NR 511 WEEK 6 QUESTIONS WITH ACCURATE ANSWERS
.As a general rule, when treating hypothermia, at what rate do you want to warm
the patient's temperature?
1-2oC an hour.
0-1oC an hour.
0.5oC an hour.
2-3oC an hour. correct answer 1-2 DEGREES AN HOUR
35-year-old female presents to your primary care office for review of her
laboratory results. Her physical exam shows a blood pressure (BP) have 140/90,
pulse (P) of 105, oxygen saturation of 97%, and temperature of 98.6o F. She has
complaints of palpitations, weight loss, hair loss, and anxiety. Her labs are all
normal except for a low thyroid stimulating hormone (TSH) and an elevated
thyroxine (T4). what would be your next course of treatment be?
Start metoprolol and propylthiouracil (PTU).
Refer the patient to psychiatry for treatment of anorexia.
Refer the patient for radioactive iodine treatment.
Refer the patient for thyroidectomy. correct answer Start metoprolol and
propylthiouracil (PTU).
A 5-year-old male presents to your urgent care clinic with his mother. The patient
was sent home from school for eye redness. He has bilateral erythema of his
conjunctivae and watery discharge. He complains of pruritis of both eyes. the
patient also has clear drainage from his nose and a sore throat. On physical exam
of his throat, you notice your erythema of his tonsils but no exudates. What is the
most likely cause of the patient symptoms?
,Adenovirus.
rhinovirus.
Streptococcus pneumoniae.
Moraxella catarrhalis. correct answer adenovirus
A 10-year-old female presents to your urgent care center with her mother
complaining of your pain. The patient spends most of her summer at the local
swim club. She notes right ear pain. She has no fever. She awoke today with green
drainage on her pillow. On physical exam, the patient has pain with palpitation of
the affected ear, and you cannot visualize the tympanic membrane. What is the
most likely diagnosis?
a. Otitis externa.
b. Otitis media
.c. Ruptured tympanic membrane.
d. Acute mastoiditis. correct answer otitis externa
A 15-year-old female presents to your urgent care center complaining of a sore
throat for three days. Her vital signs are as follows: temperature 102.1oF, pulse
(P) 70, blood pressure (BP) 130/85, oxygen saturation 97%. The patient denies
cough. On physical exam, she has pearly white exudates on the tonsils, erythema
of the throat, and palpable anterior cervical chain lymph adenopathy. What is the
recommended treatment?
Starting the patient on antibiotics.
Starting the patient on prednisone.
,Awaiting culture results prior to treatment.
Recommending supportive treatment. correct answer start abx
A 20-year-old female presents to your urgent care clinic complaining of a cat bite.
The patient recently adopted a cat. she was playing with the cat yesterday when
the cat bit are on the arm. What antibiotics should be prescribed to prevent
infection?
Augmentin.
Amoxicillin.
Bactrim.
No antibiotic is necessary. correct answer augmentin
A 20-year-old male presents to your urgent care center complaining of headaches
for 2 weeks. The patient's headaches are intermittent but severe and last 15 to 30
minutes. He has had 3 to 4 severe headaches in the past 2 weeks. He denies it
past medical history and has had no recent trauma. The patient's physical exam
shows right sided rhinorrhea, conjunctivitis, and facial swelling. What is the likely
cause of the patient symptoms?
Brain tumor.
Cluster headaches.
Migraine headaches.
Sinus infection. correct answer cluster headache
A 25-year-old construction worker comes into the Emergency Department after a
third story fall at his construction site. The patient's main complaint is bilateral
, heel pain. The patient's x-rays confirmed bilateral calcaneal fractures. Based on
the patient's mechanism of injury what other part of the body should you x-ray?
Lumbar spine.
Bilateral shoulders.
Ribs.
Bilateral wrists. correct answer lumbar spine
A 35-year-old male presents to your office complaining of fatigue, weight loss,
nausea, and abdominal pain. On physical exam, you notice he has an ortho static
hypotension and hyperpigmented skin. You do a morning cortisol level, which is
low. The plasma adrenocorticotropic hormone (ACTH) is elevated. how would you
treat this patient?
Oral prednisone.
hydrocortisone.
Androgen replacement.
Fludrocortisone. correct answer hydrocortisone
A 50-year-old female diabetic patient presents to your urgent care center
complaining of chest discomfort. Which of the following symptoms would lead
you to believe her chest pain is related to gastroesophageal reflux rather than a
cardiac etiology?
Chest pain radiates into the jaw and left arm.
Chest pain is worse with walking.
Chest pain started while eating spicy food.
.As a general rule, when treating hypothermia, at what rate do you want to warm
the patient's temperature?
1-2oC an hour.
0-1oC an hour.
0.5oC an hour.
2-3oC an hour. correct answer 1-2 DEGREES AN HOUR
35-year-old female presents to your primary care office for review of her
laboratory results. Her physical exam shows a blood pressure (BP) have 140/90,
pulse (P) of 105, oxygen saturation of 97%, and temperature of 98.6o F. She has
complaints of palpitations, weight loss, hair loss, and anxiety. Her labs are all
normal except for a low thyroid stimulating hormone (TSH) and an elevated
thyroxine (T4). what would be your next course of treatment be?
Start metoprolol and propylthiouracil (PTU).
Refer the patient to psychiatry for treatment of anorexia.
Refer the patient for radioactive iodine treatment.
Refer the patient for thyroidectomy. correct answer Start metoprolol and
propylthiouracil (PTU).
A 5-year-old male presents to your urgent care clinic with his mother. The patient
was sent home from school for eye redness. He has bilateral erythema of his
conjunctivae and watery discharge. He complains of pruritis of both eyes. the
patient also has clear drainage from his nose and a sore throat. On physical exam
of his throat, you notice your erythema of his tonsils but no exudates. What is the
most likely cause of the patient symptoms?
,Adenovirus.
rhinovirus.
Streptococcus pneumoniae.
Moraxella catarrhalis. correct answer adenovirus
A 10-year-old female presents to your urgent care center with her mother
complaining of your pain. The patient spends most of her summer at the local
swim club. She notes right ear pain. She has no fever. She awoke today with green
drainage on her pillow. On physical exam, the patient has pain with palpitation of
the affected ear, and you cannot visualize the tympanic membrane. What is the
most likely diagnosis?
a. Otitis externa.
b. Otitis media
.c. Ruptured tympanic membrane.
d. Acute mastoiditis. correct answer otitis externa
A 15-year-old female presents to your urgent care center complaining of a sore
throat for three days. Her vital signs are as follows: temperature 102.1oF, pulse
(P) 70, blood pressure (BP) 130/85, oxygen saturation 97%. The patient denies
cough. On physical exam, she has pearly white exudates on the tonsils, erythema
of the throat, and palpable anterior cervical chain lymph adenopathy. What is the
recommended treatment?
Starting the patient on antibiotics.
Starting the patient on prednisone.
,Awaiting culture results prior to treatment.
Recommending supportive treatment. correct answer start abx
A 20-year-old female presents to your urgent care clinic complaining of a cat bite.
The patient recently adopted a cat. she was playing with the cat yesterday when
the cat bit are on the arm. What antibiotics should be prescribed to prevent
infection?
Augmentin.
Amoxicillin.
Bactrim.
No antibiotic is necessary. correct answer augmentin
A 20-year-old male presents to your urgent care center complaining of headaches
for 2 weeks. The patient's headaches are intermittent but severe and last 15 to 30
minutes. He has had 3 to 4 severe headaches in the past 2 weeks. He denies it
past medical history and has had no recent trauma. The patient's physical exam
shows right sided rhinorrhea, conjunctivitis, and facial swelling. What is the likely
cause of the patient symptoms?
Brain tumor.
Cluster headaches.
Migraine headaches.
Sinus infection. correct answer cluster headache
A 25-year-old construction worker comes into the Emergency Department after a
third story fall at his construction site. The patient's main complaint is bilateral
, heel pain. The patient's x-rays confirmed bilateral calcaneal fractures. Based on
the patient's mechanism of injury what other part of the body should you x-ray?
Lumbar spine.
Bilateral shoulders.
Ribs.
Bilateral wrists. correct answer lumbar spine
A 35-year-old male presents to your office complaining of fatigue, weight loss,
nausea, and abdominal pain. On physical exam, you notice he has an ortho static
hypotension and hyperpigmented skin. You do a morning cortisol level, which is
low. The plasma adrenocorticotropic hormone (ACTH) is elevated. how would you
treat this patient?
Oral prednisone.
hydrocortisone.
Androgen replacement.
Fludrocortisone. correct answer hydrocortisone
A 50-year-old female diabetic patient presents to your urgent care center
complaining of chest discomfort. Which of the following symptoms would lead
you to believe her chest pain is related to gastroesophageal reflux rather than a
cardiac etiology?
Chest pain radiates into the jaw and left arm.
Chest pain is worse with walking.
Chest pain started while eating spicy food.
