Primary Care Adult 1 NP Exam 1 Questions With Complete
Solutions
absence seizure Correct Answers hallmark is sudden onset,
interruption of activities, blank stare, brief upward rolling of
eyes
age related changes Correct Answers kidney function declines
in 4th decade; prolonged half life
agnosia Correct Answers inability to recognize
ALS diagnosis Correct Answers electromyographical studies
ALS s/s Correct Answers SYMMETRICAL; present with gait
disturbance caused by weakness or change in voice
ALS treatment Correct Answers none, fatal
ALS/Lou Gehrig's disease Correct Answers destruction of
anterior horn motor cell in spinal cord or brainstem; fatal; live 5-
6 years after diagnosis
alzheimer's Correct Answers progressive, insidious onset, slow
progressive cognitive decline, inability to learn new information,
impaired memory
alzheimer's epidemiology Correct Answers 65+, life expectancy
between 60-70 is 7-10 year
,alzheimer's management Correct Answers treat anxiety and
depression aggresively
first line - cholinesterase inhibitors: donepezil (aricept) for mild
to moderate AD;
namenda (memantine) for mod to severe
alzheimer's s/s Correct Answers initial complaint of memory
issues, get lost in familiar place, inability to complete ADLs,
slow responses, anomia(difficulty finding words)
antieleptics Correct Answers dilantin, tegretol, lamictal
reduce hyperexcitability
antipsychotics for confusion Correct Answers Haldol, seroquel,
risperdal, zyprexa, abilify
aphasia Correct Answers loss of ability to express or understand
speech
apraxia Correct Answers trouble finding words
arterial occlusion Correct Answers immediate embolectomy
within 4-6 hours, surgical emergency
arteriosclerosis obliterans Correct Answers diminished or
decreased blood flow to legs
automatisms Correct Answers eating, mimicry, expressing
emotional state, gestures, crude behavior
, bell's palsy Correct Answers acute onset of flaccid paralysis,
one side of face in otherwise healthy person
self-limiting, complete recovery in months
cranial nerve 7 - facial, preceded by viral infection (herpes)
bell's palsy management Correct Answers recover w/o
treatment, prevent eye injury and dry eye, acyclovir
bell's palsy s/s Correct Answers loss of taste, psotauricular pain,
abnormal sensitivity to sound, heavy feeling in face
botulism Correct Answers paralytic illness caused by
Clostridium botulim, enters through infected wound or oral
from not pasteurizing, raw honey or milk
symptoms in 72 hours
oftin requires vent
brain tumor management Correct Answers surgery, radiation,
chemo, steroids, anticonvulsants
f/u every 3 months plus MRI
brain tumor s/s Correct Answers headache w/ or w/o nausea and
vomting, seizzure, change in mental status, motor or language
deficits
between 65 and 79, men>women, caucasians and hispanics
cerebellar disease Correct Answers unable to stand with feet
together
cerebral hemorrhage - epidural Correct Answers severe head
injury, most common in temporal area
Solutions
absence seizure Correct Answers hallmark is sudden onset,
interruption of activities, blank stare, brief upward rolling of
eyes
age related changes Correct Answers kidney function declines
in 4th decade; prolonged half life
agnosia Correct Answers inability to recognize
ALS diagnosis Correct Answers electromyographical studies
ALS s/s Correct Answers SYMMETRICAL; present with gait
disturbance caused by weakness or change in voice
ALS treatment Correct Answers none, fatal
ALS/Lou Gehrig's disease Correct Answers destruction of
anterior horn motor cell in spinal cord or brainstem; fatal; live 5-
6 years after diagnosis
alzheimer's Correct Answers progressive, insidious onset, slow
progressive cognitive decline, inability to learn new information,
impaired memory
alzheimer's epidemiology Correct Answers 65+, life expectancy
between 60-70 is 7-10 year
,alzheimer's management Correct Answers treat anxiety and
depression aggresively
first line - cholinesterase inhibitors: donepezil (aricept) for mild
to moderate AD;
namenda (memantine) for mod to severe
alzheimer's s/s Correct Answers initial complaint of memory
issues, get lost in familiar place, inability to complete ADLs,
slow responses, anomia(difficulty finding words)
antieleptics Correct Answers dilantin, tegretol, lamictal
reduce hyperexcitability
antipsychotics for confusion Correct Answers Haldol, seroquel,
risperdal, zyprexa, abilify
aphasia Correct Answers loss of ability to express or understand
speech
apraxia Correct Answers trouble finding words
arterial occlusion Correct Answers immediate embolectomy
within 4-6 hours, surgical emergency
arteriosclerosis obliterans Correct Answers diminished or
decreased blood flow to legs
automatisms Correct Answers eating, mimicry, expressing
emotional state, gestures, crude behavior
, bell's palsy Correct Answers acute onset of flaccid paralysis,
one side of face in otherwise healthy person
self-limiting, complete recovery in months
cranial nerve 7 - facial, preceded by viral infection (herpes)
bell's palsy management Correct Answers recover w/o
treatment, prevent eye injury and dry eye, acyclovir
bell's palsy s/s Correct Answers loss of taste, psotauricular pain,
abnormal sensitivity to sound, heavy feeling in face
botulism Correct Answers paralytic illness caused by
Clostridium botulim, enters through infected wound or oral
from not pasteurizing, raw honey or milk
symptoms in 72 hours
oftin requires vent
brain tumor management Correct Answers surgery, radiation,
chemo, steroids, anticonvulsants
f/u every 3 months plus MRI
brain tumor s/s Correct Answers headache w/ or w/o nausea and
vomting, seizzure, change in mental status, motor or language
deficits
between 65 and 79, men>women, caucasians and hispanics
cerebellar disease Correct Answers unable to stand with feet
together
cerebral hemorrhage - epidural Correct Answers severe head
injury, most common in temporal area
