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plained 100%Correct/Verified New Update 2022/2023 Gr
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aded A+ b b
Typed Pre-Predictor b
A 15 years old high school student with a mild sore throat and low-
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grade fever that has persisted for about 3 weeks. She reports general malaise, fatig
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ue, and loss of appetite. The NPsuspects mononucleosis. Which of the following is
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the LEAST appropriate intervention?
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a. Palpate the lymph nodes and spleen b b b b b
b. Examine the posterior oropharynx for petechiae b b b b b
c. Obtain a CBC, throat culture, and heterophil antibo
b b b b b b b
dy test.d.
b b
Obtain an urinalyses and serum for LFTs and amyla
b b b b b b b b
se
Explanation: mononucleosis is a symptomatic infection caused by the Epstein-
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Bar virus. Common is people 15-
b b b b b
24 years of age. Common signs and symptoms following incubation period (1-
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2 months) include fatigue, chills, malaise, anorexia, white tonsillar exudates and lym
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phadenopathy or posterior cervical region. Splenomegaly can be present. A maculop
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apular oroccasionally a petechial rash occurs in less than 15% of patients. A diagnosi
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s is usually made using the Monospot. In addition, neutropenia and lymphocytosis ar
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e usually detected in the CBC.
b b b b b
A 32 years old male patient complaint of urinary frequency and burning on urin
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ation for 3days. Urinalyses reveals bacteriuria and positive nitrites. He denies any p
b b b b b b b b b b b b b
NSG 6440 Predictor test Exam Questions and Answers Ex
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plained 100%Correct/Verified New Update 2022/2023 Gr
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aded A+ b b
,NSG 6440 Predictor test Exam Questions and Answers Ex
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plained 100%Correct/Verified New Update 2022/2023 Gr
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aded A+ b b
ast hx. Of urinary tractinfections. The initial treatment should be:
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a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day b b b b b
b. ciprofloxacin (Cipro) for 3-5 days b b b b
c. Trimethoprim-Sulfamethoxazole for 3 days b b b
d. 750 mg ciprofloxacin as a one-time dose
b b b b b b
Explanation: trimethoprim- b
sulfamethoxazole (TMPS) is usually n appropriate medication totreat urinary tract in
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fections in most patients. In the case of community resistance to TMPS
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>20%^, another medication should be substituted. In men, the appropriate length of
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time is 7-10days. Women may be treated for 3 days for uncomplicated UTI
b b b b b b b b b b b b b
Which agent is most effective for the treatment of nodulocystic acne?
b b b b b b b b b b
a. Benzoyl peroxide (Benzac) b b
b. Retinoic acid (Retin A) b b b
c. Topical tetracycli b
ned. Isotretinoin)
b
Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment wit
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h severe inflammatory acne. Guidelines for its use must be clearly understood by the
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patient. A woman ofchildbearing age must use an effective method of contraception
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because isotretinoin is teratogenic. There are many restrictions in prescribing this me
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dication because of the teratogeniceffects is given during pregnancy. Therefore, it is
b b b b b b b b b b b b b
NSG 6440 Predictor test Exam Questions and Answers Ex
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plained 100%Correct/Verified New Update 2022/2023 Gr
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aded A+ b b
,NSG 6440 Predictor test Exam Questions and Answers Ex
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plained 100%Correct/Verified New Update 2022/2023 Gr
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aded A+ b b
a pregnancy category X.
b b b
An 18 y/o woman is taking a combined hormonal oral contraceptive. She
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should beinstructed to use a backup method for the prevention of pregnancy
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a. Throughout the week of placebo pills b b b b b
b. If prescribed topiramate (Topamax) for the treatment of migraines.
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NSG 6440 Predictor test Exam Questions and Answers Ex
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plained 100%Correct/Verified New Update 2022/2023 Gr
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aded A+ b b
, NSG 6440 Predictor test Exam Questions and Answers Ex
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plained 100%Correct/Verified New Update 2022/2023 Gr
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aded A+ b b
c. If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
b b b b b b b
d. if she forgets to take a single dose of the contraceptive
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Explanation: Anticonvulsant including phenytoin (Dilantin), carbamazepine (Tegre
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tol), primidone (Mysoline), topiramate (Topamax) and oxcarbazepine (Trileptal) red
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uce the effectiveness of contraceptives. Depo-
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medroxyprogesterone acetate injections or levonorgestrel- b b b b
releasing intrauterine devices would be a better method of contraceptive for patients t
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aking anticonvulsants. Most commonly used antibiotics have not been proven to redu
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ce the effectiveness of contraceptives. Rifampin is an exception, and additional …. B
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e used by womentaking this drug and using oral contraceptives, transdermal, or vagin
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al ring preparations.
b b
Additional backup contraception should be used if taking antifungal agents. No addi
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tional protection is needed thought the week of placebo pills. Missing one single dos
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e of contraceptivedoes not require additional protection, missing more than one dose
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s does.
b
A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/
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dl (6.5 mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), a
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nd triglycerides= 344 mg/dL (8.94 mmol/L). What agent have the greatest effect on i
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mproving her lipid profile andreducing morbidity and mortality associates with dysli
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pidemia?
a.
Niacin (Niaspa b
NSG 6440 Predictor test Exam Questions and Answers Ex
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plained 100%Correct/Verified New Update 2022/2023 Gr
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aded A+ b b