Test Bank for Primary Care A Collaborative Practice 17th Edition By Terry Mahan Buttaro

Test Bank for Primary Care: The Art and Science of A
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dvanced Practice Nursing and Interprofessional Ap n n n n n




proach 6th Edition M Dunphy n n n n




/ 9781719644655 / Chapter 1-
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88 ,All Chapters with Answers and Rationals .
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A 20 y/o female with asthma presents with symptoms requiring use of a
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lbuterol three times a week, but less than once a day. The next appropr
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iate medication to add to this patient's regimen is..... - ANS-
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nInhaled flunisolide (Aerobid) n n




A 55-year-
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old man with a *50 pack year history of smoking* cigarettes has recentl
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y experienced an episode of hemoptysis along with his usual cough. On
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physical examination he has no abnormal findings. A sputum for cytol
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ogy on microscopic examination shows atypical cells with hyperchro
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matic nuclei and orange- n n n


pink cytoplasm. Labortory studies show an *elevated serum calcium*
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of
11.3 mg/dL, with phosphorus 2.1 mg/dL. *Which chest radiographic fin
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ding is this man most likely to have?* - ANS-Large hilar mass
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During a cardiac arrest, a 58-year-old man, a non-
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smoker, receives cardiopulmonary resuscitative measures and is bro
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ught to the hospital, where he is intubated. *During the intubation proc
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edure he suffers aspiration of gastric contents.* Over the next 10 days
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he develops a non-
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productive cough along with a fever to 37.9°C. *A chest radiograph re
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veals a 4 cm diameter mass with an air-
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fluid level* in the right lung. A sputum gram stain reveals mixed flora.
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*Which condition is he most likely to have?* - ANS-Lung Abscess
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,A 66-year-
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old man has had increasing dyspnea for the past year. He is *retired fro
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m the construction business.* There are some rales auscultated in bo
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th lungs on physical examination. A chest radiograph reveals bilatera
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l diaphragmatic *pleural plaques* with focal calcification as well as di
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ffuse interstitial lung disease. A sputum cytology shows no atypical ce
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lls, only ferruginous bodies.
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Pulmonary function studies reveal a low FVC and a normal FEV1/FVC
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ratio. *These findings are most likely to suggest prior exposure to what
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environmental agent?* - ANS-Asbestos crystals
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A 44 y/o male with lung cancer presented with swelling of the neck an
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d right upper extremity. What is this called? - ANS-
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Superior Vena Cava Syndrome n n n




What type of pharmacological agent would be used as a first-
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line medication to treat obsessive compulsive disorder?
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A. risperidone
B. lonazepam
C. fluoxetine
D. trazadone
E. venlafaxine - ANS-fluoxetine n n




The risk of extrapyramidal side effects (pseudoparkinsonism) and ta
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rdive dyskinesia is associated with which class of medications? - ANS-
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typical (first-generation) antipsychotics
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A 24-year-old male has an eight-
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month history of loose thought associations, social withdrawal, audit
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ory hallucinations, and deterioration in his personal appearance and
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hygiene. Upon examination, he is noted to have a flat affect, perceptu
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al distortions, and behaves like he is detached from his own actions.
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,*Which of the following medications used in treatment of this disease h
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as the risk of prolonging the QTc interval?*
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Aripiprazole (Abilify) Chlorpr n n


omazine (Thorazine) n


Loxapine (Loxitane) Quetiapi
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ne (Seroquel)
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Ziprasidone (Geodon) - ANS-Chlorpromazine (Thorazine) n n n n




Which of the following psychiatric conditions has the highest mortality
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rate? - ANS-anorexia nervosan n n


(higher than any psych illness, including depression)
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A 24-year-
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old woman comes to your office complaining of anxiety. The patient h
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ad *witnessed a traumatic event 3 days earlier* that made her feel fear
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ful. She has not been able to tell her family about this experience. She n
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ow feels like she is numb and in a dazed, dreamlike state with poor con
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centration, and difficulty sleeping. n n n


She experienced a flashback of the event yesterday. *What is the m
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ost likely diagnosis?* - ANS-acute stress disorder
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*Mr. Smith leaves home and does not return* nor does he go to work. *
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A friend of Mr. Smith sees him in another state* while on vacation. Wh
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en he approaches Mr. Smith, he does not recognize him and has a total
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different demeanor. *What type of disorder does Mr. Smith have?* -
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ANS-dissociative fugue
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Which of the following indicates a poor prognosis for someone diagnos
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ed with schizophrenia?
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A. acute onset n


B. co-morbid mood disorder n n


C. obvious precipitating event n n

, D. younger age at diagnosis - ANS-younger age at diagnosis n n n n n n n n




A 16-year-
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old Caucasian female is brought to your family practice office by her
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mother because she has been missing school and her mother is conce
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rned. The patient has symptoms consistent with mild to moderate de
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pression. *She has a history of menstrual migraines* and now has vagu
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e constitutional symptoms all the time and doesn't want to get out of b
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ed in the morning. The patient confesses that over the past month she
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has felt that she is not important to anyone and wonders if the world wil
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l be better off without her. *Of the following, which is your greatest con
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cern when considering prescribing her a selective serotonin reuptake i
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nhibitor (SSRI)?* n




- compliance to the medication regime n n n n


- increased risk of suicide as detailed in black box warnings n n n n n n n n n


- nausea-related side effects as you titrate upwards n n n n n n


- risk of pregnancy when taking psychiatric medications
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- risk of serotonin syndrome, should you need to prescribe a tr -
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ANS-
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risk of serotonin syndrome, should you need to prescribe a triptan
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for her migraines n n




A 37-year-
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old woman under your care is diagnosed with bipolar I disorder. As pa
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rt of her drug regimen, you prescribe lithium carbonate as long-
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term maintenance therapy. *What lab would be most appropriate to o
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rder prior to the initiation of lithium carbonate?* - ANS-
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serum creatinine n




A *68-year-
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old* man is recently *diagnosed with depression* associated with th
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e loss of his close sister to an automobile accident. He is currently taki
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ng oxybutynin for *overactive bladder disease* and lisinopril for hyper
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tension. He has no known drug n n n n n