1-148 of 148
An adult patient presents with acute onset of right eye pain, redness and decreased
vision. Suspecting open-angle glaucoma, the nurse practitioner should:
Refer to ophthalmology and prescribe topical steroid
Prescribe antibiotic ointment and pilocarpine
Advise applying warm compresses and returning in the morning
Refer to ophthalmology and prescribe pilocarpine
, Refer to ophthalmology and prescribe pilocarpine
An adult female presents with right leg pain and rash. The patient exhibits significant
swelling of the right lower extremity from the ankle to the end of the upper thigh,
erythema, induration, and weeping lesions in the anterior lower leg. The patient
"picked at" the affected area, and its condition progressed to the current state over a
period of 1 week. Over the past 2 days, the swelling and pain have increased greatly.
BP=86/50, P=104, R=24/min, and T=101.2 degrees F (38.4 degrees C); BMI=45.9. The
nurse practitioner should:
Refer for immediate evaluation in the emergency dept
Prescribe cephalexin (Keflex), 500mg every 6 hours
Prescribe trimethoprim-sulfamethoxazole 160mg/800mg (Bactrim DS), every 12 hours
Refer to an infectious disease specialist
Refer for immediate evaluation in the emergency dept
Patients presenting to urgent care with hematuria and RBC casts in their urine should
be considered for which diagnosis?
Pyelonephritis
Glomerulonephritis
Acute tubular necrosis
Nephrotic syndrome
Glomerulonephritis
,Treatment for extrapyramidal symptoms should include which of the following?
Switching to an atypical antipsychotic from a typical antipsychotic
Increasing the dose of the typical antipsychotic
Discontinuing use of diphenhydramine
Discontinuing use of Cogentin
Switching to an atypical antipsychotic from a typical antipsychotic
An adult male presents complaining of a left ankle injury that occurred 2 days ago
while he was playing basketball. The patient cannot bear weight and ROM is limited
by pain. What acute injuries would be included in the differential diagnosis for this
patient?
Achilles tendonitis, ankle fracture
Stress fracture, Morton's neuroma
Ankle sprain, inflammatory bursitis
Ankle sprain, ankle fracture
Ankle sprain, ankle fracture
A 40-year-old female presents with abnormal thyroid labs. Her labs show: TSH 0.25
(0.4-5.69), Free T4 1.5 (0.5-1.1), TSI antibody positive. You counsel her that:
She likely has autoimmune hypothyroidism and will need thyroid hormone
replacement
She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and US may be
helpful
, She likely has a multinodular toxic goiter
Plan to monitor her for S&S and repeat labs in 6-8 weeks
She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and
US may be helpful
A 45-year-old man with a history of benign prostatic hyperplasia (BPH) presents with
worsening urinary symptoms, including nocturia and weak stream. What is the most
appropriate initial pharmacological treatment?
Antibiotics
Alpha-blockers
Anticholinergics
5-alpha-reductase inhibitors
Give this one a try later!
Alpha-blockers
In treating a pregnant female with migraine headaches, which of the following drugs
would be contraindicated?
Frovatriptan (Frova)
Ergotamine tartrate (Migergot)
Sumatriptan succinate (Imitrex)
Amitriptyline (Elavil)
Give this one a try later!
Ergotamine tartrate (Migergot)
An adult patient presents with acute onset of right eye pain, redness and decreased
vision. Suspecting open-angle glaucoma, the nurse practitioner should:
Refer to ophthalmology and prescribe topical steroid
Prescribe antibiotic ointment and pilocarpine
Advise applying warm compresses and returning in the morning
Refer to ophthalmology and prescribe pilocarpine
, Refer to ophthalmology and prescribe pilocarpine
An adult female presents with right leg pain and rash. The patient exhibits significant
swelling of the right lower extremity from the ankle to the end of the upper thigh,
erythema, induration, and weeping lesions in the anterior lower leg. The patient
"picked at" the affected area, and its condition progressed to the current state over a
period of 1 week. Over the past 2 days, the swelling and pain have increased greatly.
BP=86/50, P=104, R=24/min, and T=101.2 degrees F (38.4 degrees C); BMI=45.9. The
nurse practitioner should:
Refer for immediate evaluation in the emergency dept
Prescribe cephalexin (Keflex), 500mg every 6 hours
Prescribe trimethoprim-sulfamethoxazole 160mg/800mg (Bactrim DS), every 12 hours
Refer to an infectious disease specialist
Refer for immediate evaluation in the emergency dept
Patients presenting to urgent care with hematuria and RBC casts in their urine should
be considered for which diagnosis?
Pyelonephritis
Glomerulonephritis
Acute tubular necrosis
Nephrotic syndrome
Glomerulonephritis
,Treatment for extrapyramidal symptoms should include which of the following?
Switching to an atypical antipsychotic from a typical antipsychotic
Increasing the dose of the typical antipsychotic
Discontinuing use of diphenhydramine
Discontinuing use of Cogentin
Switching to an atypical antipsychotic from a typical antipsychotic
An adult male presents complaining of a left ankle injury that occurred 2 days ago
while he was playing basketball. The patient cannot bear weight and ROM is limited
by pain. What acute injuries would be included in the differential diagnosis for this
patient?
Achilles tendonitis, ankle fracture
Stress fracture, Morton's neuroma
Ankle sprain, inflammatory bursitis
Ankle sprain, ankle fracture
Ankle sprain, ankle fracture
A 40-year-old female presents with abnormal thyroid labs. Her labs show: TSH 0.25
(0.4-5.69), Free T4 1.5 (0.5-1.1), TSI antibody positive. You counsel her that:
She likely has autoimmune hypothyroidism and will need thyroid hormone
replacement
She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and US may be
helpful
, She likely has a multinodular toxic goiter
Plan to monitor her for S&S and repeat labs in 6-8 weeks
She likely has autoimmune hyperthyroidism, and a thyroid uptake scan and
US may be helpful
A 45-year-old man with a history of benign prostatic hyperplasia (BPH) presents with
worsening urinary symptoms, including nocturia and weak stream. What is the most
appropriate initial pharmacological treatment?
Antibiotics
Alpha-blockers
Anticholinergics
5-alpha-reductase inhibitors
Give this one a try later!
Alpha-blockers
In treating a pregnant female with migraine headaches, which of the following drugs
would be contraindicated?
Frovatriptan (Frova)
Ergotamine tartrate (Migergot)
Sumatriptan succinate (Imitrex)
Amitriptyline (Elavil)
Give this one a try later!
Ergotamine tartrate (Migergot)
