MSN 5410 ADVANCED PRIMARY CARE.

MSN 5410 ADVANCED PRIMARY CARE.Question 1 Which of the following lab values will most likely confirm a diagnosis of hyperthyroidism? Select one: a. Low TSH, increased free T3, normal free T4 b. Eevated TSH, normal free T3, normal free T4 c. Normal TSH, increased free T3, increased free T4 d. Low TSH, low free T3, low free T4 Feedback A diagnosis of hyperthyroidism can usually be determined with lab values indicating subnormal TSH, elevated values of either free T3 or free T4. Lab findings indicating elevated TSH and subnormal T4 values typically indicate hypothyroidism. Cases in which free T3 is elevated may indicate T3 thyrotoxicosis if TSH is subnormal; however if TSH is normal then elevated T3 could be a result of other conditions such as pregnancy or liver disease, among others The correct answer is: Low TSH, increased free T3, normal free T4 Question 2 The clinician is seeing a patient complaining of red eye. The clinician suspects conjunctivitis. The presence of mucopurulent discharge suggests which type of conjunctivitis? Select one: a. Keratoconjunctivitis b. Bacterial conjunctivitis x c. Allergic conjunctivitis d. Viral conjunctivitis Feedback The correct answer is: Bacterial conjunctivitis Question 3 Select the BEST therapy to cover Beta-Lactam production in cleints with C.A.P. Pneumoniae ? Select one: a. Piperacillin/Tazobactam x b. Omnicef/Tequin c. Bactrim/Augmentin d. Cipro/Macrobid Feedback The correct answer is: Piperacillin/Tazobactam Question 4 Of the following, the most "worrisome" daily headache sign/symptom, indicating possible underlying pathology is: Select one: a. Chronic, stable pattern b. Age younger than 40 years c. Gradual decrease in severity d. Presence of neurological changes associated with headache x Feedback The correct answer is: Presence of neurological changes associated with headache Question 5 A client presents in the clinical with tearing chest pain that radiates to the left scapular area in the back . The pain just started and is progressing in intensity. Select the MOST APPROPRIATE action by the Nurse Practitioner ? Select one: a. Call 9.1.1. x b. Order a chest x-ray c. Order Nexium d. Order a C.T scan of the chest Feedback The correct answer is: Call 9.1.1. -Question 6 Post coronary stenting, which medications might be used to prevent in-stent occlusion ? Select one: a. Berlinta, Plavix, and Effient b. Eliquis, Prodaxa, and Warfarin