u00a04: A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. “It is probably just a cyst, because that is the most common breast mass.”
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nb. “We will order a mammogram and ultrasound to help establish a diagnosis.”
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nc. “We will go ahead and schedule you for a biopsy because that is the only way to know for sure.”
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nd. “Because your lump is painful, it is most likely not cancer.”<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Question\u00a05: Which of the following is a specific test for multiple sclerosis (MS)?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Magnetic resonance imaging (MRI)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nb. Computed tomography (CT) scan
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nc. A lumbar puncture
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nd. There is no specific test.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question\u00a06: After removing a tack from a type 2 diabetic\u2019s heel and evaluating the site for infection, what is the best plan for this patient?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. Suggest she use a heating pad to improve circulation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nb. Refer to a podiatrist for a foot care treatment plan
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nc. Send her for acupuncture treatments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nd. All of the above<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Question\u00a07: Which characteristic of delirium helps to distinguish delirium from dementia?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. Abrupt onset
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nb. Impaired attention
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nc. Affective changes
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nd. Delusions<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Question\u00a08: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Decrease in level of consciousness (LOC)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nb. Headache
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nc. Nausea
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nd. Widening pulse pressure<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question\u00a09: Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Posterior dislocations are more common than anterior dislocations.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nb. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nc. Recurrent dislocations are uncommon and would require a greater force to result in injury.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nd. Surgery is most commonly the treatment of choice.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Question\u00a010: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Decreased C-reactive protein
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nb. Hyperalbuminemia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nc. Morning stiffness
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nd. Weight gain<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Question\u00a011: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. Overweight<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  2. Mild obesity<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  3. Moderate obesity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nd. Morbid obesity<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Question\u00a012: The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. Rice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nb. Carrots
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nc. Spinach
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nd. Potatoes<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Question\u00a013: A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Human papillomavirus (HPV)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nb. Endometrial hyperplasia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nc. Vagismus
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nd. Polycystic ovarian syndrome<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question\u00a014: Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. Benzodiazepines
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nb. Antipsychotics
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nc. Anticonvulsants
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nd. Antidepressants<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Question\u00a015: What is the treatment of choice for a patient diagnosed with testicular cancer?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. Radical orchidectomy<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          2. Lumpectomy<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          3. Radiation implants
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nd. All of the above<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Question\u00a016: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Gonorrhea
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nb. Human papillomavirus (HPV)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nc. Chlamydia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nd. Trichomonas<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question\u00a017: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Conjugated estrogen 0.625 mg\/day oral
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nb. Estradiol 7.5 mcg\/24 hr vaginal ring
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nc. Medroxyprogesterone 10 mg\/day oral
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nd. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg\/day oral<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Question\u00a018: When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Spores<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                2. Leukocytes<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                3. Pseudohyphae
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nd. Epithelial cells<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Question\u00a019: Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at some point?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. 10%<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  2. 20%<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  3. 30%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nd. 50%<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Question\u00a020: John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. Valgus stress test
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nb. McMurray circumduction test
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nc. Lachman test
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nd. Varus stress test<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Question\u00a021: During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. An enlarged rubbery gland<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      2. A hard irregular gland<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      3. A tender gland
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nd. A boggy gland<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question\u00a022: Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. Gastrocnemius weakness
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nb. A reduced or absent ankle reflex
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nc. Numbness in the lateral foot
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nd. Paresthesia of the perineum and buttocks<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Question 23: The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association\u2019s Diagnostic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) state that excessive worry or apprehension must be present more days than not for at least:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. 1 month.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nb. 3 months.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nc. 6 months.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nd. 12 months.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Question\u00a024: A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Sinus bradycardia<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            2. Atrial fibrillation<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            3. Supraventricular tachycardia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nd. U waves<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question\u00a025: Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Superficial burns
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nb. Superficial partial-thickness burns
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nc. Deep partial-thickness burns
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nd. Full-thickness burns<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Question\u00a026: Immunizations are an example of which type of prevention?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Primary
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nb. Secondary
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nc. Tertiary<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Question\u00a027: If a previously frostbitten area becomes frostbitten again after it has healed, what might occur?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. Permanent tissue damage may occur, resulting in necrosis to that body part.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nb. The area will be super sensitive.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nc. The area is prone to a repeat frostbite.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nd. The area is as susceptible as any other area.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Question\u00a028: A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. Pregnancy test<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    2. Pelvic ultrasound<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    3. Endometrial biopsy
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nd. Platelet count<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Question\u00a029: Julie, aged 50, has migraine headaches, frequent asthma attacks, coronary artery disease, and hypertension. Which of the following prophylactic medications would you order for her migraines?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Propranolol<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      2. Ergotamine
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nb. Timolol<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      3. Topiramate<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question\u00a030: A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of \u201cmy feet feel like they are on fire.\u201d He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. Tricyclic antidepressants
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nb. Capsacin cream
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nc. Vitamin B12 injections
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nd. Insulin<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          NR 511 Week 4 Midterm Exam Version 3<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          NR 511 Week 4 Midterm Exam Version 3<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Question 1: In an outpatient setting, what is the most common reason for a malpractice suit?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. Failure to treat a condition
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nb. Failure to diagnose correctly
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nc. Ordering the wrong medication
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nd. Failure to manage care<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Question 2: How often should the clinician examine the feet of a person with diabetes?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Once a year
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nb. Every 6 months
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nc. Every 3 months
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nd. Every visit<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 3: Which drug for Alzheimer\u2019s disease should be administered beginning at the time of diagnosis?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Cholinesterase inhibitors
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nb. Anxiolytics
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nc. Antidepressants
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nd. Atypical antipsychotics<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Question 4: Which of the following medications is the treatment of choice for trichomonas?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Metranidazole<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                2. Ceftriaxone<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                3. Diflucan
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nd. Doxycycline<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Question 5: Most adult poisonings are:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. intentional and self-inflicted.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nb. accidental.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nc. caused by someone wishing to do harm to the person.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nd. not attributed to any reason.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Question 6: A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. “It is probably just a cyst, because that is the most common breast mass.”
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nb. “We will order a mammogram and ultrasound to help establish a diagnosis.”
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nc. “We will go ahead and schedule you for a biopsy because that is the only way to know for sure.”
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nd. “Because your lump is painful, it is most likely not cancer.”<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Question 7: Which of the following is a specific test for multiple sclerosis (MS)?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Magnetic resonance imaging (MRI)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nb. Computed tomography (CT) scan
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nc. A lumbar puncture
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nd. There is no specific test.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question 8: After removing a tack from a type 2 diabetic\u2019s heel and evaluating the site for infection, what is the best plan for this patient?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. Suggest she use a heating pad to improve circulation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nb. Refer to a podiatrist for a foot care treatment plan
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nc. Send her for acupuncture treatments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nd. All of the above<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Question 9: Which characteristic of delirium helps to distinguish delirium from dementia?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. Abrupt onset
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nb. Impaired attention
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nc. Affective changes
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nd. Delusions<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Question 10: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Decrease in level of consciousness (LOC)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nb. Headache
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nc. Nausea
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nd. Widening pulse pressure<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 11: Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Posterior dislocations are more common than anterior dislocations.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nb. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nc. Recurrent dislocations are uncommon and would require a greater force to result in injury.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nd. Surgery is most commonly the treatment of choice.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Question 12: In the consensus model for Advanced Practice Registered Nurse (APRN) regulation, the \u201cC\u201d of LACE represents?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Commitment<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                2. Consensus<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                3. Certification
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nd. Collaboration<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Question 13: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. Decreased C-reactive protein
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nb. Hyperalbuminemia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nc. Morning stiffness
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nd. Weight gain<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Question 14: Which of the following statements is true concerning the musculoskeletal exam?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. The uninvolved side should be examined initially and compared to the involved side.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nb. The part of the body that is causing the patient pain should be examined first.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nc. The patient should not be asked to perform active range-of-motion (ROM) exercises whenever possible to avoid causing pain.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nd. Radiographs should always be obtained prior to examination so as not to cause further injury to the patient.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Question 15: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Overweight<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      2. Mild obesity<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      3. Moderate obesity
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nd. Morbid obesity<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question 16: S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician suspect in the initial test results for this patient?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. Elevated uric acid level
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nb. Elevated blood urea nitrogen (BUN)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nc. Decreased urine pH
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nd. Decreased C-reactive protein (CRP)<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Question 17: Which of the following statements is true regarding the treatment of carpal tunnel syndrome?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. The goal of treatment is to prevent flexion and extension movements of the wrist.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nb. Splints are used in carpal tunnel syndrome because they allow for free movement of the fingers and thumb while maintaining the wrist in a neutral position.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nc. Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of the risks for median nerve damage, scarring, and infection.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nd. All of the above<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Question 18: The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Rice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nb. Carrots
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nc. Spinach
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nd. Potatoes<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 19: A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Human papillomavirus (HPV)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nb. Endometrial hyperplasia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nc. Vagismus
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nd. Polycystic ovarian syndrome<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Question 20: Which patient is more likely to have a cluster headache?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. A female in her reproductive years
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nb. A 40-year-old African American male
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nc. A 55-year-old female who drinks 10 cups of coffee daily
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nd. A 45-year-old male awakened at night<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Question 21: A sunscreen with a sun-protection factor (SPF) of at least what number will block most harmful ultraviolet (UV) radiation?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. 4<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  2. 8 d<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  3. 10
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nd. 15<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Question 22: Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. Benzodiazepines
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nb. Antipsychotics
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nc. Anticonvulsants
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nd. Antidepressants<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Question 23: What is the treatment of choice for a patient diagnosed with testicular cancer?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Radical orchidectomy<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      2. Lumpectomy<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      3. Radiation implants
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nd. All of the above<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question 24: Sam, aged 65, is started on L-dopa for his Parkinson\u2019s disease (PD). He asks why this is necessary. You tell him:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. “L-dopa is neuroprotective.”
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nb. “The primary goal of therapy is to replace depleted stores of dopamine.”
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nc. “This is the only drug that can provide symptomatic benefit.”
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nd. “This is the initial monotherapy drug.”<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Question 25: A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. The scrotum will be dark.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nb. The scrotum will appear light pink or yellow.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nc. The scrotum will appear milky white.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nd. The internal structures will be clearly visible.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Question 26: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \na. Gonorrhea
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nb. Human papillomavirus (HPV)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nc. Chlamydia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nd. Trichomonas<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Question 27: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \na. Conjugated estrogen 0.625 mg\/day oral
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nb. Estradiol 7.5 mcg\/24 hr vaginal ring
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nc. Medroxyprogesterone 10 mg\/day oral
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nd. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg\/day oral<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Question 28: When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. Spores<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            2. Leukocytes<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            3. Pseudohyphae<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            4. Epithelial cells<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 29: A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self-examination (TSE). Which of the following should be included in the list of differential diagnoses?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \na. Testicular cancer<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Inguinal hernia<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              2. Varicocele
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nd. All of the above<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Question 30: The clinician should Question: the patient with suspected gout about use of which of these medications that may be a risk factor?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Low-dose aspirin<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                2. Thiazide diuretics<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                3. Ethambutol
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nd. All of the above<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Question 31:\u00a0What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \na. A stabbing type of pain on one small area of the body
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nb. A vesicular skin lesion on one side of the body
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nc. A pain that is worse upon awakening
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nd. A lesion on the exterior ear canal<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Question 32:\u00a0Which ethical principle reflects respect for all persons and their self-determination?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \na. Autonomy<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. Beneficence<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  2. Justice
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nd. Veracity<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Question 33: Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at some point?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. 10%<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    2. 20%<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    3. 30%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nd. 50%<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Question 34: John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Valgus stress test
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nb. McMurray circumduction test
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nc. Lachman test
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nd. Varus stress test<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question 35:\u00a0Which of the following laboratory findings should the clinician expect in a patient with untreated Graves’ disease?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \na. Elevated thyroid-stimulating hormone (TSH)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nb. Elevated T4
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nc. Elevated TRH
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nd. All of the above<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question 36: Which drug commonly prescribed for burns is active against a wide spectrum of microbial pathogens and is the most frequently used agent for partial- and full-thickness thermal injuries?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \na. Clotrimazole cream (Lotrimen)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nb. Mafenide acetate (Sulfamylon)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nc. Silver nitrate
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nd. Silver sulfadiazine (Silvadene)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question 37: During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. An enlarged rubbery gland<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        2. A hard irregular gland<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        3. A tender gland
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nd. A boggy gland<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Question 38: Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \na. Gastrocnemius weakness
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nb. A reduced or absent ankle reflex
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nc. Numbness in the lateral foot
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nd. Paresthesia of the perineum and buttocks<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Question 39: The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association\u2019s Diagnostic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) state that excessive worry or apprehension must be present more days than not for at least:<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. 1 month.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nb. 3 months.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nc. 6 months.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nd. 12 months.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Question 40: The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs to manage his pain?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            1. You should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nb. You should start with the lowest dose that is effective in managing your pain in order to avoid developing tolerance to the medication.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nc. You should take the maximum recommended dose of NSAIDs so that you will not need to take narcotics to control your pain.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              \nd. It is important to take NSAIDs on an empty stomach in order to increase absorption.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Question 41: A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              1. Sinus bradycardia<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              2. Atrial fibrillation<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              3. Supraventricular tachycardia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nd. U waves<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Question 42: Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \na. Morning stiffness and limited mobility of the lumbar spine
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nb. Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nc. Fever, chills, and elevated erythrocyte sedimentation rate
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nd. Pathologic fractures, severe night pain, weight loss, and fatigue<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Question 43:\u00a0Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \na. Superficial burns
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nb. Superficial partial-thickness burns
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nc. Deep partial-thickness burns
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                \nd. Full-thickness burns<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Question 44: Immunizations are an example of which type of prevention?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1. Primary
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nb. Secondary
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  \nc. Tertiary<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Question 45: If a previously frostbitten area becomes frostbitten again after it has healed, what might occur?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1. Permanent tissue damage may occur, resulting in necrosis to that body part.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nb. The area will be super sensitive.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nc. The area is prone to a repeat frostbite.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    \nd. The area is as susceptible as any other area.<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Question 46: In the United States, what is the second most common connective tissue disease and the most destructive to the joints?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1. Osteoarthritis
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nb. Systemic lupus erythematosus (SLE)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nc. Rheumatoid arthritis (RA)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \nd. Sjogren’s syndrome<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Question 47: A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      \na. Pregnancy test<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      1. Pelvic ultrasound .<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      2. Endometrial biopsy
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nd. Platelet count<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question 48: A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \na. Trichomonas
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nb. Bacterial vaginosis
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nc. Human papillomavirus (HPV)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        \nd. Herpes simplex virus (HSV)<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Question 49: Julie, aged 50, has migraine headaches, frequent asthma attacks, coronary artery disease, and hypertension. Which of the following prophylactic medications would you order for her migraines?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1. Propranolol<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        2. Timolol<\/li>\n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        3. Ergotamine
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          \nd. Topiramate<\/li>\n<\/ol>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Question 50: A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of \u201cmy feet feel like they are on fire.\u201d He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment?<\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \n
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          1. Tricyclic antidepressants
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nb. Capsacin cream
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nc. Vitamin B12 injections
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            \nd. Insulin<\/li>\n<\/ol>\n

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             <\/p>\n","protected":false},"excerpt":{"rendered":"

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Every college student should at the very least strive to have the following items well planned for this fall sessions when the finals can be a pain. The first is a good timetable which would enable them to plan their time well. Second is a good sleep schedule which would give their bodies energy to … Continue reading Homeworknest.com is offering best fall finals exam solutions to all college students. Get Fall Finals Help at HomeworkNest.com today! Hurry and Ace That Class!<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[4],"tags":[38,36,70,43,12,14,48,20,21,31,11,69,68,15,39,19,6,18,7,30,35,51,8,53,52,40,26],"class_list":["post-253","post","type-post","status-publish","format-standard","hentry","category-questions-and-answers","tag-acemyhomework-to-homeworknest-com","tag-and-calculus-engineering-questions","tag-australian-homework-help-at-homeworknest-com","tag-best-website-for-college-asignments-help","tag-business-homework-help","tag-cheap-assignments-help","tag-college-homework-help-at-homework-nest","tag-computer-homework-questions","tag-do-my-homework","tag-economics-accounting-and-business-finance-help-at-homework-nest","tag-as-seen-on-dissertation-assistance","tag-exam-help-in-kuwait-college-students","tag-fall-2018-finals-paid-exam-help-for-college-students","tag-free-math-tutoring","tag-get-homework-help-from-homeworknest-for-acemyhomework","tag-get-essay-help","tag-homework-help","tag-hustle-free-homework-help","tag-online-tutoring","tag-operations-management","tag-permutations","tag-productivity","tag-sociology-questions","tag-website-for-hmeworkhelp-like-ninjaessays","tag-website-for-hmeworkhelp-like-studypool","tag-website-for-homework-help-like-acemyhomework","tag-write-my-essay"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack-related-posts":[{"id":209,"url":"https:\/\/www.homeworknest.com\/blog\/revision-questions-to-acemyhomework\/","url_meta":{"origin":253,"position":0},"title":"REVISION QUESTIONS TO Homeworknest","author":"Support","date":"2018-10-05","format":false,"excerpt":"(Get Help in Math, Physics, Biology, Business and Engineering) Are you always clueless when it comes to Math Homework? 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Get a solution to your homework in just minutes! Homework Help in Minutes. Chat Live Homework Help!","author":"Support","date":"2019-10-11","format":false,"excerpt":"Online Professional Tutoring meets its match at https:\/\/www.homeworknest.com \u00a0This is by far the tested and most trusted Online College Homework Help \/Tutoring Website for College Students in Universities and Colleges across the Globe. 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