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Nurse Practitioner

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Title of test:
Nurse Practitioner

Description:
Practice Test for NP License

Author:
Bran
(Other tests from this author)

Creation Date:
17/11/2022

Category:
Science

Number of questions: 714
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Content:
A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the knee for the past 5 months. Which response by the nurse is appropriate? If these symptoms persist, you may need arthroscopic surgery. You are experiencing degeneration of your knee, which may not resolve. Your disease is due to repeated stress on the patellar tendon. It is usually self-limited, and your symptoms should resolve with rest. Increasing your activity and performing knee-strengthening exercises will help decrease the inflammation and maintain mobility in the knee.
A neighbor's 14-year-old son, who is active in basketball, complains of pain and swelling on both knees. On physical exam, there is tenderness over the tibial tuberosity of both knees. Which of the following is most likely? Chondromalacia patella Left knee sprain Osgood Schlatter disease Tear of the medial ligament.
An adolescent patient is being evaluated by the family nurse practitioner for knee pain. The patient is active in sports in his school but can recall no specific injury to the knee. On exam, the family nurse practitioner finds unilateral swelling of the anterior aspect of the tibial tubercle, which is tender. What is the most likely diagnosis? Stress fracture. Patellar dislocation. Osgood-Schlatter’s disease. Neuman’s syndrome.
A 30-year-old woman with a history of mitral valve problems states that she has been very tired. She has started waking up at night and feels like her heart is pounding. During the assessment, the nurse palpates a thrill and lift at the fifth left intercostal space midclavicular line. In the same area, the nurse also auscultates a blowing, swishing sound right after the S1. These findings would be most consistent with: Heart failure Aortic stenosis. Pulmonary edema Mitral regurgitation.
Ms. S. is a 22-year-old secretary. She presents with fatigue, malaise, and a rash. On auscultation of her heart, you note murmurs of mitral regurgitation and aortic stenosis. She reports a recent severe sore throat. You suspect angina acute rheumatic fever cardiac amyloidosis aortic sclerosis.
You note a high-pitched and blowing pansystolic murmur while assessing a 70-year-old male patient. It is grade 2/6 and is best heard at the apical area. Which of the following is most likely? Ventricular septal defect Tricuspid regurgitation Mitral regurgitation Mitral stenosis.
A 21-year-old new mother reports that she has been feeling irritable and jittery almost daily for the past few months. She complains of frequent palpitations and more frequent bowel movements along with weight loss. Her blood pressure is 160/70 mmHg, pulse is 110 beats/min, and she is afebrile. All of the following conditions should be considered in the differential diagnosis for this patient except: Graves’ disease Mitral regurgitation Generalized anxiety disorder Illicit drug use.
You note a high-pitched and blowing pansystolic murmur while assessing a 70-year-old male patient. It is grade 2/6 and is best heard at the apical area. Which of the following is most likely? Mitral regurgitation Mitral stenosis Ventricular septal defect Tricuspid regurgitation.
A fracture on the navicular area of the wrist is usually caused by falling forward and landing on the hands. The affected wrist is hyperextended to break the fall. The nurse practitioner is aware that all of the following statements are true regarding a fracture of the scaphoid bone of the wrist except: The fracture frequently does not show up on an x-ray film when it is taken immediately after the injury The x-ray film will show the fracture if the film is repeated in 2 weeks These fractures always require surgical intervention to stabilize the joint It has a higher rate of nonunion compared with the other bones in the wrist when it is fractured.
During history taking, a mother states that her son awoke in the middle of the night complaining of intense itching on his legs. Today your inspection reveals honey-colored exudate from the vesicular rash on his legs. Which condition is consistent with these findings? Exanthem Impetigo Solar keratoses Trichotillomania.
A first-grader presents to a school nurse practitioner with a few blisters on one arm and on his face. The child keeps scratching the affected areas. Some of the lesions have ruptured with yellow serous fluid that crusts easily. These findings best describe: Herpes zoster Acute cellulitis Erysipelas Bullous impetigo.
An impetigo lesion that becomes deeply ulcerated is known as: cellulitis. erythema ecthyma empyema.
A pre-school age child has honey-crusted lesions on erythematous, eroded skin around the nose and mouth, with satellite lesions on the arms and legs. The child's parent has several similar lesions and reports that other children in the day care have a similar rash. How will this be treated? Amoxicillin 40 to 5 mg/kg/day for 7 to 10 days Amoxicillin-clavulanate 90 mg/kg/day for 10 days Bacitracin cream applied to lesions for 10 to 14 days Mupirocin ointment applied to lesions until clear.
A 16-year-old complains of a severe sore throat for 3 days along with a generalized rash and fever. The skin has the texture of fine sandpaper. This constellation of findings best describes: Kawasaki’s disease Scarlatina German measles Rubeola.
A preschool girl who is homeschooled is brought by her mother to the walkin clinic because of acute onset of fever, runny nose, cough, sore throat, and red eyes with a morbilliform rash. The mother reports that her daughter has never been immunized. The family recently returned from a vacation. Which of the following conditions is the most likely? Fifth disease Varicella Rubeola Rubella.
Koplik’s spots are associated with: Kawasaki’s disease Rubeola Rubella Poxvirus infections.
Balanitis is caused by: Candida albicans Streptococcus pyogenes Trichomonads Staphylococcus aureus.
Which of the following is the best method for diagnosing a Candida albicans infection of the vagina in the primary care setting? Wet smear KOH (potassium hydroxide) smear Tzanck smear Clinical findings only.
Candidal intertrigo is the name for an infection that is caused by the yeast Candida albicans. What is the location of this type of candida infection? Scalp Hands Flexor areas of the elbows and the knees Body areas where skin rubs together, such as under breasts or in groin area.
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: Tenosynovitis Osteophytes of the knee joint Meniscal injury Inflammation of the knee joint.
Which one of the following techniques is used to detect a torn meniscus? Phalen test McMurray test Thomas test Trendelenburg test.
An adolescent who twisted his knee while skateboarding comes to the clinic complaining of knee pain. He also states that in the past few weeks his knee has locked up a couple of times. On exam, a positive McMurray's test is elicited. What diagnosis is this consistent with? Anterior cruciate ligament tear. Dislocated patella. Medial meniscus tear. Chondromalacia patella.
A middle-aged man with a body mass index (BMI) of 28 is complaining of sharp burning pain that starts at the middle of the right buttock and radiates down the posterior aspect of the thigh and lower leg. He is complaining of weakness of the ankle and foot that is interfering with walking. The pain started 3 months ago and is becoming more frequent and severe. It is aggravated by prolonged sitting, which is interfering with his job as a truck driver. His past medical history is positive for hypertension and metabolic syndrome. The patient is taking lisinopril–hydrochlorothiazide (Zestoretic) 10 mg/12.5 mg once a day. Which of the following tests is appropriate to further evaluate the patient’s symptoms? Markle test McMurray test Straight leg raising test Lachman test.
A patient who has been prescribed warfarin sodium (Coumadin) is advised to avoid eating large amounts of leafy green vegetables because: The high vitamin K levels will decrease the INR The vitamins in the vegetables will bind with, and inactivate, the warfarin (Coumadin) The high-fiber content will decrease the absorption of the warfarin (Coumadin) They have too much ascorbic acid, which can interact with the medicine.
Which of the following drugs can increase the risk of bleeding in patients who are receiving anticoagulation therapy with warfarin sodium (Coumadin)? Carafate (Sucralfate) Trimethoprim–sulfamethoxazole (Bactrim DS) Furosemide (Lasix) Losartan (Cozaar).
Erythromycin inhibits the cytochrome P450 (CYP450) system. All of the following drugs should be avoided because of a potential for a drug interaction except: Furosemide (Lasix) Diazepam (Valium) Theophylline (Theo-Dur) Warfarin (Coumadin).
Which of the following is the treatment for nongonococcal urethritis? Ceftriaxone (Rocephin) 250 mg IM Azithromycin 1 g PO in a single dose Doxycycline 100 mg PO BID × 14 days Treatment is not necessary.
Patients who are diagnosed with gonorrhea should also be treated for which of the following infections? Pelvic inflammatory disease (PID) Herpes genitalis Chancroid Chlamydia trachomatis.
While checking for the red reflex on a 3-year-old boy during a well-child visit, the nurse practitioner notes a white reflection on the child’s left pupil. Which of the following conditions should be ruled out? Retinoblastoma of the left eye Unilateral cataracts Unilateral strabismus Color blindness of the left eye.
You are performing an eye exam on a newbornchild. When you perform the red reflex test, a black spot presents instead. Which of these conditions would this finding typically indicate? Optic nerve hypoplasia Retinoblastoma Heterochromia Absence of a clear retinal pathway.
Which of the following is recommended as first-line treatment for essential tremor? Amitriptyline (Elavil) Fluoxetine (Prozac) Phenytoin (Dilantin) Propranolol (Inderal).
A patient reports trembling of both hands causing difficulty performing tasks with the hands. The provider notes symmetric, rhythmic movements which are present at rest and no other neurological findings. A history reveals that the trembling decreases when the patient has a glass of wine with dinner. What is the initial action? Evaluation in an emergency department (ED) Prescribing a beta blocker medication Reassurance that these will subside Referral to a neurologist.
The family nurse practitioner is providing patient education about essential tremor. Which statement would be important to include? Your tremor is noticed most often when you are at rest. Your tremor will occur more often in your hands and arms. Your tremor will not stop you from doing your usual activities at home. Your tremor will not affect the sound of your voice.
The family nurse practitioner is evaluating an older adult's tremor. Which assessment finding would be characteristic of an essential tremor rather than a parkinsonian tremor? The handwriting is not affected. The tremor occurs with purposeful movements. The tremor occurs at rest. The tremor worsens with beta blockers or alcohol.
What is the least common pathogen found in community-acquired atypical pneumonia? Moraxella catarrhalis Streptococcus pneumoniae Pseudomonas aeruginosa Mycoplasma pneumonia.
During the eye exam of a 50-year-old hypertensive patient who is complaining of an onset of a severe headache, you find that the borders of the disc margins on both eyes are blurred. What is the name of this clinical finding? Papilledema Hypertensive retinopathy Normal optic disc Optic neuropathy.
All of the following are clinical eye findings found in some patients with chronic uncontrolled hypertension. Which of the following findings is not associated with this disorder? AV nicking Microaneurysms Flame-shaped hemorrhages Copper wire arterioles.
A first-grader presents to a school nurse practitioner with a few blisters on one arm and on his face. The child keeps scratching the affected areas. Some of the lesions have ruptured with yellow serous fluid that crusts easily. These findings best describe: Bullous impetigo Herpes zoster Erysipelas Acute cellulitis.
Erysipelas is an infection of the skin most commonly caused by which of the following class of organisms? Fungi Staphylococci Streptococci Gram-negative bacteria.
A 7-year-old child who begins to limp and complains of persistent hip pain may have: congenital hip dislocation. Dupuytren contracture. Legg-Calv-Perthes disease. osteoarthritis.
Secondary prevention of cardiac ischemia after MI includes using: beta blockers. alfa blockers. esteroids. diuretics.
12 year old with Molluscum contagiosum annus due to improper cleaning anus sexual abuse genetic baby soap.
Causa de External warts in genitales molluscum Human papilloma virus (HPV) (skin-to-skin) HIV herpes virus.
Husband that says his wife forgot to put the turkey in thanksgiving and she left it in the sink and she was the one responsible for doing everything at home and he has noticed that she is losing her abilities to plan and resolve problems in the household and she had always done so in the past. What is being lost or damaged? visual campus social hability Executive function loss of memory.
Facial muscle or tongue weakness may result in: aphasia. impaired comprehension. neologisms. echolalia.
Which of the following are signs and symptoms of dementia? Lack of awareness of others Aphasia Apathy Disintegration of personality Odd behaviors multiple sclerosis.
A patient has had a cerebrovascular accident (stroke). He is trying very hard to communicate. He seems driven to speak and says, I buy obie get spirding and take my train. What is the best description of this patients problem? Global aphasia Brocas aphasia Echolalia Wernickes aphasia.
Diabetic with foot laceration needs to be monitored closely to pick up the early signs of Foot Ulcer. venus insuficency tingle and numbs artery desease.
Patient with elevated TSH (they give you the values) and T4 normal 5mcg/dl (they gave the standard values of 5-11mcg/dl). What to do? decrease SYNTHROID increase SYNTHROID keep same SYNTHROID remove SYNTHROID.
Your patient is taking levothyroxine 75 mcg every day. In monitoring his lab values, you note that his thyroid-stimulating hormone is elevated, T3 is decreased, and T4 is below normal. Based on these findings, what is your most appropriate order? Decrease the dose of levothyroxine to 50 mcg every day Make no changes and repeat lab values in 3 months or as needed Increase the levothyroxine to 100 mcg every day Consider adding methimazole 30 mg every day.
A 45-year-old patient reports a recent onset of unilateral shoulder pain which is described as diffuse and is associated with weakness of the shoulder but no loss of passive range of motion. What does the provider suspect as the cause of these symptoms? Acromioclavicular joint disease Cervical radicular pain Glenohumeral arthritis Rotator cuff injury .
An examiner is evaluating a patient who reports unilateral shoulder pain and notes limited active and passive range of motion in the affected shoulder along with erythema and bulging on the anterior shoulder. What diagnosis is likely with this presentation? Acromioclavicular joint disease Adhesive capsulitis Inflammatory bursitis Rotator cuff tear .
An adult who comes with pain in the shoulder, suspects a rotator cuff tear. Daban la descripción de la maniobra, para escoger cual era la correcta. Busquen como se describe drawer test empty can test or jobe test mcmuffy test mcmurray test.
Mujer de 36 años con C/C típico de depresión que había perdido a su hermana, que test se hacía ? visual test HEALTH QUESTIONNAIRE-9 rinnie test romberg test.
Image The family nurse practitioner is seeing an 82-year-old patient who lives in a townhome and routinely needs to climb two sets of stairs to get to the bedroom. Which two instruments would be appropriate to assess the patient’s fall risk? The SPICES Questionnaire. Phalen test.The Tinetti Balance and Gait Assessment. The Strength and Timing Instrument.Trendelenburg test. The Timed Get Up and Go Test. .
Quick assessment of patients' fall risk? Timed Get up and Go rombert mmurray knee risk fall.
An adult patient presents to the family nurse practitioner’s office with the following complaints for the last 10 days: fever and complaints of right facial pain, copious yellow nasal discharge, and acute pain and headache, primarily when bending over. The physical examination is significant for right maxillary sinus tenderness on palpation. What is the most likely diagnosis? Chronic sinusitis. Dental abscess. Acute sinusitis. Giant cell (temporal) arteritis.
Transillumination is useful in helping to diagnose which of the following conditions? Sinusitis and hydrocele Hydrocephalus and epididymitis Testicular tumor and acute otitis media Nasal masses and other tumors in the facial region.
WHAT IS COMMON IN sinusitis viral AND bacteriana? FACE PAIN EYES PAIN TANGUE PAIN EAR PAIN.
A preschool-age child is seen in the clinic after waking up a temperature of 102.2°F, swelling and erythema of the upper lid of one eye, and moderate pain when looking from side to side. Which course of treatment is correct? Prescribe a 10- to 14-day course of oral antibiotics. Obtain a lumbar puncture and blood culture. Admit to the hospital for intravenous antibiotics. Order warm compresses 4 times daily for 5 days.
Which is the most common cause of orbital cellulitis in all age groups? Paranasal sinus inoculation Inoculation from local trauma or bug bites Local spread from the ethmoid sinus Bacteremic spread from remote infections.
A primary care provider notes painless, hard lesions on a patients external ears that expel a white crystalline substance when pressed. What diagnostic test is indicated? Endocrine studies Biopsy of the lesions Uric acid chemical profile Rheumatoid factor.
A postmenopausal female patient has a blood test that reveals hyperuricemia, although the patient has no symptoms of gout. What will the provider do initially? Treat for gout prophylactically to prevent a flare Recommend a low-purine, alcohol-restricted diet Ask the patient about medications and medical history Begin therapy with colchicine and an NSAID.
A patient presents with a complaint of sudden pain and swelling in the knee unrelated to an injury. He also has chills and fever. On physical exam, the knee is warm, tender, and swollen with evidence of effusion. What action would the family nurse practitioner take first? Recommend rest, ice, compression, and elevation of affected joint. Splint the affected joint. Obtain aspiration of synovial fluid from the affected joint. Initiate treatment with nonsteroidal antiinflammatory drugs.
pt without diag confirmation is? knee ct scan knee us knee joint aspiration knee rx.
A 45-year-old woman is complaining of generalized morning stiffness, especially in both her wrist and hands. It is much worse in the morning and lasts for a few hours. She also complains of fatigue and generalized body aches that have been present for the past few months. Which of the following is most likely? Osteoporosis Rheumatoid arthritis Osteoarthritis Gout.
pt without liquid aspiration; you find? acid uric billies cholesterol acid muriatic.
Patient c/c tipicode Acne Rosacea. Tratamiento: metronidazol allupirinl retinol A amoxilll.
what is Acne Rosacea. skin disease of face scalp damage eyes disorder digestive illness.
What is Acne Rosacea? articular disease mucus illness inflammatory skin disorder inflammatory eyes disorder.
Considering a likely diagnosis of peptic ulcer disease, which of the following findings would be most indicative of a bleeding duodenal ulcer? Coffee-ground emesis Melena Maroon stools Hematemesis.
An adult patient presents to the family nurse practitioner complaining of weakness and vomiting. He gives a history of several drinks per day for the last 22 years and cirrhosis, diagnosed 6 months ago. The family nurse practitioner questions the patient about excessive bleeding. The patient reports two episodes of hematemesis. What emergent condition is the family nurse practitioner most concerned about? Bleeding peptic ulcer. Hemoptysis. Esophageal varices. Excessive nosebleed.
A patient has both occasional coffee ground emesis and melena stools. What is the most probably source of bleeding in this patient? Upper gastrointestinal (GI) tract Hepatic Lower gastrointestinal (GI) tract Rectal.
Maniobra para apendicitis… PSOAS/ILLIOPSOAS. romberg. mcmurray weber.
You would associate a positive iliopsoas muscle test result with: Heel fractures Urinary tract infection Left cerebral vascular accident Acute abdomen.
A positive psoas and obturator sign is highly suggestive of which of the following conditions? Peritonitis Ectopic pregnancy Abdominal aortic aneurysm Acute appendicitis.
The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for: Cholecystitis Gastric ulcer Acute appendicitis Inguinal hernia.
Rovsing's sign is associated with which of the following? An acute abdomen, such as during a ruptured appendix Damage to the meniscus of the knee Knee instability Acute cholelithiasis.
any maniobra para C/C de abdomen agudo you find ? INVOLUNTARY WARNING or involuntary guarding Rebound Tenderness Markle Test (Heel Jar) Murphy’s Maneuver.
Extreme tenderness and involuntary guarding at McBurney’s point is a significant finding for possible: Acute cholecystitis Acute appendicitis Acute gastroenteritis Acute diverticulitis.
A fair skinned female presents with a pearly, waxy skin lesion on her right cheek that has not healed despite topical treatment. Whatisyourleading diagnosis? basal cell carcinoma. basal cell anoma adenomarcoma skin seborroico skin.
During the physical exam, the family nurse practitioner assesses a maculopapular skin lesion on a patients back that is warty, scaly, greasy in appearance, and light tan in color. What would be the probable diagnosis? Seborrheic keratosis. Basal cell carcinoma Actinic keratosis. Senile lentigines.
A retired farmer presents with a dome-shaped, pearly, firm nodule with telangiectasia on his nose. In making a diagnosis, what does the family nurse practitioner recognize this to be? Melanoma. Basal cell carcinoma. Compound nevus. Bullous pemphigoid.
A 67-year-old man walks into an urgent care center. The patient complains of episodes of chest pain in his upper sternum when he is climbing up stairs in his apartment building. When he stops the activity, the pain goes away. He reports that once when he was eating a steak dinner, he also experienced the chest pain. A fasting total lipid profile is ordered. The result reveals total cholesterol of 250 mg/dL, LDL of 180 mg/dL, and high-density lipoprotein (HDL) of 25 mg/dL. Which of the following is most likely? Acute esophagitis Myocardial infarction (MI) Gastroesophageal reflux disease (GERD) Angina.
Would considered long term management of a patient with COPD, except? oral steroids for long term Long-acting bronchodilators sama none of the above.
Paciente con asma,SABA + ICS de ttro que viene x aumento de uso del medicamento, tiene síntomas Daily and night; clasificación? Moderate Persistent Mild Persistent Asthma Mild Intermittent Asthma Severe Persistent Asthma.
What is the desired therapeutic action of inhaled corticosteroids when used to treat COPD? improvement of central respiratory drive mucolytic activity reduction of airway inflammation reversal of fixed airway obstruction.
According to the GOLD COPD guidelines, the goal of inhaled corticosteroid use in severe COPD is to: help mobilize secretions. reverse alveolar hypertrophy. minimize the risk of repeated exacerbations. improve cough function.
65-year-old male presents with a history of a chronic cough that is productive of large amounts of off-white to light-yellow-colored sputum. The patient reports a 30-pack-year history of cigarette smoking. The chest x-ray reveals hyperinflation with flattened diaphragms and two small bullae on the left lobe. Which of the following drug classes is the initial treatment of choice for this condition? Short-acting beta-2 agonists Anticholinergics Pneumococcal polysaccharide vaccine (Pneumovax) Oxygen by nasal cannula.
Paciente con COPD que es fumador tiene cough con expectoración. O2 prednisona oral Teofilina albuterol.
Which of the following is not a common component of the pathology for type 1 diabetes mellitus? Islet cell antibodies Ketone development Peripheral insulin resistance Human leukocyte antigens.
crohn eyes complications are? Episcleritis Dry eyes, Keratopathy uveitis all apply.
Complains of acute onset of severe eye pain with tearing. Reports feeling of a foreign body sensation on the surface of the eye.What is the best procedure for evaluating a corneal abrasion? Tonometry Fluorescein stain Funduscopy Visual field test.
Vacuna a un bebe de 6 meses… Influenza, las otras opciones MM R/Varicela/Hepatitis A. virus.
Paciente sin vacuna de hepatitis B, negativo al virus y que su pareja tiene HBsAg +, que se le pone INMUNOGLOBULINA Y VACUNA virus.
Identificar paciente vacunado con hepatitis B: HBS ANTIBODY + virus.
All of the following are infections that affect mostly the labia and vagina except: Bacterial vaginosis Candidiasis Trichomoniasis Chlamydia trachomatis.
Trichomoniasis test diagnostic? wet smear pap smear esrd wrdl.
An 18-year-old female presents in the college health clinic complaining of a strong odor in her vagina. She reports that she had an abortion about 3 weeks ago and recently completed her prescription of antibiotics. The NP performs a vaginal speculum exam and notes a large amount of grayish to off-white discharge coating the patient s vagi- nal walls. It has a milk-like consistency. During microscopy, the slide reveals mature squamous epithelial cells with numerous bacteria noted on the cell borders. The vaginal pH is at 6.0. Which of the following conditions is most likely? Candida vulvovaginitis Trichomoniasis Bacterial vaginosis Hormonal changes.
Paciente que lleva dos tratamientos con metronidazole para trichomoniasis y sigue con S/SEsteroides vaginal/ Clyndamicincream/ Mebendazole/ DIFLUCAN(fluconazole) 150 MG 1 DOSE mixilonte 500 mg oral azotrim 1g single dose cefalexin 500 mg 7 days.
A 50-year-old woman of Irish descent presents with history of lethargy, feeling weak, nausea, anorexia with diarrhea and abdominal pain. The womans skin appears tanned, but she denies prolonged sun exposure. During physical exam, the nurse practitioner notes hyperpigmentation of the nipple area, the gums, and the lips. The electrolyte panel reveals hyperkalemia and hyponatremia. She reports craving salty foods. Which of the following is most likely? Metabolic syndrome Addisons disease Cushings disease Cutaneous drug reaction.
cuadro clicico de insuficiencia cardiaca, dieron cuatro medicamentos para ver cual no puedo usar? NSAIDs BETA-BLOCKERS DIGOXIN diuretics.
Which heart defect produces a systolic ejection murmur at the right upper sternal border that transmits to the neck and left lower sternal border? Coarctation of the aorta Aortic stenosis Pulmonic stenosis Hypoplastic left heart syndrome.
On exam of a child, the family nurse practitioner notes weak femoral pulses. This finding is associated with what condition? Coarctation of the aorta. Patent ductus arteriosus. Tetralogy of Fallot. Pulmonary stenosis.
Classic manifestations of a systolic ejection murmur heard at the left interscapular area, cool mottled skin on the lower extremities but hypertension noted in the upper extremities, and decreased or absent femoral pulse are indicative of an older child with which congenital defect? Ventricular septum defect (SD) Coarctation of the aorta (OA) Tetralogy of Fallot Aortic stenosis.
The nurse practitioner orders an ankle-brachial index (ABI) test for a patient. Which of the following disorders is the ABI test used for? Osteoarthritis of the arm or the ankle Venous insufficiency Peripheral arterial disease (PAD) Rheumatoid arthritis.
An elderly con neumonia, que regresa a consulta y que es lo que tiene que no necesitaria mandarlo al hospital? confusion edad mayor de 65 BP 89/58 CRACKLES IN HER LUNGS.
A 67-year-old patient presents with the concern of right-sided facial pain. She describes the pain as burning and sharp. The pain has not awakened her from sleep. She explains she has to press on it when it starts, and she does not talk or move her mouth because it worsens the pain. What management will the family nurse practitioner consider based on these symptoms? Indomethacin (Indocin) Carbamazepine (Tegretol). Valacyclovir (Valtrex) Prednisone.
Paciente con dolor en hombro que se extiende a mano y aumenta con actv, que diagnostico diferente había que hacer angina cervical radiculopatía colecistitis ALL Apply.
Paciente con anemia ferripriva que se le pone tratamiento con fe y que tiene que valorarse para saber que fue efectivo el tratamiento.. ferritin en 4 dias reticulocitos en 30 dias Hg en 6 semanas ALL APPLY.
Paciente con HTN y ponían C/C de CHF que medicamento le indicaba: ACE virus.
Adulto que se torcio tobillo jugando pelota hace 3 dias, no puede caminar, dolor intenso y equimosis, ESGUINCE/FRACTURA virus.
Which statement characterizes functional incontinence? Characterized by the inability to delay urination, with an abrupt and strong desire to void. Occurrence of incontinence with overdistention of bladder. Mainly caused by factors outside the urinary tract, especially immobility, that prohibit proper toileting habits Leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, and laughing.
What is the term given to the type of urinary incontinence associated with conditions such as Parkinson disease or Alzheimer disease? Urge incontinence. Stress incontinence. Functional incontinence. Overflow incontinence.
The provider is counseling a patient who has stress incontinence about ways to minimize accidents. What will the provider suggest initially? Voiding every 2 hours during the day Increasing fluid intake to dilute the urine Referral to a physical therapist Taking pseudoephedrine daily.
A 68-year-old woman complains of leaking a small amount of urine whenever she sneezes, laughs, and/or strains. The problem has been present for many months. The patient denies dysuria, frequency, and nocturia. The urine dipstick test is negative for white blood cells, red blood cells, ketones, and urobilinogen. What is the name of this condition? Urge incontinence Urinary incontinence Overflow incontinence Stress incontinence.
Urinary incontinence that occurs from the inability to hold urine when the stimulus to urinate is perceived is called _____ incontinence. paralytic overflow functional urge.
Chronic urinary retention may result in total incontinence overflow incontinence stress incontinence urge incontinence.
Which plan would be most appropriate for an older patient with functional incontinence? Evaluate need for incontinence pads. Limit fluid intake in the evenings. Perform the Credé maneuver. Provide a bedside commode.
Increased intra-abdominal pressure (laughing, sneezing, bending, lifting) causes involuntary leakage of smallnto medium volume of urine Highest incidence in middle-age women (peak at 45 to 49 years) Plan: Kegel exercises; decongestant (pseudoephedrine) if no contraindications? Functional incontinence overflow incontinence stress incontinence urge incontinence.
Sudden and strong urge to void immediately. Involuntary loss of urine can range from moderate to large volumes. Condition also known as “overactive bladder” Highest incidence in older women Plan: Trial of anticholinergics (oxybutynin/Ditropan) or tricyclic antidepressant (imipramine) Functional incontinence overflow incontinence stress incontinence urge incontinence.
Problems with mobility (walking to the toilet) or inability to pull down pants in a timely manner Plan: Bedside commode, raised toilet seats with handles,physical therapy for strengthening and gait Functional incontinence overflow incontinence stress incontinence urge incontinence.
Frequent dribbling of small amounts of urine from overly full bladder; due to blockage of flow (benign prostatic hyperplasia [BPH]) or underactive detrusor muscle (e.g. spinal cord injury, multiple sclerosis)Highest incidence in older men Plan: BPH treatment Functional incontinence overflow incontinence stress incontinence urge incontinence.
The nurse should be aware that a pessary is most effective in the treatment of which disorder? d. Stress urinary incontinence Uterine prolapse Rectocele Cystocele colo.
Paciente con mild prolapso uterino que le dificultaba al caminar y le daba discomfort conducta. Pesario cirugía inmediata exercices relax drugs.
Which of the following physical exam findings is most specific for systemic lupus erythematosus (SLE)? Swollen and painful joint involvement Fatigue and myalgia Stiffness and swelling of multiple joints Malar rash.
A patient reports a recurrent sensation of spinning associated with nausea and vomiting. Which test will the provider order to confirm a diagnosis for this patient? Holter monitoring and electrocardiogram Electroencephalogram (ECG) Neuroimaging with computerized tomography (CT) The Hallpike-Dix positioning maneuver.
Mrs. Brands complains of dizziness when she moves her head. You suspect benign paroxysmal positional vertigo. The diagnosis is supported by the presence of: Tinnitus Horizontal nystagmus with rapid head movement New onset of hearing loss Duration of greater than 2 years.
The family nurse practitioner understands that benign paroxysmal positional vertigo: Involves gradual hearing loss and tinnitus along with vertigo, eventually with facial numbness and weakness. Is described as vertigo and nystagmus with positional change and occurs most often in older adults. Is more common in young persons and occurs suddenly and in episodes that include vertigo, tinnitus, hearing loss, feeling of fullness in the ears, and nausea and vomiting. Follows a viral syndrome (upper respiratory or gastrointestinal) with exacerbation of the vertigo with position change without hearing loss or tinnitus.
An elderly patient que la hija dice que estaba bien la noche anterior. Al dia siguinete presents with new onset of trastorno de la conciencia y otras cosas indicativas de alguna infección: Diagnostico… DELIRIO Dementia Tremors Vertigo.
Which of these STDs is caused by a parasitic pathogen? Chancroid Molluscum contagiosum Chlamydia Condyloma acuminata.
Neonato que regresa a las 6 semanas con CC de conjuntivitis echericha coli Chlamydia trachomatis STD staphilocosu aureus candidiasis.
Que se ve en pct con pérdida de audición x conducción En Weber test in left ear ? lateralización a lado afectado lateralización a lado no afectado no lateralización both lateralización.
Patients with chronic atrial fibrillation (AF) are at risk for which condition? Sudden cardiac death Acute myocardial infarction. Ventricular tachycardia. Stroke.
A patient who is taking warfarin (Coumadin) has just vomited blood. The family nurse practitioner orders laboratory work revealing a protime of 42 seconds and an international normalized ratio of 4.5. What would the family nurse practitioner order? Phytonadione (vitamin K1) 1 mg IV over 1 hour. Protamine sulfate 20 mg PO. Phytonadione (vitamin K1) 2.5 mg PO. Protamine sulfate 20 mg slow IV push.
A patient has an INR of 1.4 or 1.2. What do you do with the Coumadin dose? Increase dosage keep dosage decrease dosage stop .
A patient who has been prescribed warfarin sodium (Coumadin) is advised to avoid eating large amounts of leafy green vegetables because: They have too much ascorbic acid, which can interact with the medicine The high vitamin K levels will decrease the INR The high-fiber content will decrease the absorption of the warfarin (Coumadin) The vitamins in the vegetables will bind with, and inactivate, the warfarin (Coumadin).
Bouchards nodes are associated with which of the following conditions? Osteoarthritis. Rheumatoid arthritis (RA). Reiters syndrome. Osteoporosis.
You note bony nodules located at the proximal interphalangeal joints on both the hands of your 65-year-old female patient. Which of the following is most likely? Heberdens node Osteoarthritic nodules Bouchards node Tophi deposits.
A 65-year-old carpenter complains of morning stiffness and pain in both his hands and right knee upon awakening. He feels some relief after warming up. On exam, the nurse practitioner notices the presence of Heberdens nodes. Which of the following is most likely? Reiters syndrome Osteoporosis Rheumatoid arthritis Osteoarthritis.
True about Rheumatoid arthritis: Sometimes is due to allergens present during spring season. Is a result of wear and overuse of synovial joints during years Chronic inflammation is present Spurs present is the most remarkable X Rays finding.
Some of the causes associated with secondary osteoarthritis include all of the following EXCEPT: History of gout History of trauma Congenital hip dysplasia Bone spurs.
Kyphosis is a late sign of: Osteopenia Old age Osteoarthritis Osteoporosis.
One can distinguish Rheumatoid Arthritisfrom from Degenerative joint disease (osteoarthritis) by bilateral presentation and extraarticular manifestations. unilateral and not extra articular manifestations. Gradual onset: early-morning joint stiffness w/inactivity. overuse, swelling, tender to palpation.
A 17-year-old boy reports feeling something on his left scrotum. On palpation, soft and movable blood vessels that feel like a bag of worms are noted underneath the scrotal skin. It is not swollen or reddened. The most likely diagnosis is: Varicocele Chronic orchitis Testicular torsion Chronic epididymitis.
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 denies flank pain, nausea, and vomiting. He reports that the pain is lessened when he uses scrotal support briefs. His urinalysis shows 2+ blood and a large number of leukocytes. What is the most likely diagnosis? Acute pyelonephritis Acute epididymitis Acute orchitis Acute urinary tract infection.
A 10-year-old boy complained of a sudden onset of scrotal pain when he woke up that morning. He is also complaining of severe nausea and vomiting. During the physical examination, the nurse practitioner finds a tender, warm, and swollen left scrotum. The cremasteric reflex is negative and the urine dipstick is negative for leukocytes, nitrites, and blood. The most likely diagnosis is: Testicular torsion Acute orchitis A severe salmonella infection Acute epididymitis.
C/C de epididimitis no edad..para tratamiento ? CEFTRIAXONE IM/ DOXICICLINA nsa aspirine clloide.
Paciente con tratamiento de Iodo radiactivo, post txt… HIPOTIROIDISM HIPERTIROIDISM HIPOGONADISM HIPOVOLEMIA.
Paciente con bursitis del codo que después de tratamiento regresa con ligera inflamación que le dejo saber…. Que puede durar un tiempo más y en ocasiones no desaparece GO TO ER SURGERY NEW TREATMENT.
The mother of a 12-month-old infant reports to the nurse practitioner that her child had a high fever for several days, which spontaneously resolved. After the fever resolved, the child developed a maculopapular rash. Which of the following is the most likely diagnosis? Infantile maculopapular rashes Fifth disease (erythema infectiosum) Roseola infantum (exanthema subitum) Varicella.
Besides SABA, what is your first line treatment in a patient diagnosed with chronic bronchitis? Anticholinergic ANTIBIOTICIC SOUP TETRACICLINES.
What would treatment for Bronchitis NOT include? SABA Antitussives antibiotic WATER.
Paciente con diferentes medicamentos entre ellos atorvastatin , que tiene dolor en músculos conducta? STOP Statins ADD Statins LOW DOSE OF STAINS ADD ANOTHER STATINS.
Paciente con dolores musculares que se le indica CK que otro análisis debo indicar para confirmar… AST/ALT GLUCOSE ALBUMIN TRIGLICEROL.
A 17-year-old boy reports feeling something on his left scrotum. On palpation, soft and movable blood vessels that feel like a bag of worms are noted underneath the scrotal skin. The testicle is not swollen or reddened. The most likely diagnosis is: Chronic orchitis Chronic epididymitis Testicular torsion Varicocele.
Todos los siguientes pueden ser un factor de riesgo de la Acne Vulgaris (Common Acne). Genetico Aumento hormonal Bacterial skin infection INGESTIÓN DE SODA Y CHOCOLATES.
A patient presents in the office and you note linear burrows in between his phalanges. He complains of itching at night. What do you diagnose him with? SCABIES TICKS FLYIES RATS.
Patient complains of the acute onset of extremely painful red bumps and small blisters on the sides of the finger or the cuticle area or on the terminal phalanx of one or more fingers may have recurrent outbreaks. Ask patients about coexisting symptoms of oral herpes or genital herpes ACYCLOVIR (Herpetic Whitlow) TETRCICLINA AMOXILL ETEROIDS CREAM.
HIV patient was started on HAART (combined antiretroviral therapy). Repeat testing shows CD4+ below 200. THE PATIENT SHOULD BE TOLD TREATMENT FAILED AND YOU NOW HAVE AIDS. IT OK YOU NEED MORE FOODS FREE OF HIV.
Which of the following lab results would best indicate that a patients HIV is well controlled? Viral load: detectable; CD4 lymphocyte count: 300 cells/µl White blood cell count: 10,000 cells/ml White blood cell count: 5,000 cells/ml Viral load: undetectable; CD4 lymphocyte count: 700 cells/µl.
Paciente con terapia de supresión para herpes simples… para que se indica? para no contagiar a tu pareja para disminuir el contagio a tu pareja Cura total disminuye riesgo de VIH OR Decrease the infection to sexual partners.
Suppressive therapy reduces the frequency of genital herpes recurrences by: 5%–10%. 20%–25%. 40%–50% 70%–80%.
You are examining the laboratory results of a 23-year-old Asian female whom you suspect has thalassemia. Which of the following values would you expect to be normal? Hemoglobin Total iron binding capacity Mean corpuscular hemoglobin concentration Mean corpuscular volume.
You are administering extensive laboratory exams to a patient who has recently signed up for a new life insurance plan. Upon receiving the lab results, you notice that the patient's hematocrit and red blood cell count are both low, while the mean corpuscular volume reading is high. Which of the following hematological diseases is indicated by these results? Thalassemia Folic acid deficiency Anemia of chronic disease Iron deficiency anemia.
Patient was taking Alprazolam 0.6mg for a long time and had been dependent on Alprazolam. Her husband died and she was depressed. What advice will you give to her? Wean OR REDUCED DOSE OF alprazolam KEEP DOSE STOP DOSE INCREASE DOSE.
Paciente con DEXA en -2.7 para diagnóstico ? OSTEOPOROSIS OSTEOPENIA NORMAL Osteophytes.
A postmenopausal woman was on Hormonal Replacement Therapy. She is diagnosed with osteoporosis. What do you expect her DEXA scan results to be? -2.5 -1 -2 -1.5.
Patient with hx of PID, increased risk for? INFERTILITY INFEDILITY OVARIC CANCER CANDIDIASIS.
Vacunación en adolescente que entra a High School ? Meningococo y tdap HPV HT-B HT-C.
Como diferencial breast cyst and breast cancer? MEMSES virus.
Con creatinina alta que espero encontrar…. eGRF DISMINUIDA LOW SODIUM LOW K HIGH MG.
C/C de paciente con dolor en calf/eritema/Warm/edema que toma tab anticonceptiva y regresó hace 2 días de viaje a europa … Homan’ssing negativo y pulsos 2+… DVT celulitis PAD insuf venosa.
Caregiver que es la esposa del paciente que tenía una enfermedad terminal y no quería hospice, ella lo queria cuidar hasta el final. Pregunta directa, de que tendria riesgo caregiver EXCEPT DE? Social isolation depression Sadness AGITACION PSICOMOTORA.
Paciente con tratamiento con ACEs que electrólito haba que chequear? K NA MG CL.
Infant con hydrocele,conducta a seguir? OBSERVATION AND EVALUATION IN EACH VISIT AND APPROPRIATE REFERRAL IF NEEDED virus.
Ejercicio En osteopenia… WALKING BOATING BOXING RUNNING.
En un paciente con syndrome metabólico, te daban el C/C , no diagnóstico, que medicamento no era recomendado: BETA BLOCKERS ALFA BLOKERS ACEs DIURETICS.
A patient has been diagnosed with a complete rotator cuff tear of the left shoulder. The nurse would expect the patient to have difficulty in: Supinating the left forearm. Touching the left hand to the right shoulder. Shrugging the shoulders. Abducting the left arm.
A 45-year-old patient reports a recent onset of unilateral shoulder pain which is described as diffuse and is associated with weakness of the shoulder but no loss of passive range of motion. What does the provider suspect as the cause of these symptoms? Glenohumeral arthritis Rotator cuff injury Cervical radicular pain Acromioclavicular joint disease.
Which of the following pathogenic bacteria are commonly found in the lungs of older children and adults with cystic fibrosis? Pseudomonas aeruginosa Chlamydia pneumoniae Staphylococcus aureus Streptoccocus pneumoniae.
The family history of a patient with diarrhea and abdominal pain should include inquiry about cystic fibrosis because it is the most frequent cause of diarrhea in general practice. only affects the GI tract. is one cause of malabsorption syndrome. is a curable condition with medical intervention.
Infants born weighing less than 1500 g are at higher risk for urinary urgency necrotizing enterocolitis. hepatitis A. cystic fibrosis.
Failure to pass a meconium stool in the first 24 hours after birth along with abdominal distention is often the first sign of biliary atresia. Meckel diverticulum. hydramnios cystic fibrosis.
Cystic fibrosis is caused by what type of gene? X-linked dominant X-linked recessive Autosomal recessive Autosomal dominant.
A patient has a serum potassium level of 3 mEq/L and a normal blood pressure. Which test should be performed initially to assist with the differential diagnosis? Serum magnesium Plasma renin activity Plasma aldosterone Serum bicarbonate.
A patient with normal renal function has a potassium level of 6.0 mEq/L. Which underlying cause is possible in this patient? Hypertension Adrenocortical deficiency Alcoholism Malabsorption syndrome.
A hospitalized patient with renal failure is accidentally given parenteral potassium and has a potassium level of 7.0 mEq/L. An ECG reveals a normal QRS interval. What is the initial recommended treatment for this patient? Calcium chloride Insulin and glucose infusion Sodium bicarbonate Sodium polystyrene sulfate.
A possible side effect from the use of nifedipine (Procardia XL) is: Hyperkalemia and angioedema Dry hacking cough Edema of the ankles and headache Hyperuricemia and hypoglycemia.
Which of the following classes of antihypertensive drugs should a patient be weaned off slowly to avoid the risk of severe rebound hypertension? Calcium channel blockers ACE inhibitors Beta-blockers Diuretics.
CC ACE treatment induce? hiperpotasemia itching hyperlipidemia hypopotacemia.
A young patient comes in complaining of knee pain. A XR shows avascular necrosis of the femoral head. What do you suspect? Legg calves perthes (osteochondritis of femoral head beth cavett perthesiun Deasease chondritis idioapic.
A bruit heard over the thyroid is suggestive of thyroid cancer. hypothyroidism thyroid cyst. hyperthyroidism.
Moist skin with fine hair, prominent eyes, eyelid retraction, and a staring expression are characteristics associated with systemic lupus erythematosus. Cushing syndrome. Graves disease. myxedema.
Which of the following drugs that are used to treat attention deficit hyperactivity disorder (ADHD) is not classified as an amphetamine/stimulant? Mixed salts of amphetamine (Adderall) Methylphenidate (Ritalin) Atomoxetine (Strattera) Dexmethylphenidate (Focalin XR).
A child is taking methylphenidate (Ritalin) for AD/HD. The childs parent calls the primary care NP to report increased behavior problems and delusional thinking. The NP should: order methylphenidate SR. change to dextroamphetamine. discontinue the medication. increase the drug dose.
A child is diagnosed with AD/HD after being expelled from school for disruptive behaviors. The childs parents are reluctant to start medication because of the stigma attached. The primary care NP should suggest: Dexedrine Concerta Ritalin Adderall.
You are treating a 9-year-old patient with asthma. Her symptoms, which include coughing and chest tightness, occur three times a week during the day and three times a month during the night. Additionally, she also has a forced expiratory volume in one second of 80%. Which of the following is the most likely severity level of her asthma condition? Moderate persistent Severe persistent Mild intermittent Mild persistent.
In general, how frequently would a typical pediatric patient with mild persistent asthma use a rescue inhaler? Less than 2 days per week Several times per day More than 2 days per week Once per day.
What are the normal physiologic changes in the thyroid gland that occur with aging? Atrophy of the gland with a decrease in TSH, T3, and T4 Increase in nodularity with normal TSH and T4. Normal size with increase in thyroid-stimulating hormone (TSH) and decrease in T4. Hypertrophy with a decrease in triiodothyronine (T3) and thyroxine (T4).
The family nurse practitioner notes a solitary thyroid nodule on a patient during a routine physical exam. What is the next step for diagnostic testing? Thyroid-stimulating hormone (TSH) level and ultrasound. Thyroid scan and antibody level Fine-needle aspiration (FNA) biopsy. X-ray film of the thyroid.
The family nurse practitioner would anticipate which laboratory values in the patient with Graves disease? T4 levels to be decreased. TSH levels to be within normal limits TSH levels to be decreased. Thyroid-stimulating hormone (TSH) levels to be increased.
A patient made an appointment with your clinic to be evaluated for a possible sexually transmitted infection. When the patient misses the appointment, you follow up and learn that the patient has been admitted to a hospital with a case of meningitis. Which of the following STDs would you most likely expect the patient to have? Gonorrhea Syphilis Chancroid Chlamydia.
Bouchards nodes are associated with which of the following conditions? Reiters syndrome. Rheumatoid arthritis (RA) Osteoporosis Osteoarthritis.
An older adult female complains of stiffness and pain in both her hands and left knee shortly after waking and worsens in the afternoon. She feels some relief with rest. On physical exam, the family nurse practitioner notices the presence of Heberdens nodes. Which of the following is most likely? Osteoarthritis (OA) Reiters syndrome Rheumatoid arthritis Osteoporosis.
Which diseases often present as polyarthritic disorders? Lyme arthritis, rheumatic heart disease, ankylosing spondylitis, and psoriatic arthritis. Rheumatoid arthritis (RA), gout, Reiters syndrome, and osteoarthritis (OA). Pseudogout, gout, and psoriatic arthritis. Gonococcal arthritis, systemic lupus erythematosus (SLE), and septic arthritis.
A 21-year-old woman complains of left-sided pelvic pain accompanied by dyspareunia. During the gynecological exam, the nurse practitioner notices green cervical discharge. The patient mentions a new onset of a painful and swollen left knee and denies a history of trauma. This best describes: Chondromalacia of the patella Reiters syndrome Disseminated gonorrheal infection Septic arthritis.
Sequelae of genital human papillomavirus (HPV) infection in a man can include low sperm count. paraphimosis. anorectal carcinoma. Reiter syndrome.
Treatment for reactive arthritis (also known as Reiter syndrome) in a sexually-active man usually includes: corticosteroid therapy antirheumatic medications. immunosuppressive drugs. antimicrobial therapy.
In men with reactive arthritis and associated urethritis, a common finding is: ACPA positive. HLA-B27 positive. RF positive ANA positive.
A mother brings her 5-monlh-old son for a checkup. She is concerned that her son s right leg appears shorter than his left. Furthermore, she states that his right leg looks as if it were turned outward. She adds that it does not seem as if her child is in any pain though. Suspicious, the nurse examined the child by adducting his right hip while applying pressure on the knee. for which of the following conditions is the nurse practitioner examining? Genu varum Hip dysplasia Slipped capital femoral epiphysis Genu valgus.
Which of the following is not a component of the physical examination for developmental dysplasia of the hip? Galeazzi's sign Adam's forward bend test Barlow's maneuver Ortolani test.
What type of cast is used to stabilize a fracture of the scaphoid bone? Long arm cast Short leg cast Leg cylinder cast Thumb spica cast.
Placing the base of a vibrating tuning fork on the midline vertex of the patients head is a test for bone versus air conduction. air conduction of sound. lateralization of sound. otitis externa. otitis media.
You are performing Weber and Rinne hearing tests. For the Weber test, the sound lateralized to the unaffected ear; for the Rinne test, the air conduction to bone conduction-to-ratio was less than 2:1. You interpret these findings as suggestive of a defect in the middle ear. a defect in the inner ear. otitis externa. impacted cerumen.
The family nurse practitioner understands that benign paroxysmal positional vertigo: Is more common in young persons and occurs suddenly and in episodes that include vertigo, tinnitus, hearing loss, feeling of fullness in the ears, and nausea and vomiting. Follows a viral syndrome (upper respiratory or gastrointestinal) with exacerbation of the vertigo with position change without hearing loss or tinnitus. Is described as vertigo and nystagmus with positional change and occurs most often in older adults. Involves gradual hearing loss and tinnitus along with vertigo, eventually with facial numbness and weakness.
A female patient complains of dizziness when she moves her head. You suspect benign paroxysmal positional vertigo. The diagnosis is supported by the presence of: New-onset hearing loss Duration longer than 2 years Tinnitus Horizontal nystagmus with rapid head movement.
A split S2 heart sound is best heard at which of the following areas? The aortic area The tricuspid area The pulmonic area The mitral area.
Which of the following murmurs can radiate to the neck? Aortic stenosis Aortic regurgitation Mitral stenosis Mitral regurgitation.
What type of murmur can radiate to the left axilla? Aortic stenosis Mitral stenosis Mitral regurgitation Aortic regurgitation.
Grey–Turners sign is highly suggestive of which of the following conditions? Acute appendicitis Acute diverticulitis Gastric cancer Acute pancreatitis.
Rovsings sign is associated with which of the following? Acute cholelithiasis An acute abdomen, such as during a ruptured appendix Damage to the meniscus of the knee Knee instability.
A middle-aged man with a body mass index (BMI) of 28 is complaining of sharp burning pain that starts at the middle of the right buttock and radiates down the posterior aspect of the thigh and lower leg. He is complaining of weakness of the ankle and foot that is interfering with walking. The pain started 3 months ago and is becoming more frequent and severe. It is aggravated by prolonged sitting, which is interfering with his job as a truck driver. His past medical history is positive for hypertension and metabolic syndrome. The patient is taking lisinopril–hydrochlorothiazide (Zestoretic) 10 mg/12.5 mg once a day. Which of the following tests is appropriate to further evaluate the patients symptoms? Lachman test McMurray test Markle test Straight leg raising test.
When evaluating a patient with Ménières disease, the procedure of observing for nystagmus while moving the patient from sitting to supine with the head angled 45 degrees to one side and then the other is called: the Romberg test. the Rinne test. the Fukuda test. Dix-Hallpike test.
Thrombosis of a leg vein should be suspected if the patient feels calf pain while wearing high-heeled shoes. on dorsiflexion of the foot. after running a short distance. on extending a flexed thigh.
A 4-month-old infant has an anterior fontanel that has fused. Which of the following is the best plan for this infant? Advise the mother to return in 4 weeks for a recheck Order an MRI of the head Refer the infant to a pediatric neurosurgeon Tell the mother that it is normal in some infants to have early closure of the anterior fontanel.
Which of these represents the standard of care for men with a diagnosis of symptomatic benign prostatic hypertrophy? Avanafil (Stendra) Terazosin (Hytrin) Dutasteride (Avodart) Saw palmetto.
The following statements about benign prostatic hypertrophy are correct except: Saw palmetto is always effective in reducing symptoms Dribbling and nocturia are common patient complaints It is seen in up to 50% of males older than 50 The PSA value is usually slightly elevated.
Which of the following is a CDC-recommended treatment for a case of uncomplicated gonorrheal and chlamydial infection? Azithromycin 1 g orally OR doxycycline 100 mg orally twice a day for 7 days Valacyclovir (Valtrex) 500 mg PO BID x 10 days 1 dose of oral fl uconazole (Difl ucan) 150 mg Metronidazole (Flagyl) 250 mg PO TID x 7 days.
At what age should an infant begin to transfer objects from hand to hand? 10 months 2 months 7 months 4 months.
A 65-year-old patient is diagnosed with Parkinsons disease. The patient has emphysema and narrow-angle glaucoma. The primary care NP should consider beginning therapy with: benztropine. selegiline ropinirole hydrochloride. carbidopa/levodopa.
Open-angle glaucoma occurs because of: Increased production of vitreous humor Excessive destruction of vitreous humor Decreased production of aqueous humor Obstructed outflow of aqueous humor.
Mrs. Murphy is a 58- the ar-old woman presenting with a sudden le]-sided headache that is most painful in her le] e the . Her vision is blurred, and the le] pupil is slightly dilated and poorly reactive. We le] conjunctiva is markedly injected, and the ball is firm. Vision screen with the Snellen chart is 20/30 OD and 20/90 OS. We most likely diagnosis is: open-angle glaucoma. unilateral herpetic conjunctivitis. anterior uveitis. angle-closure glaucoma.
White, rounded, or oval ulcerations surrounded by a red halo and found on the oral mucosa are College student with single, painful, intra-oral lesion with yellow center and erythematous base has aphthous ulcer.Aphthous stomatitis (canker sores): Single ulcers could also be caused by trauma from biting, braces, tooth, hot food, toothbrush; food intolerance or allergy; stress; hormone changes; genes; medications; stopping smoking. aphthous ulcers. Stensen ducts. leukoedema Fordyce spots.
the child is cranky, well hydrated, and afebrile. the most likely diagnosis is: aphthous stomatitis. Vincent angina. herpetic gingivostomatitis. hand-foot-and-mouth disease.
A primary care NP is preparing to irrigate and suture a laceration on a patients thumb. To anesthetize the site, the NP should use: bupivacaine with epinephrine. lidocaine with epinephrine. lidocaine hydrochloride. bupivacaine hydrochloride.
A primary care nurse practitioner (NP) sees a child who has several honey-colored crusted lesions around the nose and mouth. The NP notes that no other lesions are present. The NP should prescribe: mupirocin topical. dicloxacillin. trimethoprim-sulfamethoxazole (TMP-SMX). clarithromycin.
Clinical features of bullous impetigo include: intense itch. systemic symptoms such as fever and chills. vesicular lesions. dermatomal pattern.
the likely causative organisms of nonbullous impetigo in a 6- year-old child include: P. aeruginosa and select fungi. group A streptococcus and S. aureus. H. influenzae and S. pneumoniae. M. catarrhalis and select viruses.
First-line treatment of impetigo with fewer than five lesions of 1–2 centimeters in diameter on the legs of a 9- the ar-old girl is: oral cefixime. topical neomycin. oral doxycycline topical mupirocin.
What labs do you monitor in a patient on atypical antipsychotics with respiridone ? Hypoglycemia Hyperglycemia hipocalcemia hipomagneioun.
Ze International Diabetes Federations diagnostic criteria for metabolic syndrome include: documentation of microalbuminuria. notation of ethnic-specific waist circumference measurements. an obligatory finding of persistent hyperglycemia. a family history of type 2 DM.
The primary care pediatric nurse practitioner evaluates a school-age child whose body mass index (BMI) is greater than the 97th percentile. The nurse practitioner is concerned about possible metabolic syndrome and orders laboratory tests to evaluate this. Which diagnosis will the nurse practitioner document for this visit? Obesity Nutritional alteration: more than required Metabolic syndrome Rule out type 2 diabetes mellitus.
Ten days after delivery, a patient is diagnosed with mastitis. Which of the following should the family nurse practitioner expect to find on physical exam? Soft, tender palpable masses with cracked, bleeding nipples. Tender, hard, hot, and reddened area on breast. Dimpled skin on breasts and firm nodules around areola. Decreased milk production, inverted nipple, and firm, inflamed breast tissue.
The family nurse practitioner has diagnosed mastitis in a 6-week postpartum patient. The patient has no known drug allergies. Which medication is appropriate for treatment? Doxycycline (Vibramycin) 100 mg PO bid × 10 days. Ciprofloxacin (Cipro) 500 mg PO bid × 7 days. Dicloxacillin (Dynapen) 250 mg PO qid × 10 days. Metronidazole (Flagyl) 500 mg PO bid × 10 days.
A mother who has been breastfeeding her infant for several weeks develops a fever, breast warmth, and breast tenderness. What will the provider recommend? Warm packs and decreased frequency of nursing Ice packs and increased frequency of nursing Warm packs and increased frequency of nursing Ice packs and decreased frequency of nursing.
Pruritic, angular, reddish-purple lesions with white lines in the center is lichen planus. imoetigo lices candida.
Question on stating the patient had a bunch of labs TSH elevated, T4 T3 and was taking levothyroxine 100, but still have symptoms of hypothyroidism increase 125. decrease stop change to lop.
Patient was started on Levothyroxine, came back after 2 weeks c/o no improvement on her symptoms. Management? Advised patient to wait few more weeks for symptoms to improve virus.
Which of the following is most true regarding the treatment of hypothyroidism with levothyroxine? The dosage should be given every day. The dosage is 50-100 mg. The dosage is standardized for all patients regardless of age. The dosage Is typically tapered down every 2 weeks.
When performing an assessment, the family nurse practitioner understands that the metacarpophalangeal (MCP) joints are frequently involved with: Rheumatic fever. Gout Rheumatoid arthritis (RA).el Osteoarthritis.
patient with Cholesterol <200, HDL >40, LDL <100, Triglycerides <150 TX first line: niacin statin fenofibrate bajatin.
A first-grader presents to a school nurse practitioner with a few blisters on one arm and on the face. The child keeps scratching the affected areas. Some of the lesions have ruptured with yellow serous fl uid that crusts easily. This best describes: Erysipelas Bullous impetigo Herpes zoster Acute cellulitis.
Erysipelas is an infection of the skin most commonly caused by which of the following class of organisms? Staphylococi Streptococci Gram-negative bacteria Fungi.
A child is brought to clinic with several bright red lesions on the buttocks. The primary care FNP examines the lesions and notes sharp margins and an orange peel look and feel. The child is afebrile and does not appear toxic. What is the course of treatment for these lesions? Obtain blood cultures prior to beginning antibiotic treatment. Hospitalize the child for intravenous antibiotics and possible I&D of the lesions Initiate empiric antibiotic therapy and follow up in 24 hours to assess response. Perform gram stain and culture of the lesions before initiating antibiotics.
What is your first line treatment for trigeminal neuralgia? carbamazepine pititin neurobio vit-b12.
stitches adhesive where not to use, face the forearm, knee and human bite arms leg virus.
A child has a 1-cm laceration on the forehead proximal to the hairline after running into a pole while playing sports. To minimize the risk of infection, the primary care pediatric nurse practitioner will irrigate the wound and: Delay closure of the wound for several days Suture the wound within 6 hours. Refer the child to a plastic surgeon for wound closure. Allow the wound to heal by secondary intention.
A hypertensive middle-aged man who is Native American has recently been diagnosed with renal insufficiency. He has been on lisinopril (Accupril) for many years. Which of the following laboratory values should be carefully monitored? Serum sodium, potassium, and magnesium AST (aspartate aminotransferase) and ALT (alanine aminotransferase) Serum creatinine and estimated GFR (glomerular filtration rate) Hemoglobin, hematocrit, and MCV (mean corpuscular volume).
A middle-aged man with a body mass index (BMI) of 28 is complaining of sharp burning pain that starts at the middle of the right buttock and radiates down the posterior aspect of the thigh and lower leg. He is complaining of weakness of the ankle and foot that is interfering with walking. The pain started 3 months ago and is becoming more frequent and severe. It is aggravated by prolonged sitting, which is interfering with his job as a truck driver. His past medical history is positive for hypertension and metabolic syndrome. The patient is taking lisinopril–hydrochlorothiazide (Zestoretic) 10 mg/12.5 mg once a day. Which of the following tests is appropriate to further evaluate the patients symptoms? Lachman test McMurray test Markle test Straight leg raising test.
Question on anemia patient was taking iron supplement how to check it was working ferritin level elevation htc hga free iron.
What is the gold-standard test for alpha thalassemia minor and sickle cell anemia? Total iron-binding capacity (TIBC) Folate level Hemoglobin electrophoresis Ferritin.
Which type of anemia occurs as a result of thalassemia? Microcytic, hypochromic Microcytic, normochromic Macrocytic, normochromic Macrocytic, hyperchromic.
Patients with urge incontinence often report urine loss: with exercise. associated with a strong sensation of needing to void. at night. as dribbling after voiding.
A patient is complaining of a milky nipple discharge. Galactorrhea is usually a finding with which other diagnosis? Fibroma Cancer Miastalgia Hyperprolactinemia.
A child is brought to the clinic with a fever, headache, malaise, and a red, annular macule surrounded by an area of clearing and a larger, erythematous annular ring. The child complains of itching at the site. What will the primary care pediatric nurse practitioner do to determine the diagnosis? Order blood cultures Obtain a skin culture Ask about recent tick bites Perform serologic testing.
FNP knows that Lyme disease may cause: Arthritis and skin rash described as a Bulls eye lesion Genital chancroid lesion Papular rash in palms and soles. Peptic ulcers.
What does a positive posterior drawer sign in a 10-year-old soccer player signify? Instability of the knee Injury to the meniscus Swelling on the knee Normal knee.
A positive anterior drawer sign of the knee is highly suggestive of? Anterior cruciate ligament damage Posterior cruciate ligament damage Meniscus damage Medial collateral ligament damage.
A 32-year-old man comes to your office limping and complaining of pain in his knee. He had been playing basketball, and he believes that he hurt it after a particularly unruly game. You flex his knee 90 degrees, put pressure on his heel with one hand, while rotating the lower leg internally and externally. Which of the following tests have you performed? Phalen's test Lachman's test Apley's grind test McMurray's test.
What is the most common complaint in a patient with back injury who has cauda equina syndrome? Urinary retention. Numbness below the level of injury. Leg pain. Weakness in the lower extremities.
A 75-year-old patient reports pain and a feeling of tiredness in both legs that only relieves after sitting for 30 minutes or more. What the does provider suspect as the cause for these symptoms? Diabetic neuropathy Peripheral arterial disease (PAD) Cauda equina syndrome Buergers disease.
A 62-year-old female complains of chronic severe low back pain. She also reports mild episodes of fecal incontinence and numbness to her lower legs over the past week. You would suspect which of the following? Ankylosing spondylitis Cauda equina syndrome Fracture of the lower spine A herniated disc.
A 40-year-old nurse complains of a new onset of back pain secondary to her job on the medical-surgical fl oor of a hospital. She reports lifting some obese patients while working the previous night shift. She reports to the workers compensation clinic where she was referred. She describes the pain as starting in her right buttocks area and radiating down the back of her thigh. It becomes worse when she sits down for long periods. You would suspect: Acute muscle strain Cauda equina syndrome Acute muscle spasm Sciatica.
A patient diagnosed with well-localized vitiligo is referred to a dermatologist for treatment. What will the initial treatment be? Psoralens plus ultraviolet A light Twice-daily application of a mid-potency steroid cream Narrow-band ultraviolet B light therapy Chemical depigmentation with mequinol.
You note bony nodules located at the proximal interphalangeal joints on both the hands of your 65-year-old female patient. Which of the following is most likely? Tophi deposits Heberdens node Osteoarthritic nodules Bouchards node.
A 65-year-old carpenter complains of morning stiffness and pain in both his hands and right knee upon awakening. He feels some relief after warming up. On exam, the nurse practitioner notices the presence of Heberdens nodes. Which of the following is most likely? Osteoarthritis Reiters syndrome Osteoporosis Rheumatoid arthritis.
Medicines that can exacerbate GERD include calcium-channel blockers. (amlodipine, diltiazem,nifedipine, verapamil) hypoglicemnientas antibiotics albuterol.
All of the following conditions are contraindications for bupropion (Wellbutrin, Zyban) except: Brain injury Anorexia nervosa and bulimia Seizure disorders Peripheral neuropathy.
The parent of an 8-year-old child recently diagnosed with AD/HD verbalizes concerns about giving the child stimulants. The primary care NP should recommend: guanfacine (Intuniv). bupropion (Wellbutrin). atomoxetine (Strattera). modafinil (Provigil).
The number one cause of accidental death in patients older than 65 years of age is: Drowning Motor vehicle accidents. Falls. Poisoning.
Which four medications are used for malaria prophylaxis? Doxycycline (Vibramycin).Chloroquine phosphate (Aralen).Mefloquine (Lariam).Primaquine aspirine Ceftriaxone (Rocephin). Ampicillin (Omnipen).
Which of the following should you expect to fi nd on a wet-mount slide of a patient diagnosed with bacterial vaginosis? Tzanck cells A large amount of leukocytes and epithelial cells A large amount of bacteria coating the squamous cells and very few leukocytes Epithelial cells and a small amount of blood.
When collecting specimens, which sample should be obtained first? Gonococcal culture Chlamydia swab Pap smear Wet mount.
The visualization of a large proportion of clue cells on your wet mount slide examination suggests bacterial vaginosis. candidiasis trichomonal infection. gonorrhea.
A patient works as a welder. He finished work about 8 hours ago and discovered that the protective glass on his welding hood was cracked. He is complaining of severe left eye pain and photophobia. What are the most likely diagnosis and next best action? Chemical keratitis; dilate with atropine twice daily. Viral conjunctivitis; supportive treatment with artificial tears. Ultraviolet keratitis; ophthalmic antibiotic. Corneal abrasion; oral analgesics and an ophthalmic antibiotic ointment.
What situations exacerbates symptoms of herpes simplex keratitis? Exposure to sunlight eating driving sex.
What are the most common clinical manifestations of Sjögren syndrome? Abdominal discomfort and thickening of the epidermis. Joint destruction and alopecia. Increased urination and hunger Corneal dryness and lack of saliva. .
A patient presents to an office of a family nurse practitioner complaining of acute-onset severe right eye pain with no precipitating injury. The patient has blurred vision and reports seeing halos around lights. On exam, the pupil is dilated and fixed. The family nurse practitioner recognizes that this is a condition that requires immediate evaluation by an ophthalmologist, and the patient is sent to the emergency department for further care. What is the most likely cause of the patients symptoms? Closed-angle glaucoma. Open-angle glaucoma. Iritis/uveitis. Corneal abrasion.
An adult patient presents to the family nurse practitioner for evaluation of a red right eye for 24 hours. The patient states that when he awoke, the eye was matted shut. The patient denies trauma to the eye, eye pain, and any changes in vision. During the exam, it is noted that the pupils are equal and reactive, and there is mild conjunctival hyperemia bilaterally and a significant amount of yellowish discharge. The family nurse practitioner treats this patient for: Bacterial conjunctivitis. Corneal abrasion. Viral conjunctivitis. Allergic conjunctivitis.
Mujer sin antecedentes, con tearing, test de fluoresc POSITIVE Abrasion corneal Keratitis Conjunctival Glenohumeral.
A patient comes to clinic with diffuse erythema in one eye without pain or history of trauma. The examination reveals a deep red, confluent hemorrhage in the conjunctiva of that eye. What is the most likely treatment for this condition? Reassure the patient that this will resolve. Order lubricating drops or ointments. Prescribe ophthalmic antibiotic drops. Refer to an ophthalmologist.
Female que se mudo y empieza con tos, secreción nasal, congestión, ya le había pasado antes- ( Rinitis alérgica) – Intranasal corticosteroides ICS ATBX NORMAL SALINE DRENIX.
If a patient experiences a painful, blistering eruption in a dermatomal distribution that resembles the following, which is the most likely diagnosis? Xanthelasma Eczema Herpes zoster Erysipelas.
COPD con LABA que le hago ? Ipratropium AND oxigeno. Beta-BLOCKERS BERSSE DERENT.
Which of these headaches occurs as a result of vasodilation and excessive pulsation of the external carotid artery branches but does not typically present with an aura? Common migraine Tension headache Classic migraine Cluster headaches.
Mujer con migrana clásica, que espero encontrar. congestión nasal ojo rojo examen fundoscopico normal etoh ingestion.
An older male patient reports urinary frequency, back pain, and nocturia. A dipstick urinalysis reveals hematuria. What will the provider do next to evaluate this condition? Refer the patient to a urologist Order a PSA and perform a digital rectal exam (DRE) Refer for a biopsy Schedule a transurethral ultrasound (TRUS).
A male patient reports nocturia and daytime urinary frequency and urgency without changes in the force of the urine stream. What is the likely cause of this? Prostate cancer Lower urinary tract symptoms (LUTS) Urinary tract infection (UTI) Bladder outlet obstruction .
A 68-year-old woman complains of leaking a small amount of urine whenever she sneezes, laughs, and/or strains. The problem has been present for many months. The patient denies dysuria, frequency, and nocturia. The urine dipstick test is negative for white blood cells, red blood cells, ketones, and urobilinogen. What is the name of this condition? Overflow incontinence Urinary incontinence Stress incontinence Urge incontinence.
A 68-year-old woman complains of leaking a small amount of urine whenever she sneezes, laughs, and/or strains. The problem has been present for many months. The patient denies dysuria, frequency, and nocturia. The urine dipstick test is negative for white blood cells, red blood cells, ketones, and urobilinogen. What is the name of this condition? Stress incontinence Urinary incontinence Urge incontinence Overflow incontinence .
Paciente con BPH con PSA en 4que estaba tomando terazocin. Que puede referir que tenga. Overflow incontinencia stress incontinencia urge incontinencia functional incontinencia.
what is sensitivity: the ability of a test to detect a person who has the disease true positive the ability of a test to detect a person who is healthy or detect the person biased and not based on solid evidence, weakest evidence series of case reports involve several individuals who are given similar treatment.
Firstpass ? iv drugs Oral medications subcutaneo drugs virus.
Citocromo what organ? liver heart kidney bone.
Cómo evalúa que una anoréxica está mejorando. evaluación del peso (10 % de la grasa corporal)- lipidprofile virus.
All of the following factors are not associated with an increased risk of osteopenia in teenage girls except: Participation in sports A normal BMI (basal metabolic index) Anorexia nervosa Drinking one glass of low-fat milk daily.
Osteocondritis disecante. Paciente que se cayó y se dio en la rodilla. rx translucid, o ecolucid solid images soft liquid.
Paciente que tenía locked la rodilla que maniobra. mcmurray lackman rombert kleer.
An adolescent has experienced a tibial tubercle apophyseal traction injury as a result of stress on the patellar tendon. In educating the patient on the resulting condition. which of these statements would you most likely make? The pain may be worse in the morning but may subside as the day progresses. You will most likely require surgical treatment. The pain will often be worsened by running, Jumping, and climbing stairs. The pain may be insignificant in the morning but may get progressively worse as the day progresses.
Muchacho con dolor en la rodilla que practicaba deporte, le dolía la rodilla, no mejoraba con antiinflamatorios; Que hace palpar la tuberosidad de la tibia ER send to home said it going to easy.
Niño jugando sospechaba lesión del MCL, que test hacia Valgus STRESS BANGUS TEST VARUS STRESS DERES TEST.
Paciente con antecedentes de Dolor Lumbar con parestesia en miembros inferiores y con deficiencia de vit B12. Que método diagnóstico usas en este caso: XR de columna lumbar Ultrasonography CT scan MRI con Electromyography.
the patient complains of low back pain that is relieved by sitting and worse with activity. What do you suspect? Herniated disk or spinal stenosis (sis=sit)? virus.
Cómo hablar de sexualidad en un adolescente solo de la parte biológica sin las emociones . TALK ABOUT PENIS TALK ABOUT KISSES TALK ABOUT DRINK.
Elderly que estaba en un plan de ejercicios. Que lab te dice que esta funcionando. LDL IS LOWERING LDL IS ALTA HDL IS LOWERING COLESTEROL IS LOW.
The primary care NP sees a patient who has a 1-week history of nasal congestion; red, watery eyes; cough; and a temperature ranging from 99.1° F to 100.5° F. The NP notes thin, white nasal discharge and an erythematous oropharynx without swelling or exudates. The NP should: begin empiric antibiotic therapy to treat sinusitis. prescribe antiviral medications and decongestants. obtain a nasal culture and consider antibiotic therapy. reassure the patient that this is likely a viral infection.
A primary care NP sees a patient who reports a 2-week history of nasal congestion and runny nose. The NP performs a history and learns that the nasal discharge has changed from yellow to green in the past few days, accompanied by a fever of 102° F and unilateral facial pain. To treat this patient, the NP should: prescribe amoxicillin-clavulanate twice daily for 10 days. prescribe cefdinir twice daily for 10 days. recommend symptomatic treatment because this is probably a viral infection. order azithromycin daily for 5 days.
You are examining the newborn child of a recovering alcoholic. During the interview, she mentions she was still drinking early into her pregnancy and did not know she was pregnant for some time. You examine the newborn's mouth. Which of the following findings would most strongly indicate fetal alcohol syndrome? Whitish-yellow cysts on gums Triangular upper lip Shrunken, contracted mouth Enlarged tongue.
The family nurse practitioner understands the following about birth defects and growth and developmental problems in mothers who have prenatal alcohol exposure: If alcohol is ingested late in the pregnancy, there is a higher incidence of postmaturity syndrome. The practice of drinking alcohol while eating a meal significantly reduces the risk of fully expressed fetal alcohol syndrome. If alcohol is ingested in large amounts early in the pregnancy, there is an increased incidence of fully expressed clinical features of fetal alcohol syndrome. Growth retardation is associated with early trimester alcohol consumption and postmaturity syndrome.
A newborn infant who is small for gestational age is noted to have shortened palpebral fi ssures and microcephaly with a small jaw. This infant is most likely to be diagnosed with: Hydrocephalus Growth retardation Fetal alcohol syndrome Down syndrome.
Ten days after delivery, a patient is diagnosed with mastitis. Which of the following should the family nurse practitioner expect to find on physical exam? Soft, tender palpable masses with cracked, bleeding nipples Tender, hard, hot, and reddened area on breast Decreased milk production, inverted nipple, and firm, inflamed breast tissue. Dimpled skin on breasts and firm nodules around areola.
Paciente con breastfeeding y mastitis. KEEP breastfeeding AND dicloxacicline STOP breastfeeding KEEP breastfeeding AND STEROIDS SLOW breastfeeding AND WARM PRESS.
Paciente con breastfeeding y mastitis. KEEP breastfeeding AND dicloxacicline STOP breastfeeding KEEP breastfeeding AND STEROIDS SLOW breastfeeding AND WARM PRESS.
An appropriate medication regimen for a child with drug-susceptible pulmonary tuberculosis (TB) is: Montelukast (Singulair) therapy with rifampin (Rifadin). Streptomycin, pyrazinamide, and rimantadine (Flumadine). Montelukast therapy with pyrimethamine (Fansidar). Isoniazid, pyrazinamide, and rifampin.
Which four medications are used for malaria prophylaxis? Doxycycline (Vibramycin).Chloroquine phosphate (Aralen).Mefloquine (Lariam).Primaquine. aspirine Ceftriaxone (Rocephin). Ampicillin (Omnipen).
A mother brings her 1-year-old to your practice, claiming that the child has had a fever for 6 days. She thought it was a simple illness at first, but she has noticed recent swelling In the hands and feet. An examination shows that the child has inflammation in the lips and oral cavity, as well as redness in both eyes without exudate. To rule out Kawasaki disease, which test would best help to isolate the child's most likely condition? White blood cell count Blood urea nitrogen Hemoglobin and hematocrit level Erythrocyte sedimentation rate.
Which of the following would be pertinent in the past medical history of a child who is being evaluated for cardiovascular disease? Kawasaki disease. Hypothyroidism. Osteogenic sarcoma. Tourettes syndrome.
Phone consultation with a mother reveals that her child has been taking trimethoprim-sulfamethoxazole (Septra) for 3 days for a urinary tract infection. She has been treated with the drug previously with no problems. Currently, the child is experiencing blister-like sores in the skinfold areas (axilla and groin), oral ulceration, and a few genital sores. Her temperature is 104°F (40°C), and she is very weak. Differential diagnosis includes: Erythema multiforme (major). Viral exanthem. Early scalded-skin syndrome. Kawasaki disease.
An 11-year-old boy is brought in for an annual physical examination by his mother. You suspect _____ when you measure his arm span at 65 inches and his height at 60 inches. premature pubarche Marfan syndrome hypothyroidism scoliosis.
A 72- the ar-old woman presents with a newly formed, painless, pearly, ulcerated nodule with an overlying telangiectasis on the upper lip. Yis most likely represents: molluscum contagiosum. an actinic keratosis. a squamous cell carcinoma. a basal cell carcinoma.
During an eye exam, a patient's optic cup-to-disc ratio indicates that the size of the optic cup is larger than one half of the diameter of the optic disc. Which optic disease does this finding most strongly indicate? Retinal detachment Conjunctivitis Cataract Glaucoma.
Teaching a un elderly qué de todo esto puede estar normal. creatinina puede estar normal aunque el GFR este bajo. creatinina puede estar ALTA aunque el GFR este bajo. creatinina puede estar LOW aunque el GFR este bajo. creatinina puede estar normal aunque el GFR este ALTO.
infantil que veo al ex físico que debo remitir. ( te ponen cosas ortopédicas) estrabismo LEGS VARUS LEGS DEFORMITY ARMS DEFORMS .
When the lateral diameter of the chest is the same size as the anteroposterior (AP) diameter, the family nurse practitioner correctly identifies this finding as: Suggestive of obstructive lung disease. Pectus excavatum. A normal finding in a younger adult. Pectus carinatum.
You examine a 24- the ar-old woman with mitral valve prolapse (MVP). Her physical examination findings may also include: pectus excavatum. hyperextensible joints. petite stature. obesity.
Alex, an 11-year-old male, comes to your clinic for a physical examination. During the examination, you notice that his spine is severely curved in the lumbar and thoracic areas. Although the diagnosis is concurrent, you also know that this finding is most consistent with which of the following genetic conditions? Turner's syndrome Down syndrome DiGeorge syndrome Marfan syndrome.
Causa de ictero luego de las 24 horas. Poco breastfeeding cow milk breast-feeding too much juice.
Causa de ictero luego de las 24 horas. Poco breastfeeding cow milk breast-feeding too much juice.
Joven de 25 años tx para la epidimitis ? Rocephin con doxicicline warm bathroom yogurt banana.
In a 70-year-old man, which of the following bacteria is likely responsible for epididymitis? Treponema pallidum Neisseria gonorrhoeae Chlamydia trachomatis Escherichia coli.
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 denies fl ank pain, nausea, and vomiting. He reports that the pain is lessened when he uses scrotal support briefs. His urinalysis shows 2+ blood and a large number of leukocytes. What is the most likely diagnosis? Acute pyelonephritis Acute orchitis Acute urinary tract infection Acute epididymitis .
A middle-aged nurse complains of localized pain on the sole of her left foot, between the third and fourth toes. The pain is aggravated by weight bearing and feels like a pebble in my shoe. During the physical examination, the nurse practitioner palpates a tender nodule in the metatarsal interspace on the left foot. No redness or swelling is noted. Which of the following conditions is being described? Metatarsalgia Mortons neuroma Plantar wart Foreign body.
Grey–Turners sign is highly suggestive of which of the following conditions? Acute appendicitis Acute diverticulitis Acute pancreatitis Gastric cancer.
A 54-year-old female complains of right upper quadrant (RUQ) abdominal pain, nausea, and vomiting that began last night about 4 hours after eating a rich, fatty meal. She has a temperature of 100°F and a palpable RUQ mass. What is the most likely diagnosis? Acute hepatitis A. Acute pancreatitis. Cholecystitis Appendicitis.
Dolor, amilasa y lipasa alta, DX. pancreatitis collecistitis apendicitis diverticulitis.
Hemosiderosis is a condition that results in the excess of what substance being stored as hemosiderin in cells of many organs and tissues? Ferritin Hemoglobin Transferrin Iron.
Recycling of iron from erythrocytes is made possible by which of the following? Apoferritin Transferrin Erythropoietin Hemosiderin.
paciente con hemosiderosis, teaching. avoid carnes y alcohol beer apple guayaba.
Clinical manifestations of inspiratory crackles, increased tactile fremitus, egophony, and whispered pectoriloquy are indicative of which respiratory condition? Chronic bronchitis Emphysema Asthma Pneumonia.
Neumonía q despues de tener azitromicina sigue igual levaquin. asa cluvacin oxyclin.
Pt con riesgos cardiovasc, estaba pensando poner estatinas que evaluo primero. Enzimas hepáticas cbc electroits urine.
Pt con Creatininkinasa elevada que otro lab se le hace. ALT/ AST K Na/Cl DMP.
Actinic Keratosis can lead to: Squamous Cell Carcinoma. rosasea ill chankro sucio pestilencia.
Afroamericno que tomaba hidro la presión se controlo, pero el hombre se quejaba que la pastilla le hacia orinar mucho. Que hacer. Diltiazen calzetin bajatin diltazin.
A 14-year-old child has a 2-week history of severe itching and tearing of both eyes. The primary care pediatric nurse practitioner notes redness and swelling of the eyelids along with stringy, mucoid discharge. What will the nurse practitioner prescribe? Topical NSAID drops Topical vasoconstrictor drops Saline solution or artificial tears Topical mast cell stabilizer .
Un niño de 9 meses se empuja hacia arriba para pararse. hace trampolin baila salsa brinca cercas.
Niño con UTI. Que hacerle. Ultrasonido urianalisis tx with abx ctscan.
A possible complication of Bells palsy is: inability to swallow Loss of sensation in the affected side Acute glaucoma Corneal ulceration.
You are examining a patient who has just been diagnosed with Bell's palsy. Bell's palsy is characterized by all of the following except: Drooping of the corner of the mouth on the affected side Drooling Inability to close the eye on the affected side Inability to swallow.
Which of the following is a steroid option for patients with Bell's palsy? Benztropine Acyclovir Prednisone Sumatriptan.
Bell's palsy is associated with the malfunction of which cranial nerve? IV XII VIII VII.
Mujer que estaba tomando cafe y estaba funcionando, que hacía. keep tx stop tx reduce tx give more tx.
Tt con anticoagulante para un paciente con Fibrilacion auricular. pulso irregular y ausencia de ondas Cuanto tiempo? 6 meses. 3 meses 5 meses 2 meses.
Pt adolesc cojeando con dolor en cadera y rodilla. Que sospecho. Legg Carves Perthes Osgood-Schlatter disease osteoarthritis hip dislocation.
Un niño con CC de DIARREA explosiva, maloliente no sanguinolenta y especificaban que el niño no había viajado ni había usado antibióticos Clostridium difficile (por uso de AMB) Shiguella (sanguinolenta) Campylobacter (disgregadas y mal olientes) (campylobacter is capable of either invading, and causing bloody/watery diarrhea, or not invading, and causing just watery diarrhea). Giardia (acuosas y fétidas).
Pt con náuseas, saludable, diarreas sin sangre ni mucus. viral bacteria diverticulitis colecistitis.
Pt tomando Viagra que no puedes darle. Isosorbide(nitritos) melon mango frijoles.
Que no pertenece al sind metab. BUN obesity hyperlipidemia fasting sugar.
Which of the following is recommended by JNC 7 as fi rst-line treatment for hypertension in patients with microalbuminuria? Beta-blockers Calcium channel blockers Diuretics Angiotensin-converting enzyme (ACE) inhibitors Benazepril.
A patient who is taking nifedipine Diltiazen develops mild edema of both feet. The primary care NP should contact the patients cardiologist to discuss: evaluation of left ventricular function. ordering renal function tests. changing to amlodipine. increasing the dose of nifedipine.
Select the Class of medication that might cause peripheral edema in clients? Alpha 1 Blockers Alpha 2 Blockers Calcium Channel Blockers Beta-Blockers.
Pares craneales de mov en ojos III, IV, VI III, IV, I II, IV, VI III, V, VI.
Medio microscopico para ver candida. Pseudohifas PAP SMEAR CBC CANDICIN .
What does a potassium hydroxide (KOH) prep help the nurse practitioner diagnose? Viral infections Herpes simplex infections Fungal infections Herpes zoster infections.
Sifilis terciaria en un embarazo or A woman at 32 weeks gestation has a positive throat culture for Streptococcus pyogenes (strep throat). She denies allergies but becomes very nauseated with erythromycin. Which of the following is the best choice for this pregnant patient? Ofloxacin (Floxin) Penicillin (Pen VK) Clarithromycin (Biaxin) Trimethoprim–sulfamethoxazole (Bactrim DS).
In which stage of syphilis would the following clinical manifestations be found: destructive skin, bone and soft tissue lesions, aneurysms, heart failure, and neurosyphilis? Latent Primary Tertiary Penicilina G x 3 sem Secondary.
Epididimitis en pt alergico a Doxixiclina. Azitromicina terazocin dixomin vinulixto pk.
Neumonia q despues de tener azitromicina sigue igual levaquin terazocin penicillin metronidazole.
Pt con hipotiroidimo. Levothyroxine 125mg, low TSH, que hacer. low de levothiroxine keep de levothiroxine. stop de levothiroxine increase de levothiroxine.
Pt que esta tomando iodo radioactivo, que complicación se teme. hypokalemia hyperthyroidism hypothyroidism hypoglicemnientas.
Pt hipertiroideo, que complicaciones hay que vigilar arritmias and anginas bulimia microcephaly dermatome.
Gota: Pt tomando Alopurinol seguía con dolor sin mejoría. Que hacer. NSAIDs (nonsteroidal anti-inflammatory drugs) aspartate aspirine voltarem.
You are seeing a patient who has recently been diagnosed with hyperthyroidism and are educating him on the causes of his condition. You should tell the patient all of the following except: Onset of hyperthyroidism most commonly occurs between 20 and 40 year of age Hyperthyroidism is more common in women than men by an 8:1 ratio. Grave's disease is the most common presentation of hyperthyroidism Iodine deficiency typically causes hyperthyroidism.
Which of the following is not a common cause of hypothyroidism in children and adolescents? Grave's disease Hashimoto's thyroiditis Pituitary deficiency of thyroid stimulating hormone Iodine deficiency.
Hipotiroidismo características más frecuentes ? constipación, overweight ,dry skin , alopecia, depression diarreas, microcytic polarized ,mobility.
Sensitivity ? Refers to the ability of a screening test to correctly identify a person with the disease Refers to the ability of a screening test to correctly identify a person without the disease. This refers to an illness or any departure from physical and/or mental health Refers to the rapid increase of a disease in a population that involves a large number of people.
PVD con dolor en la pierna. ABI Right left 0.4, Left leg 0.8 PVD with claudication PVD without claudication PVD only only claudication.
The nurse practitioner orders an ankle-brachial index (ABI) test for a patient. Which of the following disorders is the ABI test used for? Peripheral arterial disease (PAD) Rheumatoid arthritis Osteoarthritis of the arm or the ankle Venous insufficiency.
When the nurse practitioner is evaluating a patient for intermittent claudication, he or she would first: Order TED anti-embolism stockings Check the pedal and posterior tibial pulses Check the ankle and brachial blood pressures before and after exercise Order a venogram.
The term claudication refers to visible extremity changes of arterial occlusion. lack of palpable pulsations. pain from muscle ischemia. numbness and tingling in toes and fingers.
Pt obesa, HTN, IMA anterior. Tx with Atorvastatin 10 mg Labs: Colesterol 303, LDL 160, HDL 30, TGD 300. Increase Atorvastatin a 20 mg DESCREASE Atorvastatin a 20 mg Increase Atorvastatin a 20 mg virus.
Carpenter con dolor en el codo, inflamado, en el otro dolor a la extensión. Bursitis Artritis Inflamatoria virtus.
Which of the following best describes the appearance of Auspitz sign when psoriasis scales are removed? Erythematous, warm, indurated areas Rough skin that is either flesh-colored, pink, or hyperpigmented Honey-colored crusts at the edges Droplets of blood.
Pt con insuficiencia Cardiaca, tomaba muchos medic, furosemida y tenia un dolor y estaba tomando un antiinflamatorio. La función renal se altero. stop furosemida stop cefalexin stop carbidopa/levodopa stop NSAID.
The diagnosis of early acute pancreatitis would be considered by the family nurse practitioner based on a history of severe, constant, acute upper abdominal pain that radiates to the back and which of the following laboratory results? Serum alanine aminotransferase of 60 IU/L. Serum lipase of 850 U/L. White blood cell (WBC) count of 10,300/mm3. Serum amylase of 100 U/L.
Pt obesa, 40 años, náuseas, vómitos Colecistitis diverticulitis apendicitis pancreatitis.
Gestante con anemia x déficit de Fe. eating ice(pica) eating yogurt eating mango eating frijoles.
Pt que tomo x 4 sem Fe, los lab estaban mejorando. Que hacer la NP. keep tx stop tx slow tx add more tx.
CC de un paciente con anemia, todo parecido a una anemia x déficit de fe excepto que decía que era Griego, Talasemia sickle pernicious acid folic.
The family nurse practitioner knows that in patients with ulcerative colitis that involves the entire colon (universal or pancolitis), careful surveillance of the colon is required because of an increased risk of: Diverticulosis. Ischemic colitis. Irritable bowel syndrome Colon cancer.
A 21-year-old white college female complains of fatigue, RLQ abdominal pain, and diarrhea for the last 2 months. She has lost 10 lb and notes chills periodically. She denies rectal bleeding. She notes she is stressed about final exams. The family nurse practitioner would be most concerned about: Irritable bowel syndrome Intestinal infection Crohns disease Ulcerative colitis.
The mother of a 12-month-old infant reports to the nurse practitioner that her child had a high fever for several days, which spontaneously resolved. After the fever resolved, the child developed a maculopapular rash. Which of the following is the most likely diagnosis? Roseola infantum (exanthema subitum) Varicella Infantile maculopapular rashes Fifth disease (erythema infectiosum).
GFR 50 quE tipo de CKD es. Mild viruis.
Which of the following laboratory tests is a sensitive test for evaluating renal function? Electrolyte panel Creatinine Blood urea nitrogen (BUN) Estimated glomerular filtration rate (eGFR).
Which condition is more common in African American women than in white women? Nipple inversion Supernumerary nipples Retracted areolae Light areolae.
Gestante con parches Brown bajo las mamas, que es. Pezones supernumerarios. Split uvula Seborrheic Cyst.
¿Infante con insomnia ? Acostarlo drowsing pero awake PLAY WITH THE INFANT SLEEP WITH HIM PLAY A PICABOO.
Otitis media germen que lo produce? Haemophilus Staphylococci VIRULIN Candida.
Pt que es mordido por un perro OR CAT Amoxicillin with Clavulanico TETRACICLINES Metronidazole NSAIDs.
Adolescente que iba a viajar ? Tdap FLU HIV VACUNA COCA COLA.
Conjuntivitis Dx. Decía tearing, watering viral Bacterial Fungal QUIMICAL.
A mother brings her 4-year-old daughter, who just started attending preschool, to the health clinic. She tells the nurse practitioner that her child is complaining of burning and itching that started in the left eye. Within 2 days it involved both eyes, and the child developed a runny nose and sore throat. During the physical exam, the childs eyes appear injected bilaterally with no purulent discharge. The throat is red, the inferior nasal turbinates are swollen, and shotty nodes are palpated in front of each ear. Which of the following is most likely? Corneal ulcer Herpes keratitis Bacterial conjunctivitis Viral conjunctivitis.
In infectious mononucleosis (IM), what does the Monospot test detect? Immunoglobulin E (IgE) Immunoglobulin M (IgM) Immunoglobulin G (IgG) Immunoglobulin A (IgA).
An 18 year old girl presents with fever, drastic weight loss, and a general feeling of malaise. During an otoscopic exam, you find white tonsillar exudates. Upon physical examination, you notice a mass in the girl's upper left quadrant. What tests should you order to confirm the most likely diagnosis? Computed tomography scan Throat swab Monospot Oral culture.
Mononuclosis. Pt que le pusieron penicilina y no habia mejoria que se le manda. Monospot immunoglobulins Igm hiv test elisa screen.
If a patient with a sore throat has been advised to avoid contact sports, his condition most likely stems from which of the following viruses? Rhinovirus Epstein-Barr virus Adenovirus Respiratory syncytial virus.
Pt DM, toma metformin dosis max 1000 mg, glimepiride 8 mg( max), sobrepeso. No quiere insulina. Byetta( inyectable, se puede usar con metformin, sulfonilureas, tiazolidindiona) NPA injection Novolog Humalog.
On an exam of a child, the family nurse practitioner notes weak femoral pulses. This finding is associated with what condition? Patent ductus arteriosus. Pulmonary stenosis. Coarctation of the aorta. Tetralogy of Fallot.
Coartacion de la aorta. Le encuentran al paciente delay del femoral con relación al radial. Medir la TA arriba y abajo Medir la TA both legs Medir la TA arms Medir la TA arriba only.
Presbicucia: Sensorineural to high pitch Sensorineural to low pitch Sensorineural to mid pitch Sensorineural to ultra pitch.
Causa mas frec de infertilidad Salpingitis urethritis vaginitis cervicitis.
Pt con tremor al reposo, que mejoraba al sostener algo, tomaba carvidopa para Parkinson. Que hace la NP keep doses stop doses add doses reduce doses.
Essential tremor. Propanolol methimazole penicilina levodopa.
Which of the following is recommended as first-line treatment for essential tremor? Propranolol (Inderal) Fluoxetine (Prozac) Phenytoin (Dilantin) Amitriptyline (Elavil).
Heavy menstruaciones en adolescents que no explore Tanner menstrual date sex activity anticonceptiva use.
A 17-year-old female has never had her menses. She is at Tanner stage III of sexual development. Her physical examination is completely normal,and her weight is appropriate for her age and height. What is the most likely diagnosis? Primary amenorrhea secondary amenorrhea terciaria amenorrhea fibrosis.
A 76-year-old woman reports that for the previous 4 months, she has noticed severe stiffness and aching in her neck and both shoulders and hips that is worsened by movement. She reports having a difficult time getting out of bed because of the severe stiffness and pain. It is difficult for her to put on a jacket or blouse or to fasten her bra. Along with these symptoms, she also has a low-grade fever, fatigue, loss of appetite, and weight loss. Starting yesterday, the vision in her right eye has progressively worsened. She has annual eye exams and denies that she has glaucoma. Which of the following conditions is most likely? Fibromyalgia Polymyalgia rheumatica (PMR) Rheumatoid arthritis (RA) Degenerative joint disease.
Pt con Polimialgia reumática se le empieza con Prednisona x 3 dias de tx y ya mejoro. Que hace la NP: increase a 40mg keep dosis decrease dosis NSAID.
Older man complains of gradual development (years) of urinary obstructive symptoms such as weak urinary stream, postvoid dribbling, feelings of incomplete emptying, and occasional urinary retention. Nocturia is very common.Pt con nocturia. PSA en 4 BPH BPP VPH BHP.
Migrana Común or without aura Throbbing pain behind one eye Photophobia, phonophobia Nausea/vomiting Preceding symptoms plus scotoma,scintillating lights, halos, etc. Severe “ice-pick” piercing pain behind one eye and temple; with tearing, rhinorrhea, ptosis, and miosis on one side (Horner’ssyndrome) Unilateral pain, temporal area with scalp tenderness; skin over artery is indurated, tender, warm, and reddened; amaurosis fugax (temporary blindness) may occur.
Lesiones de rodilla dx ? mri ct scan Rx.
HTA descontrolado, quería tx para la migrana, cual no puede usar. triptan propalomol furosemida lisinopril.
HIV con convulsiones, con que puede estar asociado. Sarcoma de Kaposi Neuro sífilis Toxoplasma del SNC brain fungal.
Pte con Hx de stroke. Ahora no esta recordando. Que tipo de demencia tiene. Demencia Vascular demencia quetiapine dementia neurological amnesia amaurosis .
Niño de 9 meses que era normal a esa edad.- Head lag. Follows objects past midline Brings hands to mouth Play pat a cake and peek.
Está cuidando a un paciente encamado que es lo que menos presenta Agitacion psicomotora Depresion Aislamiento social constipación.
CC para decir que era un Panick Attack. sensación de muerte inminente( feeling of impending doom). virus .
Pt con statin, muscle pain and CPK elevate. other labs ? AST, ALT bmp hga sra.
Dysuria, bubbly itching, vulvovaginal irritation, yellow-green vaginal discharge, occasionally frothy. Chancroid Lymphogranuloma Venereum Trichomoniasis Condyloma Acuminata.
Pregnant with UTI. Keflex Alopurinol METRODIDAZOL Aspartate.
Nino con UTI tx. abdominal US CSCAN Urinary Test PAP SMEAR.
Embarazada con UTI que está tomando Ceftin (Cefuroxime) 2da Generation. Que haces si a los 5 días continua con UTI Cultivo de sencitividad en orina US ct scan esrd.
Gestante con UTI, no mejoría luego de tx. Ahora con blood in urine. What to do Cultivo de sencitividad en orina US ct scan esrd.
Niño pequeño con wheezing . bronquiolitis FARIGITIS UTRITIS NASOITIS.
Lesión en el ojo? Corneal Abrassion conjunctivitis irities uveitis.
Herpetic Keratitis recurrente. Que la exacerba. Estres y sol drink eat chocolate bonuelos.
Pt taking fluoxetine had erectly dysfunction. bupropion klefelx macrolide loperaxil.
Arcus senile due to? cholesterol blood sugar salty foods harina de pan.
Pt with fundoscopia , cup to disc 1a 2. glaucoma iritis uveitis glandona.
Geriatric patient with progressive loss of vision and probable open-angle glaucoma can have: Notching of optic disc and changes in cup-to-disc ratio. uveitis iritis glaucoma glandona.
Elderly se cae y comienza con visión borrosa. Retinal detachment stroke seizures tontera.
CC con Kerning +. Meningitis apendicitis cholecystitis salpingitis.
Lesión en los dedos con prurito. Scabies tinnea fungus dedal allergies.
Raynaud’s Phenomenon. Spontaneus remission. Avoid frio cool your hand sugar high at night cholesterol.
Fibrilacion auricular. No P, PR no s , no t st elevated st wide.
Padres heterocigóticos se transmiten ? 25% a los hijos. 35% a los hijos. 45% a los hijos. 50% a los hijos.
Elder con neumonía y decía todo para ser ingresado, Which would not constitute for a reason to admit this patient to the ED? cracker confusion BP:88/56 HR:125.
Pt con anemia que es lo que da el tamaño del glóbulo. MCV MCB MVL MVC .
Pt con anemia, como sabes que mejora. Reticulocyte count Serum ferritin Serum iron TIBC total iron binding capacity.
Causa mas frecuente del CIUR smoking eating to much tomate snoring drinking.
Pt con fiebre, pain in RLA, tenderness, diarreas mucosas, con blood, que hacer. Stool culture US ct scan bmp.
Bell Palsy. Que información es más completa sobre esta enfermedad. Self limit disease incurable bacterial only childs .
Pt adolescente se puso la del HPV, cual otra le pones. Meningococo y T Dap mmr covid flu.
Causas más frecuentes de muerte en adolescentes. burn Motor vehicle accident drowning poisoning.
Que te hace pensar que debes hacer seguimiento de un paciente con pruebas neurológicas. Motor weakness leg dolor pulsatil talking laughing.
Afroamerican con enfermedad cardiov, DM, LDL increase, TGD increase Aumentar la dosis del lipitor a 20 mg( High intensity) disminuir la dosis del lipitor a 20 mg( High intensity) keeps la dosis del lipitor a 20 mg( High intensity) remove la dosis del lipitor a 20 mg( High intensity).
Pt con valores normales, TA en el borderline, antecedentes de HTN , DM, el paciente reconocia que no estaba haciendo bien la dieta y ejercicios. Los labs todo OK . Que le dice la NP. remove tx and reinforced lifestyles keep tx and reinforced lifestyles increase tx and reinforced lifestyles keep tx and no reinforced lifestyles.
Pt admitted in ALF ( assisted living facility) criterio de mas peso para el assessment de fall. Hx de dos caídas en el último . Hx de tres caídas en el ultimo año. Hx de una caídas en el último año. Hx de cuatro caídas en el último año.
Pt con HF y osteoartritis que no debes darle. Antiinflamatorios abx flomax guarana.
Pt con Hx de Angina y Migraña. Que no debes darle. Sumatriptan guarana sumarinu guacamoles.
Cefalea tensional y Migraña que diferencia tienen. La tensional es bilateral La tensional es unilateral La tensional es bilateral.
Adolescente que sufre trauma en el calf, con dolor al caminar y al tocarlo y paleless (no palidez). Severo hematoma o compartimental síndrome.(paleness) dvt pda pop.
Adolesc con lesiones hipopigmentada. En esas áreas el pelo era blanco. Vitiligo pitiriasis alba tinnea heterophile.
VB que no mejoro con Metronidazol. Clindamycin gel penicillin antiandrogens progestin.
de una lesión con ferm en el ojo. Una keratitis herpética. Cuál es la causas viral herpes infection bacterial micotica espiroketas.
Pt con Crohn disease pero too ojos rojos. Uveitis sinutistis conjunctivitis maxilitis.
Keratitis herpética Exposición al sol y estress expose to floor dust polarized.
Meningococcemia y hay que explicarle a la madre. Necesita antibiot IV rápido o deja secuelas neurológica go home keep with otc is a viral.
Pt que no se había vacunado con la hep b y estuvo en contacto con el virus que hacer. Inmunoglobulina y las 3 dosis de la vac tda mmr and flu covid vac and flue.
Que determina si el paciente es inmune o estaba en contacto. Le daban la opción de Ag sup y Antic de Hep B. El paciente tiene anticuerpos anti Hep B El paciente tiene anticuerpos anti Hep c El paciente tiene anticuerpos anti Hep a El paciente no tiene anticuerpos anti Hep B.
Maniobra del Nistagmo. Adolescente que el nistagmo desaparece rápido. Es normal no normal abnormal very normal.
CC de appendicitis. Dolor en el RLA con fiebre Dolor en el ULA con fiebre Dolor en el LLA con fiebre Dolor en el RUA con fiebre.
Causa masfrecde ulcera gástrica en usa. Helicobacter pilory Adenovirus sapera echericha.
Pt con anti inflamatorios y dolor en epigastrio y dark stool. Ulcera Gastrica Ulcera duodenal ulcera intestinal gastritis.
Pt embarazada con amigdalitis. Alérgica a la penicilina. Tx Cefalosporina amlodipine tetracycline aminoglucocids.
Recién Nacido con ex físico normal pero con secreción x los ojos. Conjuntivitis x Clamidia blesfaritis uveitis irities.
Incontinencia Urinaria en una mujer. Cuando llegaba al bano ya estaba orinada. Urge stress physiological Overflow.
Pt con Mild cistocele que no mejoraba con los kegel. Pesario surgery ring.
Pt masculino, con aumento de red blood cel, ya le habían hecho de todo Citoscopia CT Urogram BMP US prostate.
Mujer que se le olvidaban las tabletas y quería embarazarse de nuevo. Mirena virema ring lunets.
Cual es la opción en un paciente con epixtasis. keep exercise and avoid productos cafeina drink red bull practice boxing drink mocca.
Pt con bursistis del elbow había mejorado pero regreso con pequeña inflamación aun. Eso en la mayoría de los pasos queda y luego desaparece ER US CT Scan.
Fractura de escafoide. wait and repeat Rx not wait and repeat Rx ER CT Scan.
Dolor en el hombro que se irradia al antebrazo Y Maniobras normales. Cervical radiculopatías bursitis spondylitis synovitis.
Pt con celulitis en la cara, llevo tx con antib y no mejoro. Remision al hosp para IV renew abx ttx iv only metronidazol.
Newborn con todo abnormal. Que es lo único normal. lost weight 5 al 10 % at birth cataract uveitis conjunctivitis.
Gestante con clamidia. Azitromicin tetracycline cefalexin metronidazol.
Pt con tx con warfarin y que llevaba tx con sulfaprin. keep bactrin adjust warfarin dosage low bactrin adjust warfarin dosage keep bactrin low warfarin dosage discontinue bactrin adjust warfarin dosage.
Essential tremor curable none postural only adult occur most in arms or the hands.
Pt con tx con Gabapentin que estaba usando para neuralgia del trigmemino, no le servia, que otro medic usaba. Carbamazepine metronidazol alpha-blocker beta-agonists.
Pt anciano que estaba cuidando a su esposo. ¿A que estaba expuesto excepto? Depresión asilamiento agitación psicomotora malnutrion.
Pt ansiosa que tomaba clonazepam como quitárselo. tapered medication stop medication keep medication add more.
You perform a fundoscopic exam on a patient and see a swollen optic disc with blurred edges. What is this indicative of? Papilledema, ICP glaucoma uveitis retinopathy diabetes.
Anciano con nodulo tender, firme de 1.5cm en región cervical send to oncólogo to posible biopsia is normal nsaids abx cefalexin.
CC de dolores musculares, tx para el colesterol. CPK increase. Que hacer stop sinvastatin add hydration add bacteriostatic add asa.
new born with hidrocele CHECK FRECUENTLY FOR REFERE TO UROLOGY ER IS Normal Antic.
Que te hace pensar que una mujer perimenop mejora con estrógenos. REDUCE VASOSPASMOS INCREASE VASOSPSMOS MORE DRINKNG INCREASE HUNGRY.
pt con tx corticoides inhalados largo tiempo RISK OF osteoporosis Anemia UREMIA PROTEINURIA.
CC de una mujer con saltcraiving. CORTISOL LEVEL BMP LEVEL CMP AND LTS GLUCOSE LEVEL.
Mitral regurgitation. Soplo sist que se irradia a la axila. Soplo sist que se irradia a la neck Soplo sist que se irradia a apice Soplo dist que se irradia a la axila.
CC eritema y edema en la cara. (no decía bordes demarcados). Erisipela tiniea celulitis dermatitis.
Mujer que quiere algo natural para la menopausia. soya mango guarana garbanzo.
CC pt con dolor en el pecho, se irradia a la mandíbula, y que ves en el ekg Supra desnivel del ST Supra desnivel del QT Supra desnivel del P Supra desnivel del QRS.
Molusco cont en un nino en región anal abuse Normal abx ttx metrodinadazol.
CC vesículas en forma de coliflor en la región anal. HPV LPV PVN HPB.
Como diferencias un T benigno de un maligno. varia con la menstruación NO BLEEING DURING menstruación NO Bleeding BLEEDING AT NIGHT .
Niña con grandes periodos menstruales, yepixtasis a repetición. Que se busca Von Willebrand diseases, ( lamasfrec ) Thalassemia SICKLLE Anemia ALPHA-THALASEMAIA.
The family nurse practitioner understands the following about von Willebrand disease (vWD): Common symptoms are ecchymosis and epistaxis Has a lowered life expectancy of all the coagulation disorders. Has only one inherited type, unlike hemophilia, which has different types. Is a bleeding disorder caused by an excess of platelets.
A patient has type 1 Von Willebrand disease (vWD). What treatment is generally effective to prevent and treat bleeding episodes in this patient? Desmopressin Coagulation factor Heparin Vitamin K.
A male patient has a history of recurrent epistaxis. Prior to a scheduled surgery, the provider asks about a family history of bleeding disorders. The patient reports no female relatives who had excessive bleeding episodes, but states that a maternal uncle and his maternal grandfather both had postsurgical complications related to bleeding. Based on this history, which diagnosis is possible? Von Willebrand disease Thrombocytopenia Thrombophilia Hemophilia.
A baby has greasy scales on his head. What do you tell mom this is? Seborrheic dermatitis. Vitiligo HPV TINNEA.
TSH elevada y bajos la tx. Qué hacer. Subir la dosis de levotiroxina KEEP DOSIS REMOVE DOSAGE ER.
Pt con calcio elevado. PTH BMP MBP CMP.
Pt diabético con lesiones muy pruríticas en el pene Candidiasis TINNEA CHANCRO VITILIGO.
Cual de los siguientes SSSR tiene efecto sedativos fluoxetine (paroxetine SSRI sedating) MICONAZOLE Aldosterone trazodone.
Gestante de 12 semanas con vómitos que darle. piridoxine TEMAZEPAN SEDATIN BENADRIL.
Pt diabético con injury. Complicación. Ulcera Osteomielitis BLASFERIO Bleeding.
Pt asmático se levantaba mas de una vez a la sem. Usaba el inh 3 o 4 v a la sem. Asma moderada Asma SEVERE Asma LIGERA.
Esteroides en el asma para que se usa. antinflamatory remove fluids broncoldilator broncocontrictor.
Pt enfisematoso que se le da primera línea? SABA- Anticolinergico lABA- Anticolinergico BABA- Anticolinergico NSAID.
Niño de 6 meses que vacunas le dabas Flu MMR varicela hpv.
Ejercicios en la oteoporosis. walking boxing rowing lifting.
Pt con ACE inhibitor que provoca. high Potasio low potassium low creatinina low pth.
condiciones que favorecen el riesgo de inflamación pélvica. Hx of PID, Multiples partner,age 25 o menos. older than 25 yo only one partner no hx of pid.
pt con tx con iodo radioactivo que esperas encontrar. hipotiroidismo hipertiroidismo hipocalcemia hipoglicemia.
Nino con Attention deficit disorder Behavior playing peek-a-boo demenzia trembling.
Pt con tearing. diseccion de la aorta conjunctivitis appendicitis colecistitis.
What diagnosis is indicated with chest pain that is sudden and severe, described as tearing, and accompanied by a decrease in peripheral pulses? Aortic dissection. Acute myocardial infarction (AMI). Angina. Pericarditis.
CC de PVD. Piel fría, pulsos decrease, Hxsm OK er. Dx. ABI index hilpike test bmp test mcmurray test.
The nurse practitioner orders an ankle-brachial index (ABI) test for a patient. Which of the following disorders is the ABI test used for? Peripheral arterial disease (PAD) Osteoarthritis of the arm or the ankle Rheumatoid arthritis Venous insufficiency.
Murmur sistólico que se irradia al cuello. Aortic stenosis mitral stenosis aortic regurgitant pulmonary stenosis.
Pt que tiene low back pain what to do dx. MRI x-ray bmp us .
paciente que le hacian PSA y habia que tener en cuenta...: 5-alpha reductase inhibitors reduce el valor del PSA 5-alpha reductase inhibitors increase el valor del PSA 7-alpha reductase inhibitors reduce el valor del PSA 5-alpha reductase inhibitors keep el valor del PSA.
donde no poner dermabond? human bite wound any wound only legs only arms.
un niño active de 4 años, bajo peso y anemic….. Preguntar si habia visitado una casa construida antes de 1950 Preguntar si habia visitado una casa construida antes de 2000 Preguntar si habia visitado una cosa construida antes de 1900 Preguntar si habia visitado una cosa construida antes de 1850.
A 25-year-old man with schizophrenia comes in for a routine annual physical. He is a heavy sm er and has a body mass index (BMI) of 28. The patient has been on olanzapine (Zyprexa) for 10 years. Regarding the patient’s prescription, which of the following laboratory tests is recommended for monitoring the adverse effects of atypical antipsychotics? Fasting blood glucose, fasting lipid profile, and weight bmp , cmp lipid and tsh lipasa and liosa.
Female patient suffering from depression and on Paxil complains of decrease libido given her trouble with her partner. What action the NP should take? Combine with Wellbutrin (Bupropion abx and lipon give metronidazol give lorazepan.
Erysipelas TTO ? PENICILLINS metrodinadazol glucocorticoid etoh.
Which HTN medication will cause GERD? Calcium channel blockers. metrodinadazol terazocin.
Pt come with low back pain. What is the initial management you do? Assess reflex, muscle strength and x-ray. Assess reflex, muscle strength and us. Assess reflex, muscle strength and ctscan. Assess reflex, muscle strength and bmp.
Pt with s/s of trigeminal neuralgia or Tic douloureux. HTN. The actual treatment is not working( gabapentin) - Allergic to something. How do you manage? Tegretol. (carbamazepine) lisinopril basofia alopurinol.
Pt, kid, with conjunctival redness, desquamation of the skin, rash on hand and foot, crack lips? Or peeling of the fingers? Kawasaki Disease yamaha disease honda disease toyota disease.
Pt come with migraine on prodromal stage. To cut down the pain what do you give? Triptan NSAIDs TCAs BBs.
pt comes with hypopigmentation of the area of the skin. FACE Tinea Versicolor exanthems seborrheic erisipela.
Kid with not too long ago URI presents now with mucus, rhinorrhea and bad odor on the nose but only one nare Foreign Body sinusitis faringitis glositis.
Breast mass different from a cyst? How do you differentiate a solid mass from a cyst? Ultrasound ct scan x-ray touching.
Beefy red tongue. What do you suggest? Def Vitamin B12 Def Vitamin B1 Def Vitamin D Def Vitamin A.
Purple Lesion on the hand, wrist and white sticks? Lichen planus Scabies ESCEMA purple idioapic.
Pt with subungual nails. What to do to eliminate the pain? Open hole and drain antibiotics keep off the nail drain only.
Pt comes to the office with uses of albuterol 2 times/week. No Sob, FEV1 80%, no s/s, denies problems with daily activity. Well control asthma need albuterol uncontrolled need consultation.
Pt comes to the clinic with Moderate Persistent Asthma presents with Acute exacerbation. PT takes an inhaler already and tells the NP he thinks it can be resolved at home. What NP does? Advance to not go home and go to the hospital. Double the dose of inhaled corticosteroid. Anticholinergic Oral Prednisone (Steroid).
Risk factors of osteoporosis do not include Obesity age estrogen and testosterone deficiency patients on PPI, patients with anorexia/bulimia females, family history.
Pain, paresthesia and numbness (cyst)of the 3th and 4th pedal digit is. X-rayis (-) Morton Neuroma osteoartritis plantar fascitis RA plantar.
Anemia, MCV alto y Hg low, ANEMIA MEGALOBLASTICA, HABIA QUE TRATAR CON VIT B12 anemia microcytic bethatalasemia alpha-thalasemia.
Image The mother of a 6-month-old infant tells the family nurse practitioner that the baby was spitting up his formula so she put him on goat milk. The family nurse practitioner is concerned because goat milk places the infant at risk of developing: Botulism. Scurvy Megaloblastic anemia secondary to folic acid deficiency. Rickets.
The red blood cells in pernicious anemia will show: Macrocytic and hypochromic cells Macrocytic and normochromic cells Microcytic and hypochromic cells Microcytic and normochromic cells.
Which of the following is classified as megaloblastic anemia? Pernicious Iron deficiency Hemolytic Sideroblastic.
Fetal Alcohol Syndrome feature except Thick upper lip thin upper lip mental retardation flat nasal bridge.
Urgent incontinence tto oxybutynin oxycodene metronidazol sumtriptan.
Which plan would be most appropriate for an older patient with functional incontinence? Evaluate the need for incontinence pads Perform the Credé maneuver. Limit fluid intake in the evenings. Provide a bedside commode.
A contraindication on a patient to do not take estrogen. Contraceptive? Recent event of Cardiac or Recent stroke migraine 33-year-old smoker controlled hypertension.
Pt with TSH 1.8, T3 borderline, T4 normal. Continue levothyroxine 100. remove levothyroxine 100. add more levothyroxine 200. do nothing.
Pt elderly coming with occult blood positive. What do you order to do? Colonoscopy rectal examen hga and bmp cmp and usa.
MCV 120, low Hgb. What type of anemia? Folate & B12 anemia betatalasema alfathalasemia iron deficit.
A 60-year-old female patient has recently lost weight and a physical examination reveals a beefy-red, sore tongue, with no neurological findings. Based on these clinical findings, what will the provider anticipate finding in the laboratory data? Leukopenia and thrombocytopenia Normal methylmalonic acid level Decreased homocysteine levels Low hemoglobin and elevated MCV.
Which of the following symptoms is associated with B12 deficiency anemia? A vegan diet Tingling and numbness of both feet An abnormal neurological exam Spoon-shaped nails and pica.
Pregnant with 34 weeks. What maneuver you do to confirm premature membrane rupture, placenta abruption? Nitrazine Dye test benzoato Dye test sosiun dye test ioden test.
Pt with COPD-Asthma. What is the best treatment for acute exacerbation b- Beta 2 agonist a-beta 2 agonist nsaids mucolitics.
Pt presents with Biliary obstruction. Most appropriate test to order? Ultrasound ct scan x-ray amilasa.
patient with moderate persistent asma que dejo de usar el ICS porque segunel no le estaba funcionando que le advice la NP. use beta 2 agonist in acute attack acetaminophen saba sava.
How do you advise to give iron for better absorption orange juice avocado pure coconut juice pina colada.
What disease is a benign disease Seborrheic keratosis actinic keratoses melanoma cancer actinic melanoma.
Scaphoid fracture thumb splint Repeat X-ray in 2 weeks splint for 12 weeks x-ray in 6 weeks send to er.
Italy descendent with anemia microcytic, beta Thalassemia Alpha thalassemia megaloblastic anemia iron deficiency.
Rosacea topical AQUÍ DICE QUE NO RESUELVE Y EL NP LE MANDA ? antibiotic topical metronidazol topical benztropine cream macrolides topical.
Sore throat, difficulty swallowing, round lesions on uvula and paladar with halo. Herpangina streptococcal herpesviruses rinovirus.
kid, comes with fever for the last 5 days. Fever stop 2 days ago. The NP finds a Macular Rash. What do you diagnose? Exanthema subitum Varicella Infantile maculopapular rashes Fifth disease (erythema infectiosum).
The mother of a 12-month-old infant reports to the nurse practitioner that her child had a high fever for several days, which spontaneously resolved. After the fever resolved, the child developed a maculopapular rash. Which of the following is the most likely diagnosis? Varicella Roseola infantum (exanthema subitum) Fifth disease (erythema infectiosum) Infantile maculopapular rashes.
Tto por Acne de tto tópico diario relativo resiente comienzo, que ha mejorado pero se siente la piel irritada. Que haces? Espaciarlo dentro de la semana 3 times x week Espaciarlo dentro de la semana 7 times x week Espaciarlo dentro de la semana 1 times x week Espaciarlo dentro de la semana 4 times x week.
Joven con ACNÉ que tiene que comenzar tto con antibiotic y es alérgico a penicillin, tetraciclin y otros y además en la escuela se acaba de diagnosticar una MRSA infection que antibiotic le ordenarias: bactrin tetraciclin cefalexin penicilina.
INR <1.5 up dosage Warafarin down the dosage stop dosage wane dosage.
A 76-year-old woman reports that for the previous 4 months, she has noticed severe stiffness and aching in her neck and both shoulders and hips that is worsened by movement. She reports having a difficult time getting out of bed because of the severe stiffness and pain. It is difficult for her to put on a jacket or blouse or to fasten her bra. Along with these symptoms, she also has a low-grade fever, fatigue, loss of appetite, and weight loss. Starting yesterday, the vision in her right eye has progressively worsened. She has annual eye exams and denies that she has glaucoma. Which of the following conditions is most likely? Polymyalgia rheumatica (PMR) Rheumatoid arthritis (RA) Degenerative joint disease Fibromyalgia.
cc small node on upper eyelid that feels like bead Chalazion hordoleon conjuntivitis uveitis.
Tinea cruris in obese, GROIN, INNER THIGHS Y SCROTUM face scalp feet.
An adolescent patient has an erythematous, annular shape rash with raised borders on his arm. What is your diagnosis? Tinea corporis, antifungal cream Tinea cruris, antifungal cream Tinea scalp, antifungal cream liquen planus, antifungal cream.
HTN tto in black male CCB Diltiazem abx metrodinadazol lorazepan.
A 40-year-old male complains to the nurse practitioner of severe stabbing pains behind his left eye for the past 2 days. It is accompanied by some nasal congestion and rhinorrhea, which is clear in color. The patient denies pharyngitis and fever. Which of the following conditions is most likely? Cranial neuralgia Tic douloureux Migraine headache with aura Cluster headache.
When confirming a case of temporal arteritis, the erythrocyte sedimentation rate (ESR) is expected to be: Indeterminate result Elevated Lower than normal Normal.
While performing a routine physical exam on a 60-year-old man, the nurse practitioner notices a soft bruit over the carotid area on the left side of the neck. The patient has a history of hypertension. The patient is at higher risk for: Abdominal aneurysm and congestive heart failure Dizziness and headaches Stroke and coronary artery disease Temporal arteritis and brain aneurysms.
Ferritin level lab is check for check tto de la anemia Fe in blood sickle cell none.
CHILD que no quiere comer, drooling, solo toma liquidos,sores en la mucosa ? tomatitis ,Aphthous stomatitis, (canker sore) glositis herpetis teeth pain.
What is a common cause /risk factor of hyperbilirubinemia in an infant? Cephalohematoma anemia yogurt lactose.
After a 3-week camping trip, an 11-year-old is seen for a target lesion with central clearing, located in the inguinal area. The patient has had a severe headache, malaise, fatigue, and generalized musculoskeletal pain for several days. Pharmacologic management of this condition includes Doxycycline (Doryx) metrodinadazol alopurinol lipon.
Metabolic syndrome triad of symptoms obesity, HLD, HTN do NOT give thiazide or beta blocker give thiazide give beta blocker only give water only.
Hyperthyroidism treated with radioactive iodine can lead to Hypothyroidism hipertiroidismo hypoglycemia hyperbilirubinemia.
delirium is acute, sudden, reversible no acute irreversible not short attention.
Dementia Decline in cognition sudden reversible not vascular involve.
ACL knee stability test ? lachman’s and Drawer test mcmurray romberg bering test.
Vaginal exam with strawberry cervix with green bubbly vaginal discharge, DICE flagella. Trichomonas’s candidiasis streptococcal herpesviruses.
marfan syndrome- arms are longer than legs Mitral Valve Prolapse clipping. A donde lo refieres? a. Genetic counseling er orthopedic urologist Genetic counseling.
Gestante de 10 semanas con UTI asintomatica: NITROFURANTOINA. metrodinadazol cefalexin alopurinol.
Development 5 months: trata de agarrar objetos read talk too much stand up.
Female HDL 44, LDL 138, TG normal statinas citaondrin macrolids sulfaprina.
Embarazada con UTI que está tomando Ceftin (Cefuroxime) 2da Generation. Que haces si a los 5 días continua con UTI: Cultivo de sencitividad en orina bmp cmp and us x-ray ,citoscopy.
DM 2 todos los labs normales Diet and modification life of style eat bisteck a lot drink more fluids eggs diet and beer.
Risperdal side effect? Hyperglicemia hypokalemia hypercalcmia anemia.
Elderly with Dementia test for Depression test for alcohol test for anemia test for calcium.
Elderly with anemia Endoscopy us x-ray bmp.
Prinzmetal Angina ST elevation chest pain sin relacion con la actividad fisica chest pain with exercises no chest pain chest pain with not angina.
Pte with typical lesions of Condyloma acuminata Pap smear and tto of the wart visibles clean with soap oxyclin urinalis.
Pte taking warfarin with UTI on treatment with Sulfa INR 4.8. What do you do? keep sulfaprim and adjust warfarina keep sulfaprim and stop warfarina add up sulfaprim and adjust warfarina remove sulfaprim and remove warfarina.
Cytocrome p450 concepto biotransformation sublimation metilazion oxydation.
PT with DVT at home ? ticlopidina + ASA heparine iv dixocicline metroxate.
Fascitis plantarpainonthe bottom of feet que s A patient has pain on the plantar aspect of the heel with weight bearing after rest. The pain is worsened with dorsiflexion of the foot. What is the initial treatment for this patient? Night splints Wearing flat shoes only A series of steroid injections Avoiding all high-impact activities.
Your male patient says that he experiences severe, sharp pain in the bottom of his right foot when he wakes up in the morning, which subsides throughout the day. He describes a dull pain in the heel and a throbbing ache in the arch of his foot. Which of the following would be the most likely diagnosis? Bursitis Plantar fasciitis Morton's neuroma Osteoarthritis.
Hypertiroidism cc except not cool sensititivty Fine tremors on both hands, sweaty palms, pretibial myxedema Fine hair, warm skin Brisk deep tendon reflexes.
Tophi are best described as: swollen lymph nodes. abscesses with one or more openings draining pus onto the skin. nontender, firm nodules located in soft tissue. ulcerations originating on swollen joints.
PAD associated with ? Claudicacion intermitente knee pain buffy tongue migrana.
Adolescent with galactorrhea ademas de otros Prolactin bmp amilasa tsh.
DM tipo 1 test que se hace para know is in control A1c hga bmp ers.
Verapamilo side effect Reflex tachycardia bradicardia hypoglycemia hypercalcmia.
DM with Metformin 1000 2v/d Glimepiride 8 mg /dia, refuse usar insulina. Que haces? Byetta Smlin Aumentar glimepiride poner insulina.
When prescribing oral medications for an overweight patient with type 2 diabetes who also has a voracious appetite, the family nurse practitioner is likely to prescribe which medication to encourage weight loss and reduce appetite, as an adjunct to improved diet and exercise? Exenatide (Byetta) Pioglitazone (Actos). Metformin (Glucophage) Glyburide (Micronase).
DM con 3 hipoglicemiantes orales A1c 9.4 Insulina metformin Pioglitazone Glyburide.
Neuropatia en anciano tto? Gabapentin asa nsaids neurobion.
¿Factor de riesgo cáncer de mama? Menopausia > 61 anos obesity diabetes smoker.
Pt con weakness, slurred speech por 24 horas . CVA completed TIA LUNGS EMBOLISM Miastalgia.
Mujer que toma anticoncetivos se le olvido tomar a las 7 a.m se acuerda a las 1p.m y tuvo sexo por la manana ese dia. Que hacer? take it now not take it use condom go to ER .
Adolescent emigrante que tiene puesta la BCG Que prueba le haces? Quantiferon bmp cmp igm test .
Esteroids effect adverso sobre que ? Sistema Musculoeskeletal cardiovascular digestive neurologic.
Female taking SSRI tiene disminución del deseo sexual que hacer ? Add Welbutrin(Bupropion) add glicipin add levitra add glucose.
Male with low back pain y retencion urinaria, Que haces? test conduction refer to Neurosurgeon, ct scan x-ray.
GFR disminuido due to? ibuprofeno glicipide nsaids asa .
COPD tto ? anticholinergics nsaids cefalexin aldosterone.
Rectocele is bulging on the? posterior vaginal wall anterior vaginal wall abdominal wall umbilical area.
Chronic fatigue ? syndrome Graded exercises virus.
Sinus Arrhythmia en mujer que queria salir embarazada: asintomatico y no debe tener problemas virus.
K en 2, weakness, arritmia. IV replacement oral k mg oral Na iv .
Child con UTI. Cómo tomar la muestra. Colector de orina clean catch swap urianalisis urinalis.
Cheilosis lesion en la? comisura labial tongue eyes conjunctiva.
Female low fever, night sweats, fatigued, Leucocitosis, trombocitosis, Hb 14. Posible diagnostic: TB Anemia Aplastica Leucemia mieloide cronica Cancer de ovario.
Vacunación en el anciano preventive COPD ? Influenza mmr toxoides hbv.
Septic Olecranon bursitis germen Staph aureus candidiasis flagella streptococcal.
Male adult in contact with feces of rodent Hantavirus enterovirus adenovirus poliovirus.
Cc pt with pain located close to the nasal border and check. Neuralgia del trigémino. rinorrea conjuntivitis sinusitis.
Vacunas en el Elderly: Shingles > 60 anos T dap>65 P Neumovax 23 > 65 Flu mmr polio mucolitics.
Risk factor de cancer de mama: Menarquia precoz, menopausia tardía, BRAc 1, 2, Radiación del tórax etoh breastfeeding smoking.
Macrolidos Trastornos menstruales Prolongación QT Muerte súbita Disminuye los efectos de los antiácidos.
Contraindicaciones de los NSAID: HF Severe CKD GI bleeding ,Last 3 month of pregnant all apply.
DM type I, Controlada cuando : HbA1C is 6.5 HbA1C is 7.5 HbA1C is 8.5 HbA1C is 9.5.
DM type II, con Metformin 1000mg + Glipizide. HbA1C 9.6 Si no quiere poner EGLPI( trulicity, vitosa) Start insuline. start macrolide start unsweeted foods start yougurt.
Dx DM: Fasting glucosa > 126 Random glucose > 200 sintomatic and HbA1C > = 6.5 all apply.
DM con labs OK . exercices and diet. glicipide metformin oxybutynin.
(bullseye rash) and tick, the other name is erythema migraine, treated with doxycycline, the organism that causes the disease is Borrelia burgdorferi, Elisa is the confirmatory test and confirm with western test same as HIV Lyme disease borfi disease spot disease cat bite.
Polimialgia reumática associated with ? temporal arteritis glositis jaws pain conjuntivitis.
Pt con dolor en las piernas, Cauda Equina? MRI ct scan xray us .
Pt que viaja horas; risk of Embolismo pulmonar diarreas hungry cefalea.
Niño con quemadura por agua tiene rota las flictenas. Grado II con riesgo de infección Grado I con riesgo de infección Grado II NO riesgo de infección Grado III con riesgo de infección.
Tina Cruris TTX terbinafine cream metrodinadazol cream orgatamine oil petrulatun cream.
Mujer con rectocele o enterocele. Tx Kegel excercises tx pessary treat constipation exercices like running.
Valgus test for? medial lateral anterior posterior.
Tiroide is normal. Conducta luego que se normaliza. virus.
EKG con PR prolongado. no calcio channel blocker( ni en el CHF) aricepile alodipine metrodinadazol.
Medicamentos que disminuyen el INR Macrolidos NSAID carbamazepine Amiodarona.
Descripcion del Podagra (Gota) SITE ? BIG TOE FINGER TONGUE EAR.
Migrana tx? Sumatriptan macrolides klosepan amlodipine.
Problems con mobility (walking to the toilet) or inability to pull down pants in a timely manner Incontinencia ? funcional urge stress Overflow.
Pt con fatiga crónica ( 6months). Empeora con la actv física y mental y no mejora con el descanso PLANIFICAR EXECISES antisicoticos and analgesicos relajantes y exercise exercises and antisicoticos.
Erythroplakia del paladar due to? tobacco beer chewing gun obesity.
CHEILOSIS where? skin arms corner of the mouth connective fingers.
TB viene de centroamérica. > 10mm + - 10mm + - 8mm + > 15mm +.
Nitracin test. PH > 6 se torna azul PH > 6 se torna red PH > 6 se torna yellow PH < 6 se torna azul.
Vacuna de la hepatitis year ? O,2,6 1,2,6 4,7,9 0,3,5.
Pt come with low back pain. What is the initial management you do? Assess reflex, muscle strength and x-ray. ct scan ultrasound and cmp ct scan contrast.
Urgent incontinence tto OXYBUTIN metrodinadazol nsaids asa.
Functional incontinence Behavioral surgery presario Pelvic floor exercises,.
Pt with TSH 1.8, T3 borderline, T4 normal. keep levothyroxine 100. slow dosage remove levothiroxine up dosage.
Anemia, MCV alto y Hg low, Romberg test is positive: Pernicious anemia beta talasemia alfa talasemia anemia hemolitica.
Pt with COPD-Asthma. What is the best treatment for acute exacerbationa- Beta 2 agonist alfa romeo beta blockers epinephrine.
Pt presents with Biliary obstruction. Most appropriate test to order? Ultrasound. ct scan xray mri.
patient with moderate persistent asma que dejo de usar el ICS porque segunel no le estaba funcionando que le advice la NP Usar ICS in acute attack Agregartheophiline al tratamiento Usar beta 2 agonist in acute attack use alfa-resine.
How do you advise to give iron for better absorption With meals antacid milk orange juice.
Watery rhinorrhea, coryza, mucosa a little red, fever, may or may not have sore throat…. What differential pops up to your head… Allergic Rhinitis sinusitis viral sinusitis bacterial tonsillitis bacterial.
Rhinitis first line treatment is intranasal Steroids first line intranasal Steroids abx nasal watering spray nasal washing.
Aortic stenosis harsh. systolic murmur diastolic murmur pandiastolic murmur pam -sistolic murmur.
Polymyalgia rheumatic Pt presents with Bilateral joint pain, stiff, achy, shoulders hurt, pelvic gurdle pain ? arthritis pelvis osea miotonia positonomia pan stiffiness.
Levodopa-carbidopa in Parkinson ? improve bradykinesia improve appetite easy the eyes movement.
Chalazion cc Small node on the upper eyelid that feels like a bead. mouth sore redness connective uveitis.
HTN tto in black male ? CCB Diltiazem aldosterone methylphenidate albuterol.
You note a non-tender, smooth mass that does not cross the midline of the abdomen in a 3-yearold. What do you suspect? Or Pediatric patient with unilateral flank mass and hematuria has Wilms’ tumor (nephroblastoma) ovary cyst apendicitis colon sarcoma.
Lyme disease tto ? Doxycicycline x 21 days tetracycline x 15 days penicilina x 21 days docipaclin x 14 days.
Neuroblastoma found in the small glands on top of the kidneys adrenal glands kidney ovary bladder.
UTI when pregnant with 10 weeks Bactrim metronidazol tetraciclin oxyclin.
Eclampsia refer to hospital rest and drink water htn treatment metronidazol.
Asmatico en tto que se le add inhalado steroids que statement del pte demuestra que ha entendido bien Inhale steroids reducen la inflammation en los pulmones aumente los bronkio capacity bronkodilata bronchia contrae.
lidocaine/epi- contraindicated areas are except ? nose, ears, fingertips ,toes, penis arm leg head.
A toddler who presents with iron-deficiency anemia is also at increased risk for lead poisoning due to pica. After moving to a house built in 1965, the mother brings the child in for venous blood level testing. While going over the results, you explain that chelation therapy is not recommended because the toddler's venous blood level concentrations do not reach which threshold? Level 65 μg/dl Level 35 μg/dl Level 75 μg/dl Level 45 μg/dl.
DM + HTN ? ACEI beta-agonists alfa agonist metformin.
UTI en anciano nitrofurantoina penicilina beta-blocker macrolide.
Depression + Insomnio que antidepresivo usar Trazodone metrodinadazol buspirona natrezapon.
eGFR disminuido Ibuprofeno buspirona metrodinadazol.
COPD tto? anticholinergics acei beta-blocker amantidina.
Pt que habia tenido pneumonia anteriormente y queria eviatarla PNEUMOVAX 23 cirubvan flu nueruin max brexi flu.
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