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,A 65-year-old woman presents for a follow-up examination
after a new patient visit. She has not seen a healthcare
provider for several years. She is a smoker and her
hypertension is now adequately controlled with medication.
Her mother died at age 40 from a heart attack. The fasting
lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL
= 200. In addition to starting Therapeutic Lifestyle Changes,
the nurse practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. - Answer: A statin drug
The most commonly prescribed medication for mild systemic
lupus erythematosus (SLE) is:
,1.
azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan). - Answer: ibuprofen (advil)
The most common sign of cervical cancer is:
1.
postcoital bleeding.
2.
strong odor from vaginal discharge.
3.
itching in the vaginal area.
4.
, molluscum contagiosum. - Answer: postcoital bleeding
The nurse practitioner prescribes amitriptyline (Elavil) for a
patient with neuropathic pain secondary to diabetes mellitus.
On follow-up, the patient complains of urine retention and dry
mouth. The practitioner would:
1.
discontinue amitriptyline and begin ibuprofen (Motrin).
2.
refer to physical therapy.
3.
start methocarbamol (Robaxin).
4.
discontinue amitriptyline and begin gabapentin (Neurontin). -
Answer: discontinue amitriptyline and begin gabapentin
(neurontin)
A 17-year-old male with rheumatoid arthritis is being treated