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Diagnostic studies for Type II diabetes mellitus would include which of the following?

Diagnostic studies for Type II diabetes mellitus would include which of the following?

Answers:            

 

HbA1C (>6.5%)

 

Fasting plasma glucose (= to or >126 mg/dL)

 

Random plasma glucose (>200 mg/dL)

 

All of the above

 

None of the above

 

Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3. Sierra’s most likely diagnosis is:

 

Hypothyroidism

 

Primary hyperthyroidism (Graves’ disease)

 

Primary hyperparathyroidism

 

None of the above

 

Deep palpation of the left lower quadrant of the abdomen causes referred pain to the RLQ. This is a positive for:

 

Rovsing’s sign

 

 Psoas sign

 

McBurney’s point

 

Murphy’s maneuver

 

 Rescue drugs for patients with respiratory problems such as asthma or COPD would include both SABAs and LABAs.

 

Tru e

 

Fals e

 

 John is a 7 y/o whose mother brings him to the clinic with the following chief complaint: “He fidgets and squirms all the time. His teachers tell me he has difficulty remaining in his seat, talks excessively, can’t wait for his turn, interrupts conversations, and acts like a robot.” Differential diagnoses for John would include all the following except:

 

Autism spectrum disorder

 

Language delay

 

Dysfunctional family situation

 

Laziness

 

 Jon, a 63 y/o male, comes to the clinic with the following presentation. He reports a sudden eruption of multiple vesicular lesions on his scalp, forehead, and sides and tips of his nose. After performing a physical exam, the NP diagnoses his condition as:

 

Mollusca contagiosum

 

Shingles

 

Impetigo

 

Meningococcemia

 

Mark is a 2-month-old infant, and he should be able to do all the following tasks except:

 

Follow objects past

 

midline

 

Make gurgling sounds

 

Bring hands to mouth

 

Lift head up 45 degrees

 

Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July with the following symptoms: fever, chills, severe headache photophobia, and myalgia. He states that since his fever occurred 2 days ago, he now has this rash of petechiae on wrists, forearms, and ankles. The NP, based on these data, diagnoses Andrew with:

 

Rocky Mountain Spotted Fever (RMSF)

 

Atopic dermatitis

 

Erythema    migrans

 

Brown recluse spider bite

 

Since UTIs are never “normal” in a male, what should the NP rule out as the cause of the infection?

 

Ureteral stricture

 

Acute prostatitis

 

STDs

 

 All of the above

 

A & C only

 

Risk factors for Alcohol Use Disorder include which of the following?

 

Family history

 

Stressful life events

 

Low socioeconomic status

 

All of the above

 

 A & B only

 

Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. All of the following could be risk factors for Artie except:

 

Family history of identical condition

 

Low fluid intake

 

Gout

 

Arthritis

 

A & B only

 

Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is:

 

Measles

 

Hand, foot, and mouth disease

 

Scarlet fever

 

Varicella

 

Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. His most likely diagnosis is:

 

Acute pyelonephritis

 

Nephrolithiasis (kidney stone)

 

Bladder cancer

 

None of the above

 

What is the earliest age at which one would not give DTap to a child but rather would give Td or Tdap?

 

1 year old

 

2years old

 

3years old

 

7 years old

 

 According to the U.S. Preventive Task Force, screening for cervical cancer should not begin in women before the age of:

 

30 y/o or younger

 

35 y/o or younger

 

20 y/o or younger

 

40 y/o or younger

 

Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. The most likely diagnosis is:

 

Halitosis

 

Peptic ulcer disease

 

Gastroesophageal reflux disease (GERD) A or B only

 

All the following are antihypertensive drugs that can be used in pregnant women except:

 

Methyldopa

 

Calcium channel blockers Labetalol

 

ACE inhibitors

 

 Patients with bipolar disorder may have all the following except:

 

Delusions Hallucinations

 

Lower rates of substance abuse

 

A & B only

 

Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. This presentation is most typical of:

 

Pelvic inflammatory disease (PID) Vulvovaginitis

 

Dysmenorrhea Amenorrhea

 

Lactation mastitis typically occurs in which time frame:

 

At 3 months after birth

 

At 6 months after birth

 

Within the first 2 months after birth

 

None of the above

 

 Emergency contraception works best if taken within how many hours after unprotected sex or 2 days of missed birth control pills?

 

24hours

 

48hours

 

72hours

 

96hours

 

A pregnant women who has gestational diabetes mellitus (GDM) in the second trimester has which type of diabetes?

 

Type I

 

Type 2

 

Neith er

 

Vulvovaginitis in the vulva and vagina can be caused by which of the following organisms?

 

Bacteria Fungi Protozoa

 

 All of the above None of the above

 

A 32 y/o female comes to the clinic for what she describes as “a dark-colored urine.” During the exam, the NP uses a urine dipstick to test for blood in the urine. Since the result had so many false negative and false positive indicators, the next step would be:

 

Urinalysis with microscopy

 

Urine culture

 

Referral to urologist

 

Cystoscopic examination of bladder

 

Amanda was out hiking with her boyfriend in the woods. When she gets home, she notices that she has an inflammatory skin reaction caused by something she picked up in the woods. The next day she sees bright red pruritic lesions on her lower extremities that are moist and painful. Treatment for Amanda’s condition would include which of the following?

 

Topical steroids

 

Triamcinolone

 

Calamine lotion

 

Oatmeal baths (Aveeno)

 

All of the above

 

All of the above except D

 

RhoGAM should be given to all mothers who are Rh-negative.

 

True

 

False

 

 Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. In treating Susan, the NP could use which of the following antibiotics?

 

TMP-SMX Nitrofurantoin Ampicillin

 

All of the above A & C only

 

All the following are risk factors for gestational diabetes except:

 

Obesity

 

Native American ethnicity Hispanic ethnicity

 

Age (<30 y/o)

 

 Danger signs of oral contraceptives include all the following except:

 

Chest pain Severe headache

 

Weakness on both sides of the body Visual changes in one eye

 

Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. Treatment for Judy’s condition would include all the following drugs except:

 

Cefotan

 

Amoxicillin

 

Ceftriaxone

 

Metronidazole

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