Shadow Health EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

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apea predictor 2026 A+ GRADE ASSURED COMPLETE SO
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LUTIONS AND VERIFIED ANSWERS (4D4AC) vc vc vc vc




QUESTION 1 vc




Which agent is most effective for the treatment of nodulocystic acne? Benzoyl peroxide (
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Benzac) Retinoic acid (Retin vc vc vc



A) Topical tetracycline Isotretinoin
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ANSWER

Isotretinoin Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with severe
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inflammatory acne. Guidelines for its use must be clearly understood by the patient. A woman of childb
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earing age must use an effective method of contraception because isotretinoin is 1 There are many restr
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ictions in prescribing this medication because of the teratogenic effects is given during pregnancy. There
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fore, it is a pregnancy category X.
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QUESTION 2 vc




A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5
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mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerid
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es= 344 mg/dL (8.94 mmol/L). What agent have the greatest effect on improving her lipi
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d profile and reducing morbidity and mortality associates with dyslipidemia? Atorvastati
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n Niacin (Niaspan) Omega 3 fatty acids Fenofibrates
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ANSWER

Atorvastatin Explanation: First and foremost, it is essential to educate individuals on a heart-
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healthy lifestyle. LDL- vc vc



C is one of the major culprits in the development of atherosclerotic heart disease. The target level of LD
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L-
C is between 50 to 70mg/dl to prevent plaque formation in the blood vessels. Guidelines strongly recom
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mend statin therapy because they primarily lower LDL-
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C levels, but they also have the secondary effects of lowering triglyceride and increasing HDL-C levels.
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QUESTION 3 vc

, A 30 years old female comes into a clinic with classic signs and symptoms of appendicitis
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. The NP fails to refer the patient to a surgeon. The appendix ruptures and the woman di
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e. This is an example of Failure of diligence Professional liability Negligence Malpractice
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ANSWER

Malpractice Explanation: malpractice, a negligence tort, occurs when a health care professional's actions
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fall bellow the appropriate standard of care and hurts the patient. In this case the patient came with sin
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gs and symptoms indicating appendicitis and the NP failed to refer the patient.
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QUESTION 4 vc




A NP has recently been hired to work in a fast track facility. The NP employer asked if sh
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e has "a problem prescribing medications for emergency contraception." The NP replies
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affirmatively. This is: vc vc



a. Grounds for dismissal An ethical dilemma for the NP Illegal according to the standards
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of nursing Patient abandonment.
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ANSWER

An ethical dilemma for the NP Explanation: in this instance, the NP has a difference of opinion with her
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employer based on her religious or moral belief about providing emergency contraception. This situatio
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n is an example of an ethical dilemma. Failure to participate in the provision of care to the patient based
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on the NP's beliefs is neither against the law nor a violation of the standards of practice
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QUESTION 5 vc




A patient presents with pruritic lesions on both knees. There are visible silver scales. Ho
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w Should this condition be managed? . Topical antifungal cream or ointment Oral antibio
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tics Topical corticosteroids cream . Topical anti-fungal/ steroid cream
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ANSWER

Topical corticosteroids cream Explanation: Psoriasis is characterized by erythematous papules, as well a
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s itchy, red, precisely defined plaques with silvery scales. Auspitz sings is another common finding. Topi
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cal agents containing tar and salicylic acid may be used. Topical steroids, such as betamethasone, may al
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so be ordered.vc vc




QUESTION 6 vc




Antidepressant discontinuation syndrome is less likely if the patient Is male Is less than vc vc vc vc vc vc vc vc vc vc vc vc vc vc



35 y/o Has taken an SSRI with a short half life Gradually tapers SSRI use
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ANSWER

Gradually tapers SSRI use Explanation: Antidepressant discontinuation syndrome is most often seen in t
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he primary care office in association with SSRI discontinuation, because SSRIs are the most commonly p
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rescribed class of antidepressant medications. Interruption of treatment with an anti-
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depressant medication is sometimes associated with an antidepressant discontinuation syndrome; in ea
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