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· Question 2


Central obesity, “moon” face, and dorsocervical fat pad are associated with:




Metabolic syndrome




Unilateral pheochromocytoma




Cushing’s syndrome




None of the above


· Question 3


An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is: NURS 6531 FINAL EXAM 2 DQ








Tight shoes




Arthritis flare






· Question 4


The most effective treatment of non-infectious bursitis includes:


· Question 5


What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?




You must initiate the plan of care for the patient


The physician must be on-site and engaged in patient care


You must be employed as an independent contractor


You must be the main health care provider who sees the patient


· Question 6


Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?


· Question 7


Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?

A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void


· Question 8

Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?

§ Food that is very hot or very cold

§ Fatty or fried foods

§ Peppermint or spearmint, including flavoring

§ Coffee, tea, and soft drinks that contain caffeine

§ Spicy, highly seasoned foods

§ Fried foodDT caffeine, chocolate and anticholinergics


· Question 9


Which drug category contains the drugs that are the first line Gold standard therapy for COPD? NURS 6531 FINAL EXAM 2 DQ


· Question 10


The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is:


· Question 11


Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?


· Question 12


A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take?

.A Obtain a thorough history and physical, and check serum cortisol and ACTH levels.

B. Perform a diet history and check CBC and FBS.

C. Provide nutritional guidance and have the patient return in one month.

D. Consult home health for intravenous administration


· Question 13

The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:

· Question 14

How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout?

· Question 15


The intervention known to be most effective in the treatment of severe depression, with or without psychosis, is:

· Question 16


You are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test indicates an injury to the: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus
D. collateral ligament.


· Question 17



A 32 year old female patient presents with fever, chills, right flank pain, right costovertebral angle tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse practitioner diagnoses pyelonephritis. The most appropriate management is:


· Question 18


A 21-year-old female presents to the office complaining of urinary frequency and urinary burning. The nurse practitioner suspects a urinary tract infection when the urinalysis reveals

· Question 19


A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is: NURS 6531 FINAL EXAM 2 DQ


· Question 20


The initial clinical sign of Dupuytren’s contracture is:


· Question 21


The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy


· Question 22


What is the first symptom seen in the majority of patients with Parkinson’s disease?


· Question 23


The most commonly recommended method for prostate cancer screening in a 55 year old male is:


· Question 24


Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect?


· Question 25


Which of the following symptoms suggests a more serious cause of back pain?


· Question 26


Josh, age 22, is a stock boy and has an acute episode of low back pain. You order and NSAID and tell him which of the following?

· Question 27


A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis?

· Question 28


A patient taking levothyroxine is being over-replaced. What condition is he at risk for?


· Question 29


Which of the following is the most common cause of low back pain?




Lumbar disc disease




Spinal stenosis




Traumatic fracture






· Question 30


Which is the most common cause of end-stage renal disease in the United States?


· Question 31


A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects:








Ulnar neuritis




Septic arthritis




Olecranon bursitis


· Question 32


A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal. Which of the following is the most likely diagnosis? NURS 6531 FINAL EXAM 2 DQ


· Question 33


Beth, age 49, comes in with low back pain. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further?


· Question 34


A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis?


· Question 35


Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:


· Question 36


Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why. How do you respond?

· Question 37


The most common cause of elevated liver function tests is:


· Question 38


Reed-Sternberg B lymphocytes are associated with which of the following disorders:




Aplastic anemia




Hodgkin’s lymphoma




Non Hodgkin’s lymphoma




Myelodysplastic syndromes


· Question 39


Which of the following is a potential acquired cause of thrombophilia?








Protein C deficiency




Factor V Leiden




Antiphospholipid antibodies


· Question 41


A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains:


Primary hyperparathyroidism is treated with Vitamin D restriction


Primary hyperparathyroidism is treated with parathyroidectomy


Primary hyperparathyroidism is treated with daily magnesium


Primary hyperparathyroidism is treated with parenteral parathyroid hormone (PTH) NURS 6531 FINAL EXAM 2 DQ

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