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A 35-year-old female with a history of Take a further history and perform a very careful
migraines presents to the clinic with neurological exam
worsening symptoms for the past few
weeks. She reports waking up at night
with headaches and nausea. Her only
medication history is oral
contraceptive pills (OCPs). Otherwise,
she states she is healthy. Which of the
following actions if taken by the NP is
the best next step?
A grandmother is accompanying her IV
9-year-old granddaughter during a
routine physical examination. She asks
you privately if her granddaughter has
started puberty yet. During the
examination, the NP notes asymmetric
projection of the areola and nipple of
the right chest to form a secondary
mound above the level of the breast.
The left breast is underdeveloped.
These assessment findings are
consistent with which Tanner Stage of
development?
Primary prevention is defined as which Interventions designed to prevent disease
of the following?
,Based on the U.S. Preventive Services Mammography is recommended every 2 years for
Task Force (USPSTF) women aged 50-74 with insufficient evidence for
recommendations, which of the screening women over the age of 75.
following statements is true about
screening for breast cancer in
average-risk women?
Which of the following statements is Target blood pressure should be </= 150/90 mmHg
true regarding recommendations by but notes that if treatment results in SBP <140 and is
the eighth Joint National Committee "well tolerated and without adverse effects to health
(JNC8) for adults aged 60 and older? or quality of live, treatment does not need to be
Select all that apply. adjusted."
In those aged 80 or older, blood pressure targets of
140 to <150/70 to 80 appear optimal for notable
reductions in stroke, cardiovascular events, and all-
cause mortality.
Which of the following is a useful Have the parent facilitate the exam (e.g., removing
strategy when examining young clothes, holding the child on lap).
children between the ages of 1 and 4?
The NP is completing the review of "It often takes the baby more than 30 minutes to
systems on a 4-month-old female finish a bottle."
during a routine encounter. Which
statement from the parent may
indicate a cardiac problem in the
infant and require a more thorough
subjective history?
A 16-year-old male presents to the CNIII
clinic with a history of a congenital
right upper eyelid drooping as
represented in this image. He has no
complaints and denies injury or
trauma. Which cranial nerve (CN) is
involved in this condition?
Patient with eyelid drooping
, Which cranial nerve (CN) innervates CN IX
the muscles of the pharynx and
provides sensory fibers to portions of
the tympanic membrane, auditory
canal, pharynx, and the posterior third
of the tongue?
The NP should suspect injury to which CNIII
cranial nerve (CN) if a patient presents
with complaints of photosensitivity
and uneven pupils after being struck
in the eye with a baseball?
Which of the following statements is Obesity doubles the risk of stroke even without
true regarding risks and rapid associated glucose intolerance
recognition of suspected stroke?
Select all that apply Hypertension is the leading risk factor for both
ischemic and hemorrhagic stroke
The combination of both receptive global aphasia
and expressive aphasia is a
characteristic of which type of speech
disorder?
The NP is assessing a 42-year-old Do you have any aura prior to the headaches?
female who presents to the clinic with
recurring headaches. What is an
effective question to ask the patient?
A 55-year-old female presents to the The patient reports fever, night sweats, and thinks she
clinic with a headache. During the lost weight.
interview, which of the following
symptoms should prompt the NP to
be concerned and investigate further?
When grading muscle strength on a Active movement against gravity
scale of 1 to 5, a grade of 3 indicates
which of the following?