Graded A
A 65-year-old woman presents for a follow-up examination after a new patient visit. She has not
seen a healthcare provider for several years. She is a smoker and her hypertension is now
adequately controlled with medication. Her mother died at age 40 from a heart attack. The
fasting lipid profile shows cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to
starting Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin. ✔✔A statin drug
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
1.
,azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan). ✔✔ibuprofen (advil)
The most common sign of cervical cancer is:
1.
postcoital bleeding.
2.
strong odor from vaginal discharge.
3.
itching in the vaginal area.
4.
molluscum contagiosum. ✔✔postcoital bleeding
,The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain
secondary to diabetes mellitus. On follow-up, the patient complains of urine retention and dry
mouth. The practitioner would:
1.
discontinue amitriptyline and begin ibuprofen (Motrin).
2.
refer to physical therapy.
3.
start methocarbamol (Robaxin).
4.
discontinue amitriptyline and begin gabapentin (Neurontin). ✔✔discontinue amitriptyline and
begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole
(Prilosec). The patient complains of headache, abdominal pain, and gas. These symptoms are
most likely:
, 1.
associated with the omeprazole.
2.
related to the underlying condition.
3.
the result of the NSAID.
4.
caused by viral gastroenteritis. ✔✔associated with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
1.
acetaminophen.
2.
prednisone.
3.
aspirin.
4.