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Term
Which of the following male patients should have a PSA ordered as a
part of annual screening labs?
30-year-old Asian patient
65-year-old African American patient
50-year-old Caucasian patient
PSA screening should only be offered to patients who have a family
history of prostate cancer.
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Examination of safety and effectiveness of various interventions;
Clinical research trials are concerned with determining the safety and effectiveness
of interventions. Adoption of interventions and practices is part of clinical
, implementation. Determination of the basis of disease and treatment options is part
of the preclinical research phase. Exploration of the fundamental mechanisms of
biology, disease, or behavior is part of the basic research stage.
Knowledge of one's own implicit biases allows for awareness of how biases can
affect the care they provide.;
Implicit biases form during childhood in response to prevailing family and societal
values. It is common for implicit biases to be in conflict with stated values and
beliefs. Implicit biases are unconscious, automatic, and pervasive responses to
people or situations.
65-year-old African American patient
Feedback:Risk factors include advancing age, African-American race, and a
positive family history of prostate cancer. Geography is considered a risk
factor; prostate cancer is more common in Caribbean men of African ancestry
and men living in North America, northwestern Europe, and Australia. The
majority of cases are diagnosed in men older than 65 years, with incidence
rates higher in African-American men than in white men.
To screen for sexually transmitted diseases.
Rectovaginal exams are commonly performed in female patients to evaluate the
size, shape, and mobility of the uterus and ovaries, as well as to assess for pelvic
organ prolapse and pelvic floor muscle strength. This procedure can also help
identify any abnormal growths or masses in the vaginal or rectal areas.
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Term
The FNP understands that all of the following factors contribute to the
process of aging, except:
,A decrease in hormone production
A decline in cell-mediated immunity
A decrease in free radicals of oxygen
A decrease in the production of B-cells and T-cells
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Every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and then weekly until
the baby is born.
Feedback:Prenatal visits occur monthly until 28 weeks, every 2 weeks from 28-36
weeks, and weekly from 36 weeks to birth.
The patient can receive her inital injection today and should return in 6 months to
complete the series.
Feedback:This is the CDC guideline for patients who begin the series between the
ages of 9 and 14.
a decrease in free radicals of oxygen;
Free radicals of oxygen do not have a paired electron. The increase of "free"
molecules are thought to be the consequence of oxidative stress and result in
cellular damage, as well as influencing the aging process of the body.
Your pap smear shows abnormal tissue that needs to be evaluated. Please schedule
an appointment for a colposcopy.;
The pap smear is a screening test for cervical cancer and precancerous states. The
diagnostic test needed to confirm the diagnosis of a high-grade lesion is a
colposcopy with guided biopsies.
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Definition
fluconazole 150mg 1 tab PO x1 dose;
Fluconazole is approved for a single-dose oral treatment of
uncomplicated vulvovaginal candidiasis. It is the most convenient
treatment for this patient who will is unlikely to be compliant with
vaginal creams given the upcoming travel.
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The FNP is reviewing the lab results of a 28-year-old patient recently seen for a pap
smear. Classification is high-grade squamous intraepithelial lesion, endocervical
cells seen, and adequate smear. The FNP phones the patient and tells her which of
the following?
Your pap smear was normal. Follow up in one year or sooner if problems arise.
Your pap smear shows invasive cancer. I would like you to see a gynecologic
oncologist for treatment.
Your pap smear shows abnormal tissue that needs to be evaluated. Please schedule
an appointment for a colposcopy.
Your pap smear shows a minor abnormality. Sometimes this can signify a disease
process that is just beginning. Please schedule a follow up pap smear in 4 months.
A 41-year-old patient is seen for her 6-week postpartum exam by the FNP. She is
breastfeeding without difficulty and plans to continue for a year. She wants to begin
using contraception and plans no further pregnancies. Which of the following is not
an appropriate choice for this patient?