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Your patient with a suspected diagnosis of COPD has been seen by
pulmonology and has underwent a pulmonary function test (PFT) with
spirometry. As the patient's primary healthcare provider, you have been asked
to explain the findings of the PFT to the
patient in afollow-up visit at which time the patient asks what the study was
evaluating. To describe the PFT to the patient in more useful terms, you state
that the large inspiration of air to the furthest extent they could reasonably
accomplish followed by a full
exhalation is referred to as which of the following measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity
D -Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the following might
you expect to find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face
B -Dowager hump
,The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2
should include which of the following while evaluating for end organ
dysfunction of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options
D -All of these are appropriate options
During your visit with a 19 year old patient for a college health physical, your
health history includes a diagnosis of angioedema. What of the following parts
of the body are were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips
D -Face and Lips
Which of the following dermatologic lesions is precancerous and likely due to
prolonged exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis
A -Actinic Keratosis
,Based on your evaluation of ABCDE for melanoma, which of the following
represents a suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm
A -Irregular borders
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing
should be evaluated for early evidence of renal damage from both diabetes and
hypertension. Which of the following assessment tools should the nurse
practitioner order first for the evaluation of early renal dysfunction secondary to
diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium
B -Urinalysis with micro/macro albumin
, Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of clinical depression, you anticipate the
patient will benefit from treating their underlying deficit of which of the following
neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate
B -Serotonin
While evaluating a patient in your clinic for a routine health visit, you
auscultate crackles in the poster left lower lobe, have the patient cough,
with follow-up auscultation
revealing clear breath sounds. Which one of the following would you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis.
B -Atelectasis
Your 39 year old patient who has recently been hospitalized for an
appendectomy and is being seen in your clinic for post-operative follow-up
with primary care. On
assessment, the patient complains of some incisional pain and otherwise examination
is normal, with the exception of dull percussion sounds noted on the thorax over
lung tissue. Which of the following diagnoses would be explained by this finding
in post-
operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease
C -Atelectasis