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1. When0performing0a0visual0acuity0test0the0nurse0practitioner0notes020/300in0the0left0eye0and02
0/400in0the0right0eye0using0the0Snellen0eye0chart.0This0means:
a) have0the0patient0returning0in0two0weeks0for0a0follow0up0vision0screen
b) dilated0the0eye0and0retest
c) refer0the0patient0to0an0ophthalmologist
d) document0this0as0a0normal0finding
2. The0American0psychiatric0association’s0diagnostic0and0statistical0manual0of0mental0disord
er0defines0Munchausen0Syndrome0By0Proxy
a) a0self-inflicted0injury0to0gain0attention
b) a0caregiver0making0up0or0causing0an0illness0or0injury0in0a0person0under0his0or0her0
care
c) an0abusive0behavior0that0does0not0involve0the0caregiver
d) a0situation0in0which0the0abuser0is0often0inattentive0and0uncaring0toward0the0victim
Munchausen0syndrome0by0proxy0is0a0mental0illness0and0a0form0of0child0abuse.0The0caretaker0of0a0chil
d,0most0often0a0mother,0either0makes0up0fake0symptoms0or0causes0real0symptoms0to0make0it0look0like
0the0child0is0sick.
3. Symptoms0of0depression0are0a0side0effect0of0which0neurotransmitter0medication?
a) dopamine serotonin,0norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Which0lesion0is0dark0raised0and0asymmetric0with0irregular0border?0Quizlet0Bates0Chapter020
a) Nevus
b) Actinic0keratosis
c) Keratoacanthoma
d) Melanoma
5. A0320years0old0woman0presents0with0dull0puffiness0of0the0ayes0pronounced0not0pittin
g0periorbital0edema0this0finding0is0suggestive0of0this0condition?0APEA
a) Nephrotic0syndrome
b) Myxedema
c) Cushing0syndrome
d) Sinusitis
Myxedema0is0a0deposition0of0mucopolysaccarides0in0the0dermis.0Is0commonly0found0if0patients0with0ad
vanced0hypothyroidism.0The0classic0skin0changes0are:0swelling0of0face,0lips,0eyelids,0and0tongue0or0swe
lling0and0thickening0of0skin0anywhere0on0the0body,0especially0in0the0lower0legs.
Myxedema0is0the0hallmark0of0Grave’s0disease,0an0autoimmune0form0of0hyperthyroidism.0Myxed
ema0can0also0occur0in0Hashimoto’s0thyroiditis0a0form0of0hypothyroidism.
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6. A0420years0old0woman0with0a0past0medical0history0of0migraine0headaches0is0requesting0
prophylactic0medication0treatment.0Which0medication0should0the0Nurse0practitioner0prescr
ibe?
a) Sumatriptan0(Imitrex)
b) Amitriptyline0(Elavil)
c) Verapamil0(verelan)
d) Metoprolol0(Lopressor)
Amitriptyline0(Elavil)0is0a0tricyclic0antidepresant0and0is0considered0offlabel0use0for0prophylactic0treatment0of0
migrane.0Sumatriptan0(Imimtrex)0Is0aTriptans0used0to0abort0migraine
7. A0pediatric0patient0has0areas0of0scaling0on0the0scalp0with0round0patches0of0alopecia.0This
0clinical0finding0is0consistent0with:
a) Tinea0capitis
b) Seborrheic0dermatitis
c) Trichotillomania
d) Alopecia0areata
8. What0is0the0appropriate0prophylactic0medication0for0an0180years0old0woman0with0a0past0
medical0history0of0migraine0headaches?
a) Sumatriptan0(Imitrex)0
b)0Propanolol0(Inderal)
c) Ibuprofeno0(motrin)
d) Dihydroergotamine0(DHE)
9. Why0would0a0combined0hormonal0contraceptive0be0contraindicated0in0a0360year0old0patien
t0with0a0past0medical0history0of0type020diabetes,0obesity,0chronic0smoking0and0sedentary0li
fe
a) She0is0obese
b) She0has0type020diabetes0mellitus
c) Her0age0and0tobacco0use
d) She0leads0a0sedentary0lifestyle
Combined0oral0contraceptive0is0contraindicated0in0women0older0than045,0breastfeeding,0smoking,0HTN,0dia
betes0or0hx0of0stroke
10. During0the0breast0examination0of0a0perimenopausal0woman0the0NP0detects0a0bloo
dy0spontaneous0discharge0from0the0right0nipple.0This0indicates0further0evaluation.
a) Fibroadenoma
b) Polycystic0breast0disease0Generalized0breast0pain0or0tenderness.0Green0or0dark0brown0n
onbloody0nipple0discharge0that0tends0to0leak0without0pressure0or0squeezing
c) An0intraductal0papilloma
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d) Pituitary0prolactinoma
APEA A+ 0
Intraductal0papillomas0are0usually0solitary0and0smaller0than010cm.0They0are0located0in0large0lactif
erous0sinuses0or0ducts0and0have0a0tendency0to0bleed.0Quizlet0Nipple0Discharge
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