nsg 6420 midterm quiz 3
1. Pelvic inflammatory disease, ectopic pregnancy and gastroenteritis are differentials for what
diagnosis
- I picked diverticulitis
2. Tx for infectious diarrhea
- Flagyl
3. You would perform rhinomanometry for what reason
- To identify an obstruction in nasal passage
4. PT has itchy watery eyes eczema and nasal drainage, what result would support allergic rhinitis
- IGE >100 in child PMH
- Nasal mechanical obstruction
- Neutrophil >100
5. What lab values would support diagnosis of copd
- Hgb & hct elevated
6. Nasal polyp looks suspicious what is the next step in diagnosis
- Biopsy
- Nasal smear for eosinophil
7. What medication causes GI BLEEDING potentially
- Acyclytic acid (however you spell that lol asa)
8. TX for acute bronchitis
- Antibiotics
- Fluids and rest
9. Cough lasting 6 week is classified as
- Acute
- Subacute
- Intermittent
- Chronic
10. Curb score of 1 would indicate the need to treat the patient
- Outpatient
11. NHLBI tx most effective to reduce ascvd score
- STATINS
12. What food is high in folate
- I picked spinach but had chicken breast and some other ones
13. What s/s is atypical for GERD
- Insomnia
- Fever
- Loss of tooth enamel
- JAW PAIN
14. Which would indicate a complication of GERD
- Dysphagia
15. Who managed anemia once the diagnosis is made and treatment started in the patient long
term
, - General practitioner
- Hematologist
16. Allergy to eggs which vaccine do you pick
- Recombinant
- Quadrivalent
17. Which ones of these does not have otitis in the primary diagnosis
- Mumps
- Chronic otitis externa
- Dental abscess
18. Patient is c/o supra pubic pain, what organ would you think is the cause
- I picked bladder
19. Centor criteria
- Person has a sore throat and you are determining whether they should be swabbed
20. COPD with FEV1 OF 40% WHAT STAGE IS THIS
- Stage 3
21. Anemia will have what lab values
- Low hct/hgb
22. What would warrant a colonoscopy in a 38 year old with asymptomatic anemia
- GI malignancy
- B12 deficiency
- Folate deficiency
23. Person is pale, cool extremities and numbness what is the likely diagnosis
- I picked anemia
24. CAGE criteria is for
- Alcohol abuse
25. Which of these would warrant an urgent referral to ER
- Corneal ptygerium
- Blepharitis
- Episcleritis
- Gonorrhea
26. Complicated diverticulitis should be treated how
- I picked ER with gi consult
- The other answers didn’t make sense bc they were about lifestyle changes
27. BP 138/86 in woman age 60. What is your plan of care
- I picked DASH diet
- Hctx 12.5mg
28. Patient given hctz exercise and diet instruction, when should f/u be
- 3 weeks
- 6 weeks
- 12 weeks
29. Difference between acute and chronic bronchitis
- I picked the one about sputum productive and cough lasting 3 months multiple times a year
Meds for certain conditions
, Herpes simplex tx
Halpike test what is it for
Metabolic syndrome risk factors
Prostatis staging and treatment
Athma tx for st 1 persistent asthma
Pt is at risk for vit def when on this medication -anticonvulsants
Testicular torsion tx non traumatic (surgery??)
Test for dm- cmp (has glucose level)
Shillings test for vit b def
Thalasemmeia risk factor -genetic
Pernicious anemia dx and treatment
2
Question 1.
1. Your patient has been using chewing tobacco for 10 years. On physical examination, you
observe a white ulceration surrounded by
erythematous base on the side of his tongue. The clinician should recognize that very often this
is: (Points : 2)
Malignant melanoma
X Squamous cell carcinoma
Aphthous ulceration
Behcet’s syndrome
Question 2.
2. Which of the following would be considered a “red flag” that requires more investigation in a
patient assessment? (Points : 2)
Colon cancer in family member at age 70
Breast cancer in family member at age 75
X Myocardial infarction in family member at age 35
All of the above
Question 3.
3. The pathophysiological hallmark of ACD is: (Points : 2)
Depleted iron stores
X Impaired ability to use iron stores
Chronic uncorrectable bleeding
Reduced intestinal absorption of iron
Question 4.
4. It is important to not dilate the eye if ____ is suspected. (Points : 2)
Cataract
Macular degeneration