NR 511 Week 4 Midterm Exam Version 1, 2, 3 & 5

NR 511 Anniversary 4 Midterm Appraisal Version 1, 2, 3 & 5 

Version 1

Question 1:  Which of the afterward is a astute aspect of developing a guideline?

a. Creating a physician able panel
b. Reviewing the abstract with ratings of accessible evidence
c. Conducting an alien analysis of a guideline
d. Developing evidence-based tables

Question 2:  African American patients assume to accept a abrogating acknowledgment to which of the afterward asthma medications?

a. Inhaled corticosteroids

b. Abiding beta-agonist bronchodilators

c. Leukotriene receptor agonist
d. Articulate corticosteroid

Question 3:  Jolene has breast blight that has been staged as T1, N0, M0. What ability this mean?

a. The bump admeasurement cannot be evaluated, the blight has not advance to the lymph nodes, and the abroad advance cannot be evaluated.
b. The blight is in situ, it is overextension into the lymph nodes, but the advance contrarily cannot be evaluated.
c. The blight is beneath than 2 cm in admeasurement and has not advance to the lymph nodes or alternative genitalia of the body.
d. The blight is about 5 cm in size, adjacent lymph nodes cannot be evaluated, and there is no affirmation of abroad spreading.

Question 4:  Sondra’s borderline vestibular ache causes blackout and vertigo. Which of the afterward medications will advice to abatement edema in the coil of the ear?

a. Meclizine
b. Diphenhydramine
c. Diamox
d. Promethazine

Question 5:  Mandy presents with a cauliflower-like birthmark that is in her anogenital region. You doubtable it was sexually transmitted and certificate this as a:
a. Filiform/digitate wart.

b. Dysplastic cervical lesion.

c. Condyloma accuminata.
d. Koilocytosis.

Question 6:  Inattention and a sleep-wake aeon agitation are the authentication affection of?

a. Dementia

b. Alzheimer's disease

c. Parkinson's disease

d. Delirium

Question 7:  You accept accomplished Jennifer, age 15, about application a breeze beat to appraise how to administer her asthma exacerbations. She calls you today because her aiguille expiratory breeze bulk is 65%. What would you acquaint her?

a. "Take your short-acting beta-2 agonist, abide quiet, and alarm aback tomorrow."
b. "Use your accomplishment inhaler, activate the decree of articulate glucocorticoids you have, and alarm aback tomorrow."
c. "Drive to the emergency allowance (ER) now."
d. "Call 911."

Question 8:  A accommodating is apparent in the dispensary with hematuria accepted on diminutive examination. The analyst should analyze about the assimilation of which of these substances that ability be the account of hematuria?
a. NSAIDs

b. Beets

c. Vitamin A
d. Red meat

Question 9:  Which of the afterward is an archetype of tertiary blockage in a accommodating with abiding renal failure?

a. Aqueous restriction
b. Hemodialysis 4 canicule a week
c. High-protein diet
d. Maintain claret burden at 120/80

Question 10:  Which of the afterward altitude is associated with cigarette smoking?

a. Glaucoma

b. Added abettor quality

c. Float cancer

d. Eczema

Question 11: A abiding ahem lasts best than:

a. 3 weeks

b. 1 month

c. 6 months
d. 1 year

Question 12: The ‘freezing phenomenon’ is a basal affection of?

a.Parkinson's disease

b. Alzheimer's disease

c. A CVA

d. Bell's palsy

Question 13: Aback administered at the alpha of an attack, oxygen analysis may advice this affectionate of headache?

a. Tension

b. Migraine

c. Cluster

d. Stress

Question 14: Which indigenous accumulation has the accomplished lung blight blow and bloodshed rates?

a. African American men

b. Scandinavian men and women

c. Caucasian women

d. Asian men

Question 15: The best cogent bottomward blow arch to otitis media with effusion is:

a. Pharyngitis

b. Allergies

c. Viral high respiratory infection (URI)

d. Perforation of the eardrum

Question 16:  Samuel is action to the dentist for some assignment and charge booty endocarditis prophylaxis because of his history of:

a. Astringent asthma.
b. A accepted valvular lesion.
c. Astringent hypertension.
d. A antecedent coronary avenue bypass affix (CABG).

Question 17: A 34-year-old accommodating was advised for a urinary amplitude infection (UTI) and has not responded to antibacterial therapy. Which of the afterward accomplishments should be taken next?
a. Send a urine case for microscopy attractive for fungal colonies.
b. Access the dosage of antibiotic.
c. Adjustment a cytoscopy.
d. Adjustment a altered antibiotic.

Question 18: Which account best describes a carotid bruit?

a. It is acquainted with the average three fingers over the carotid artery.
b. A bruit becomes aural aback the lumen is narrowed to 1 mm or less.
c. A aside bruit is a medical emergency.
d. The college the bend of the bruit, the college the bulk of stenosis.

Question 19: Which account is accurate apropos chloasma, the ‘mask of pregnancy’?

a. It is acquired by a abatement in the melanocyte-stimulating hormone duringpregnancy.

b. This action abandoned occurs on the face.

c. Exposure to sunlight will alike out the discoloration.

d. It is acquired by added levels of estrogen and progesterone.

Question 20: Simon presents with alopecia areata with well-circumscribed patches of beard blow on the acme of his head. How do you acknowledge aback he asks you the cause?

a. "You charge be beneath a lot of accent lately."
b. "It is hereditary. Did your ancestor acquaintance this also?"
c. "The account is unknown, but we doubtable it is due to an immunologic mechanism."
d. "We'll accept to do some tests."

Question 21: A claret burden (BP) of 150/90 is considered:

a. Stage 2 hypertension

b. Hypertensive

c. Accustomed in advantageous earlier adults

d. Acceptable if the accommodating has DM

Question 22: Aback teaching column MI patients about their NTG tablets, theclinician should accent that the tablets should abide in thelight-resistant canteen in which they are packaged and shouldnot be put in addition bolus box or abide in areas that are orcould become balmy and humid. Once opened, the bottlemust be anachronous and abandoned afterwards how abounding months?

a. 1 month

b. 3 months

c. 6 months

d. As continued as the tablets are kept in this adapted bottle, they will aftermost forever

Question 23: Your accommodating has absitively to try to abdicate smoker with Chantix. You are discussing his abdicate date, and he will activate demography the anesthetic tomorrow. Aback should he plan to abdicate smoking?

a. He should stop smoker today.

b. He should stop smoker tomorrow.

c. His abdicate date should be in 1 week.

d. He will be accessible to abdicate afterwards the Frst 30 days

Question 24: Aback attractive beneath the microscope to analyze an intravaginal infection, you see a array of baby and egg-shaped to annular shapes. What do you doubtable they are?

a. Spores

c. Pseudohyphae
b. Leukocytes

d. Epithelial cells

Question 25: The authentication of an absence access is:

a. No action at all.
b. A bare stare.
c. Urine is usually voided involuntarily.
d. The advance usually lasts several minutes.

Question 26: Which medication acclimated for scabies is safe for accouchement 2 months and older?

a. Permethrin cream

b. Lindane

c. Crotamiton balm and cream

d. Ivermectin

Question 27: The analyst is seeing a accommodating accusatory of red eye. The analyst suspects conjunctivitis. The attendance of mucopurulent acquittal suggests which blazon of conjunctivitis?

a. Viral conjunctivitis

b. Keratoconjunctivitis

c. Bacterial conjunctivitis
d. Allergic conjunctivitis

Question 28: Gabby, age-old 22, has Bell’s attached on the adapted ancillary of her face. Her aperture is distorted, and she is anxious about abiding aeroembolism and pain. What do you acquaint her?

a. "Most patients accept complete accretion in a few weeks to a few months."
b. "Unfortunately, you'll apparently accept a baby bulk of balance damage."
c. "Don't worry, I'll booty affliction of everything."
d. "You may accept a few added episodes over the advance of your lifetime but no abiding damage."

Question 29: How generally should biologic levels be monitored aback a access medication has controlled the seizures and the biologic akin is adequate

a. Every 3 months
b. Every 6 months
c. Annually
d. Whenever there is a problem

Question 30:  Immunizations are an archetype of which blazon of prevention?

a. Primary
b. Secondary
c. Tertiary

Question 31: The aftereffect of the patient’s 24-hour urine for protein was 4.2 g/day. The analyst should booty which of the afterward actions?

a. Echo the test.
b. Refer to a nephrologist.
c. Measure the serum protein.
d. Obtain a claret urea nitrogen (BUN) and creatinine.

Question 32:  Which cranial assumption is afected in a accommodating with acerebrovascular blow who has difficulty chewing?

a. CN V

b. CN VII

c. CN IX

d. CN X

Question 33: Which of the afterward analytic tests should be ordered for a accommodating doubtable of accepting float cancer?
a. KUB (kidneys, ureter, bladder) x-ray

b. Cystoscopy with biopsy

c. Magnetic resonance imaging (MRI)
d. Urine bump brand (NMP22)

Question 34: The “B” in the ABCDEs of assessing bark blight represents:

a. Biopsy. 

b. Best practice. 

c. Boundary.
d. Border irregularity.

Question 35: Which account is accurate apropos alive and patients with a access disorder?

a. Once diagnosed with a access disorder, patients mustnever drive again.

b. Afterwards actuality access chargeless for 6 months, patients may drive.

c. Each accompaniment has diferent laws administering alive forindividuals with a access disorder.

d. These bodies may drive but never alone.

Question 36: Which high-density lipoprotein (HDL) akin is advised cardioprotective?

a. Greater than 30

b. Greater than 40

c. Greater than 50
d. Greater than 60

Question 37: The best accepted etiologic animal for community-acquired pneumonia is:
 

A. Streptococcus pneumoniae
B. Beta hemolytic streptococcus
C. Mycoplasma
D. Methicillin aggressive staphylococcus 

Question 38: Sandra has palpitations that action with beef twitching, paresthesia, and fatigue. What specific analytic analysis ability advice actuate the cause?

a. Serum calcium

b. Electrocardiogram (ECG)

c. Thyroid-stimulating hormone test

d. Complete claret corpuscle count

Question 39: A accommodating presents to the analyst with a abscessed throat, agitation of 100.7?F, and breakable antecedent cervical lymphadenopathy. The analyst suspects strep throat and performs a accelerated strep analysis that is negative. What would the abutting footfall be?

a. The accommodating should be instructed to blow and access aqueous assimilation as the infection is best acceptable viral and will boldness afterwards antibacterial treatment.
b. Because the accommodating does not accept strep throat, the analyst should alpha ample spectrum antibiotics in adjustment to awning the behind pathogen.
c. A throat ability should be performed to affirm the after-effects of the accelerated strep test.
d. The accommodating should be advised with antibiotics for strep throat as the accelerated strep analysis is not actual sensitive.

Question 40: Patients with astute otitis media should be referred to a specialist in which of the afterward situations?
a. Concurrent blackout or ataxia
b. Failed cease of a burst tympanic membrane
c. If affection aggravate afterwards 3 or 4 canicule of treatment
d. All of the above

Question 41: Which of the afterward tests is best advantageous in chargeless renal action in a accommodating doubtable of abiding renal abortion (CRF)?
a. Claret urea nitrogen (BUN) and creatinine
b. Electrolytes
c. Creatinine clearance
d. Urinalysis

Question 42: Marci has a birthmark on her hand. She says she  heard article about “silver aqueduct band therapy.” What do you acquaint her about his?

a. It is an old wives' tale.
b. It is acclimated as a aftermost resort.
c. Salicylic acerbic is added effective.
d. It is a simple analysis that should be approved first.

Question 43: What is the first-line recommended analysis adjoin Accumulation A b-hemolytic streptococci (GABHS), the best accepted account of bacterial pharyngitis?
a. Penicillin

b. Quinolone

c. Cephalosporin
d. Macrolide

Question 44: Which of the afterward is an archetype of sensorineural audition loss?

a. Perforation of the tympanic membrane

b. Otosclerosis

c. Cholesteatoma
d. Presbycusis

Question 45: Which of the afterward is “a beeline able extending from the covering to the dermis?”

a. An ulcer

b. A fissure

c. Lichenification
d. An excoriation

Question 46: A 65-year-old man presents to the analyst with complaints of accretion mutual borderline eyes loss, poor night visio0n, and accepted decree changes that started 6 months previously. Recently, he has additionally been seeing halos about lights. The analyst suspects abiding open-angle glaucoma. Which of the afterward statements is accurate apropos the analysis of abiding open-angle glaucoma?

a. The attendance of added intraocular burden abstinent by tonometry is absolute for the analysis of open-angle glaucoma.
b. The analyst can definitively analysis open-angle glaucoma based on the abstract complaints of the patient.
c. Concrete analysis relies on goniscopic appraisal of the bend by an ophthalmologist.
d. Early analysis is capital in adjustment to about-face any blow that has occurred to the optic nerve.

Question 47: The majority of HSV-1 and HSV-2 infections are asymptomatic so that abandoned which animated antibiotic titer shows affirmation of antecedent infection?

a. IgA

b. IgE

c. IgG
d. IgM

Question 48: A accommodating is apparent with a abrupt access of ±ank painaccompanied by nausea, vomiting, and diaphoresis. Inaddition to nephrolithiasis, which of the afterward should beadded to the account of diferential diagnoses?

a. Pancreatitis

b. Peptic abscess disease

c. Diverticulitis

d. All of the above

Question 49: Which of the afterward is abounding in the affection and rapidly rises in the bloodstream in the attendance of affection failure, authoritative it a acceptable analytic test?

a. B-type natriuretic peptide

b. C-reactive protein

c. Serum albumin

d. Corpuscle sedimentation rate

Question 50: You are accomplishing a cerumen abstraction and blow the alien meatus of your patient’s ear. He winces and starts coughing. What is the name of this reflex?

a. Baker phenomenon

b. Arnold reflex

c. ahem reflex

d. Tragus reflex

Version 2

Question 1: Women are at the accomplished accident for developing postpartum abasement for up to how continued afterwards childbirth?

2 weeks

1 month

3 months

6 months

Question 2: CPT coding offers the uniformed accent acclimated for advertisement medical casework and procedures performed by physician and nonphysician practitioners. Clinicians are paid based on afflicted ability costs that are afflicted based on convenance components.

a. Analyst apprenticeship loans
b. Analyst convenance accountability and abuse expense
c. Analyst arise amount abridgement efforts
d. Analyst aggregate of patients treated

Question 3: Janet is a 30-year-old woman who has been afresh diagnosed with a herniated disc at the akin of L5-S1. She is currently in the emergency allowance with suspicion of cauda equina compression.
Which of the afterward is a assurance or evidence of cauda equina compression?
a. Gastrocnemius weakness
b. A bargain or absent abate reflex
c. Numbness in the crabbed foot
d. Paresthesia of the perineum and buttocks

Question 4: A 58-year-old woman who had a absolute belly hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the afterward is the best adapted treatment?
a. Conjugated estrogen 0.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
d. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oral

Question 5: Which of the afterward is a specific analysis for assorted sclerosis (MS)?

a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test.

Question 6: Best developed poisonings are:

a. advised and self-inflicted.
b. accidental.
c. acquired by addition adulatory to do abuse to the person.
d. not attributed to any reason.

Question 7: A 60-year-old man presents with an continued scrotum. The analyst uses a penlight to transilluminate the scrotum. In a accommodating with a hydrocele, what would the analyst apprehend to find?

a. The scrotum will be dark.
b. The scrotum will arise ablaze blush or yellow.
c. The scrotum will arise alabaster white.
d. The centralized structures will be acutely visible.

Question 8: Which analytic affection is the aboriginal to be afflicted in added intracranial burden (ICP)?What is the accustomed cardinal for the Glascow Coma Scale?

a. 7

b. 9

c. 10
d. 15

Question 9: S presents in the dispensary with pain, tenderness, erythema, and abscess of his larboard abundant toe. The analyst suspects astute gout. Which of the afterward should the analyst doubtable in the antecedent analysis after-effects for this patient?

a. Animated uric acerbic level
b. Animated claret urea nitrogen (BUN)
c. Decreased urine pH
d. Decreased C-reactive protein (CRP)

Question 10: Which band-aid should be acclimated aback irrigating aching tissue over a anguish on the arm?

a. Dilute povidone-iodine solution
b. Hydrogen achromatize (H2O2)
c. Saline band-aid alloyed with an antibiotic
d. Saline irrigation or bubbling water

Question 11: Which ethical assumption reflects account for all bodies and their self-determination?

a. Autonomy

b. Beneficence

c. Justice
d. Veracity

Question 12: During a agenda belly appraisal (DRE) on a 75-year-old man, the analyst suspects the accommodating has prostate cancer. What concrete award should accomplish the analyst suspicious?

a. An continued adaptable gland

b. A adamantine aberrant gland

c. A breakable gland
d. A addled gland

Question 13: How generally should the analyst appraise the all-overs of a actuality with diabetes?

a. Once a year
b. Every 6 months
c. Every 3 months
d. Every visit

Question 14: Which of the afterward medications is the analysis of best for trichomonas? (Points: 2)

a. Metranidazole

b. Ceftriaxone

c. Diflucan
d. Doxycycline

Question 15: Immunizations are an archetype of which blazon of prevention? (Points: 2)

a. Primary
b. Secondary
c. Tertiary

Question 16: What is the analysis of best for a accommodating diagnosed with testicular cancer?

a. Radical orchidectomy

b. Lumpectomy

c. Radiation implants
d. All of the above

Question 17: George, age-old 59, complains of a flulike illness, including fever, chills, and myalgia afterwards abiding from visiting his grandchildren in New England. He letters accepting apparent a adventurous or red atom that grew in admeasurement on his adapted leg. What ache are you considering?

a. A viral syndromes
b. Lyme disease
c. Rocky Mountain spotted fever
d. Relapsing fever

Question 18: A 24-year-old woman presents to the dispensary with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her admirer was afresh advised for nongonococcal urethritis. What sexually transmitted ache (STD) has she best apparently been apparent to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas

Question 19: What is usually the aboriginal assurance or evidence that a accommodating would present with that would accomplish you doubtable canker zoster?

a. A cutting blazon of affliction on one baby breadth of the body
b. A vesicular bark bane on one ancillary of the body
c. A affliction that is worse aloft awakening
d. A bane on the exoteric ear canal

Question 20: Which biologic frequently assigned for burns is alive adjoin a avant-garde spectrum of microbial bacilli and is the best frequently acclimated abettor for partial- and full-thickness thermal injuries?
a. Clotrimazole chrism (Lotrimen)
b. Mafenide acetate (Sulfamylon)
c. Silver nitrate
d. Silver sulfadiazine (Silvadene)

Question 21: Which of the afterward is a role of the avant-garde convenance assistant in booze blight care?

a. Detecting blight in asymptomatic patients or those with specific symptoms
b. Arranging for aftereffect care, including psychosocial and airy support
c. Identifying and managing complications of care
d. All of the above

Question 22: Which blazon of bake abrasion after-effects in abolition of covering with best of the dermis, yet the epidermal beef lining beard follicles and diaphoresis glands abide intact?

a. Apparent burns
b. Apparent partial-thickness burns
c. Deep partial-thickness burns
d. Full-thickness burns

Question 23: The belief for diagnosing ambiguous all-overs ataxia in the American Psychiatric Association’s Analytic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) accompaniment that boundless anguish or alarm charge be present added canicule than not for at least:

a. 1 month.
b. 3 months.
c. 6 months.
d. 12 months.

Question 24: In the United States, what is the additional best accepted affiliation tissue ache and the best annihilative to the joints?

a. Osteoarthritis
b. Systemic lupus erythematosus (SLE)
c. Rheumatoid arthritis (RA)
d. Sjogren's syndrome

Question 25: A sunscreen with a sun-protection agency (SPF) of at atomic what cardinal will block best adverse ultraviolet (UV) radiation?

a. 4

b. 8

c. 10
d. 15

Question 26: The authentication of an absence access is:

a. No action at all.
b. A bare stare.
c. Urine is usually voided involuntarily.
d. The advance usually lasts several minutes.

Question 27: The capability of benzodiazepines in alleviative all-overs disorders suggests that which of the afterward neurotransmitters plays a role in anxiety?

a. Acetylcholine
b. Gamma-aminobutyric acerbic (GABA)
c. Dopamine
d. Serotonin

Question 28: Which adapted of aberration helps to analyze aberration from dementia?

a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions

Question 29: A 26-year-old woman is apparent with complaints of aberrant vaginal bleeding. Which of the afterward tests should be the aboriginal priority?

a. Pregnancy test

b. Pelvic ultrasound

c. Endometrial biopsy
d. Platelet count

Question 30: The analyst should catechism the accommodating with doubtable gout about use of which of these medications that may be a accident factor?

a. Low-dose aspirin

b. Thiazide diuretics

c. Ethambutol
d. All of the above

Question 31: A abscess is:

a. A abscess beyond than 1 cm in diameter.
b. An animated solid accumulation with a adamantine texture, and the appearance and borders can be approved or irregular.
c. A apparent animated bane abounding with purulent fluid.
d. Thinning of the bark (epidermis and dermis) that appears white or translucent.

Question 32: Sam is a 25-year-old man who has been diagnosed with low aback ache based on his history of localized low aback affliction and beef access forth with a accustomed acoustic examination.
As the clinician, you explain to Sam that low aback affliction is a analysis of exclusion. Which of the afterward affection would alive the analyst to the added austere award of a herniated basis pulposus or burst disc?
a. Morning acerbity and bound advancement of the lumbar spine
b. Unilateral radicular affliction affection that extend beneath the knee and are according to or greater than the aback pain
c. Fever, chills, and animated corpuscle sedimentation rate
d. Pathologic fractures, astringent night pain, weight loss, and fatigue

Question 33: Which of the afterward statements is accurate apropos the musculoskeletal exam?

a. The abstract ancillary should be advised initially and compared to the complex side.
b. The allotment of the anatomy that is causing the accommodating affliction should be advised first.
c. The accommodating should not be asked to accomplish alive range-of-motion (ROM) contest whenever accessible to abstain causing pain.
d. Radiographs should consistently be acquired above-mentioned to appraisal so as not to account added abrasion to the patient.

Question 34: The accepted ambition of analysis for a accommodating with HIV infection is which of the following?

a. Viral abolishment of HIV to ephemeral levels in the borderline blood
b. Compete abolishment of the virus
c. Encouraging the actuality to accept no acquaintance with antiseptic individuals
d. Complete abstinence

Question 35: Which of the afterward classes of drugs should be acclimated as first-line analysis for analysis of delirium?
a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants

Question 36: Afterwards removing a tack from a blazon 2 diabetic’s heel and evaluating the armpit for infection, what is the best plan for this patient?

a. Suggest she use a heating pad to advance circulation
b. Refer to a podiatrist for a bottom affliction analysis plan
c. Send her for acupuncture treatments
d. All of the above

Question 37: Which of the afterward statements is accurate apropos the administration of the applicant with a herniated disc?

a. Beef relaxants and narcotics can be acclimated to ascendancy abstinent affliction but should be discontinued afterwards 3 weeks of use.
b. An epidural bang is accessible in abbreviation leg affliction that has persisted for at atomic 3 weeks afterwards the breach occurred.
c. Intolerable affliction for added than a 3-month aeon is an adumbration for surgical intervention.
d. All of the above

Question 38: Which accommodating is added acceptable to accept a array headache?

a. A changeable in her changeable years
b. A 40-year-old African American male
c. A 55-year-old changeable who drinks 10 cups of coffee daily
d. A 45-year-old macho alive at night

Question 39: The capital apparatus for alienated a accusation involves:

a. Acceptable accountability insurance
b. A accommodating physician
c. Acceptable documentation
d. Open advice skills

Question 40: A 45-year-old woman is apparent in the dispensary with complaints of a vaginal discharge. The analyst identifies clue beef on the vaginal smear. Which of the afterward diagnoses is associated with this finding?

a. Trichomonas
b. Bacterial vaginosis
c. Human papillomavirus (HPV)
d. Canker canker virus (HSV)

Question 41: Which of the afterward class allegation should the analyst apprehend in a accommodating with basic Graves’ disease?

a. Animated thyroid-stimulating hormone (TSH)
b. Animated T4
c. Animated TRH
d. All of the above

Question 42: A 23-year-old sexually alive woman presents for her aboriginal Pap smear. Her history includes nulligravida, age at aboriginal action 14, and added than 10 animal partners. Which of the afterward altitude should the analyst be decidedly alive for during her exam?

a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome

Question 43: Aback may acquaintance be overridden?  

a. Aback claimed advice is accessible on the computer
b. Aback a analyst needs to allotment advice with a announcement company
c. Aback an allowance aggregation wants to apperceive the after-effects of a breast blight gene test
d. Aback a accommodating has a catching disease

Question 44: A accommodating is diagnosed with hypothyroidism. Which of the afterward electrocardiogram (ECG) changes should the analyst apprehend as a appearance of the disease?

a. Sinus bradycardia

b. Atrial fibrillation

c. Supraventricular tachycardia
d. U waves

Question 45: The best cost-effective screening analysis to actuate HIV cachet is which of the following?

a. Western Blot
b. Enzyme-linked immunosorbent appraisal (ELISA)
c. Venereal Ache Research Class (VDRL) test
d. Viral load

Question 46: Afterwards 6 months of synthroid therapy, the analyst should apprehend which of the afterward in the echo thyroid studies?

a. Animated thyroid-stimulating hormone (TSH)
b. Accustomed TSH
c. Low TSH
d. Ephemeral TSH

Question 47: The vegetarian accommodating with gout asks the analyst about aliment that he should avoid. The analyst should admonish the accommodating to abstain which of the afterward foods?

a. Rice
b. Carrots
c. Spinach
d. Potatoes

Question 48: A 64-year-old man with blazon 2 diabetes presents to the dispensary with the complaint of “my all-overs feel like they are on fire.” He has a blow of vibratory sense, +1 Achilles reflex, and a tack anchored in his larboard heel. Which of the afterward would be an adapted treatment?

a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin

Question 49 : In the accord archetypal for Avant-garde Convenance Registered Assistant (APRN) regulation, the “C” of LACE represents?

a. Commitment

b. Consensus

c. Certification
d. Collaboration

Question 50: Which of the afterward signs or affection announce an anarchic analysis to musculoskeletal pain?

a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain

Version 3

Question 1: In an outpatient setting, what is the best accepted acumen for a abuse suit?

a. Abortion to amusement a condition
b. Abortion to analyze correctly
c. Ordering the amiss medication
d. Abortion to administer care

Question 2: How generally should the analyst appraise the all-overs of a actuality with diabetes?

a. Once a year
b. Every 6 months
c. Every 3 months
d. Every visit

Question 3: Which biologic for Alzheimer’s ache should be administered alpha at the time of diagnosis?

a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics

Question 4: Which of the afterward medications is the analysis of best for trichomonas?

a. Metranidazole

b. Ceftriaxone

c. Diflucan
d. Doxycycline

Question 5: Best developed poisonings are:

a. advised and self-inflicted.
b. accidental.
c. acquired by addition adulatory to do abuse to the person.
d. not attributed to any reason.

Question 6: A 58-year-old woman presents with a breast mass. Which of the afterward responses by the analyst would be best appropriate?

a. "It is apparently aloof a cyst, because that is the best accepted breast mass."
b. "We will adjustment a mammogram and ultrasound to advice authorize a diagnosis."
c. "We will go advanced and agenda you for a biopsy because that is the abandoned way to apperceive for sure."
d. "Because your agglomeration is painful, it is best acceptable not cancer."

Question 7: Which of the afterward is a specific analysis for assorted sclerosis (MS)?

a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test.

Question 8: Afterwards removing a tack from a blazon 2 diabetic’s heel and evaluating the armpit for infection, what is the best plan for this patient?

a. Suggest she use a heating pad to advance circulation
b. Refer to a podiatrist for a bottom affliction analysis plan
c. Send her for acupuncture treatments
d. All of the above

Question 9: Which adapted of aberration helps to analyze aberration from dementia?

a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions

Question 10: Which analytic affection is the aboriginal to be afflicted in added intracranial burden (ICP)?

a. Abatement in akin of alertness (LOC)
b. Headache
c. Nausea
d. Widening beating pressure

Question 11: Jennifer is an 18-year-old babe who comes to the emergency allowance afterwards a abatement during a soccer game. Jennifer explains that she fell on her larboard ancillary and kept her arm out beeline to breach her fall. She has been experiencing astringent affliction and bound ambit of motion in her larboard shoulder. The analyst has diagnosed Jennifer with a confused shoulder. Which of the afterward statements are accurate apropos accept dislocation?  

a. Posterior dislocations are added accepted than antecedent dislocations.
b. There is a accident of neurovascular and neurosensory trauma, so the analyst should analysis for distal pulses.
c. Recurrent dislocations are aberrant and would crave a greater force to aftereffect in injury.
d. Surgery is best frequently the analysis of choice.

Question 12: In the accord archetypal for Avant-garde Convenance Registered Assistant (APRN) regulation, the “C” of LACE represents?  

a. Commitment

b. Consensus

c. Certification
d. Collaboration

Question 13: Which of the afterward signs or affection announce an anarchic analysis to musculoskeletal pain?  

a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain

Question 14: Which of the afterward statements is accurate apropos the musculoskeletal exam?  

a. The abstract ancillary should be advised initially and compared to the complex side.
b. The allotment of the anatomy that is causing the accommodating affliction should be advised first.
c. The accommodating should not be asked to accomplish alive range-of-motion (ROM) contest whenever accessible to abstain causing pain.
d. Radiographs should consistently be acquired above-mentioned to appraisal so as not to account added abrasion to the patient.

Question 15: The analyst sees a accommodating who is 5 all-overs alpine and weighs 150 pounds. How would the analyst allocate this patient?  

a. Overweight

b. Mild obesity

c. Abstinent obesity
d. Morbid obesity

Question 16: S presents in the dispensary with pain, tenderness, erythema, and abscess of his larboard abundant toe. The analyst suspects astute gout. Which of the afterward should the analyst doubtable in the antecedent analysis after-effects for this patient?  

a. Animated uric acerbic level
b. Animated claret urea nitrogen (BUN)
c. Decreased urine pH
d. Decreased C-reactive protein (CRP)

Question 17: Which of the afterward statements is accurate apropos the analysis of carpal adit syndrome?  

a. The ambition of analysis is to anticipate flexion and addendum movements of the wrist.
b. Splints are acclimated in carpal adit affection because they acquiesce for chargeless movement of the fingers and deride while advancement the wrist in a aloof position.
c. Corticosteroid injections are beat in the analysis of carpal adit affection because of the risks for average assumption damage, scarring, and infection.
d. All of the above

Question 18: The vegetarian accommodating with gout asks the analyst about aliment that he should avoid. The analyst should admonish the accommodating to abstain which of the afterward foods?  

a. Rice
b. Carrots
c. Spinach
d. Potatoes

Question 19: A 23-year-old sexually alive woman presents for her aboriginal Pap smear. Her history includes nulligravida, age at aboriginal action 14, and added than 10 animal partners. Which of the afterward altitude should the analyst be decidedly alive for during her exam?  

a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome

Question 20: Which accommodating is added acceptable to accept a array headache?  

a. A changeable in her changeable years
b. A 40-year-old African American male
c. A 55-year-old changeable who drinks 10 cups of coffee daily
d. A 45-year-old macho alive at night

Question 21: A sunscreen with a sun-protection agency (SPF) of at atomic what cardinal will block best adverse ultraviolet (UV) radiation?  

a. 4

b. 8 d

c. 10
d. 15

Question 22: Which of the afterward classes of drugs should be acclimated as first-line analysis for analysis of delirium?  

a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants

Question 23: What is the analysis of best for a accommodating diagnosed with testicular cancer?

a. Radical orchidectomy

b. Lumpectomy

c. Radiation implants
d. All of the above

Question 24: Sam, age-old 65, is started on L-dopa for his Parkinson’s ache (PD). He asks why this is necessary. You acquaint him:

a. "L-dopa is neuroprotective."
b. "The primary ambition of analysis is to alter depleted aliment of dopamine."
c. "This is the abandoned biologic that can accommodate adapted benefit."
d. "This is the antecedent monotherapy drug."

Question 25: A 60-year-old man presents with an continued scrotum. The analyst uses a penlight to transilluminate the scrotum. In a accommodating with a hydrocele, what would the analyst apprehend to find?

a. The scrotum will be dark.
b. The scrotum will arise ablaze blush or yellow.
c. The scrotum will arise alabaster white.
d. The centralized structures will be acutely visible.

Question 26: A 24-year-old woman presents to the dispensary with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her admirer was afresh advised for nongonococcal urethritis. What sexually transmitted ache (STD) has she best apparently been apparent to?
a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas

Question 27: A 58-year-old woman who had a absolute belly hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the afterward is the best adapted treatment?
a. Conjugated estrogen 0.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
d. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oral

Question 28: Aback attractive beneath the microscope to analyze an intravaginal infection, you see a array of baby and egg-shaped to annular shapes. What do you doubtable they are?  

a. Spores

b. Leukocytes

c. Pseudohyphae

d. Epithelial cells

Question 29: A 22-year-old macho is apparent in the dispensary because he begin a adamantine agglomeration in his testicle aback assuming testicular brooding (TSE). Which of the afterward should be included in the account of cogwheel diagnoses?
a. Testicular cancer

b. Inguinal hernia

c. Varicocele
d. All of the above

Question 30: The analyst should Question: the accommodating with doubtable gout about use of which of these medications that may be a accident factor?

a. Low-dose aspirin

b. Thiazide diuretics

c. Ethambutol
d. All of the above

Question 31: What is usually the aboriginal assurance or evidence that a accommodating would present with that would accomplish you doubtable canker zoster?
a. A cutting blazon of affliction on one baby breadth of the body
b. A vesicular bark bane on one ancillary of the body
c. A affliction that is worse aloft awakening
d. A bane on the exoteric ear canal

Question 32: Which ethical assumption reflects account for all bodies and their self-determination?
a. Autonomy

b. Beneficence

c. Justice
d. Veracity

Question 33: Patients with a ad-lib pneumothorax should be counseled that up to what allotment may acquaintance a alliteration at some point?  

a. 10%

b. 20%

c. 30%
d. 50%

Question 34: John is a 16-year-old boy who presents to the emergency allowance afterwards affliction his knee in a football game. He declared agee his knee and afresh actuality clumsy to extend it completely. John tells the analyst that he heard a pop aback the abrasion occurred and has been experiencing localized pain. The analyst suspects a meniscal tear. Which analysis would be best adapted to appraise for the attendance of a meniscal tear?

a. Valgus accent test
b. McMurray circumduction test
c. Lachman test
d. Varus accent test

Question 35: Which of the afterward class allegation should the analyst apprehend in a accommodating with basic Graves' disease?
a. Animated thyroid-stimulating hormone (TSH)
b. Animated T4
c. Animated TRH
d. All of the above

Question 36: Which biologic frequently assigned for burns is alive adjoin a avant-garde spectrum of microbial bacilli and is the best frequently acclimated abettor for partial- and full-thickness thermal injuries?
a. Clotrimazole chrism (Lotrimen)
b. Mafenide acetate (Sulfamylon)
c. Silver nitrate
d. Silver sulfadiazine (Silvadene)

Question 37: During a agenda belly appraisal (DRE) on a 75-year-old man, the analyst suspects the accommodating has prostate cancer. What concrete award should accomplish the analyst suspicious?

a. An continued adaptable gland

b. A adamantine aberrant gland

c. A breakable gland
d. A addled gland

Question 38: Janet is a 30-year-old woman who has been afresh diagnosed with a herniated disc at the akin of L5-S1. She is currently in the emergency allowance with suspicion of cauda equina compression. Which of the afterward is a assurance or evidence of cauda equina compression?
a. Gastrocnemius weakness
b. A bargain or absent abate reflex
c. Numbness in the crabbed foot
d. Paresthesia of the perineum and buttocks

Question 39: The belief for diagnosing ambiguous all-overs ataxia in the American Psychiatric Association’s Analytic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) accompaniment that boundless anguish or alarm charge be present added canicule than not for at least:

a. 1 month.
b. 3 months.
c. 6 months.
d. 12 months.

Question 40: The analyst has instructed Sam, a 25-year-old accommodating with low aback strain, to use NSAIDs to administer his affection of affliction and discomfort. Which of the afterward statements would be best adapted aback teaching Sam about the use of NSAIDs to administer his pain?

a. You should alpha with the everyman dosage that is able in managing your pain, because abiding use of NSAIDs can aftereffect in gastrointestinal (GI) disorders such as ulcers and hemorrhage.
b. You should alpha with the everyman dosage that is able in managing your affliction in adjustment to abstain developing altruism to the medication.
c. You should booty the best recommended dosage of NSAIDs so that you will not charge to booty narcotics to ascendancy your pain.
d. It is important to booty NSAIDs on an abandoned abdomen in adjustment to access absorption.

Question 41: A accommodating is diagnosed with hypothyroidism. Which of the afterward electrocardiogram (ECG) changes should the analyst apprehend as a appearance of the disease?  

a. Sinus bradycardia

b. Atrial fibrillation

c. Supraventricular tachycardia
d. U waves

Question 42: Sam is a 25-year-old man who has been diagnosed with low aback ache based on his history of localized low aback affliction and beef access forth with a accustomed acoustic examination. As the clinician, you explain to Sam that low aback affliction is a analysis of exclusion. Which of the afterward affection would alive the analyst to the added austere award of a herniated basis pulposus or burst disc?
a. Morning acerbity and bound advancement of the lumbar spine
b. Unilateral radicular affliction affection that extend beneath the knee and are according to or greater than the aback pain
c. Fever, chills, and animated corpuscle sedimentation rate
d. Pathologic fractures, astringent night pain, weight loss, and fatigue

Question 43: Which blazon of bake abrasion after-effects in abolition of covering with best of the dermis, yet the epidermal beef lining beard follicles and diaphoresis glands abide intact?
a. Apparent burns
b. Apparent partial-thickness burns
c. Deep partial-thickness burns
d. Full-thickness burns

Question 44: Immunizations are an archetype of which blazon of prevention?

a. Primary
b. Secondary
c. Tertiary

Question 45: If a advanced frostbitten breadth becomes frostbitten afresh afterwards it has healed, what ability occur?

a. Abiding tissue blow may occur, consistent in afterlife to that anatomy part.
b. The breadth will be cool sensitive.
c. The breadth is decumbent to a echo frostbite.
d. The breadth is as afflicted as any alternative area.

Question 46: In the United States, what is the additional best accepted affiliation tissue ache and the best annihilative to the joints?

a. Osteoarthritis
b. Systemic lupus erythematosus (SLE)
c. Rheumatoid arthritis (RA)
d. Sjogren's syndrome

Question 47: A 26-year-old woman is apparent with complaints of aberrant vaginal bleeding. Which of the afterward tests should be the aboriginal priority?
a. Pregnancy test

b. Pelvic ultrasound .

c. Endometrial biopsy
d. Platelet count

Question 48: A 45-year-old woman is apparent in the dispensary with complaints of a vaginal discharge. The analyst identifies clue beef on the vaginal smear. Which of the afterward diagnoses is associated with this finding?
a. Trichomonas
b. Bacterial vaginosis
c. Human papillomavirus (HPV)
d. Canker canker virus (HSV)

Question 49: Julie, age-old 50, has cephalalgia headaches, accepted asthma attacks, coronary avenue disease, and hypertension. Which of the afterward antibacterial medications would you adjustment for her migraines?

a. Propranolol

b. Timolol

c. Ergotamine
d. Topiramate

Question 50: A 64-year-old man with blazon 2 diabetes presents to the dispensary with the complaint of “my all-overs feel like they are on fire.” He has a blow of vibratory sense, +1 Achilles reflex, and a tack anchored in his larboard heel. Which of the afterward would be an adapted treatment?

a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin

NR 511 Anniversary 4 Midterm Appraisal Version 5

Question 1: How generally should the analyst appraise the all-overs of a actuality with diabetes?

a. Once a year
b. Every 6 months
c. Every 3 months
d. Every visit

Question 2: Which biologic for Alzheimer’s ache should be administered alpha at the time of diagnosis?

a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics

Question 3: Best developed poisonings are:

a. advised and self-inflicted.
b. accidental.
c. acquired by addition adulatory to do abuse to the person.
d. not attributed to any reason.

Question 4: A 58-year-old woman presents with a breast mass. Which of the afterward responses by the analyst would be best appropriate?

a. "It is apparently aloof a cyst, because that is the best accepted breast mass."
b. "We will adjustment a mammogram and ultrasound to advice authorize a diagnosis."
c. "We will go advanced and agenda you for a biopsy because that is the abandoned way to apperceive for sure."
d. "Because your agglomeration is painful, it is best acceptable not cancer."

Question 5: Which of the afterward is a specific analysis for assorted sclerosis (MS)?

a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test.

Question 6: Afterwards removing a tack from a blazon 2 diabetic’s heel and evaluating the armpit for infection, what is the best plan for this patient?

a. Suggest she use a heating pad to advance circulation
b. Refer to a podiatrist for a bottom affliction analysis plan
c. Send her for acupuncture treatments
d. All of the above

Question 7: Which adapted of aberration helps to analyze aberration from dementia?

a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions

Question 8: Which analytic affection is the aboriginal to be afflicted in added intracranial burden (ICP)?

a. Abatement in akin of alertness (LOC)
b. Headache
c. Nausea
d. Widening beating pressure

Question 9: Jennifer is an 18-year-old babe who comes to the emergency allowance afterwards a abatement during a soccer game. Jennifer explains that she fell on her larboard ancillary and kept her arm out beeline to breach her fall. She has been experiencing astringent affliction and bound ambit of motion in her larboard shoulder. The analyst has diagnosed Jennifer with a confused shoulder. Which of the afterward statements are accurate apropos accept dislocation?

a. Posterior dislocations are added accepted than antecedent dislocations.
b. There is a accident of neurovascular and neurosensory trauma, so the analyst should analysis for distal pulses.
c. Recurrent dislocations are aberrant and would crave a greater force to aftereffect in injury.
d. Surgery is best frequently the analysis of choice.

Question 10: Which of the afterward signs or affection announce an anarchic analysis to musculoskeletal pain?

a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain

Question 11: The analyst sees a accommodating who is 5 all-overs alpine and weighs 150 pounds. How would the analyst allocate this patient?

a. Overweight

b. Mild obesity

c. Abstinent obesity
d. Morbid obesity

Question 12: The vegetarian accommodating with gout asks the analyst about aliment that he should avoid. The analyst should admonish the accommodating to abstain which of the afterward foods?

a. Rice
b. Carrots
c. Spinach
d. Potatoes

Question 13: A 23-year-old sexually alive woman presents for her aboriginal Pap smear. Her history includes nulligravida, age at aboriginal action 14, and added than 10 animal partners. Which of the afterward altitude should the analyst be decidedly alive for during her exam?

a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome

Question 14: Which of the afterward classes of drugs should be acclimated as first-line analysis for analysis of delirium?

a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants

Question 15: What is the analysis of best for a accommodating diagnosed with testicular cancer?

a. Radical orchidectomy

b. Lumpectomy

c. Radiation implants
d. All of the above

Question 16: A 24-year-old woman presents to the dispensary with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her admirer was afresh advised for nongonococcal urethritis. What sexually transmitted ache (STD) has she best apparently been apparent to?

a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas

Question 17: A 58-year-old woman who had a absolute belly hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the afterward is the best adapted treatment?

a. Conjugated estrogen 0.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
d. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oral

Question 18: Aback attractive beneath the microscope to analyze an intravaginal infection, you see a array of baby and egg-shaped to annular shapes. What do you doubtable they are?

a. Spores

b. Leukocytes

c. Pseudohyphae
d. Epithelial cells

Question 19: Patients with a ad-lib pneumothorax should be counseled that up to what allotment may acquaintance a alliteration at some point?

a. 10%

b. 20%

c. 30%
d. 50%

Question 20: John is a 16-year-old boy who presents to the emergency allowance afterwards affliction his knee in a football game. He declared agee his knee and afresh actuality clumsy to extend it completely. John tells the analyst that he heard a pop aback the abrasion occurred and has been experiencing localized pain. The analyst suspects a meniscal tear. Which analysis would be best adapted to appraise for the attendance of a meniscal tear?

a. Valgus accent test
b. McMurray circumduction test
c. Lachman test
d. Varus accent test

Question 21: During a agenda belly appraisal (DRE) on a 75-year-old man, the analyst suspects the accommodating has prostate cancer. What concrete award should accomplish the analyst suspicious?

a. An continued adaptable gland

b. A adamantine aberrant gland

c. A breakable gland
d. A addled gland

Question 22: Janet is a 30-year-old woman who has been afresh diagnosed with a herniated disc at the akin of L5-S1. She is currently in the emergency allowance with suspicion of cauda equina compression. Which of the afterward is a assurance or evidence of cauda equina compression?

a. Gastrocnemius weakness
b. A bargain or absent abate reflex
c. Numbness in the crabbed foot
d. Paresthesia of the perineum and buttocks

Question 23: The belief for diagnosing ambiguous all-overs ataxia in the American Psychiatric Association’s Analytic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) accompaniment that boundless anguish or alarm charge be present added canicule than not for at least:

a. 1 month.
b. 3 months.
c. 6 months.
d. 12 months.

Question 24: A accommodating is diagnosed with hypothyroidism. Which of the afterward electrocardiogram (ECG) changes should the analyst apprehend as a appearance of the disease?

a. Sinus bradycardia

b. Atrial fibrillation

c. Supraventricular tachycardia
d. U waves

Question 25: Which blazon of bake abrasion after-effects in abolition of covering with best of the dermis, yet the epidermal beef lining beard follicles and diaphoresis glands abide intact?

a. Apparent burns
b. Apparent partial-thickness burns
c. Deep partial-thickness burns
d. Full-thickness burns

Question 26: Immunizations are an archetype of which blazon of prevention?

a. Primary
b. Secondary
c. Tertiary

Question 27: If a advanced frostbitten breadth becomes frostbitten afresh afterwards it has healed, what ability occur?

a. Abiding tissue blow may occur, consistent in afterlife to that anatomy part.
b. The breadth will be cool sensitive.
c. The breadth is decumbent to a echo frostbite.
d. The breadth is as afflicted as any alternative area.

Question 28: A 26-year-old woman is apparent with complaints of aberrant vaginal bleeding. Which of the afterward tests should be the aboriginal priority?

a. Pregnancy test

b. Pelvic ultrasound

c. Endometrial biopsy
d. Platelet count

Question 29: Julie, age-old 50, has cephalalgia headaches, accepted asthma attacks, coronary avenue disease, and hypertension. Which of the afterward antibacterial medications would you adjustment for her migraines?

a. Propranolol

c. Ergotamine
b. Timolol

d. Topiramate

Question 30: A 64-year-old man with blazon 2 diabetes presents to the dispensary with the complaint of “my all-overs feel like they are on fire.” He has a blow of vibratory sense, +1 Achilles reflex, and a tack anchored in his larboard heel. Which of the afterward would be an adapted treatment?

a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin

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