Herzing NU623 Quiz 6 Latest 2021

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NU623 Quiz 6

Reuben, age 24, has HIV and just had a routine viral load test done. The results show a falling viral load. What does this indicate?

A favorable prognostic trend Disease progression

The need to be more aggressive with Reuben’s medications

Drug resistance mutations

Which medication is used as a first-line treatment in the management of bipolar disorder?

Gabapentin

Lamotrigine

Carbamazepine

Topiramate  Carbamazepine

What is the essential feature of bipolar-I? Hyperactivity

 Mania Depression

Anxiety

 Which treatment would the clinician recommend for a patient who has relative polycythemia?

Rehydration

Antihistamines

Weekly phlebotomies

Rehydration

Referral to hematologist

 Which phrase describes rheumatoid arthritis (RA)?

Localized synovial joint destruction

Chronic exocrine dysfunction

Systemic inflammatory disease

Antibody-mediated cellular cytotoxicity response

 Which blood cell is excessively elevated in a person who has polycythemia?

Platelets

Neutrophils

Red blood cells

 All types of blood cells

 The stooped posture, motor slowness, and minor cognitive impairments of patients with major depressive disorders are similar to the signs of disorders of the basal ganglia, such as:

Parkinson’s disease Stevens-Johnson syndrome

Neurological disease

Huntington’s disease

 It is important for the clinician to discuss the long-term effects of sexual assault with survivors. Which of the following is

the most common long-term effect of sexual assault?

Depression

Obsessive-compulsive disorder

Substance abuse

PTSD

The clinician is educating a patient about the effects of marijuana. The patient stated that she has been smoking for years and believes the use does not interfere with her life. What is the potential long- term sequelae of marijuana use that the clinician should educate this patient about?

Memory impairment Sexual dysfunction

Dry mouth

There are no long-term consequences of marijuana use

 Which symptom is the cardinal subjective symptom of sickle cell crisis?

 Pain Nausea

Light-headedness

Palpitations

What is the health impact of low-dose alcohol consumption?

Increased risk of developing alcohol addiction

Increased risk of coronary artery disease

Increased high-density lipoproteins

Increased excitation of critical ion channels

Increased high-density lipoproteins

Which classic rash should the clinician assess for in a patient with SLE?

Butterfly Bulls-eye

Ringworm

 

“Slapped” cheeks

Which finding from the bone marrow aspiration is typical in a patient with CML?

Schistocytes

Howell-Jolly bodies

Philadelphia chromosome

Hemoglobin S gene

Philadelphia chromosome

Each of the following antidepressants does NOT have significant liver CYP P450 interaction effects?

Paroxetine

Fluoxetine

Fluvoxamine

Olanzapine

Bipolar disorder requires differential diagnosis from all of the following except?

Substance abuse and medication effects

Medical and neurological disorders

Cluster B personality disorders and depression

Obsessive-compulsive disorder

After returning from visiting his grandchildren in Connecticut, George, age 59, complains of a flulike illness, including fever, chills, and myalgia. He reports having discovered a rash or red spot that grew in size on his right leg. Which disease should the clinician be considering?

Rubella

Lyme disease

Fibromyalgia syndrome

Shingles  Lyme disease

Spontaneous bruising may be seen with platelet counts below what level?

100,000 cells/mL

75,000 cells/mL

50,000 cells/mL

30,000 cells/mL Results for item 18. 18

All benzodiazepines are associated with:

Potential anterograde amnesia Dopamine-related movement disorders

Serotonin syndrome

Xerostomia and agitation

 Which of the following disease-modifying antirheumatic drugs is a folic acid antagonist?

Methotrexate (Rheumatrex)

 Etanercept (Enbrel)

Rituximab (Rituxan)

Anakinra (Kineret)

Which test should the clinician use to initially screen for HIV?

Western blot

Enzyme-linked immunosorbent assay

HIV-1/2 antigen/antibody combination immunoassay

HIV-1/2 antigen/antibody combination immunoassay

Nucleic acid amplification testing

Which of the following is considered first-line treatment for panic disorders?

Benzodiazepines

Selective serotonin reuptake inhibitors (SSRIs)

Cognitive behavioral therapy Tricyclic antidepressants

 Cognitive behavioral therapy

HITS is a validated instrument used to identifying intimate partner violence. What does HITS stand for?

Hit, Injured, Threatened, Scared

Hurt, Insult, Threaten, Scream Humiliated, Isolated, Tortured, Scarred

Harm, Injury, Terror, Shame

The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least:

1 month

3 months

6 months

 12 months

Which of the following is a laboratory finding commonly found in patients with anorexia nervosa?

Hypophosphatemia Hypermagnesmia

Leukocytosis

Decreased TRH

 Results for item 25. 25

Which of the following is the only drug used to treat bulimia that is approved by the U.S. Food and Drug Administration?

Sertraline

Fluoxetine Citalopram

Imipramine

A patient presents with symptoms of infectious mononucleosis. Which lab chemistry test should the clinician order?

Viral load

 Hemoglobin A1c

Western blot assay

Heterophile antibody test

After discontinuing fluoxetine, how long must a person wait before starting a monoamine oxidase inhibitor?

2              weeks

3              weeks

4              weeks

5              weeks

How long would the clinician inform the patient to rest after onset of infectious mononucleosis?

4 days

10 days

2 weeks

4 weeks

What is the most common cause of microcytic anemia?

Anemia of chronic disease

Sideroblastic anemia

Iron-deficiency anemia Pernicious anemia

Dryness of the eyes and mouth is typical of which condition?

Sjögren’s syndrome Allergic reaction

Hypothyroidism

 

Sideroblastic anemia

Which condition is the most common cause of generalized musculoskeletal pain in women ages 20 to 55?

 Chronic fatigue syndrome

Anemia

Fibromyalgia syndrome Sports-related injuries

Which assessment finding presents with early rheumatoid disease?

Pain and swelling in both small and large peripheral joints

Joint swelling and immobility on rising

Rigid joints with diminished range of motion

Joint swelling and immobility on rising

A cardiac rub with pulmonary friction rub

 Which of the following may be used to evaluate a person’s suicide risk?

CAGE

SANE

SAD PERSONAS

SAD PERSONAS

DIGFAST

Suicide plans are assessed on all of the following, EXCEPT:

Specificity

Possibility Availability

Lethality

Infectious mononucleosis results from an acute infection with which of the following?

Epstein-Barr virus Acute HIV infection

Guillain-Barré

Hepatitis

A patient presents to the clinician after experiencing four episodes in the last month of sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about 10 minutes. The patient is now becoming very fearful of future events and has been reluctant to leave the house. The clinician suspects panic disorder but wants to rule out any possible medical causes. Which of the following medical conditions can mimic the symptoms of a panic attack?

Pheochromocytoma

Hyperthyroidism

Cardiac arrhythmias

All of the above

Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process?

Erythrocyte sedimentation rate

White blood cell count

Polymorphonuclear cells

C-reactive protein (CRP)

A patient is experiencing extrapyramidal side effects from his antipsychotic medications. The clinician would most likely take which of the following approaches to treating these side effects?

Give the patient a “drug holiday” until the symptoms resolve and then restart the medication.

Switch the patient to a different antipsychotic.

Treat the patient with anticholinergics. Treat the patient with anticonvulsants.

What is the likely result of the over-prescription, over-supply, and over-production of opioids?

Opioid use

Opioid abuse Opioid dependence

Opioid resistance

The clinician must differentiate chronic vitamin B12 deficiency anemia from folate deficiency anemia. Which action should the clinician take?

Obtain a complete blood count

 Assess for peripheral neuropathy

Inspect for smooth surface on tongue

Determine the size of the red blood cell

Assess for peripheral neuropathy

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