NRNP_6531_KC1.QUESTION AND ANSWERS

1. The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following? Answer s: Fever history Tender, swollen anterior cervical lymph nodes Positive rapid antigen detection test A and B only A, B, and C 1. Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is: Answer s: a. Sex hormones b. Trauma or inflammation c. A dietary change d. Scurvy 2. A 16 year old basketball player complains of itching in the crural folds, buttocks, and upper thighs. The lesions are well demarcated and are half-moon shaped. The area is red, irritated, and there are small breaks in the skin from scratching. What is this patient’s diagnosis and how should it be treated? Answer s: a. Tinea cruris; treat with a topical antifungal cream b. Eczema; treat with a topical steroid c. Scabies; treat with permethrin cream d. Syphilis; treat with penicillin 3. Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order? Answer s: a. Aspirin b. NSAIDs c. Opioids d. Antihistami nes 4. If a patient presents with a deep aching, red eye and there is no discharge, you should suspect: Answer s: a. Iritis b. Allergic conjunctivitis c. Viral conjunctivitis d. Bacterial conjunctivitis 5. Which of the following statements about malignant melanomas is true? Answer s: a. They usually occur in older adult males b. The patient has no family history of melanoma c. They are common in blacks d.The prognosis is directly related to the thickness of the lesion 6. Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you when she can go back to work. What do you tell her? Answer s: a. Once all the vesicles are crusted over b. When the rash is entirely gone c. Once you have been on medication for at least 48 hours d. Now, as long as you stay away from children and pregnant women 7. What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare? Answer s: a. You must initiate the plan of care for the patient b. The physician must be on-site and engaged in patient care c. You must be employed as an independent contractor d. You must be the main health care provider who sees the patient 8. A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: Answer s: a. “It is the most common cause of death in patients with skin cancer.” b. “It can be cured with surgical excision or radiation therapy.” c. “It is a slow growing skin cancer that rarely undergoes malignant changes.” d. “It can be cured using 5-flurouracil cream twice daily for 2 to 4 weeks.” 9. Medicare is a federal program administered by the Centers for Medicare and Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and Management coding, which all providers are expected to follow when coding patient visits for reimbursement. Which of the