ACTUAL EXAM COMPLETE WITH QUESTIONS
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What does a positive ANA indicate?
1. Presence of RA
2. Present of any autoimmune disease
3. General inflammation - ANSWER-2. Presence of any autoimmune disease
A condition that is caused by toxic changes to DNA is:
1. Multi factorial
2. Mutation
3. Chromosomal misalignment
4. Polygenetic - ANSWER-2. Mutation
I say monoarticular inflammation, you say:
1. Joint aspirate
2. Osteoarthritis
3. ESR, CRP - ANSWER-1. Joint aspirate
A school-age child has a 3-month history of dull, aching epigastric pam that
worsens with eating and awakens the child from sleep. A complete blood count
shows a hemoglobin of 8 mg/dL. What is the next step in management? -
ANSWER-d. Referral for esophagogastroduodenoscopy (EGD)
A child is in the clinic after swallowing a metal bead. A radiograph of the GI tract
shows a 6 mm cylindrical object in the child's stomach. The child is able to
swallow without difficulty and is not experiencing pain. What is the correct course
of treatment? - ANSWER-b. Have the parents watch for the object in the child's
stool.
,A 10-year-old child has had abdominal pain for 2 days, which began in the
periumbilical area and then localized to the right lower quadrant. The child
vomited once today and then experienced relief from pain followed by an
increased fever. What is the likely diagnosis? - ANSWER-a. Appendicitis with
perforation
A 69 year old retired clerk presents with complaints of shortness of breath and
weight gain over a 2 week period. A nonproductive cough accompanies her
symptoms. The lung exam is positive for fine crackles in the lower lobes with no
wheezing. The exam is positive for egophony. Which of the following conditions
is most likely?
1. acute asthma exacerbation
2. left sided heart failure
3. right sided heart failure
4. COPD - ANSWER-2. left sided heart failure
Your patient of 10 years, Mrs. Leman, is concerned about her most recent
diagnosis. She was told by her dermatologist that she has an advanced case of
actinic keratosis. Which of the following is the best explanation for this patient?
1. It is a benign condition
2. It is a precancerous lesion and should be followed up with her dermatologist
3. Apply hydrocortisone cream 1% BID for 2 weeks and most of it will go away
4. It is important for her to follow up with an oncologist - ANSWER-2. It is a
precancerous lesion and should be followed up with her dermatologist
Mr. Jones, who has been on pravastatin (Pravachol) 20 mg at bedtime for the past
few months, complains of lately feeling extremely fatigued. The patient also
noticed that his urine has been a darker color during the past 2 weeks. Which of the
following is the best treatment plan to follow?
1. Discontinue his pravastatin and order a liver function profile
2. Continue the pravastatin but on half the dose
3. Schedule him for a complete physical exam
4. Schedule him for a liver function profile - ANSWER-1. Discontinue his
pravastatin and order a liver function profile
,An 18-month-old child has a 1-day history of intermittent, cramping abdominal
pain with non-bilious vomiting. The child is observed to scream and draw up his
legs during pain episodes and becomes lethargic in between. The primary care
pediatric nurse practitioner notes a small amount of bloody, mucous stool in the
diaper. What is the most likely diagnosis? - ANSWER-a. Intussusception
You arrive on the scene of a 12-year-old child who suddenly collapsed on the
playground. The child is unresponsive, apneic, and pulseless and CPR is in
progress. A lay rescuer just brought the school AED, turned it on, and attached it.
The AED recommends a shock. Which of the following should be done next?
- Obtain intravenous access
- Attempt defibrillation
- Change compressions:ventilations from 30:2 to 15:2
- Attempt endotracheal intubation - ANSWER-Attempt defibrillation
You are caring for a child in persistent ventricular fibrillation. Which of the
following would best describe the child's cardiac condition?
- The heart is not pumping blood at all
- The heart is beating too slowly to maintain circulation
-There is no electrical activity in the heart
- The heart is pumping so fast that it cannot fill completely between beats -
ANSWER-The heart is not pumping blood at all
Which of the following is recommended treatment for erythema migrans or early
lyme disease?
1. doxycycline 100mg PO BID for 21 days
2. ciprofloxacin 150mg PO BID for 14 days
3. Erythromycin 333mg PO TID for 10 days
4. Dicloxacillin 500mg PO BID for 10 days - ANSWER-1. doxycycline
Which of the following laboratory tests is positive in a large number of patients
with systemic lupus erythematosus?
1. ANA
2. RF
3. Antiparietal antibody
, 4. immunoglobulin - ANSWER-1. ANA
Buffy was shopping at her local home improvement store for a new kitchen faucet.
She was attracted to a brushed stainless steel model with a long arc and a swivel
spout. These are __________ features of the faucet. - ANSWER-tangible
The only place a shopper can purchase an item with a Kirkland Signature label is at
a Costco store. This is an example of a(n) __________ brand. - ANSWER-private-
label or dealer brand
A large orange juice manufacturer wants to increase its profit margin without
raising the price of a bottle of juice. The bottle is currently 64 oz. A new 52 oz.
bottle is developed and appears very similar to the old packaging. What pricing
objective is sought? - ANSWER-achieving a target return on investment or profit.
Many packages have labels that help stores control inventory and give the retailer
information about the product's price, size, color, and other attributes. These are -
ANSWER-UPCs.
When a company considers how to price a new product, it determines what price it
thinks its customers will pay, and then identifies what profit the company needs.
From there the company determines the features it can offer on this product. This
method of determining price is known as - ANSWER-target costing.
The importance of the product life cycle is that - ANSWER-different stages in the
product life cycle call for different marketing strategies.
The value of the brand name and its associated symbols is referred to as -
ANSWER-brand equity.
You are called to treat a 7-year-old with a 3-day history of worsening respiratory
distress. The child responds only to pain. The heart rate is initially 45/min and
regular with poor capillary refill. You provide bag-mask ventilations (BMV) with
high-flow oxygen that produces good chest rise with full and clear bilateral breath
sounds. The heart rate rises in response to ventilation, but after you suction the
posterior pharynx, bradycardia recurs (40/min). Which of the following
interventions would be most appropriate for you to do first?