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A 52-year-old obese man with type 2 diabetes reports dozing off
while driving, watching TV, or reading, with increased apathy
and fatigue. The PMHNP ordered a sleep study, which revealed
10 episodes of apnea lasting 15 to 20 seconds each per hour of
sleep. Based on these findings, what should the PMHNP
prescribe for his condition?
Referral to otolaryngology for uvuloplasty
Referral to otolaryngology for rhinoplasty
Continuous positive airway pressure
Antidepressant medications - ANSWER -CPAP
Which of the following is true regarding the influenza
vaccination?
Those who currently have cold like symptoms with a
temperature of 101.6 should not receive the vaccine All of
the statements are true.
Anyone 6 months of age or older should obtain the influenza
vaccine
,A history of Guillain Barre 4 weeks after a previous inlfuenza
injection would be a contraindication for future influenza
vaccination - ANSWER -All of the statements are true.
A patient presents with atypical symptoms of psychosis that
include inconsistent auditory hallucinations without
disorganization. What is the best definition of an EEG and its
utility?
A neuropsychological test to distinguish psychosis from a
psychosomatic illness.
Electrophysiologic test that depicts electrical activity on the
surface of the brain Radiologic test utilizing magnets and radio
waves to provide a detailed image of the structures of the brain
A serum test to indicate nutritional deficiencies that inhibit the
formation of neurotransmitters - ANSWER -Electrophysiologic
test that depicts electrical activity on the surface of the brain
On physical exam, rebound tenderness most likely suggests
what?
Acute choledocholithiasis
Acute appendicitis
Acute pyelonephritis
Acute cholecystitis - ANSWER -Acute
appendicitis
Voluntary guarding, rebound tenderness, abdominal pain
with coughing or
localized right lower quadrant pain all suggest - ANSWER -
acute appendicitis.
, In patients with active Lupus, the erythrocyte
sedimentation rate is likely?
0.5 -
1.1
Between 11
and 20
Markedly
low
Elevated - ANSWER –
Elevated
normal sed rate - ANSWER -0-20 men 0-29 women
A 42-year-old female recalls a brief episode of chest tightness
with no radiation
or chest wall injury during her new taekwondo martial arts
class. This pain
subsided during "the cool down period" of her class. Which
of the following is
most likely given her
presentation?
Acute myocardial
infarction
Hiatal
hernia
Angina
pectoris