Your 31 year old female patient states they are experiencing lateral lower back pain and
urinalysis reveals bacteria in the urine, culture reveals gram negative rods after 24 hours
of growth. Which of the following is the least likely agent to cause her urinary tract
infection?
Give this one a go later!
Enterococcus
Your 32-year-old female patient presents with a suspected diagnosis of systemic lupus
erythematosus (SLE). Which of the practical labs are used to make the diagnosis of SLE?
Give this one a go later!
, Antinuclear antibody
Your 49-year-old male patient presents with weight loss, night sweats, anhedonia, and a
CXR showing profoundly enlarged hilar adenopathy. Based on these findings, a
lymphoma diagnosis would be in your working differential. Which one of the following
assessment findings, when palpating lymph nodes, would be INCONSISTENT with this
diagnosis?
Give this one a go later!
Non-tender, minimally palpable anterior cervical chain node palpation
Your nurse practitioner student asks you to help him clarify the different types of diuresis.
As an example, you present the question to him that the use of Ted stockings for patients
with lower extremity edema is an example of which type of diuresis?
Give this one a go later!
Pressure diuresis
The hypertensive adult male patient aged 55 years has been initiated on lisinopril
(Privinil) for two consecutive in-clinic blood pressure readings over 140/90. As you
provide the patient with medication education, which of the following levels should the
patient be aware of may elevate and become potentially life threatening if untreated?
Give this one a go later!
, Potassium
The 84-year-old lethargic patient who lives alone accidentally overdosed on their
amlodipine (Norvasc) and was found by their daughter and taken to your clinic for
evaluation. On exam, you found her blood pressure of 80/42, which the daughter says
was "about what she found on her home cuff for the last 6 hours before bringing her in to
be evaluated". The patient was then transferred to the hospital for evaluation. During her
hospitalization, she was also evaluated with CBC, BMP, and a UA. The results reflect
normal labs except the UA showed trace WBCs in urine and no leukocyte esterases or
nitrites and the BMP showed a creatinine of 1.9 with her normal baseline of1.2 (normal
range 0.5-1.2mg/dL) and BUN of 34, with a baseline of 20 (normal range 10-20 mg/dL).
What is likely to cause which of her renal issues?
Give this one a go later!
Acute tubular necrosis
In discussing a new diagnosis of human immunodeficiency virus (HIV) for your patient,
the patient demonstrates good understanding of the possible agents that may be used
to include of the following:
Give this one a go later!
All of these may be used to manage my disease
B -Protease inhibitors
C -Nucleoside reverse transcriptase inhibitors
D -Non-nucleotide reverse transcriptase inhibitors
, Your 50-year-old Caucasian male patient has not seen a primary caregiver in 20+ years
and is here for a history and physical examination. While examining the head and face,
you see your patient has nonpitting periorbital edema, particularly underneath their eyes
and very dry, thinned hair, including the lateral third of eyebrows (as pictured below:
Sparse hairline, thin lateral eyebrows, Periorbital edema). Which one of the following
would you expect to cause this finding?
Give this one a go later!
Severe hypothyroidism
While performing sensory cortex testing on your patient, you had them close their eyes
and place a familiar object in their hand, such as a paper clip, key, or pencil. You had
them manipulate it skillfully and identify it within 5 seconds. Which of the following tests
is this known as?
Give this one a go later!
Stereognosis
Which of the following concepts refers to where small differences in dose or blood
concentration may lead to serious therapeutic failures and/or adverse drug reactions
that are life-threatening or result in persistent or significant disability or incapacity?
Give this one a go later!
urinalysis reveals bacteria in the urine, culture reveals gram negative rods after 24 hours
of growth. Which of the following is the least likely agent to cause her urinary tract
infection?
Give this one a go later!
Enterococcus
Your 32-year-old female patient presents with a suspected diagnosis of systemic lupus
erythematosus (SLE). Which of the practical labs are used to make the diagnosis of SLE?
Give this one a go later!
, Antinuclear antibody
Your 49-year-old male patient presents with weight loss, night sweats, anhedonia, and a
CXR showing profoundly enlarged hilar adenopathy. Based on these findings, a
lymphoma diagnosis would be in your working differential. Which one of the following
assessment findings, when palpating lymph nodes, would be INCONSISTENT with this
diagnosis?
Give this one a go later!
Non-tender, minimally palpable anterior cervical chain node palpation
Your nurse practitioner student asks you to help him clarify the different types of diuresis.
As an example, you present the question to him that the use of Ted stockings for patients
with lower extremity edema is an example of which type of diuresis?
Give this one a go later!
Pressure diuresis
The hypertensive adult male patient aged 55 years has been initiated on lisinopril
(Privinil) for two consecutive in-clinic blood pressure readings over 140/90. As you
provide the patient with medication education, which of the following levels should the
patient be aware of may elevate and become potentially life threatening if untreated?
Give this one a go later!
, Potassium
The 84-year-old lethargic patient who lives alone accidentally overdosed on their
amlodipine (Norvasc) and was found by their daughter and taken to your clinic for
evaluation. On exam, you found her blood pressure of 80/42, which the daughter says
was "about what she found on her home cuff for the last 6 hours before bringing her in to
be evaluated". The patient was then transferred to the hospital for evaluation. During her
hospitalization, she was also evaluated with CBC, BMP, and a UA. The results reflect
normal labs except the UA showed trace WBCs in urine and no leukocyte esterases or
nitrites and the BMP showed a creatinine of 1.9 with her normal baseline of1.2 (normal
range 0.5-1.2mg/dL) and BUN of 34, with a baseline of 20 (normal range 10-20 mg/dL).
What is likely to cause which of her renal issues?
Give this one a go later!
Acute tubular necrosis
In discussing a new diagnosis of human immunodeficiency virus (HIV) for your patient,
the patient demonstrates good understanding of the possible agents that may be used
to include of the following:
Give this one a go later!
All of these may be used to manage my disease
B -Protease inhibitors
C -Nucleoside reverse transcriptase inhibitors
D -Non-nucleotide reverse transcriptase inhibitors
, Your 50-year-old Caucasian male patient has not seen a primary caregiver in 20+ years
and is here for a history and physical examination. While examining the head and face,
you see your patient has nonpitting periorbital edema, particularly underneath their eyes
and very dry, thinned hair, including the lateral third of eyebrows (as pictured below:
Sparse hairline, thin lateral eyebrows, Periorbital edema). Which one of the following
would you expect to cause this finding?
Give this one a go later!
Severe hypothyroidism
While performing sensory cortex testing on your patient, you had them close their eyes
and place a familiar object in their hand, such as a paper clip, key, or pencil. You had
them manipulate it skillfully and identify it within 5 seconds. Which of the following tests
is this known as?
Give this one a go later!
Stereognosis
Which of the following concepts refers to where small differences in dose or blood
concentration may lead to serious therapeutic failures and/or adverse drug reactions
that are life-threatening or result in persistent or significant disability or incapacity?
Give this one a go later!
