Chat with us, powered by LiveChat A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed? | WriteDen

A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed?

NRNP 6531 Final Exam

Question 1A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed?

 

 Any recent trauma

 

         Difficulty swallowing

 

         Stifness in the right shoulder

 

         Change in sleeping

 

Question 2In the outpatient office setting, the most common reason for a malpractice suit is failure to: Properly refer

 

Diagnose correctly in a timely

 

fashion

 

Obtain informed consent

 

 Manage fractures and trauma     

 

Question 3Reed-Sternberg B lymphocytes are associated with which of the following disorders:              

 

Aplastic anemia

 

Hodgkin’s lymphoma

 

Non Hodgkin’s lymphoma

 

  Myelodysplastic syndromes

 

Question 4The initial clinical sign of Dupuytren’s contracture is:                                                                     Pain with ulnar deviation

 

Painless nodule on palmer fascia

 

Pain and numbness in the ring finger

 

Inability to passively extend

 

finger

 

Question 5 Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia?

 

Musculoskeletal pain

 

Difficulty sleeping

 

Depression

 

Fatigue

 

Question 6 A child with type 1 diabetes mellitus has experienced excessive hunger, weight gain and increasing hyperglycemia. The Somogyi effect is suspected. What steps should be taken to diagnose and treat this condition?

 

Decrease the evening insulin dose and check capillary blood glucose (CBG) at 2:00 am.

 

Instruct the child’s parents on physical activities to help weight loss.

 

Increase the evening insulin dose and check CBG at 2:00 am.

 

Refer the child for instruction on a strict diabetic diet.

 

Question 7The 4 classic features of Parkinson’s disease are:        

 

Mask-like facies, dysarthria, excessive salivation, and dementia.

 

Tremor at rest, rigidity, bradykinesia, and postural disturbances.

 

Depression, cognitive impairment, constipation and shuffling gait.

 

Tremor with movement, cogwheeling, repetitive movement, and multi-system atrophy.

 

Question 8 What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?

 

You must initiate the plan of care for the patient

 

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

 

You must be employed as an independent contractor

 

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

 

Question 9The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:

 

Rest from activities which may further stress the bone.

 

Daily passive range of motion exercises.

 

Continuation of the patient’s routine physical activities.

 

Application of ice after activity.

 

Question 10 Which of the following antibiotics should not be prescribed for a pregnant woman in the 3rd trimester?

 

Trimethoprim- sulfamethoxazole

 

Erythromycin

 

Cefuroxime

 

Levofloxacin

 

Question 11Which is the most common cause of end-stage renal disease in the United States? 

 

Diabetic nephropathy

 

Chronic renal failure secondary to vascular disorders

 

Acute tubular necrosis

 

Kidney trauma

 

Question 12A typical description of a tension headache is:           

 

Periorbital pain, sudden onset, often explosive in quality, and associated with nasal stuffiness, lacrimation, red eye, and nausea.

 

Bilateral, occipital, or frontal tightness or fullness, with waves of aching pain.

 

Hemicranial pain that is accompanied by vomiting and photophobia.

 

  Steadily worsening pain that interrupts sleep, is exacerbated by orthostatic changes,      and may be preceded by nausea and vomiting.

 

Question 13  A patient taking levothyroxine is being over-replaced. What condition is he at risk for?       

 

Osteoporo sis

 

Constipati on

 

Depression

 

 Exopthalmi a

 

Question 14 Which of the following medications increase the risk for metabolic syndrome?        

 

Antihistamines

 

Proton pump inhibitors

 

Protease inhibitors

 

A and C

 

All of the above

 

Question 15 You are assessing a patient after a sports injury to his right knee. You elicit a positive anterior/posterior drawer sign. This test indicates an injury to the:

 

Lateral meniscus

 

Cruciate ligament

 

Medical meniscus

 

 Collateral ligament

 

Question 16 A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation.

 

Range of motion is full The most likely cause of this patient’s pain is:

 

Gout

 

Epicondylitis

 

Osteoarthri tis

 

 Lyme      disease

 

Question 17 The organism most often associated with prostatitis is:        

 

Klebsiella

 

Neiserria gonorrhoaes

 

Chlamydia trachomatis

 

E.Coli

 

Question 18  Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?

 

Prescribe systemic antibiotics

 

Prescribe antibiotic ear drops

 

Prescribe nasal steroids and oral decongestants

 

 Refer him to an ear, nose, and throat      specialist

 

Question 19 Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, flashbacks, and depression. What is your initial diagnosis?

 

Depression

 

Panic disorder

 

Anxiety

 

 Post-traumatic stress      disorder

 

Question 20 What diabetic complications result from hyperglycemia?    

 

1.            Retinopathy

 

2.            Hypertension resistant totreatment

 

3.            Peripheralneuropathy

 

4.            Acceleratedatherogenesis

 

1, 2,  3

 

2, 3, 4

 

1, 3, 4

 

1, 2, 4

 

Question 21 Prolonged PT suggests:       

 

Platelet abnormality

 

Abnormality in intrinsic coagulation pathway

 

Abnormality in extrinsic coagulation pathway

 

None of the above

 

Question 22 Patient report of bladder dysfunction, saddle anesthesia, and motor weakness of limbs.

 

History of significant trauma relative to the patient’s age.

 

Decreased reflexes, strength, and sensation in the lower extremities.

 

Patient report of pain with the crossed straight leg raise.

HOW OUR WEBSITE WORKS

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of 
HIGH QUALITY & PLAGIARISM FREE.

Step 1

To make an Order you only need to click ORDER NOW and we will direct you to our Order Page at WriteDen. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
 Deadline range from 6 hours to 30 days.

Step 2

Once done with writing your paper we will upload it to your account on our website and also forward a copy to your email.

Step 3
Upon receiving your paper, review it and if any changes are needed contact us immediately. We offer unlimited revisions at no extra cost.

Is it Safe to use our services?
We never resell papers on this site. Meaning after your purchase you will get an original copy of your assignment and you have all the rights to use the paper.

Discounts

Our price ranges from $8-$14 per page. If you are short of Budget, contact our Live Support for a Discount Code. All new clients are eligible for 20% off in their first Order. Our payment method is safe and secure.

Please note we do not have prewritten answers. We need some time to prepare a perfect essay for you.