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MPJE Pharmacology Clear and Simple Comprehensive Pharmacology and ... Pharma
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1. Your 18-year-old patient has recently glomerulonephritis
been diagnosed with streptococcal
infection and has been successfully treated
with an appropriate antimicrobial agent.
They have no other noteworthy health
history, chronic illness or medications on
record. They are complaining today of
hematuria, RBC cast on urinalysis with
microscopy have been identified during
this visit. Based on this finding you can
make the diagnosis of which of the
following?
2. As a prudent nurse practitioner, the urinalysis with micro and micro albumin
diabetic, hypertensive patients you are
seeing should be evaluated for early
evidence of renal damage from both
diabetes and hypertension. Which of the
following assessment tools should the
nurse practitioner order first for evaluation
of early renal dysfunction secondary to
diabetes or hypertension?
3. Your patient presents with a new onset maintain rate control and anticoagulation prior to rhythm conversion
rapid heart rate that is irregularly irregular,
heart rate 100, BP 120/74, respiration 16
non-labored and an SpO2 is 99%. They
state this has been going on for a week or
so intermittently, but for the past four days
straight it hasn't stopped. Your first priority
intervention for this patient is to do which
of the following?
, 4. As a prudent nurse practitioner, you CD4 count of 500
know that a 28-year-old male patient with
HIV would be considered well managed
when they have which of the following in
addition to having undetectable or very
low viral copies?
5. Your patient has expressed concern Seborrheic keratosis
about a skin lesion which you identify as a
darkened, round, and raised lesion. This
benign lesion that appears like "stuck on" to
the skin. Which of the following lesions best
fits this description?
6. You are treating a patient who has Anasarca
stopped taking their diuretic regimen
against medical advice while they were on
vacation since it made them urinate too
frequently for their plans. Now they are 21
pounds heavier than their baseline weight,
have respiratory crackles in bilateral bases,
and have severe generalized lower
extremity and truncal edema extending to
the sacrum and abdomen. On your
documentation, this is referred to as which
of the following conditions?
7. While evaluating a patient in your clinic Atelectasis
for a routine health visit, you auscultate
crackles in the posterior left lower lobe,
have the patient cough, with follow-up
auscultation revealing clear breath sounds.
Which one of the following would you
suspect?
8. Gladys is a 72-year-old patient with a cold intolerance
history of anemia of chronic disease from
kidney failure, diabetes mellitus, and
hypothyroidism, presents today with
concerns her thyroid medication is not
working well enough. Her most recent labs
reflect her TSH is 5.9 (normal range 0.5-5
uU/mL) and Free T4 is 0.3 ng/dL (normal
range 0.8-2.8 ng/dL). Which one of the
following clinical signs and/or symptoms
would you expect a patient with these
findings to present with?
9. You are examining the mouth of a patient cranial nerve XII (hypoglossal nerve) lesion on the left
and ask the patient to stick out their tongue
and notice that the tongue deviates by
pointing to the left. Which one of the
following is the correct diagnosis of this
finding?