NU623 Quiz 2 Latest 2021

Jason, age 62, has obstructive sleep apnea. What do you thk is one of his contributg factors?

He is a recoverg alcoholic of 6 years.

His collar size is 17 ches.

 He is the only person  his family who has this.

He is extremely th.

Eighty percent of men have noticeable hair loss by what age?

35

50

70

85

Which scalp problem can be caused by a fever and certa drugs?

Telogen effluvium (TE) Trichotillomania

 Psoriasis

Alopecia areata

A patient presents with xerosis. What do you tell the patient about this condition?

Daily hot baths can help to soothe the sk.

Usg a strong deodorant can improve the condition.

It can be a side effect of depigmentation creams.

It is uncommon  the elderly.

It can be a side effect of depigmentation creams.

You are usg the CURB-65 clical prediction tool to decide whether Latisha, whom you have diagnosed with community-acquired pneumonia (CAP), should be hospitalized or treated at home. Which of the followg risk factors would crease Latisha’s chance of CAP- associated mortality and complications?

Temperature of 100?F

Respiratory rate 22 breaths per mute

Hemoglob 9.5 g/dL

History of diabetes mellitus

A 40-year-old woman presents with flammatory papules on her face, facial flushg when she drks a glass of we, telangiectasias, and dry eyes. Which of the followg conditions is the most likely diagnosis?

Acne vulgaris

Hot tub folliculitis

Rosacea

 Perioral dermatitis

A chronic cough lasts longer than:

3 weeks

8 weeks

 6 months

1 year

Which of the followg is true of scabies?

Scabies is more common  the Caucasian population.

Scabies is transmitted through blood.

Scabies is not associated with hygiene.

Scabies is transmitted through close personal contact.

A patient with hypertension comes  and sists that one of his new medications is causg him to cough. When lookg at his list of medications, you thk the cough must be from:

Metoprolol

Clopidogrel

Tadalafil

Captopril

A 64-year-old man presents to the clician with complats of creasg bilateral peripheral vision loss, poor night vision, and frequent prescription changes that started 6 months previously. Recently, he has also been seeg halos around lights. The clician suspects chronic open-angle glaucoma. Which of the followg

 statements is true concerng the diagnosis of chronic open-angle glaucoma?

The presence of creased traocular pressure measured by tonometry is defitive for the diagnosis of open-angle glaucoma.

The clician can defitively diagnosis open-angle glaucoma based on the subjective complats of the patient.

Physical diagnosis relies on gonioscopic evaluation of the angle by an ophthalmologist.

 Early diagnosis is essential  order to reverse any damage that has occurred to the optic nerve.

As diabetic retopathy progresses, the presence of “cotton wool” spots can be detected. “Cotton wool” spots refer to:

Microvascular farctions Blood vessel proliferation

Venous beadg

Retal hemorrhage

A patient presents to the clician complag of ear pa. On examation, the clician fds that the patient has tenderness on

 traction of the pna as well as when applyg pressure over the tragus. These fdgs are classic signs of which condition?

Otitis media

Ménière’s disease

Tnitus

Otitis externa

Which of the followg treatments is appropriate for a patient who has acute otitis media and has an allergy to penicill?

Augment 875 mg two times daily for 10 days

Suprax 400 mg daily for 7 days

Amoxicill 500 mg every 8 hours for 10 days

Zithromax 500 mg on day 1, and then 250 mg daily for 4 days

Which of the followg is a strong risk factor associated with creased melanoma risk?

Patient had a 15 mm nevus.

Patient has a history of multiple blisterg sunburns  their teenage years.

Patient’s uncle had melanoma.

Patient is of African American descent.

George has COPD and an 80% forced expiratory volume  1 second. How would you classify the severity of his COPD?

Stage 1 mild COPD Stage 2 moderate COPD

Stage 3 severe COPD

Stage 5 very severe COPD

 Which of the followg statements about performg cryosurgery for actic keratosis is true?

It is better to slightly overfreeze the area, so you only have to do it once.

Usg liquid nitrogen, freeze each lesion for at least 30 seconds.

Every lesion should be biopsied after usg liquid nitrogen.

The “freeze balls” should be approximately one-and-a-half times as wide as they are deep.

Joyce is takg a long-actg beta agonist for her asthma. What additional medication should she be takg?

haled corticosteroid Leukotriene-receptor antagonist

Systemic corticosteroid

Methylxanthes

 Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause?

“You must be under a lot of stress lately.”

“It is hereditary. Did your father experience this also?”

“The cause is unknown, but we suspect it is due to an immunological mechanism.”

 “We’ll have to do some tests.”

A patient has dysphonia ´3 days as a result of a viral illness. Which of the followg educational pots is correct?

As smokg has no effect on dysphonia, the patient can contue to smoke.

The patient should contue to use their voice to exercise it.

The patient should take cough medication with antihistames.

Make sure the patient has adequate fluid take.

Cydney presents with a history of asthma. She has not been treated for a while. She complas of daily but not contual symptoms, greater than 1 week and at nighttime. She has been usg her rescue haler. Her FEV1 is 60% to 80% predicted. How would you classify her asthma severity?

Mild termittent

Mild persistent

Moderate persistent Severe persistent

A patient presents to the clician with a sore throat, fever of 100.7°F, and tender anterior cervical lymphadenopathy. The

 clician suspects strep throat and performs a rapid strep test that is negative. What would the next step be?

The patient should be structed to rest and crease fluid take, as the fection is most likely viral and will resolve without antibiotic treatment.

Because the patient does not have strep throat, the clician should start broad-spectrum antibiotics  order to cover the offendg pathogen.

A throat culture should be performed to confirm the results of the rapid strep test.

 The patient should be treated with antibiotics for strep throat, as the rapid strep test is not very sensitive.

Sam, age 62, presents to the clic with respiratory symptoms. His pulmonary function tests are as follows: a normal total lung capacity, a decreased PaO2, and an creased PaCO2. On assessment, you auscultate coarse crackles and forced expiratory wheezes. What is your diagnosis?

Asthma

Emphysema

Chronic bronchitis fluenza

Gerald presents with a very dark color on his right pkie fger. What is the health-care provider’s next care step?

Referral to a dermatologist for a biopsy Watchful waitg

Discussg that the condition is benign and the patient can ignore it

Follow up  2 weeks to see if there is any change

Lisa is a 25-year-old Hispanic female experiencg chest tightness, a feelg of suffocation, and feels like she “can’t get air .” She has no current history of heart or lung disease and did not exercise leadg up to this attack. Which of the followg is the most likely cause for this dyspnea?

Severe chronic anemia

Congestive heart failure

Anxiety-related dyspnea

 Chronic obstructive pulmonary disease (COPD)

Which of the followg statements regardg TST is true?

 Tests should be read 48 hours after the jection.

The size of the TST reaction has nothg to do with erythema but is based solely on duration.

 It is a type V T-cell-mediated immune response.

The diameter of the duration is measured  centimeters.

What is the itial treatment for uncomplicated anterior epistaxis?

Tiltg the head back so the blood does not run out of the nose

Applyg firm and contuous pressure superior to the nasal alar cartilages for 10 to 15 mutes

Applyg firm and contuous pressure to the nostril for 5 mutes

Lettg the nose bleed clot and leang the head forward

Applyg firm and contuous pressure superior to the nasal alar cartilages for 10 to 15 mutes

Your patient has decided to try to quit smokg with Chantix. You are discussg his quit date, and he will beg takg the medice tomorrow. When should he plan to quit smokg?

He should stop smokg today.

He should stop smokg tomorrow.

His quit date should be  1 week.

 He will be ready to quit after the first 30 days.

African American patients seem to have a negative reaction to which of the followg asthma medications?

haled corticosteroids

Long-term beta-agonist bronchodilators Leukotriene-receptor agonists

Oral corticosteroids

Sally, age 25, presents with impetigo that has been diagnosed as fected with Staphylococcus. The clical presentation is pruritic tender, red vesicles surrounded by erythema with a rash that is ulceratg. Her recent treatment has not been adequate. Which type of impetigo is this?

Bullous impetigo

Staphylococcal scalded sk syndrome (SSSS)

Nonbullous impetigo

Ecthyma

What is the most common cause of CAP?

Streptococcus pneumoniae Klebsiella pneumoniae

Legionella pneumoniae

Pseudomonas aerugosa

Which of these patients should be evaluated with serum alpha- antitryps levels?

Jamie, a 70-year-old female with COPD with a history of smokg

Ron, a 43-year-old male with COPD with a history of smokg

Ron, a 43-year-old male with COPD with a history of smokg

Leslie, a 60-year-old female with clical emphysema and no history of smokg

Marshall, a 55-year-old male with clical emphysema and no family history of early-onset COPD

The clician is seeg a patient complag of red eye. The clician suspects conjunctivitis. The presence of mucopurulent discharge suggests which type of conjunctivitis?

Viral conjunctivitis

Keratoconjunctivitis

Bacterial conjunctivitis

Keratoconjunctivitis

Allergic conjunctivitis

Which of the followg is true of pediculosis?

Pruritus occurs before the sensitivity to the head louse.

Patients can be asymptomatic or cause few symptoms  the first 2 weeks followg exposure.

 a patient’s first fection, they will develop symptoms with 24 to 48 hours.

Patients can be asymptomatic or cause few symptoms  the first 2 weeks followg exposure.

It is transmitted through droplets.

 A patient is complag of seeg “flashg lights.” What is the provider’s next step?

Send the patient to ophthalmology immediately to evaluate for macular degeneration.

Send the patient to ophthalmology immediately to evaluate for a retal tear or detachment.

Tell the patient that it is normal to see flashg lights occasionally.

Send the patient to ophthalmology immediately to evaluate for a retal tear or detachment.

Tell the patient that they can wait to be seen by ophthalmology for 1 month.

An acutely presentg, erythematous, tender lump with the eyelid is called:

Blepharitis

Hordeolum Chalazion

Iritis

Graham has a sgle furuncle on his buttocks with no surroundg cellulitis. What is the best treatment option?

Systemic antibiotics

Cold compress to the site

cision and draage Watchful waitg

France presents with a total loss of sk color  patchy areas of her body. What are the potential causes?

Zidovude

Chlorpromaze

Vitiligo

 Addison’s disease

Rachel is a patient complag of a pruritic erythematous rash on her face and hands that became apparent this morng. Which of the followg questions would help determe whether she has contact dermatitis?

 “Do you have a history of itchy rashes?”

“Do you have any food allergies?”

“Do you have a history of rosacea?”

“Have you used any new face wash or soap?”

Which of the followg medications is safe to use when an adult patient has a perforated tympanic membrane?

Chloroxylenol 1 mg, 4 to 5 drops  the affected ear three times per day for 7 days

Flox otic 10 drops  affected ear for 7 days

 Pramoxe HCL 10 mg, 4 to 5 drops  affected ear three times per day for 7 days

Hydrocortisone 10 mg/mL, 3 drops  affected ear three times per day for 7 days

 Results for item 40. 40

Which obstructive lung disease is classified as reversible?

Asthma

 Chronic bronchitis

 Emphysema

 COPD