Codina Test 401-450

401.-Which of the following is not a relative contraindication for oral contraceptive pills?. Active hepatitis A infection. Thrombosis related to an IV needle. Undiagnosed vaginal bleeding. Migraine headache without focal aura.

402.-A nurse practitioner is taking part in a community outreach program for a local hospital. Most of her audience has a diagnosis of hypertension. They are all interested in learning more about a proper diet. When discussing potential sources of potassium and magnesium, which of the following is the best advice?. Most fruits and vegetables. Whole grains and sausages. Processed corned beef and yogurt. Mushrooms and sauerkraut.

403.-A 35-year-old sexually active male presents with a 1-week history of fever and pain over the left scrotum. It is accompanied by frequency and dysuria. The scrotum is edematous and tender to touch. He and tender to touch. He denies flank pain, nausea, and vomiting. He reports that the pain is lessened when he uses scrotal support briefs. His urinalysis shows 2+ bloods and a large number of leukocytes. What is the most likely diagnosis?. Acute urinary tract infection. Acute pyelonephritis. Acute orchitis. Acute epididymitis.

404.-Julia, a 16-year-old patient, is being treated for her first urinary tract infection. Julia had an allergic reaction with hives after taking sulfa as a child. Which of the following antibiotics would be contraindicated?. Cephalexin (Keflex). Ampicillin (Amoxil). Trimethoprim-sulfamethoxazole (Bactrim). Nitrofurantoin crystals (Macrobid.

405.-The mother of a 4-month-old calls your office and reports that the infant has a fever of 101.4 degrees Fahrenheit. The infant received her immunizations yesterday. Which of the following is correct?. The fever is most likely due to the combination of the MMR and polio vaccines. The fever is most likely due to the pertussis component of the DTP vaccine. The infant is probably starting a viral upper respiratory infection. The infant had an allergic reaction to one of the vaccines given and should be brought to the emergency room.

406.-The following statements about benign prostatic hypertrophy are correct except: It is seen in up to 50% of males older than 50. Dribbling and nocturia are common patient complaints. Saw palmetto is always effective in reducing symptoms. The PSA value is usually slightly elevated.

407.-Precocious puberty is defined as the onset of secondary sexual characteristics. before the age of: Age 7 in girls and age 8 in boys. Age 8 in girls and age 9 in boys. Age 9 in girls and age 10 in boys. Age 9 for both girls and boys.

408.-At what Tanner stage does puberty start?. Tanner Stage I. Tanner Stage II. Tanner Stage III. Tanner Stage IV.

409.-Orchitis is caused by which of the following?. Mumps virus. Measles virus. Chlamydia trachomatis. Chronic urinary tract infections that are not treated adequately.

410.-Acute prostatitis can present with all of the following signs and symptoms except: Fever and chills. Tenderness of the scrotum on the affected side. Perineal pain. Slow onset of symptoms.

411.-Which of the following is the most common cause of Nongonococcal urethritis). Escherichia coli. Chlamydia trachomatis. Neisseria gonorrhoeae. Mycoplasma.

412.-Which of the following is considered a relative contraindication for combined oral contraceptive pills?. Undiagnosed vaginal bleeding. A Hepatomas of the liver. Suspected history of TIAs. Depression.

413.-Joe, a 20-year-old Asian male, reports pain in his right knee after twisting it playing soccer. The injured knee locks up when he attempts to straighten his leg. Which of the following is most likely?. Injury to the meniscus of the right knee. Injury to the patella of the right knee. Injury to the ligaments of the right knee. Rupture of the quadriceps tendon.

414.-Which of the following is the best course of treatment for this patient? - (Injury to the meniscus of the right knee). Refer him to an orthopedic specialist. Refer him to a chiropractor. Advise him that the clicking noise will resolve within 2 to 4 weeks. Advise him to use an Ace bandage wrap during the first 2 weeks for knee support and to see you again for reevaluation.

415.-All of the following are correct statements regarding oral contraceptives except: The actual failure rate of oral contraceptives is 3%. Desogestrel belongs to the progesterone family of drugs. The newer low-dose birth control pills do not require back-up during the first 2 weeks of use. Oral contraceptives are contraindicated for women 35 years of age or older who smoke.

416.-A 15-year-old basketball player who is 6 ft tall is seen for complaints of painful lumps on his knees. Upon inspection, the nurse practitioner notes a bonelike growth on the upper tibia midline below the kneecap on both knees. The patient has full range of motion with no joint tenderness, redness, or swelling. Which of the following conditions is best described?. Osteosarcoma of the tibia. Juvenile rheumatoid arthritis. Osgood- Schlatter disease. Paget’s disease of the bone.

417.-A cauliflower-like growth with foul-smelling discharge is seen during an otoscopic exam of the left ear of an 8-year-old boy with a history of chronic otitis media. No tympanic membrane or ossicles are visible and the patient seems to have difficulty hearing the nurse practitioner’s instructions. Which of the following conditions is best described?. Chronic perforation of the tympanic membrane with secondary bacterial infection. Chronic mastoiditis. Cholesteatoma. Cancer of the middle ear.

418.-Sources of legal risk for the nurse practitioner would include all of the following except: Invasive procedures. Electronic medical record entries. Prescribing medication. Inservice training.

419.-The best form of aerobic exercise for a patient with severe rheumatoid arthritis is: Yoga. Swimming. Riding a bicycle. Passive range of motion.

420.-The first-line treatment consideration for managing acute alcohol withdrawal delirium includes: Intubation. Benzodiazepines. Avoidance of physical restraints to decrease agitation. Antipsychotics.

421.-A 15-month-old infant is in your office for a well-baby check. The mother denies history of chickenpox infection. Which of the following immunizations is indicated at this visit?. DTaP, Hib, IPV, hepatitis B. DTaP, Hib, PCV, IPV, MMR. MMR, hepatitis B, varicella. DTaP, IPV, MMR, varicella.

422.-All of the following are considered emancipated minors except: 15-year-old male who is married. 14-year-old female who is a single parent. 17-year-old male who is enlisted in the U.S. Army. 13-year-old being treated for a sexually transmitted disease.

423.-All of the following factors are not associated with an increased risk of osteopenia in teenage girls except: Drinking one glass of low-fat milk daily. Anorexia nervosa. Participation in sports. A normal BMI (basal metabolic index).

424.-A 28-year-old male nurse tells the employee health nurse practitioner that he was treated for a UTI twice the previous year. The patient denies fever, flank pain, or urethral discharge during the visit. Which of the following is the best follow-up for this patient?. Refer the patient to a urologist. Prescribe the patient ofloxacin (Floxin) for 2 weeks instead of 1 week. Advise the patient that he needs to void every 2 hours when awake. Refer the patient to the local ED, because he has a very high risk of sepsis.

425.-Henry, a 50-year-old male, complains of marked scalp tenderness accompanied by a bad headache on his left temple. He reports a sudden loss of vision in the left eye for the past several hours. The neurologic exam is normal except for the loss of vision in the left eye. Which of the following is most likely?. Cluster headache. Migraine headache with aura. Migraine headache without aura. Giant cell arteritis.

426.-Which of the following diagnostic tests would be most helpful in the diagnosis of This illness?. CT scan of the brain. Cranial nerve exam. Sedimentation rate. CBC with differential.

427.-A postmenopausal female complains of random episodes of vaginal bleeding for the past 6 months. Which of the following is recommended management for this condition?. Cervical biopsy. Pap smear. Colposcopy. Endometrial biopsy.

428.-Which of the following is not a characteristic of delirium?. Sudden onset. Patient is coherent. Worse in the evenings. It has a brief duration.

429.-The signs and symptoms of dementia may include all of the following except: Personality changes. Difficulty in verbalizing. Difficulty in recognizing familiar objects. Abstract thinking ability is increased.

430.-A 4-year-old boy is brought in by his mother for a wellness visit. His mother tells the family nurse practitioner that he had a bad case of chickenpox 1 year ago. Which of the following immunizations are indicated?. IPV, Hib (hemophilus influenzae type. hepatitis B B) IPV, Hib, MMR. DTaP, IPV, MMR, hepatitis B. DTaP, IPV.

431.-You are performing a pelvic exam on a 25-year-old sexually active woman. You palpate a tender and warm cystic mass on the lower edge of the left labia majora, which is red. The most likely diagnosis is: Skene’s gland cyst. Cystocele. Lymphogranuloma venereum. Bartholin’s gland abscess.

432.-Mary Walker is a 16-year-old who presents in the clinic for a physical exam. She tells the triage nurse that she would like contraception as well. How should the nurse practitioner proceed?. Refuse to see the patient until consent can be obtained from her parent or legal guardian. Perform a physical exam and discuss contraceptive options. Speak with the patient about contraception and have her obtain parental consent for the physical exam. Have the nurse discuss contraception with the patient.

433.-A patient diagnosed with bacterial vaginosis should be advised that her sexual partner be treated with: Ceftriaxone (Rocephin) 250 mg IM with doxycycline 100 mg BID for 14 days. Metronidazole (Flagyl) 500 mg PO BID for 7 days and 1 dose of Azithromycin (Zithromax). Her partner does not need treatment. Clotrimazole cream (Lotrimin) on his penis BID for 1 to 2 weeks.

434.-All of the following are correct statements regarding physiologic changes found in the elderly with the exception of: There is an increase in the fat-to-lean body ratio. There is a decrease in the ability of the liver to metabolize drugs. There is an increase in renal function. Loss of hearing for sounds in the high-frequency range (presbycusis).

435.-The following clinical signs are seen in Parkinson’s disease except: Pill-rolling tremor. Difficulty initiating involuntary movement. Shuffling gait with cogwheel rigidity. Increased facial movements due to tics.

436.-Which of the following conditions is a possible complication of severe eclampsia?. Placenta previa. Placenta abruptio. Erythroblastosis fetalis. Uterine rupture.

437.-A possible complication from Bell’s palsy is: Corneal ulceration. Acute glaucoma. Inability to swallow. Loss of sensation in the affected side.

438.-Which of the following is most likely to cause delirium?. Dehydration. Multiple brain infarcts. Malnutrition. Acute infection.

439.-A 25-year-old female presents with an onset of severe right-sided pelvic pain for the past 48 hours. She reports small amounts of vaginal bleeding. The pain is aggravated by jumping or any movement that jars her pelvis. The best initial intervention is which of the following?. Follicle-stimulating hormone (FSH). Serum quantitative pregnancy test. Pelvic ultrasound. CBC with white cell differentials.

440.-Which of the following laboratory values may be found elevated alone on the liver function panel of patients who are alcohol abusers?. Serum GGT (gamma glutamyl transaminase). Serum ALT (alanine aminotransferase). Serum bilirubin. Blood urea nitrogen.

441.-Which of the following effects is seen in every woman using Depo-Provera (medroxyprogesterone injection) for more than 5 years?. Melasma. Amenorrhea. Weight loss. Headaches.

442.-The following are treatment plans related to migraine headaches. Which one of the following would not be considered effective therapy?. Propranolol (Inderal). Cold packs to the forehead. Trimethobenzamide (Tigan). Moderate sodium restriction.

443.-Precocious puberty is defined as: Onset of puberty before age 8 in girls and age 9 in boys. Onset of puberty before age 9 in girls and age 10 in boys. Onset of puberty before age 10 in girls and age 11 in boys. Onset of puberty at an earlier age than the child’s parent(s).

444.-A 19-year-old male athlete complains of acute knee pain after a football game. The nurse practitioner elicits McMurray’s sign, which is positive on the patient’s injured knee. This is a test for: Meniscal injury. Inflammation of the knee joint. Osteophytes of the knee joint. Tenosynovitis.

445.-A 35-year-old male has a history of an upper respiratory viral infection 4 weeks ago. He reports that he started feeling short of breath and now complains of sharp pain in the middle of his chest that seems to worsen when he lies down. The patient’s physical exam is within normal limits with the exception of a precordial rub on auscultation. The most likely diagnosis would be: Pulmonary embolism. Dissecting aneurysm. Pericarditis. Esophageal reflux.

446.-Which type of exercise would you recommend to a 65-year-old arthritic patient who complains of a new onset of a painful, swollen left knee caused by gardening for 2 days?. Quadriceps-strengthening exercises of the left knee followed by the application of cold packs for 20 minutes 4 times a day. Rest the joint and apply cold packs intermittently for the next 48 hours. Passive range of motion and cold packs. A cool tub bath with warm packs on the knee to avoid stiffening of the joint.

447.-Symptoms suggestive of ulcerative colitis include all of the following except: Bloody diarrhea mixed with mucus. Nausea and vomiting. Weight gain. Abdominal pain.

448.-Peak expiratory flow (PEF) meters are used to monitor asthma by using personal best measurements. All of the following factors are used to determine the PEF except: Age. Gender. Height. Weight.

449.-A red, raised serpiginous-shaped rash is noted by the nurse practitioner on the right foot of a 4-year-old child brought in for a preschool physical by the mother. The child complains of severe itch and keeps scratching the lesion. The mother reports that the child frequently played in the yard without shoes or sandals on. Which of the following is most likely?. Larva migrans. Erythema migrans. Tinea pedis. Insect bites.

450.-All of the following are considered risk factors for UTIs in women except: Diabetes mellitus. Diaphragms and spermicide use. Pregnancy. Intrauterine device.