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GCU APEA 3P FINAL EXAM SUMMER PRACTICE
QUESTION AND ANSWERS GUARANTEED PASS
(VERIFIED EXAM)
What finding is typical in a patient with a meniscal tear? Positive McMurray's test The scoliosis patient who would cause the greatest concern for the nurse practitioner is a: 13 y/o female with a 100 curve A patient with bulimia is likely to be: average weight The most common treatment for Helicobacter pylori is a triple therapy, interpreted as: 2 antibiotics and proton pump inhibitor for 7-14 days
Patients with psoriasis frequently have Pruritus, positive auspitz sign, and pitted nails A Hispanic woman who is 26 weeks pregnant states that she recently began eating ice chips between meals: Asses the patient for iron deficiency anemia Patients with down syndrome are at risk for Heart Disease What is the test that diagnose PAD? Ankle-Brachial Index <. In older adults, the presence of heart sound S3 suggests: Heart Failure
If greater than 12 hour, take next dose at due time When starting Warfarin, when do you need to get your first INR checked? Three days Which of the following drugs is not contraindicated for concurrent use with warfarin (Coumadin)? Amoxicillin (Amoxil) Projectile vomiting from pyloric stenosis should not be bilious. TRUE The most common presentation of small bowel obstruction includes: Loss of appetite, Crampy ABD pain that is intermittent, and vomiting
Which of the following are sequalae of undescended testicles? Infertility and Testicular cancer The mechanism of action of medications to treat urinary incontinence is: Reduces spasmolytic effects on bladder smooth muscle and is an anticholinergic that works on muscarinic receptors. Treatment of chronic prostatitis includes: 4 - 12 wks of treatments w/ an ABX that shows susceptibility of the organism. What immunizations can be safely given in pregnancy? Flu shot and Tdap Serotonin syndrome findings include: Insomnia, rapid HR, HTN, restless/anxiety, confusion, fever, and muscle rigidity.
Beta Thalassemia is inherited and is due to a defect in the control production of hemoglobin TRUE Iron supplementation is generally taken at 326mg 2-3x/day with vitamin C for about 6-12 months to build up iron stores TRUE Which of the following are appropriate treatments for epididymitis? Elevation of the scrotum (PHRENS) Ceftriaxone and doxycycline for STI C&S of urine for best ABX tx Treatment of all sexual contacts if due to STI Which of the following organisms is most commonly found in meningitis? Streptococcus pneumoniae Neisseria meningititis Hemophilus influenzae
The Beer's list is a reference to help one decide what medications to avoid in elderly patients TRUE Which of the following medications are likely found on the Beer's list? Opioids, Barbiturates, Anticholinergics Which cranial nerve is affected in Bell's Palsy? CN VII Which of the following is true about a sprain versus a strain? Strains affects muscle and tendons Sprains affect the capsule and ligament of a joint Sprains are sometimes worse then strains. First line treatment of osteoarthritis consists of: NSAIDS
At what age should babies have their first eye exam? 6 months Cotton Wool spots are seen in which condition? Hypertension and Diabetes Engorged and tortuous retinal veins in the eye are a sign of: Papilledema Which of the following eye conditions is a medical emergency? Closed angle/angle closure glaucoma Suzie has a yellowish, raised growth on the conjunctiva of her medial right eye. What is this? Pinguecula
Disease of the mucous membranes called allergic rhinitis is medicated by which of the following? IgE Which of the following might you see on the CBC of a patient with allergic rhinitis? Eosinophilia The preferred agent for treating allergic rhinitis is: Flonase First line treatment for Sinusitis that has lasted greater than 7-10 days Amoxicillin or Augmentin Which of the following can cause ototoxicity that is reversible? Loop Diuretics
A urologic emergency that occurs due to twisting of the spermatic cord has which has which of the following assessment findings? Tender testicle, loss of the cremasteric reflex, discoloration of the affected testicle. Lack of attachment of testicle to scrotum is called Bell clapper deformity The urinalysis findings in testicular torsion are: Normal in 90% of patients Patients younger than 35 with epididymitis should be treated for: E. Coli, Chlamydia, and gonorrhea according to urine culture Patient with decreased renal function and no other pathology should be assessed for: Renal artery bruit
Joh has erectile dysfunction and wishes to take Viagra. He is also on nitrates and that is an indication that he cannot use viagra. True Jenny has a low HGB, HCT, and MCV. She has a microcytic anemia. TRUE The iron containing portion of the RBC is called: HEME The best test measure the storage of iron is known as the Ferritin Level TRUE Iron replacement should include: Ferrous sulfate and vitamin C
NRDI's are used to treat depression. Which drug in that class? Wellbutrin Which medication should a patient withdrawing from alcohol be offered for symptoms? Lorazepam, Librium, and Diazepam The 3rd most common chronic disease among young people behind Type 1 Diabetes and asthma is: Anorexia Nervosa Patients with Bulimia are usually not underweight: True Patient bulimia should not take bupropion due to seizure when purging True
St. Johns Wort is a herbal med and will not cause serotonin syndrome so its a goof substitute for anti-depressants. FALSE Deficiency of adrenal gland hormone is called: Addison's disease Which gland functions to control calcium levels? Parathyroid gland Treatment of Addisons disease: Cortisol replacement and mineral corticoids Spironolactone combats excess mineralocorticoid activity in Cushing's disease: TRUE/ ALDOSTERONE
5th intercostal space, midclavicular line Hypertensive medication for pregnancy patients Methyldopa (Aldomet) What is the organism that causes Cellulitis? A. Streptococcus A fungal infection of the hair, skin, and nails caused by a dermatophyte (Trichophyton genus) Dermatophytosis Which medication classes are most associated with hpoglycemia? Sulfonylureas and Meglitinides. Ex: Glipizide and Glyburide What is a risk factor for testicular cancer? Cryptorchidism
Treatment for uncomplicated for Chlamydia Azithromycin 1g PO single dose Doxycycline 100mg PO BID for 7 days Treatment for complicated Chlamydia Doxycycline for 10-14 days if epididymis or PID is present Chlamydia tx in pregnancy Amoxicillin 500mg PO Test of cure for Gonorrhea is NOT necessary EXCEPT: Potential tx failure In pregnancy After tx of antibiotic-resistant organism Always retest with NAAT culture and AST 7-14 days after treatment
