Questions and Correct Detailed Answers
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A 72-year-old woman presents to the clinic with jaw pain when eating for 1 day.
She reports feeling tired and having some blurry vision, a new nagging headache
near her left eye, and a fever. Which of the following is the best next step?
A.
Order inflammatory markers
B.
Prescribe the patient sumatriptan (Imitrex)
C.
Refer to an ophthalmologist for a biopsy
D.
Refer to the ED to rule out a potential brain bleed - CORRECT ANSWER-C.
Refer to an ophthalmologist for a biopsy
,Jaw claudication, or pain in the jaw with chewing, headache, fever, and blurry
vision, is suspicious for temporal arteritis. Referral to an ophthalmologist for a
biopsy (C) will confirm this diagnosis.
A 33-year-old patient recovering from a left rotator cuff repair performed 2 weeks
ago reports for a follow-up visit. Before seeing the nurse practitioner, she is told
to remove her shirt and undergarments and is given a gown and a sheet for
modesty. She is assured that she is seeing a female nurse practitioner today who
is aware of her Afghani heritage, Islamic faith, and cultural values. Today, the
nurse practitioner demonstrates which of the following in the care of the patient?
A.
Cultural competence
B.
Cultural ethnocentrism
C.
Cultural relativism
D.
Cultural sensitivity - CORRECT ANSWER-A. Cultural competence
Culture can be defined as a group phenomenon. It is expansive and inclusive of a
group's customs, social institutions, and achievements. Nurse practitioners with
,cultural competence (A) take cultural sensitivity further by striving to learn and
incorporate knowledge of diverse cultures into practice. It is viewed as a journey
without any specific endpoint.
A parent brings in their 6-year-old son with concerns about a pertussis exposure
in the child's classroom. If the patient is not up to date on vaccinations, which
vaccine should the nurse practitioner administer at today's visit?
A.
DTaP
B.
Td
C.
Tdap
D.
Vaccination is not necessary since he has already been exposed - CORRECT
ANSWER-A. DTaP
The patient should receive the DTaP (A) vaccination at today's visit. Five doses of
pertussis-containing vaccine are recommended before a child enters school.
While the DTaP vaccination is not guaranteed to prevent pertussis, it should help
lessen the severity of symptoms. Postexposure prophylaxis of azithromycin is
, recommended in children who are in close contact with an infected person or at
high risk for severe pertussis.
A patient tells the nurse practitioner that she recently started taking the
supplement St. John's wort after reading about its benefits online. Which of the
following medications, if being actively consumed, must be immediately stopped?
A. Benadryl
B. Famotidine (Pepcid)
C. Metformnin (Glucophage)
D. Sumatriptan (Imitrex) - CORRECT ANSWER-D. Sumatriptan (imitrex)
Sumatriptan (Imitrex) (D) is a medication used to treat migraines and belongs to a
drug class known as serotonin agonists. When used in conjunction with St. John's
wort, it may increase the risk of serotonin syndrome, a potentially life-threatening
condition.
Which of the following is not a symptom of both major depressive disorder and
post-traumatic stress disorder?
A. Difficulty concentrating
B. Hypervigilance
C. Insomnia
D. Irritabilty - CORRECT ANSWER-B. Hypervigilance
In addition to difficulty concentrating, insomnia, and irritability, major depressive
disorder (MDD) may also include symptoms of depressed mood, anhedonia,