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Nurs6531 Final Exam Aug2020 (updated)questions and answers.

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Which of the following is a potential acquired cause of thrombophilia Homocysteinuria Protein C deficiency Factor V Leiden Antiphospholipid antibodies Question 3 Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: Ulnar tunnel syndrome Carpal tunnel syndrome Tarsal tunnel syndrome Myofascial pain syndrome 00:28 01:35 Question 4 Which patient would benefit most from screening for type 2 diabetes? A 30 year old female with unintended weight loss. A 25 year old male with family history of type 1 diabetes An obese female with recurrent vaginitis A 50 year old hyperlipidemic male Question 5 A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis? Rheumatoid arthritis (RA) Osteoarthritis (OA) Lupus Peripheral neuropathy Question 6 A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be: Trimethoprim-sulfamethoxazole for 3 days Ciprofloxacin for 7-10 days Trimethoprim-sulfamethoxazole for 14 days Ciprofloxacin for 3 days A thymectomy is usually recommended in the early treatment of which disease? Parkinson's disease Multiple sclerosis Myasthenia gravis Huntington's chorea Question 8 The diagnosis of human papilloma virus (HPV) infection in males is usually made by Clinical appearance Viral culture Tzanck smear KOH prep Question 9 The most effective intervention(s) to prevent stroke is (are): 81 mg of aspirin daily Carotid endarterectomy for patients with high-grade carotid lesions Routine screening for carotid artery stenosis with auscultation for bruits Smoking cessation and treatment of hypertension Question 10 What is the most common cause of Cushing's syndrome? Excessive ACTH production Administration of a glucocorticoid or ACTH Pituitary adenoma or a non-pituitary ACTH-producing tumor Autonomous cortisol production from adrenal tissue Question 11 Diagnostic radiological studies are indicated for low back pain: Routinely after 3 weeks of low back pain symptoms. To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back pain. When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection. As a part of a pre-employment physical when heavy lifting is included in the job description. Question 12 After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured? An enzyme-linked immunosorbent assay titer A urea breath test A rapid urease test A repeat endoscopy Question 13 Which appropriate test for the initial assessment of Alzheimer's disease provides the performance ratings on 10 complex, higher order activities? MMSE CAGE questionnaire FAQ - Functional Activities Questionnaire Holmes and Rahe social readjustment scale

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Nurs6531 Final Exam Aug2020
Question 2. Which of the following is a potential acquired cause of thrombophilia -
Answer Homocysteinuria
Protein C deficiency
Factor V Leiden
Antiphospholipid antibodies

Question 3
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: - Answer Ulnar
tunnel syndrome
Carpal tunnel syndrome
Tarsal tunnel syndrome
Myofascial pain syndrome

Question 4
Which patient would benefit most from screening for type 2 diabetes? - Answer A 30
year old female with unintended weight loss.
A 25 year old male with family history of type 1 diabetes
An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male

Question 5
A 72 year old female patient reports a 6 month history of gradually progressive swollen
and painful distal interphalangeal (DIP) joints of one hand. She has no systemic
symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA),
and rheumatoid factor (RF) are all minimally elevated. What is the most likely
diagnosis? - Answer Rheumatoid arthritis (RA)
Osteoarthritis (OA)
Lupus
Peripheral neuropathy

Question 6
A 32 year old male patient complains of urinary frequency and burning on urination for 3
days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection.
The initial treatment should be: - Answer Trimethoprim-sulfamethoxazole for 3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days

A thymectomy is usually recommended in the early treatment of which disease? -
Answer Parkinson's disease
Multiple sclerosis
Myasthenia gravis
Huntington's chorea

Question 8

,Nurs6531 Final Exam Aug2020
The diagnosis of human papilloma virus (HPV) infection in males is usually made by -
Answer Clinical appearance
Viral culture
Tzanck smear
KOH prep

Question 9
The most effective intervention(s) to prevent stroke is (are): - Answer 81 mg of aspirin
daily
Carotid endarterectomy for patients with high-grade carotid lesions
Routine screening for carotid artery stenosis with auscultation for bruits
Smoking cessation and treatment of hypertension

Question 10
What is the most common cause of Cushing's syndrome? - Answer Excessive ACTH
production
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH-producing tumor
Autonomous cortisol production from adrenal tissue

Question 11
Diagnostic radiological studies are indicated for low back pain: - Answer Routinely after
3 weeks of low back pain symptoms.
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of
more of low back pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or
infection.
As a part of a pre-employment physical when heavy lifting is included in the job
description.

Question 12
After treating a patient for Helicobacter pylori infection, what test do you order to see if it
has been cured? - Answer An enzyme-linked immunosorbent assay titer
A urea breath test
A rapid urease test
A repeat endoscopy

Question 13
Which appropriate test for the initial assessment of Alzheimer's disease provides the
performance ratings on 10 complex, higher order activities? - Answer MMSE
CAGE questionnaire
FAQ - Functional Activities Questionnaire
Holmes and Rahe social readjustment scale

Question 14

, Nurs6531 Final Exam Aug2020
Major depression occurs most often in which of the following conditions? - Answer A.
Myocardial infarction
Parkinson's disease
Stroke
Alzheimer's disease

Question 15
Which of the following statements about multiple sclerosis (MS) is correct? - Answer MS
is a chronic, untreatable illness that is almost always fatal.
MS is a disease of steadily progressive and unrelenting neurologic deterioration.
MS is a chronic, treatable illness with unknown cause and a variable course.
Patients with MS who take active steps to improve their health have the best cure rate.

Question 16
Diagnostic evaluation of hypothyroidism reveals: - Answer Elevated TSH and decreased
T4
Decreased TSH and increased T4
Decreased TSH and decreased T3
Elevated TSH and increased T4

Question 17
Risk factors for prostate cancer include all of the following except: - Answer Family
history
Benign prostatic hypertrophy
African American race
Age

Question 18
What information should patients with diabetes and their families receive about
hypoglycemia? - Answer Hypoglycemia is a rare complication.
Hypoglycemia requires professional medical treatment.
Hypoglycemia is serious, dangerous, and can be fatal if not treated quickly.
Hypoglycemia occurs only as a result of insulin overdose.

Question 19
Which history is commonly found in a patient with glomerulonephritis? - Answer Beta-
hemolytic strep infection
Frequent urinary tract infections
Kidney stones
Hypotension

Question 20
Which of the following is characteristic of a manic episode? - Answer weight loss of gain
insomnia or hypersomnia
diminished ability to think or concentrate
grandiose delusions

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