Nurs 6531 final exam (2 versions) & nurs 6531 midterm exam (2

  

NURS 6531 FINAL EXAM (2 VERSIONS) & NURS 6531 MIDTERM EXAM (2 VERSIONS) (100 CORRECT Q & A IN EACH VERSION, TOTAL: 400 Q & A)

  

NURS 6531 Final Exam / NURS6531 Final Exam (Latest): Walden University

Walden NURS 6531 Final Exam / Walden NURS6531 Final Exam (Latest)

· Question 1

       

When   completing this sarcasm, did you bear delay Walden University’s Code of Conduct   including the rely-onations for academic uprightness?

· Question 2

       

Central fatness, “moon” visage, and dorsocervical fat pad   are associated delay:

  

A.

Metabolic     syndrome

 

B.

Uniallied     pheochromocytoma

 

C.

Cushing’s     syndrome

 

D.

None     of the above

            

· Question 3

       

An olden man is launched on lisinopril and   hydrochlorhiazide for hypertension. Three days succeedingcited, he profits to the   duty caviling of left vast toe affliction. On exam, the foster practitioner   notes an edematous, erythematous compassionate left vast toe. The mitigated   precipitant of this resigned’s affliction is:

  

A.

Trauma

 

B.

Tight     shoes

 

C.

Arthritis     flare

 

D.

Hydrochlorothiazide

            

· Question 4

       

The most operative tenor of non-transferred bursitis   includes:

            

· Question 5

       

What provisions must be met for you to reckoning “incident to”   the physician, receiving 100% cancelment from Medicare?

      

Answers:

You must prepare the intention     of solicitude for the resigned

  

The physician must be     on-bearing and betrothed in resigned solicitude

  

You must be assiduous as an     rebellious contractor

  

You must be the ocean vigor     solicitude provider who sees the resigned

            

· Question 6

       

Which of the subjoined is not a occasion rudiment associated   delay the outgrowth of syndrome X and approveness 2 diabetes mellitus?

            

· Question 7

       

Which of the subjoined is not a spiritless existing wonder of   benevolent prostatic hyperplasia (BPH)?

A.   Nocturia
B. Emergency incontinence
C. Strong urinary tide route
D. Straining to void

            

· Question 8

       

Steve, age 69, has gastroesophageal refluence malady (GERD).   When training him how to impair his inferior esophageal sphincter influence,   which materials do you advise that he abandon?

§ Food that is very hot or very collected 

§ Fatty or fried foods 

§ Peppermint or spearmint, including flavoring 

§ Coffee, tea, and pressible drinks that comprise caffeine 

§ Spicy, extremely seasoned foods 

§ Fried foodDT caffeine, chocolate and anticholinergics

            

· Question 9

       

Which garbage predicament comprises the garbages that are the principal   line Gold government therapy for COPD?

            

· Question 10

       

The most spiritlessly adviseed pharmacological tenor   cheer for low end affliction (LBP) is:

            

· Question 11

       

Which of the subjoined is not expend concealment   therapy for continuous bacterial prostatitis?

            

· Question 12

       

A resigned confer-upons delay dehydration, hypotension, and   fever. Laboratory flaging reveals hyponatremia, hyperkalemia, and   hypoglycemia. These imbalances are redressed, but the resigned profits 6 weeks   aftercited delay the similar concomitants of hyperpigmentation, languor, anorexia,   fatigue, and consequence mislaying. What resuscitation(s) should the foster practitioner select?

.A Obtain a   thorough fact and visible, and hinder serum cortisol and ACTH smooths.
 

  B. Perform a cheer fact and hinder CBC and FBS.
 

  C. Provide nutritional direction and keep the resigned repay in one month.
 

  D. Regard residence vigor for intravenous government

                                                

· Question 13

The foster practitioner diagnoses epididymitis in a 24 year old sexually free manly resigned. The garbage of excellent for tenor of this resigned is:  

· Question 14

How do you corcorrejoin when Jessica, age 42, asks you what constitutes a good-tempered-tempered quietriction cardiovascular operationout?

· Question 15

       

The intrusion unreserved to be most operative in the   tenor of bitter hollow, delay or delayout psychosis, is:

· Question 16

       

You are assessing a resigned succeeding a sports deterioration to his   proper flexure. You express a absolute earlier/subsequent drawer wonder. This flag   indicates an deterioration to the: he
  A. colallied meniscus
  B. cruciate ligature
  C. resourcesl meniscus
  D. colallied ligature.

            

· Question 17

   

  

A 32 year old femanly resigned confer-upons delay heat, chills,   proper flank affliction, proper costovertebral turn compassionateness, and hematuria. Her   urinalysis is absolute for leukocytes and red classify cells. The foster   practitioner diagnoses pyelonephritis. The most expend government is:

                        

· Question 18

       

A 21-year-old femanly confer-upons to the duty   caviling of urinary number and urinary enduring. The foster practitioner   suspects a urinary believe contamination when the urinalysis reveals

· Question 19

       

A middle-aged man confer-upons to importunate solicitude caviling of   affliction of the resourcesl condyle of the inferior humerus. The man operations as a carpenter   and describes a gradational onslaught of affliction. On exam, the resourcesl epicondyle is   compassionate and affliction is extensiond delay inconsequence and pronation. Range of excitement is   full The most mitigated object of this resigned’s affliction is: 

                        

· Question 20

       

The modescollected clinical wonder of Dupuytren’s contracture is:

·  

· Question 21

       

The best flag to detail microalbuminuria to succor in   the distinction of diabetic neuropathy

            

· Question 22

       

What is the principal concomitant seen in the preponderance of resigneds   delay Parkinson’s malady?

            

· Question 23

       

The most spiritlessly adviseed way for prostate cancer   screening in a 55 year old manly is:

            

· Question 24

       

Martin, age 24, confer-upons delay an erythematous ear canal,   pain, and a novel fact of swimming. What do you doubt?

            

· Question 25

       

Which of   the subjoined concomitants hints a departed thriftful object of end affliction?

                                    

· Question 26

       

Josh, age 22, is a accumulation boy and has an intelligent episode of   low end affliction. You classify and NSAID and narscollected him which of the subjoined?

· Question 27

       

A 72 year old femanly resigned noises a 6 month   fact of gradationally progressive lofty-flown and afflictionful distal interphalangeal   (DIP) knees of one operationman. She has no systemic concomitants but the erythrocyte   sedimentation scollected (ESR), antinuserene antisubstantiality (ANA), and rheumatoid rudiment   (RF) are all minimally wealthy. What is the most mitigated distinction?

· Question 28

       

A resigned prelude levothyroxine is animation   over-replaced. What qualification is he at occasion for?

            

· Question 29

       

Which of the subjoined is the most spiritless object of low   end affliction?

  

A.

Lumbar     disc malady

 

B.

Spinal     stenosis

 

C.

Traumatic     fracture

 

D.

Osteoporosis

            

· Question 30

       

Which is the most spiritless object of end-stage renal malady   in the United States?

            

· Question 31

       

A 77-year-old femanly confer-upons to the duty caviling a   heedless turgescence on her proper flexure. She denies heat, chills, trauma, or   pain. The visible exam reveals a non-compassionate area of turgescence balance the   extensor survisage balance the proper flexure delay presage of trauma or faintness.   The foster practitioner doubts:

  

A.

Arthritis

 

B.

Ulnar     neuritis

 

C.

Septic     arthritis

 

D.

Olecranon     bursitis

            

· Question 32

       

A 60 year old femanly resigned complains of heedless onslaught   unilateral, stabbing, survisage affliction in the inferior deal-out of her visage permanent a   few minutes, subsiding, and then repaying. The affliction is triggered by impress or   region extremes. Visible touchstone is typical. Which of the subjoined   is the most mitigated distinction?

            

· Question 33

       

Beth, age 49, succeedings in delay low end affliction. An x-ray of the   lumbosacral spine is delayin typical limits. Which of the subjoined diagnoses   do you investigate prefer?

            

· Question 34

       

A resigned exhibits extrapyramidal policy produces of   antipsychotic medications. Which of the subjoined concomitants would guide you to   look for another distinction?

            

· Question 35

       

Phalen’s flag, 90°wrist inconsequence for 60 seconds, reproduces   symptoms of:

                        

· Question 36

       

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

· Question 37

       

The most spiritless object of wealthy liver duty flags is:

            

· Question 38

       

Reed-Sternberg B lymphocytes are associated delay which of   the subjoined guess-works:

  

A.

Aplastic anemia

 

B.

Hodgkin’s lymphoma

 

C.

Non Hodgkin’s lymphoma

 

D.

Myelodysplastic syndromes

            

· Question 39

       

Which of the subjoined is a immanent uncongenial object of   thrombophilia?

  

A.

Homocysteinuria

 

B.

Protein C deficiency

 

C.

Factor V Leiden

 

D.

Antiphospholipid antibodies

                        

· Question 41

       

A 75-year-old femanly is diagnosed delay original   hyperparathyroidism and asks the foster practitioner what the tenor for   this disclassify is. The foster practitioner explains:

  

Primary     hyperparathyroidism is bargained delay Vitamin D quietriction

 

Primary     hyperparathyroidism is bargained delay parathyroidectomy

 

Primary     hyperparathyroidism is bargained delay daily magnesium

 

Primary     hyperparathyroidism is bargained delay parenteral parathyroid hormone (PTH)

                         

· Question 42

       

Diagnostic encouragement of intelligent leukemia is fixed on:

·  

· Question 43

       

A 25 year old balanceconsequence resigned confer-upons delay a   lamentation of stolid achiness in his groin and fact of a obvious hunch in his   scrotum that “comes and goes”. On visible touchstone, the foster   practitioner does not unmask a scrotal heap. There is no compassionateness, edema,   or erythema of the scrotum, the scrotum does not transilluminate. What is the   most mitigated distinction?

A. Testicular   torsion
 

  B. Epididymitis
 

  C. Inguinal hernia
 

  D. Varicocele

            

· Question 44

       

Dave, age 38, states that he thinks he has an ear   contamination beobject he politeman flew end from a duty skip and feels unlow   influence in his ear. You diagnose barotrauma. What is your direct resuscitation?

A. Indicate nasal steroids and traditional decongestants
  B. Indicate antibiotic eardrops
  C. Indicate systemic eardrops
  D. Advert David to an ear, nose, and throat specialist

                        

· Question 45

       

Which of the subjoined antibiotics should not be   prescribed for a fruitful dowager in the 3rd trimester?

· Question 46

       

The physiological description of syncope is:

            

· Question 47

   

  

A 20 year old manly resigned complains of “scrotal   swelling.” He states his scrotum feels impenetrable, but denies affliction. On   examination, the foster practitioner notes transillumination of the scrotum.   What is the most mitigated distinction?

            

· Question 48

       

A 32 year old manly resigned complains of urinary   number and enduring on urination for 3 days. Urinalysis reveals   bacteriuria. He denies any departed fact of urinary believe contamination. The   modescollected tenor should be: nclude nitrofurantoin monohydrate/macrocrystals,   trimethoprim-sulfamethoxazole (TMP-SMX), or fosfomycin. 

            

· Question 49

       

Diagnostic radiological studies are involved for low end   pain:

                        

· Question 50

      

Who is at a remarkable occasion for developing nephrolithiasis?

·  

· Question 51

      

An 81-year-old femanly is diagnosed delay approveness 2 diabetes.   When institutioning garbage therapy for this resigned, the foster practitioner is   most solicitous delay which of the subjoined policy produces?

  

A.

Weight     gain

 

B.

Fracture     risk

 

C.

Hypoglycemia

 

D.

Weight     loss

                        

· Question 52

       

A 28-year-old femanly confer-upons to the duty requesting   testing for distinction of inherited thrombophilia. Her senior novelly had a   deep state thrombosis and she is solicitous environing her occasion rudiments. The foster   practitioner explains that:

· Question 53

       

The distinction of anthropological papilloma bane (HPV) contamination in   males is sordidly made by:

            

· Question 54

       

Which fact is spiritlessly endow in a resigned delay   glomerulonephritis?

            

· Question 55

       

A   resigned complains of generalized knee affliction and inelegance associated delay   activity and embossed delay quiet. This resigned fact is consonant delay   which of the subjoined guess-works?

            

· Question 56

       

The most spiritless gift of thyroid cancer is:

            

· Question 57

       

The compulsory criteria for distinction of athletic   dystrophy (MD) are:

            

· Question 58

       

The distinction which must be investigateed in a resigned who   presents delay a bitter surfeit of heedless onslaught, delay neck inelegance and   fever, is:

            

· Question 59

       

A 60 year old manly resigned delay multiple vigor   problems confer-upons delay a lamentation of erectile dysduty (ED). Of the   following, which medication is most mitigated to be causing the whole?

            

· Question 60

       

A 72 year old resigned exhibits heedless onslaught of dubious   restlessness, motion, indistinctness, and impaired notice. This is   accompanied by visual hallucinations and slumber restlessness. What is the most   mitigated object of this conduct?

A. Dementia
 

  C. Parkinson's malady
 

  D. Depression

            

· Question 61

       

Which of the subjoined set of concomitants should train   suspicion of a brain knob?  

            

· Question 62

       

The cornerstone of tenor for   emphasis discommunicateance of the femur or metatarsal emphasis discommunicateance is: 

            

· Question 63

       

Sally, a computer programmer, has politeman been dedicated a new distinction   of carpal tunnel syndrome. Your direct trudge is to:

            

· Question 64

       

Marsha confer-upons delay concomitants resembling twain fibromyalgia   and continuous jade syndrome, which keep divers similarities. Which of the   subjoined is departed peculiarity of fibromyalgia?

A.   Musculosckeletal affliction
  B. Inaptitude slumbering
  C. Depression
  D. Fatigue

            

· Question 65

       

The cardinal wonder of transferred arthritis is:

             

            

· Question 66

       

Diagnostic evaluation for urinary calculi conceives:

                                                

· Question 67

       

Martin, a 58 year old manly delay diabetes, is at your   duty for his diabetes thrive up. On examining his feet delay monofilament,   you discbalance that he has exposed waned sentiment in twain feet. There are   no disclosed areas or wonders of contamination on his feet. What vigor training should   Martin assume today institutioning the solicitude if his feet?

See a   podiatrist yearly; lave your feet daily delay
  warm, soapy steep and towel dry between the
  toes; balancehaul your feet daily for any lesions; and
  apply lotion to any dry areas.

· Question 68

       

Potential objects of septic   arthritis conceive which of the subjoined?

· Question 69

       

Which of the subjoined is the best reply to a dowager who   has politeman admitted she is a sacrifice of spousal affront?

· Question 70

       

A 15 year-old femanly resigned is 5 feet lofty and weighs 85   pounds. You doubt anorexia and beneathstand that the best modescollected vestibule is to:

Having   the client in apprehension of staff for 90 minutes succeeding each meal

            

· Question 71

       

A 63-year-old man confer-upons to the duty delay hematuria,   hesitancy, and unready. Digital rectal exam (DRE) reveals a abstinently   enlarged prostate that is flatten. The PSA is 1.2. What is the most   expend government matter for you to thrive at this season?

A. Indicate   an alpha adrenergic blocker.
  B. Advise saw palmetto.
  C. Indicate an antibiotic
  D. Advert the client to urology.

                        

· Question 72

       

A resigned has been diagnosed delay generalized eagerness disclassify   (GAD). Which of the subjoined medications may be used to bargain generalized   eagerness guess-work?

· Question 73

       

A absolute drawer wonder supports a distinction of:

                        

· Question 74

       

Sam, age 67, is a diabetic delay worsening renal duty.   He has general hypoglycemic episodes, which he believes resources that his   diabetes is getting “better.” How do you correspond?

·  

· Question 75

       

A 14 year old femanly cheerleader noises gradational and   progressive stolid earlier flexure affliction, exacerbated by flexureling. The foster   practitioner notes turgescence and subject-matter compassionateness at the tibial protuberance.   X-ray is privative. What is the most mitigated distinction?

                        

· Question 76

       

A 35 year old manly confer-upons delay a lamentation of low   pelvic affliction, dysuria, irresolution, emergency, and impaird hardness of tide. The   foster practitioner doubts intelligent bacterial prostatitis. Which of the   subjoined specimens would be lowest advantageous for distinction?

· Question 77

       

Jack, age 55, succeedings to the duty delay a classify influence of   144/98 mm Hg. He states that he did not beneathstand if it was incessantly wealthy antecedently.   When you reselect his classify influence at the end of the exam, it offal at   144/98. What should your direct resuscitation be?

                        

· Question 78

       

A resigned has politeman been diagnosed delay Bell’s palsy. He is   understandably disestablish and has interrogations environing the prognosis. You reply   should be:

·  

· Question 79

       

Martin is caviling of erectile dysfunction. He besides has   a qualification that has impaird arterial classify route to his penis. The most   spiritless object of this qualification is:

            

· Question 80

       

Successful government of a resigned delay notice want hyperactivity   disclassify (ADHD) may be achieved delay:

            

· Question 81

       

What diabetic complications outsucceeding from hyperglycemia?

1.  

1.  

1.  Retinopathy

2.  Hypertension   resistant to tenor

3. Peripheral   neuropathy

4.  Accelerated   atherogenesis

            

· Question 82

                        

· Question 83

       

The most spiritless concomitants of brief ischemic aggression   (TIA) conceive:

                        

· Question 84

       

What is the principal trudge in the tenor of uric afflictive   kidney stones?

· Question 85

       

Establishment of a real distinction of osteomyelitis   requires:

            

· Question 86

       

Which of the subjoined is the most spiritless fertile   organism of nongonococcal urethritis?

  

A.

Chlamydia     trachomatis

 

B.

Ureaplasma     urealyticum

 

C.

Mycoplasma     hominis

 

D.

Trichonomas     vaginalis

                        

· Question 87

       

Urine cultures should be obtained for which of the   subjoined resigneds?

·  

· Question 88

       

A 30 year old femanly resigned confer-upons to the clinic delay   heat prejudice, tremors, susceptibility, and consequence mislaying inconsonant delay   increased tendency. Which flag would be most mitigated to establish the doubted   diagnosis?

                        

· Question 89

       

A resigned has been diagnosed delay   hypothyroidism and thyroid hormone retrieval therapy is indicated. How   hanker should the foster practitioner hold antecedently hindering the resigned’s TSH?

· Question 90

       

Potential objects of hypocalcemia conceive which of the   following?

                        

· Question 91

       

Which of the subjoined resigneds most warrants screening   for hypothyroidism?

· Question 92

       

Which of the subjoined is a contraprognostic for metformin   therapy?

            

· Question 93

       

The organism most turbidly associated delay prostatitis is:

  

A.

Klebsiella

 

B.

Neiserria     gonorrhoaes

 

C.

Chlamydia     trachomatis

 

D.

Escherichia     coli

            

· Question 94

       

The most operative intrusion(s)   to bar tickle is (are):

            

· Question 95

       

What is the most spiritlessly affrontd material?

                                    

· Question 96

       

The hallmark of neurofibromatosis (von Recklinghausen’s   disease) confer-upon in approximately 100% of resigneds is:

· Question 97

       

Diagnostic evaluation of   hypothyroidism reveals:

· Question 98

       

An luxuriant hyperlipidemic resigned, newly diagnosed delay approveness   2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the   most expend modescollected tenor to investigate?

A. A   low-calorie cheer and application
  B. Sliding-scale NPH insulin incessantlyy 12 hours
  C. A sulfonylurea and/or metformin (Glucophage® -XR)
  D. Sliding-scale stated insulin incessantlyy 6 hours

                        

· Question 99

   

The redress tenor for ankle sprain during the principal 48   hours succeeding deterioration conceives:

· Question 100

       

Prolonged PT hints:

  

A.

Platelet abnormality

 

B.

Abnormality in natural     coagulation pathway

 

C.

Abnormality in adventitious     coagulation pathway

 

D.

None of the above

       

Question 101 

·  

A resigned confer-uponing for an annual visible exam has a BMI of 25 kg/m2 This resigned would be classified as:

· Question 102

       

The most floating indicator(s) of neurological want   when assessing a resigned delay intelligent low end affliction is(are):

· Question 103

       

Risk rudiments for Addison’s malady   conceive which of the subjoined? 

            

· Question 104

       

Major hollow betides most turbidly   in which of the subjoined provisions?

            

· Question 105

       

Which of the subjoined medications extension the occasion for   metabolic syndrome?

                                                

· Question 106

       

A 27 year old femanly resigned delay epilepsy is courteous   controlled delay phenytoin (Dilantin). She requests advice environing   contraception. The foster practitioner should train her that period prelude   phenytoin:

            

· Question 107

       

Risk rudiments for prostate cancer conceive all of the   subjoined except: 

                                    

· Question 108

       

Maria, age 17, was raped when she was 13 year old. She is   now experiencing slumbering wholes, flashbacks, and hollow. What is your   modescollected distinction?Post-traumatic emphasis guess-work

  

NURS 6531 Midpromise Exam / NURS6531 Midpromise Exam (Latest): Walden University

Walden NURS 6531 Midpromise Exam / Walden NURS6531 Midpromise Exam (Latest)

· Question 1

       

When   completing this sarcasm, did you bear delay Walden University’s Code of Conduct   including the rely-onations for academic uprightness?

         

Yes

  

No

· Question 2

       

The most spiritless cancer endow on   the auricle is:

         

Actinic keratosis

  

Basal cell carcinoma

  

Squamous cell carcinoma

  

Acral-lentiginous melanoma

· Question 3

       

Which of the subjoined   medication classes should be abandoned in resigneds delay intelligent or continuous   bronchitis beobject it allure subscribe to ventilation-perfusion oppobearing in   the resigned?

         

Xanthines

  

Antihistimines

  

Steroids

  

Anticholinergics

· Question 4

       

A 47 year old manly resigned   presents to the clinic delay a solitary episode of a modescollected wholeity of bproper   red rectal bleeding. On touchstone, visible hemorrhoids are notable. How   should the foster practitioner produce?

         

Instruct the resigned on     measures to bar hemorrhoids such as bowel manners and cheer. 

  

Order a persomal hemorrhoid acme ahanker delay a stool pressibleener.

  

Refer the resigned for a barium enema and sigmoidoscopy.
 

  

Refer the resigned for a surgical hemorrhoidectomy.

· Question 5

       

Which of the subjoined resigned   characteristics are associated delay continuous bronchitis?

         

Overweight, cyanosis, and typical or peculiarly extensiond respiratory     rate
 

  

Underweight, pink bark, and extensiond respiratory scold
 

  

Overweight, pink bark, and typical or peculiarly extensiond respiratory     rate
 

  

Normal consequence, cyanosis, and vastly extensiond respiratory scold

· Question 6

       

A 65-year-old femanly delay   a departed medical fact of hypertension, hyperlipidemia, and polymyalgia   rheumatica confer-upons to importunate solicitude delay new onslaught left inferior quadrant affliction.   Her floating medications conceive omeprazole 20 milligrams po daily, lisinopril   20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12   milligrams po daily. The foster practitioner doubts intelligent diverticulitis and   possibly an abscess. The most expend feature flag for this resigned at   this season is:

         

CBCdiff
 

  

Erythrocyte sedimentation scold
 

  

Abdominal ultrasound
 

  

CT scan

· Question 7

       

A resigned noises “star   flew in my eye” environing an hour ago period he was splitting logs. If there were   a outlandish substantiality in his eye, the foster practitioner would rely-on to meet all   except:

         

Purulent drainage
 

  

Tearing
 

  

Photophobia
 

  

A absolute fluorescein stain

· Question 8

       

A 21 year old garden novice   presents to the novice vigor kernel delay noble-minded, markedly festering   release from her left eye. The foster practitioner novice should doubt:

         

Viral conjunctivitis
 

  

Common pink eye
 

  

Gonococcal conjunctivitis
 

  

Allergic conjunctivitis

· Question 9

       

A 35 year old man   presents delay radicular affliction thriveed by the apparition of collectioned vesicles   consisting of environing 15 lesions enumerateer 3 opposed thoracic dermatomes. He   complains of affliction, enduring, and lustful. The foster practitioner should   suspect:

         

A spiritless qualification of shingles and indicate an analgesic and an antiviral     agent
 

  

A involved qualification of shingles and indicate acyclovir, an analgesic,     and a persomal cortisone acme
 

  

Herpes zoster and investigate that this resigned may be immunocompromised
 

  

A return of chickenpox and bargain the resigned’s concomitants

· Question 10

       

Which approveness of lung cancer has   the pooquiet prognosis?

         

Adenocarcinoma
 

  

Epidermoid carcinoma
 

  

Small cell carcinoma
 

  

Large cell carcinoma

· Question 11

       

An 83-year-old femanly   presents to the duty caviling of diarrhea for various days. She explains   she has uniform had fecal incontinence one season. She describes licentious stools 3–4   times a day for various weeks and denies heat, chills, affliction, novel antibiotic   use. The fact hints that the resigned has:

         

Acute diarrhea
 

  

Chronic diarrhea
 

  

Irritable bowel
 

  

Functional bowel malady

· Question 12

       

Margaret, age 32, succeedings into   the duty delay afflictionful knees and a jutting heedless in a butterfly   distribution on her visage. The heedless has red papules and plaques delay a showy   scale. What do you doubt?

         

An allergic reaction
 

  

Relapsing polychondritis
 

  

Lymphocytoma cutis
 

  

Systemic lupus erythematosus

· Question 13

       

Antibiotic government has   been demonstrated to be of illiberal use to the tenor of which of the   subjoined malady processes?

         

Chronic sinusitis

  

Acute bronchitis
 

  

Bacterial pneumonia
 

  

Acute exacerbation of continuous bronchitis

· Question 14

       

Lisa, age 49, has daily   symptoms of asthma. She uses her inhaled insufficient-acting beta-2 agonist daily.   Her exacerbations feign her activities and they betide at lowest twice weekly   and may promiseinal for days. She is feigned departed than uninterruptedly weekly during the mystification   delay an exacerbation. Which predicament of asthma tyranny is Lisa in?

         

Mild intermittent
 

  

Mild perpetual
 

  

Modescollected perpetual

· Question 15

       

Which of the subjoined is the   most expend sanitary cheer for an adult resigned delay no unreserved   allergies diagnosed delay collection A B-hemolytic strep?

         

Penicillin V 500 milligrams PO incessantlyy 8 hours for 10 days
 

  

Ampicillin 250 milligrams PO twice a day for 10 days
 

  

Clarithromycin 500 milligrams po daily for 7 days

  

None of the above

· Question 16

       

A send-off complains of stolid   ache and influence sentiment in her inferior legs. It is embossed by leg   elevation. She sometimes has edema in her inferior legs at the end of the   day. What is the most mitigated object of these wholes?

         

Congestive feeling want
 

  

Varicose states

  

Deep state thrombosis

  

Arterial insufficientness

· Question 17

       

Which assertion beneathneath is   redress environing pertussis?

         

It is besides denominated whooping cough
 

  

It commences delay concomitants approve strep throat
 

  

It promiseinals environing 3 weeks
 

  

It betides most spiritlessly in toddlers and boyish branchren

· Question 18

       

Which of the subjoined is the   most qualitative distinction to government out in the adult resigned delay intelligent bronchitis?

         

Pneumonia
 

  

Asthma
 

  

Sinusitis
 

  

Pertussis

· Question 19

       

A 70 year old resigned confer-upons   delay left inferior quadrant (LLQ) abdominal affliction, a markedly compassionate obvious   abdominal deference, heat, and leukocytosis. Of the subjoined stipulations, which   correctly describes the doubted qualification?

         

Diverticulosis
 

  

Diverticula

  

Diverticulitis
 

  

Diverticulum

· Question 20

       

Sylvia, age 83, confer-upons delay a   3 day fact of affliction and enduring in the left forehead. This dawning she   noticed a heedless delay erythematous papules in that bearing. What do you doubt?

         

Varicella

  

Herpes zoster

  

Syphilis

  

Rubella

· Question 21

       

A 33-year-old femanly is   admitted delay intelligent pancreatitis. The foster practitioner beneathstands that the most   spiritless object of pancreatitis is:

         

Alcohol
 

  

Gallstones
 

  

Medications
 

  

Pregnancy

· Question 22

       

When a resigned confer-upons delay concomitants   of intelligent gallbladder malady, what is the expend foster practitioner   action?

         

Order abdominal x-rays
 

  

Order an abdominal ultrasound
 

  

Refer the resigned to a surgeon for evaluation
 

  

Prescribe affliction medication

· Question 23

       

A false-absolute outsucceeding delay   the fecal latent classify flag can outsucceeding from:

         

ingestion of great wholeitys of vitamin C
 

  

a lofty cheerary inselect of expensive healed beef
 

  

a colonic neoplasm that is not bleeding
 

  

stool that has been stored antecedently flaging

· Question 24

       

A 76-year-old manly   complains of consequence mislaying, sea-sickness, vomiting, abdominal cramping and affliction.   Physical meetings conceive an abdominal heap and stool absolute for latent   blood. The foster practitioner affliction doubts a knob in the inferior civil.   The best feature flag for this resigned is:

         

Colonoscopy
 

  

Small bowel thrive-through
 

  

Barium enema
 

  

CT abdomen

· Question 25

       

A resigned confer-upons to importunate   solicitude caviling of dyspnea, jade, and inferior close edema. The   echocardiogram reveals and dispossession frresuscitation of 38%. The foster practitioner   knows that these meetings are consonant delay:

         

Mitral regurgitation
 

  

Systolic feeling want
 

  

Cardiac myxoma
 

  

Diastolic feeling want

· Question 26

       

Maxine, Age 76, has politeman been   dedicated a distinction of pneumonia. Which of the subjoined is an prognostic that   she should be hospitalized?

         

Multilobar involvement on chest x-ray delay the impecuniosity to select traditional     medications
 

  

Alert and oriented, peculiarly lofty but steady animation-containing wonders, and no one     to select solicitude of her at residence
 

  

Sputum and gram absolute organisms
 

  

A whole classify enumerate showing leukocytosis

· Question 27

       

A 55 year old man is diagnosed   delay basal cell carcinoma. The foster practitioner redressly narrates him:

         

“It is the most spiritless object of exit in resigneds delay bark cancer.”
 

  

“It can be cured delay surgical excision or radiation therapy.”
 

  

“It is a tardy growing bark cancer that expensively beneathgoes implacable     changes.”
 

  

“It can be cured using 5-flurouracil acme twice daily for 2 to 4     weeks.”

· Question 28

       

Expected spirometry readings   when the resigned has continuous emphysema conceive:

         

Decreased residual compass (RV)
 

  

Increased animation-containing faculty (VC)
 

  

Increased hardnessd expiratory compass (FEV-1)
 

  

Increased whole lung faculty (TLC)

· Question 29

       

An 80-year-old manly   admits to inaptitude gorging during the reapprehension of systems. The foster   practitioner recognizes the opposedial distinction for this resigned’s   dysphagia is:

         

Esophageal cancer
 

  

Chest affliction
 

  

GERD
 

  

A and C
 

  

All of the above

· Question 30

       

A 40 year old femanly delay   fact of general sun scylla confer-upons delay a multicolored lesion on her   back. It has irstated bsubserviency and is environing 11mm in transection. What should the   foster practitioner doubt?

         

Squamous cell carcinoma
 

  

Malignant melanoma
 

  

A spiritless nevus
 

  

Basal cell carcinoma

· Question 31

       

Which of the subjoined is not a   design of tenor for the resigned delay cystic fibrosis?

         

Prevent intestinal obstruction
 

  

Provide bland nutrition
 

  

Promote evacuation of secretions
 

  

Replace steep-soluble vitamins

· Question 32

       

The foster practitioner is   performing a visible exam on a middle-aged African-American man. Which of   the subjoined areas is a spiritless bearing for melanomas in African-Americans and   other dark-skinned people?

         

Scalp
 

  

Nails
 

  

Feet
 

  

B and C
 

  

All of the above

· Question 33

       

An adult confer-upons delay tinea   corporis. Which item beneathneath is a occasion rudiment for its outgrowth?

         

Topical steroid use
 

  

Topical antibiotic use
 

  

A novel fracture
 

  

Cold climates

· Question 34

       

A resigned has accustomed   sea-sickness and vomiting, surfeit, malaise, low trice heat, abdominal cramps,   and steepy diarrhea for 72 hours. His serene enumerate is wealthy delay a shelve to   the left. He is requesting medication for diarrhea. What is the most   expend reply?

         

Prescribe loperamide (Immodium) or atropine-diphenoxylate (Lomotil)     and a serene soft cheer for 24 hours.
 

  

Prescribe a broad-spectrum antibiotic such as ciprofloxacin (Cipro),     and concomitant government.
 

  

Offer an anti-emetic medication such as ondansetron (Zofran) and     provide traditional running and electrolyte retrieval trainion.
 

  

Order stool cultures.

· Question 35

       

Janine, age 29, has turbid   brief lesions that succeeding and go, and she is diagnosed delay urticaria. What   do you classify?

         

Aspirin

  

NSAIDs

  

Opioids

  

Antihistamines

· Question 36

       

Of the subjoined wonders   and concomitants of congestive feeling want (CHF), the primitive clinical   manifestation is:

         

Peripheral edema
 

  

Weight gain
 

  

Shortness of breath
 

  

Nocturnal dyspnea

· Question 37

       

A 16 year old manly confer-upons   delay tender eager throat, heat, jade, subsequent cervical adenopathy, and   palatine petechiae. Outpolicy a real distinction for this resigned, what   garbage would be lowest expend to indicate?

         

Ibuprofen

  

Erythromycin

  

Amoxicillin

  

Acetaminophen

· Question 38

       

A 70 year old man who treads 2   miles incessantlyy day complains of affliction in his left calf when he is treading. The   whole has gotten gradationally worse and now he is unqualified to whole his 2   mile tread. What interrogation asked during the fact, if answered affirmatively,   would hint a distinction of arteriosclerosis obliterans?

         

“Are you wearing your sordid shoes?”
 

  

“Do you besides keep chest affliction when you keep leg affliction?”
 

  

“Is your leg affliction embossed by quiet?”
 

  

“Do you incessantly keep the similar affliction in the other leg?”

· Question 39

       

Which of the subjoined   statements environing implacable melanomas is politeman?

         

They sordidly betide in older adult manlys

  

The resigned has no race fact of melanoma

  

They are spiritless in blacks

  

The prognosis is quickly allied to the obesity of the lesion

· Question 40

       

Sheila, age 78, confer-upons delay a   chief lamentation of dawning up during the mystification coughing. You study her and   meet an S3 feeling investigate, pulmonary crackles that do not serene delay coughing,   and peripheral edema. What do you doubt?

         

Asthma

  

Nocturnal allergies
 

  

Valvular malady
 

  

Heart want

· Question 41

       

Which antibiotic would be the   most operative in bargaining vulgarwealth uncongenial pneumonia (CAP) in a boyish   adult delayout any comorbid provisions? 

         

Erythromycin
 

  

Clarithromycin (Biaxin)
 

  

Doxycycline (Vibramycin)
 

  

Penicillin

· Question 42

       

Which of the subjoined   dermatologic vehicles are the most operative in absorbing dampness and   decreasing attrition?

         

Powders
 

  

Gels
 

  

Creams
 

  

Lotion

· Question 43

       

A 70 year old resigned confer-upons   delay a peculiarly traind, scaly, erythematous piece on her forehead. She admits   to having been a “sun worshiper.” The foster practitioner doubts actinic   keratosis. This lesion is a herald to:

         

Squamous cell carcinoma
 

  

Basal cell carcinoma
 

  

Malignant melanoma
 

  

Acne vulgaris

· Question 44

       

An olden resigned is animation   seen in the clinic for lamentation of “weak spells” embossed by sitting or   untrue down. How should the foster practitioner produce delay the visible   examination? 

         

Assist the resigned to a be pose and select her classify     pressure.
 

  

Assess the resigned’s cranial nerves.
 

  

Compare the resigned’s classify influence untrue principal, then sitting, and     then be.
 

  

Compare the largeness of the resigned’s radial and pedal pulses.

· Question 45

       

What traditional medication government be   used to bargain continuous cholethiasis in a resigned who is a insufficient applicant for   surgery?

         

 Ursodiol
 

  

 Ibuprofen
 

  

Prednisone
 

  

 Surgery is the merely answer

· Question 46

       

A 46-year-old femanly delay a   departed medical fact of diabetes confer-upons delay a lofty-flown, erythematous proper   auricle and is diagnosed delay implacable otitis externa. The foster   practitioner beneathstands that the most mitigated fertile organism for this resigned’s   whole is:

         

Staphylococcus aureus
 

  

Group A beta hemolytic streptococcus
 

  

Haemophilus influenza
 

  

Pseudomonas aeruginosa

· Question 47

       

Which of the subjoined is not a   concomitant of caviling bowel syndrome?

         

Painful diarrhea

  

Painful constipation

  

Cramping and abdominal affliction

  

Weight mislaying

· Question 48

       

A resigned succeedings in caviling   of 1 week of affliction in the subsequent neck delay inaptitude turning the administerership to   the proper. What joined fact is needed?

         

Any novel trauma

  

Difficulty gorging

  

 Stiffness in the proper shoulder

  

Change in slumbering manners

· Question 49

       

Marvin, age 56, is a smoker   delay diabetes. He has politeman been diagnosed as hypertensive. Which of the   subjoined garbages has the immanent to object the outgrowth of bronchial   asthma and hinder gluconeogenesis?

         

ACE Inhibitor
 

  

Beta Blocker
 

  

Calcium implement blocker
 

  

Diuretic

· Question 50

       

The opposedial distinction for   a resigned caviling of a eager throat conceives which of the subjoined?

         

Gonococcal contamination
 

  

Thrush
 

  

Leukoplakia
 

  

B merely
 

  

A, B, and C

· Question 51

       

A resigned confer-upons to the   original solicitude provider caviling of a heedless on his proper foreleadership that   launched yesterday and is enduring and afflictionful. The visible exam reveals an   erythematous, maculopapular heedless that extends balance the resigned’s proper eye to   his eminent proper forehead. Fixed on the fact and touchstone, the most   mitigated object of this resigned’s concomitants is:

         

Rhus dermatitis
 

  

Ophthalmic zoster
 

  

Chemosis
 

  

Optic neuritis

· Question 52

       

Before initiating an HMG   CoA-reductase hinderor for hyperlipidemia, the foster practitioner classifys   liver duty studies. The resigned’s aminotransferase (ALT) is wealthy.   What laboratory flag(s) should be classifyed?

         

Serologic markers for hepatitis
 

  

Serum bilirubin
 

  

Serum cholesterol delay HDL and LDL
 

  

A liver biopsy

· Question 53

       

A resigned delay wealthy lipids   has been launched on lovastatin. Succeeding 3 weeks of therapy, he calls to noise   generalized muscle aches. The foster practitioner should doubt:

         

A garbage interaction

  

Hepatic dysfunction
 

  

Hypersensitivity to lovastatin

  

Rhabdomyolysis

· Question 54

       

Treatment of intelligent vertigo   includes:

         

Bedquiet and an antihistamine
 

  

Fluids and a decongestant
 

  

A anodyne and decongestant
 

  

Rest and a low sodium cheer

· Question 55

       

Treatment of H.pylori conceives   which of the subjoined?

         

Proton cross-examine hinderor
 

  

Antibiotic therapy
 

  

Bismuth subsalicylate
 

  

A and B
 

  

A, B, and C

· Question 56

       

Carl, age 78, is brought to the   duty by his son, who states that his senior has been unqualified to see clexisting   since promiseinal mystification. Carl noises that his vision is “approve looking through a   veil.” He besides sees floaters and radiant emptys but is not having any affliction.   What do you doubt?

         

Cataracts
 

  

Glaucoma
 

  

Retinal detachment
 

  

Iritis

· Question 57

       

In classify to wane exits   from lung cancer:

         

All smokers should be screened annually
 

  

All resigneds should be screened annually
 

  

Only lofty occasion resigneds should be screened tenorly
 

  

Patients should be counseled to release smoking

· Question 58

       

John, age 33, has a whole   cholesterol smooth of 188 mgdL. How turbidly should he be screened for   hypercholesterolemia?

         

 Every 5 years
 

  

Every 2 years
 

  

Every year
 

  

Whenincessantly classify operation is produced

· Question 59

       

Mort is hypertensive. Which of   the subjoined rudiments influenced your excellent of using an alpha blocker as the   antihypertensive medication?

         

Mort is black
 

  

Mort besides has congestive feeling want
 

  

 Mort has benevolent prostatic hyperplasia
 

  

 Mort has general migraine surfeits

· Question 60

       

John, age 59, confer-upons delay   recurrent, sharply narrow red papules and plaques delay a powdery serene   scale on the extensor bearing of his flexures and flexures. What do you doubt?

         

Actinic keratosis

  

Eczema

  

Psoriasis

  

Seborrheic dermatitis

· Question 61

       

Harriet, a 79-year-old dowager,   comes to your duty incessantlyy 3 months for thrive up on her hypertension. Her   medications conceive one baby aspirin daily, Lisinopril 5mg daily, and Calcium   1500 mg daily. At today’s investigate. Her classify influence is 17089. According to   JNC VIII guidelines, what should you do direct to restrain Harriet’s classify   pressure?

         

Increase her Lisinopril to 20mg daily
 

  

Add a thiazide diuretic to the Lisinopril 5mg daily
 

  

Discontinue the Lisinopril and set-on-foot a cabal of ACE Inhibitor     and calcium implement blocker
 

  

Discontinue the Lisinopril and set-on-foot a diuretic

· Question 62

       

An free 65-year-old man beneath   your solicitude has unreserved uncongenial valvular aortic stenosis and mitral   regurgitation. He besides has a fact of transferred endocarditis. He has   recently been told he needs elective retrieval of his aortic valve. When he   comes into the duty you discbalance that he has 10 fostering teeth in insufficient   repair. Your adviseation would be to:

         

defer any padvert dental operation until his valve retrieval is wholed

  

train him to keep dental     extrresuscitation produced cautiously, having no departed than 2 teeth per investigate removed.

  

hint he regard delay his     traditional surgeon environing having all the teeth removed at uninterruptedly and receiving     expend antibiotic prophylaxis

  

coordinate delay his cardiac and traditional surgeons to keep the protuberance     extractions and valve retrieval produced at the similar season to impair the occasion     of anesthetic complications.

· Question 63

       

Appropriate therapy for peptic   ulcer malady (PUD) is:

         

Primarily by levigation of contamination
 

  

Based on etiology
 

  

Aimed at subordinate prostaglandin synthesis
 

  

Dependent on stop of NSAID use

· Question 64

       

Shirley, age 58, has been a   diabetic for 7 years. Her classify influence is typical. Other than her diabetes   medications, what would you indicate today during her tenor duty investigate?

         

A calcium implement blocker
 

  

A beta blocker
 

  

An ACE Inhibitor
 

  

No hypertension medication   

· Question 65

       

Medisolicitude is a federal program   administered by the Centers for Medisolicitude and Medicaid Services (CMS). The CMS   has exposed guidelines for Evaluation and Government coding, which all providers   are rely-oned to thrive when coding resigned investigates for cancelment. Which of   the subjoined is an qualitative investigateation institutioning reckoninging manners?

         

It is qualitative to “undercode” so that one does not get full delay     Medisolicitude fraud

  

The manner of “overcoding” is qualitative in this age of decreasing     reimbursements

  

Failing to reckoning for reckoningable services allure guide to unnecessarily low     revenues

  

Time gone-by delay the resigned is a very qualitative determinant of reckoninging

· Question 66

       

A 2 year old confer-upons delay a   serene pupillary reflex. What is the most mitigated object of this meeting?

         

Viral conjunctivitis

  

Glaucoma

  

Corneal abrasion

  

Retinoblastoma

· Question 67

       

Harvey has had Meniere’s   malady for various years. He has some hearing mislaying but now has perpetual   vertigo. What tenor government be working to succor the vertigo?

         

Pharmacological therapy
 

  

A labyrinthectomy
 

  

A vestibular neurectomy
 

  

Wearing an earplug in the ear delay the most hearing mislaying

· Question 68

       

Which of the subjoined is not a   occasion rudiment for coronary arterial insufficientness?

         

Hyperhomocysteinemia
 

  

Smoking
 

  

Genetic rudiments
 

  

Alcohol ingestion

· Question 69

       

An 18-year-old femanly confer-upons   to the importunate solicitude kernel caviling of bitter pruritus in twain eyes that   launched 2 days ago. Associated concomitants conceive a surfeit and jade. On   examination, the foster practitioner notes some serene release from twain eyes   and some erythema of the eyelids and outside bark. Which of the subjoined   is the most mitigated object of this resigned’s concomitants?

         

Allergic conjunctivitis
 

  

Bacterial conjunctivitis
 

  

Gonococcal conjunctivitis
 

  

Viral conjunctivitis

· Question 70

       

A 20 year old is diagnosed delay   tender perpetual asthma. What garbage cabal would be most operative in   keeping him concomitant-free?

         

A hanker-acting bronchodilator

  

An inhaled corticosteroid and cromolyn
 

  

Theophylline and a insufficient acting bronchodilator
 

  

A bronchodilator PRN and an inhaled corticosteroid

· Question 71

       

Acute rheumatic heat is an   inflammatory malady which can thrive contamination delay:

         

Group A Streptococcus
 

  

Staphlococcus areus
 

  

Β-hemolytic Streptococcus
 

  

Streptococcus pyogenes

· Question 72

       

A 60 year old manly diabetic   resigned confer-upons delay redness, compassionateness, and edema of the left colallied   bearing of his visage. His left eyelid is grossly edematous. He noises fact   of a protuberanceache in the departed week which “is reform.” His region is 100°F and   pulse is 102 bpm. The most expend modescollected resuscitation is to:

         

Start an traditional antibiotic, advert the resigned to a dentist delayout-delay,     and thrive up delayin 3 days
 

  

Order mandibular x-rays and interrogation the resigned environing visible affront
 

  

Start an traditional antibiotic, perforation swishes delay an traditional anti-infective,     and an analgesic
 

  

Initiate a parenteral antibiotic and investigate hospital admission

· Question 73

       

If a resigned confer-upons delay a   deep aching, red eye and there is no release, you should doubt:

         

Iritis
 

  

Allergic conjunctivitis
 

  

Viral conjunctivitis

  

Bacterial conjunctivitis

· Question 74

       

The National Cholesterol   Education Program’s Adult Tenor Panel III advises that the design for   low density lipoproteins in lofty occasion resigneds be less than:

         

160 mgdL
 

  

130 mgdL
 

  

100 mgdL
 

  

70 mgdL

· Question 75

       

A resigned confer-upons delay   classic concomitants of gastroesophageal refluence malady (GERD). He is trained   on animation diction modifications and garbage therapy for 8 weeks. Three months succeedingcited   he profits, noiseing that he was “fine” as hanker as he took the medication.   The most expend direct trudge is:

         

Referral for surgical intrusion such as a deal-outial or whole     fundoplication
 

  

Dependent upon how sincessantly the practitioner believes the qualification
 

  

To quote the 8 week route of garbage therapy period abiding animationdiction     modifications
 

  

Investigation delay endoscopy, manometry, andor pH flaging

· Question 76

       

Group A β-hemolytic   streptococcal (GABHS) pharyngitis is most spiritless in which age collection?

         

Under 3 years of age
 

  

Preschool branchren
 

  

6 to 12 years of age
 

  

Adolescents

· Question 77

       

The most expend tenor   for a branch delay tender croup is:

         

A bronchodilator
 

  

An antibiotic
 

  

A decongestant
 

  

A calm subsidence vaporizer

· Question 78

       

A branch complains that his   “throat hurts” delay gorging. His language is very “throaty” and he is   hyperextending his neck to talk. Touchstone reveals asymmetrical turgescence of   his tonsils. His uvula is deviated to the left. What is the most mitigated   diagnosis?

         

Peritonsillar abscess
 

  

Thyroiditis
 

  

Mononucleosis
 

  

Epiglottitis

· Question 79

       

Salmeterol (Servent) is   prescribed for a resigned delay asthma. What is the most qualitative training   subject-matter environing this medication?

         

It is not operative during an intelligent asthma aggression.
 

  

It may select 2 to 3 days to commence operationing.
 

  

This garbage operations delayin 10 minutes.
 

  

This garbage may be used by resigneds 6 years and older.

· Question 80

       

Which intrusion listed beneathneath   is impregnable for hanker promise use by an adult delay constipation?

         

Bulk-forming agents
 

  

Stool pressibleeners
 

  

Laxatives
 

  

Osmotic agents

· Question 81

       

A 40 year old confer-upons delay a   hordeolum. The foster practitioner teaches the resigned to:

         

Apply a persomal antibiotic and glowing compresses.
 

  

Apply calm compresses and abandon impressing the hordeolum.
 

  

Use an traditional antibiotic and eye flushes.
 

  

Apply empty palpation to qualify drainage.

· Question 82

       

Sarah has allergic rhinitis and   is floatingly animation twainered by nasal plethora. Which of the subjoined meds   ordered for allergic rhinitis would be most expend?

         

An antihistamine intranasal spray

  

A decongestant nasal spray
 

  

Ipratropium
 

  

Omalizumab

· Question 83

       

What is the Gold government for   the distinction of asthma?

         

Patient’s discernment of liable airways
 

  

Validated quality-of-animation interrogationnaires

  

 Bronchoscopy
 

  

Spirometry

· Question 84

       

A resigned complains of “an exasperating   cough for the departed 6 weeks.” There is no physiological object for the cough.   Which medication is most mitigated causing the cough?

         

Methyldopa
 

  

Enalapril
 

  

Amlodipine
 

  

Hydrochlorothiazide

· Question 85

       

Stacy, age 27, states that she   has afflictionless, serene, peculiarly traind piecees in her perforation. They are probably   caused by:

         

Herpes simplex
 

  

Aphthous ulcers
 

  

Candidiasis
 

  

Oral cancer

· Question 86

       

Risk rudiments for intelligent otitis   resources (AOM) conceive all of the subjoined except:

         

Household cigarette smoke
 

  

Group daysolicitude attendance
 

  

Sibling fact of intelligent otitis resources
 

  

African-American ethnicity
 

· Question 87

       

Which of the subjoined can   outsucceeding from continuous inflammation of a meibomian gland?

         

A chalazion
 

  

Uveitis
 

  

Keratitis
 

  

A pterygium

· Question 88

       

What provisions must be met for   you to reckoning “incident to” the physician, receiving 100% cancelment from   Medicare?

         

You must prepare the intention of solicitude for the resigned

  

The physician must be on-bearing and betrothed in resigned solicitude

  

You must be assiduous as an rebellious contractor

  

You must be the ocean vigor solicitude provider who sees the resigned

· Question 89

       

Of the subjoined excellents, the   lowest mitigated object of cough is:

         

Asthma
 

  

Gastroesophageal refluence
 

  

Acute pharyngitis

  

Allergic rhinitis

· Question 90

       

The most spiritless correlate(s)   delay continuous bronchitis and emphysema is(are):

         

Familial and genetic rudiments
 

  

Cigarette smoking
 

  

Air pollution
 

  

Occupational environment

· Question 91

       

Which excellent beneathneath is lowest   operative for alleviating concomitants of the spiritless collected?

         

Antihistamines

  

Oral decongestants

  

Topical decongestants

  

Antipyretics

· Question 92

       

When training a resigned delay   hypertension environing quietricting sodium, you would conceive which of the   subjoined trainions?

         

Diets delay markedly impaird intakes of sodium may be associated delay     other salutary produces over classify influence     restrain    
 

  

Sodium quietriction can object thriftful alien produces
 

  

A design of 3 g of sodium chloride or 1.2 g of sodium per day is abundantly     achievable
 

  

Seventy-five of sodium inselect is extraneous from processed foods

· Question 93

       

Which of the subjoined feeling   murmurs warrants the vasflag institution?

         

Systolic murmur
 

  

Venous hum murmur
 

  

Diastolic murmur
 

  

Flow murmur

· Question 94

       

A resigned confer-upons delay an   inflamed eminent eyelid boundary. The conjunctiva is red and there is deal-outiculate   matter ahanker the eminent eyelid. The resigned complains of a sentiment that   “there is star in my eye.” What is the distinction and how should it be   treated?

         

Hordeolum; bargain delay a persomal antibiotic and glowing compress
 

  

Conjunctivitis; bargain delay persomal antibiotic and glowing compresses
 

  

Blepharitis; bargain delay glowing compresses and polite debridement delay a     cotton swab
 

  

Chalazion; advert to an ophthalmologist for incision and drainage

· Question 95

       

A 57-year-old manly confer-upons to   importunate solicitude caviling of substernal chest disquiet for the departed hour. The   EKG reveals ST elevations in Leads II, III, and AVF. The foster practitioner   is conscious that these modifys are consonant delay which myocardial infarction   territory?

         

Inferior deference
 

  

Anterior deference
 

  

Apical deference
 

  

Lateral deference

· Question 96

       

The foster practitioner observes   a tympanic membrane that is luteous, has waned restlessness, and is delayout   bulging or inflammation. The lowest mitigated distinction for this resigned   is:
 

         

Acute otitis resources (AOM)
 

  

Otitis resources delay effusion
 

  

Mucoid otitis resources
 

  

Serous otitis resources

· Question 97

       

Alan, age 54, notices a jut   in his midline incessantlyy season he rises from bed in the dawning. You narscollected him it   is a ventral hernia, besides unreserved as:

         

inguinal hernia

  

epigastric hernia
 

  

umbilical hernia
 

  

incisional hernia   

· Question 98

       

A 58-year-old man is diagnosed   delay Barrett’s esophagus succeeding an endoscopy. He has no unreserved allergies. Which   of the subjoined medications is MOST expend to bargain this resigned’s   disorder?

         

Omeprazole
 

  

Ranitidine
 

  

An antacid
 

  

None of the above

· Question 99

       

Larry, age 66, is a smoker delay   hyperlipidemia and hypertension. He is 6 months post-MI. To bar   reinfarction, the most qualitative conduct modify that he can produce is to:

         

Quit smoking
 

  

Maintain obnoxious hypertension therapy
 

  

Stick to a low-fat, low-sodium cheer
 

  

Continue delay his application program

· Question 100

       

Risk rudiments for intelligent arterial   shortness conceive which of the subjoined?

         

Recent myocardial infarction
 

  

Atrial fibrillation
 

  

Atherosclerosis
 

  

All of the above

· Question 101

       

Impetigo and folliculitis are   usually successfully bargained delay:

         

Systemic antibiotics
 

  

Topical antibiotics
 

  

Topical steroid acmes
 

  

Cleansing and debridement

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