Verified Rationalized Answers
A 34-week pregnant patient presents to the emergency room with sudden onset of
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|| abdominal pain and vaginal bleeding. || || || ||
Which condition is most likely?
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a) placental abruption ||
b) ectopic pregnancy ||
c) Miscarriage
d) Placenta previa ||
- answer Placental abruption
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- Placental abruption is the early separation of the placenta from the lining of the uterus.
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|| It is a rare but serious complication of the second half of pregnancy.
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Placental abruption is an emergency situation that places the well-being of the mother and
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|| fetus at risk. || ||
2. Which is a common causative organism of pelvic inflammatory disease?
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a) Neisseria gonorrhoeae ||
b) Trichomonas vaginalis ||
c) Treponema pallidum ||
d) Mycoplasma genitalium ||
- answer Neisseria gonorrhoeae
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,- Gonorrhea and chlamydia are the most common organisms causing pelvic inflam- matory disease.
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3. A middle-aged patient presents to the clinic for evaluation of new-onset
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|| hypertension and occasional flank pain. || || || ||
Thereis a familyhistoryof a maternal grandmother deceasedwith "somekind of kidney
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|| problem", and an in-office urinalysis is positive for 3 plus protein.
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In addition to addressing hypertension, which is the next appropriate step in the
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|| management of this patient? || || ||
a) refer for genetic testing || || ||
b) restrict all protein in diet || || || ||
c) repeat urinalysis in 3 months || || || ||
d) order a renal US || || ||
- answer Order a renal ultrasound
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- This patient has a positive family history of renal disease, flank pain, and pro- teinuria, all
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|| of which are indicators of polycystic kidney disease.The hypertension should be treated and
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|| a renal ultrasound ordered. An ultrasound of the kidneys is the preferred diagnostic test.
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4. A young adult patient presents to the clinic with concerns about a skin
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infection.The patient reports no tenderness or drainage and states the rash started
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|| after participating in a wrestling tournament.
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Upon examination, the nurse practitioner finds plaques with crusting on the right lower
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|| leg.
A culture is done and shows a Staphylococcus aureus infection. Which
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|| bacterial skin infection does the nurse practitioner suspect?
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,a) impetigo
b) folliculitis
c) Herpes gladiatorum ||
d) Hidradenitis suppurativa ||
- answer Impetigo
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- Nonbullous impetigo, an S.aureus infection, occurs in a localized area that initially begins as
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|| papules and progresses to vesicles, pustules, and then honey-colored plaques.
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5. In performing a neurological exam and assessing the patient's cranial nerves, the
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|| nurse practitioner notes fasciculations across the tongue's sur- face.
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Which nerve is affected? || || ||
a) CNVI (abducens) | ||
b) CN XII (hypoglossal) || ||
c) CN XI (accessory) || ||
d) CN X (vagus) || ||
- answer Cranial nerve XII (hypoglossal)
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- Cranial nerve XII is the hypoglossal nerve and allows motor movement of the tongue
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|| muscles.This nerve is tested by asking the patient to stick out the tongue and observing for
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|| atrophy, fasciculations, and tongue deviation to one side.
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6. An older adult patient with hypertension, depression, and diabetes mellitus type 2 is
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|| experiencing periods of intermittent confusion. A cognitive assess- ment does not
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|| demonstrate impairment. ||
Current medications include aspirin, lisinopril (Zestril), atorvastatin (Lipitor), metformin
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|| (Glucophage), sertraline (Zoloft), diphenhydramine (Benadryl) as needed for sleep || || || || || || || ||
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, || and
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