Primary Care of the Maturing & Aged
Family Practicum
Questions and Answers (Verified Answers)
• Mr. A, experienced a brief onset of right sided weakness,
slurred speech and confusion yesterday. The symptoms have
resolved and the CT is normal. What is the next step of the
plan for Mr. A?
• assure the patient that he will not experience the
symptoms again
• identify modifiable cardiovascular risk factors
• order ASA 81mg stat
• order a stat EEG and administer O2 by mask
ANS: b. identify modifiable cardiovas-cular risk factors
,• A 56-year old male patient screened for diabetes has a
fasting plasma glucose level of 96mg/dl. The nurse
practitioner management plan includes:
• repeat fasting plasma glucose in three years
• prescribe Metformin 500mg po BID
• repeat fasting plasma glucose in one year
• refer to ophthalmology for eye exam
ANS: a. repeat fasting plasma glucose in threeyears
• RW, a 57 year old native American female, presents to
the office. RW statesshe feels irritable and has difficulty
concentrating as well as fallingn asleep and staying aleep.
She states she is worried about her finances, her husband
has just lost his job. The NP diagnoses anxiety. The NP
prescribes a first linetreatment which is
• Diazepam
• Clonazepam
• Ariprprazole
• Paroxetine
,ANS: d. Paroxetine
• The most common sustained rhythmic disorder, which
consists of fibrilla-tory p waves is:
• AV block
• atrial tachycardia
• atrial fibrillation
• atrial flutter
ANS: c. atrial fibrillation
• According to the Sexually presentation, atrophic
vaginitis
• the symptomsm are the same for each woman
• creates a more acidic vaginal environment
• is a contributing factor for frequent urinary tract
infections
, • is not treated with vaginal lubricants
ANS: c. is a contributing factor for frequenturinary tract infections
• Which of the following is the most appropriate screening
tool for delirium?
• St Louis University Mental Status Exam (SLUMS)
• Montreal Cognitive Assessment
• Lawton Scale of instrumental Activities of Daily Living
• Confusion Assessment Model
ANS: d. Confusion Assessment Model
• A drug that can be used to treat two very common
symptoms in a dyingpatient (pain and dyspnea_ is:
• lorazepam
• Gabapentin
• Methadone
• Morphine