Questions and answers verified graded A+
A patient with Parkinson's disease (PD) has been taking carbidopa-levodopa (Sinemet) with good results
but develops increased dyskinesia. Which drug will be added to this patient's regimen to help control
this symptom?
a. Amantadine
b. Benztropine
c. Ropinirole
d. Tolcapone
a. Amantadine
,All of the following are common symptoms seen in patients with Parkinson's disease except:
a. Bradykinesia
b. Festination
c. Hyperphonia
d. Rigidity
e. Symmetric tremor
c. Hyperphonia
Which drug is used to treat patients with focal epilepsy and complex partial seizures?
a. Carbamazepine
b. Ethosuximide
c. Lamotrigine
d. Topiramate
a. Carbamazepine
A patient develops a gait disorder and the patient's spouse reports noticing recent personality changes.
The provider suspects a brain lesion. Which evaluation is especially important in the initial physical
examination?
a. Assessment of peripheral reflexes
b. Evaluation of speech
c. Examination of the optic fundi
d. Testing for memory loss
c. Examination of the optic fundi
,A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is effective
for a majority of patients with cluster headaches?
a. Lithium
b. NSAIDs
c. Oxygen
d. Verapamil
C. Oxygen
A patient reports recurrent headaches occurring 1 or 2 times per month that generally occur with
weather changes or when sleep patterns are disrupted and describes them as severe, with throbbing on
one side of the head and sometimes accompanied by nausea. What is the recommended treatment for
this type of headache?
a. Gabapentin
b. Propranolol
c. Rizatriptan
d. Topiramate
c. Rizatriptan
Which medication is NOT useful in treating tension-type headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
, d. NSAIDse. Oxygen
b. Lithium
A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days each about 2
months apart. Which diagnostic testing will the provider order initially?
a. Lumbar puncture
b. Magnetic resonance imaging
c. Optical Coherence Tomography
d. Visual evoked potential
b. Magnetic resonance imaging
A toddler has begun hitting and biting other children at a day care center and is exhibiting temper
tantrums and bad language at home. The parent reports that these behaviors began shortly after a
sibling was born. What will the primary care pediatric nurse practitioner do?
A. Advise the parent that the child is exhibiting early symptoms of ADHD.
B. Engage the parent in positive parenting strategies to facilitate appropriate child coping.
C. Recommend evaluating the child for conduct or oppositional defiant disorder.
D. Suggest putting the child in another day care center to ameliorate the problems
B. Engage the parent in positive parenting strategies to facilitate appropriate child coping.
A 14yearold female comes to the clinic with amenorrhea for 3 months. A pregnancy test is negative. The
adolescent's body weight is at 82% of expected for height and age. The mother reports that her
daughter often throws up and refuses to eat most foods. Which condition does the primary care
pediatric nurse practitioner suspect?