40 year old male presents to clinic with 5 day history of low grade fever <100 F, sore
throat, clear rhinorrhea, sneezing, watery eyes, mild headache and mild
nonproductive cough. He has an allergy to Penicillin which causes a rash. He takes
Losartan (Cozaar) daily. He has not taken anything for his symptoms. He does not
smoke. Upon exam his TMs are clear, Nares slightly edematous bilaterally with clear
mucus, posterior pharynx with significant erythema but no exudate or edema, neck is
supple with mild anterior cervical lymphadenopathy bilaterally, lungs clear bilaterally.
What should the NP do for this patient?
Give this one a try later!
Prescribe Loratadine (Claritin) 10mg daily and Ibuprofen 600mg every 8 hrs
as needed
In a pt w/known atherosclerotic cardiovascular disease (ASCVD) who is under the age
of 75, what type of statin is recommended by the 4th Adult Treatment Panel
Guidelines from the National Cholesterol Education Program (ATP IV NCEP)?
,Give this one a try later!
High intensity statin to reduce LDL-C levels by 50%
55 year old male presents to the clinic with 2 day history of fever (101.5F), productive
cough of green sputum, fatigue and chest pain from coughing. He has NKDA and his
only routine medication is Zantac (Ranitidine) 150 mg bid. He does not smoke. Temp
100.6 F, B/P 110/72 Pulse 90, Resp 18, O2 sat 96%. Lung exam reveals coarse rhonchi
and faint exp wheeze in his right lower lobe with auscultation as well as dullness with
percussion. Exam is otherwise unremarkable. What should the NP do next?
Give this one a try later!
Prescribe Doxycylcine 100mg po bid for 7 days
Treatment options for hemorrhoids include all of the following EXCEPT:
Give this one a try later!
Increasing fiber in diet to 3-5 grams per day
66 year old male presents with complaints of fatigue and decreased appetite for the
last couple of weeks. He denies lack of sleep or blood loss. He also reports darker
colored urine as well but denies dysuria, frequency or nocturia. His routine
medications include Atorvastatin (Lipitor) 40mg daily and High dose B complex
vitamin. Upon exam it is found that his sclera has a slight yellow tinge. What should the
NP do?
Give this one a try later!
, Stop the Atorvastatin (Lipitor) and order a Liver function profile
Which of the following pathogens would you suspect to be the cause of Community
Acquired Pneumonia in a 60 year old with a history of COPD?
Give this one a try later!
Haemophilus influenzae
Abdominal pain or discomfort consistently relieved by defecation or has been
associated with a change in the consistency and frequency of the stool for a period of
3 months either continuously or recurrently within that time frame is suggestive for
which disease process?
Give this one a try later!
Irritable bowel syndrome
What is the only therapy used for COPD that has been shown to decrease the
mortality rate associated with COPD?
Give this one a try later!
Supplemental oxygen
throat, clear rhinorrhea, sneezing, watery eyes, mild headache and mild
nonproductive cough. He has an allergy to Penicillin which causes a rash. He takes
Losartan (Cozaar) daily. He has not taken anything for his symptoms. He does not
smoke. Upon exam his TMs are clear, Nares slightly edematous bilaterally with clear
mucus, posterior pharynx with significant erythema but no exudate or edema, neck is
supple with mild anterior cervical lymphadenopathy bilaterally, lungs clear bilaterally.
What should the NP do for this patient?
Give this one a try later!
Prescribe Loratadine (Claritin) 10mg daily and Ibuprofen 600mg every 8 hrs
as needed
In a pt w/known atherosclerotic cardiovascular disease (ASCVD) who is under the age
of 75, what type of statin is recommended by the 4th Adult Treatment Panel
Guidelines from the National Cholesterol Education Program (ATP IV NCEP)?
,Give this one a try later!
High intensity statin to reduce LDL-C levels by 50%
55 year old male presents to the clinic with 2 day history of fever (101.5F), productive
cough of green sputum, fatigue and chest pain from coughing. He has NKDA and his
only routine medication is Zantac (Ranitidine) 150 mg bid. He does not smoke. Temp
100.6 F, B/P 110/72 Pulse 90, Resp 18, O2 sat 96%. Lung exam reveals coarse rhonchi
and faint exp wheeze in his right lower lobe with auscultation as well as dullness with
percussion. Exam is otherwise unremarkable. What should the NP do next?
Give this one a try later!
Prescribe Doxycylcine 100mg po bid for 7 days
Treatment options for hemorrhoids include all of the following EXCEPT:
Give this one a try later!
Increasing fiber in diet to 3-5 grams per day
66 year old male presents with complaints of fatigue and decreased appetite for the
last couple of weeks. He denies lack of sleep or blood loss. He also reports darker
colored urine as well but denies dysuria, frequency or nocturia. His routine
medications include Atorvastatin (Lipitor) 40mg daily and High dose B complex
vitamin. Upon exam it is found that his sclera has a slight yellow tinge. What should the
NP do?
Give this one a try later!
, Stop the Atorvastatin (Lipitor) and order a Liver function profile
Which of the following pathogens would you suspect to be the cause of Community
Acquired Pneumonia in a 60 year old with a history of COPD?
Give this one a try later!
Haemophilus influenzae
Abdominal pain or discomfort consistently relieved by defecation or has been
associated with a change in the consistency and frequency of the stool for a period of
3 months either continuously or recurrently within that time frame is suggestive for
which disease process?
Give this one a try later!
Irritable bowel syndrome
What is the only therapy used for COPD that has been shown to decrease the
mortality rate associated with COPD?
Give this one a try later!
Supplemental oxygen
