Ms. Smith, 37-year-old, comes to the clinic today complaining of dull, throbbing
bilateral headaches almost every evening. You suspect she is experiencing:
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tension headaches
Which of the following drugs would be useful for the nurse practitioner to prescribe
for an older adult to prevent gastric ulcers when a nonsteroidal anti-inflammatory
drug is used for chronic pain management?
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misoprostol (Cytotec)
,A 43-year-old female was in a bicycling accident and complains of severe pain of the
right foot. The patient limps into the emergency room. On physical examination, there
is no point tenderness over the medial or lateral ankle malleolus. There is no foot
tenderness except at the base of the fifth metatarsal bone. According to the Ottawa
foot rules, should an X-ray of the feet be ordered?
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A and C
The nurse practitioner orders bilateral wrist X-rays on a 69-year-old gentleman
complaining of pain in both wrists for the past 6 weeks not related to any known
trauma. The nurse practitioner suspects elderly onset rheumatoid arthritis. The initial
radiographic finding in a patient with elderly onset rheumatoid arthritis would be:
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soft tissue swelling
A 33-year-old female reports general malaise, fatigue, stiffness, and pain in multiple
joints of the body. There is no history of systemic disease and no history of trauma. On
physical examination, the patient has no swelling or decreased range of motion in any
of the joints. She indicates specific points on the neck and shoulders that are
particularly affected. She complains of tenderness upon palpation of the neck, both
shoulders, hips, and medial regions of the knees. The clinician should include the
following disorder in the list of potential diagnoses:
Give this one a try later!
, fibromyalgia
In AR disorders, carriers have
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one copy of a gene mutation but not the disease
Cellulitis is a deep skin infection involving the dermis and subcutaneous tissues. The
nurse practitioner suspects cellulitis in a 70-year-old Asian diabetic male presenting
with reddened edematous skin around his nares. Which statement below will the
nurse practitioner use in her decision-making process for the differential diagnosis
pertaining to reddened edematous skin?
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Facial cellulitis is more common in people >55
A woman complains of malaise and arthralgias. You note a butterfly-shaped, macular,
erythematous rash across her cheeks and nose. These conditions are common in:
Give this one a try later!
systemic lupus erythematosus
bilateral headaches almost every evening. You suspect she is experiencing:
Give this one a try later!
tension headaches
Which of the following drugs would be useful for the nurse practitioner to prescribe
for an older adult to prevent gastric ulcers when a nonsteroidal anti-inflammatory
drug is used for chronic pain management?
Give this one a try later!
misoprostol (Cytotec)
,A 43-year-old female was in a bicycling accident and complains of severe pain of the
right foot. The patient limps into the emergency room. On physical examination, there
is no point tenderness over the medial or lateral ankle malleolus. There is no foot
tenderness except at the base of the fifth metatarsal bone. According to the Ottawa
foot rules, should an X-ray of the feet be ordered?
Give this one a try later!
A and C
The nurse practitioner orders bilateral wrist X-rays on a 69-year-old gentleman
complaining of pain in both wrists for the past 6 weeks not related to any known
trauma. The nurse practitioner suspects elderly onset rheumatoid arthritis. The initial
radiographic finding in a patient with elderly onset rheumatoid arthritis would be:
Give this one a try later!
soft tissue swelling
A 33-year-old female reports general malaise, fatigue, stiffness, and pain in multiple
joints of the body. There is no history of systemic disease and no history of trauma. On
physical examination, the patient has no swelling or decreased range of motion in any
of the joints. She indicates specific points on the neck and shoulders that are
particularly affected. She complains of tenderness upon palpation of the neck, both
shoulders, hips, and medial regions of the knees. The clinician should include the
following disorder in the list of potential diagnoses:
Give this one a try later!
, fibromyalgia
In AR disorders, carriers have
Give this one a try later!
one copy of a gene mutation but not the disease
Cellulitis is a deep skin infection involving the dermis and subcutaneous tissues. The
nurse practitioner suspects cellulitis in a 70-year-old Asian diabetic male presenting
with reddened edematous skin around his nares. Which statement below will the
nurse practitioner use in her decision-making process for the differential diagnosis
pertaining to reddened edematous skin?
Give this one a try later!
Facial cellulitis is more common in people >55
A woman complains of malaise and arthralgias. You note a butterfly-shaped, macular,
erythematous rash across her cheeks and nose. These conditions are common in:
Give this one a try later!
systemic lupus erythematosus
