questions with answers |\ |\
A 52-year-old obese man with type 2 diabetes reports dozing off
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while driving, watching TV, or reading, with increased apathy and
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fatigue. The PMHNP ordered a sleep study, which revealed 10
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episodes of apnea lasting 15 to 20 seconds each per hour of
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sleep. Based on these findings, what should the PMHNP prescribe
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for his condition?
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-Referral to otolaryngology for rhinoplasty
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-Antidepressant medications |\
-Referral to otolaryngology for uvuloplasty
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-Continuous positive airway pressure - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\
✔✔Continuous positive airway pressure |\ |\ |\
Which of the following is an indication for monitoring of serum
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drug levels? |\
-Smoking cessation |\
-New diagnosis of hyperlipidemia
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-Resolution of symptoms |\ |\
-New diagnosis of diabetes - CORRECT ANSWERS ✔✔Smoking
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cessation
,Your client Jamie asks you about a mole of her forearm. You refer
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her to dermatology. As an APRN, you recognize that cancerous
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moles can be detected on exam. Which of the following would
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not be of concern?
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-A mole that is not elevated
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-All of the above
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-A dark mole
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-A mole that is 5 mm in size - CORRECT ANSWERS ✔✔All of the
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above
Recall the ABCDE acronym. Concerning moles are asymmetric,
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have irregular borders, have color variation, a diameter > 6mm
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and elevated moles.
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A 42-year-old female recalls a brief episode of chest tightness
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with no radiation or chest wall injury during her new taekwondo
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martial arts class. This pain subsided during "the cool down
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period" of her class. Which of the following is most likely given
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her presentation?
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-Pericarditis
-Acute myocardial infarction |\ |\
-Hiatal hernia |\
-Angina pectoris - CORRECT ANSWERS ✔✔Angina pectoris
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,Chest pain with activity and relieved at rest in a middle-aged
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adult should prompt concern for myocardial ischemia. Although
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acute myocardial infarction is a possibility, it is less likely given
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the scenario mentioned above.
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Gloria is a 68-year-old female with a chronic history of severe
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anxiety disorder presents with mild shortness of breath, fine
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crackles in the right lower lobe with auscultation and a
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nonproductive cough. She recently "ran out of pills". Which |\ |\ |\ |\ |\ |\ |\ |\ |\
medication omission most likely lead to her current presenting
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symptoms?
-Metoprolol
-Lorazepam
-Furosemide
-Metformin - CORRECT ANSWERS ✔✔Furosemide|\ |\ |\ |\
Furosemide or Lasix is a diuretic utilized in the management of
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heart failure. Although anxiety can produce shortness of breath,
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one would not expect fine crackles on exam unless additional
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comorbidity exists. |\
The S2 heart sound is a result of what?
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-Closure of the semilunar valves
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-Opening of the semilunar valves
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-Closure of the atrioventricular valves
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, -Opening of the atrioventricular valves - CORRECT ANSWERS
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✔✔Closure of the semilunar valves |\ |\ |\ |\
The closure of the semilunar valves results in the second heart
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sound. The semilunar valves are the aortic and pulmonary
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valves.
A systematic inquiry that elaborates on the chief complaint while
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eliciting pertinent positive and pertinent negative factors from
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the history is known as:
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-Diagnostic formulation |\
-The mental status exam
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-Physical exam |\
-Review of systems - CORRECT ANSWERS ✔✔Review of systems
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A 21-year-old man had his first drink at his birthday party with
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friends last night. He presented the following morning to the
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emergency department with psychomotor agitation, cognitive
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impairment, depressed mood, flat affect, and anhedonia. His|\ |\ |\ |\ |\ |\ |\ |\
heart rate is 110, his blood pressure is 90/60, and he complains
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of abdominal pain. He received 2 L of normal saline IV and is
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referred to psychiatry for evaluation of mood disorder. Which of
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the following tests should the consulting PMHNP order given
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these symptoms? |\
-Urinalysis
-Acetaminophen level |\