Claudia’s Copy 3P

A 17 year old is diagnosed with mild bronchospasm. Which of the following would provide

relief?

 Oral montelukast (Singulair)

A 24 year old pregnant woman with a history of iron deficiency anemia should be educated that

she should take iron supplements:

 On an empty stomach between meals

A 26 year old male patient complains of spiking fever, malaise, urinary frequency, and perineal

pain with defecation that began 2 days ago. On digital rectal exam, his prostate is found to be

enlarged, boggy, and tender. The most likely etiology is:

 Acute Bacterial prostatitis

A 26 year old male patient presents with a chancre on the shaft of his penis and regional

lymphadenopathy. He is diagnosed with primary sphyllis. The best initial treatment is:

 Benzathine penicillin G (Bicillin L-A)

A 26 year old woman complains of acute lower abdominal pain. Which of the following

conditions is NOT associated with this symptom?

 Ruptured ovarian follicle

A 26-year-old woman with bulimia is likely to be:

 of average weight

A 27 year old patient acknowledges having unprotected sexual intercourse. What clinical

manifestation suggests primary syphilis?

 A single painless lesion on the genital area

A 27 year old patient is diagnosed with new onset anemia. This finding should prompt follow-up

assessment for:

 Malignancy

A 3 year old child has enterobiasis. When should the dose of mebendazole (Vermox) be

repeated?

 In 3 weeks

A 30 year old woman with a past medical history of headaches is inquiring about birth control

contraceptives. Estrogen-progestin should be avoided in patients who experience which type of

headaches?

 Migraines with aura

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Claudia’s Copy 3P

A 34 year old man presents with complain of abdominal pain. The nurse practitioner suspects

hemorrhagic pancreatitis due to findings of superficial edema, bruising around the umbilicus,

and what other assessment finding?

 A positive Cullen’s sign

A 40-year-old female patient has breasts with a soft texture, but uneven contour bilaterally.

What is the most likely diagnosis?

 cystic breast

A 42 year old woman has erythema and swelling of the left breast that has progressed rapidly:

 inflammatory breast cancer

A 45 year old carpenter complains of a foreign body sensation in his left eye with tearing and

itching. During the ophthalmoscopic exam, a triangular thickening of the bulbar conjunctiva is

found at the outer surface of the cornea. This finding is consistent with:

 Pterygium

A 48 year old male patient has been diagnosed with hypertension. He has a history of gout.

Which medication should be avoided in this patient?

 Losartan (Cozaar)

A 60 year old man is experiencing prostatic pain when he states that the pain is localized in

which location?

 The back

A 61 year old man’s chest X-ray result indicates left lower lobe pneumonia. He has a past

medical history of a right nephrectomy. He should be treated with:

 A shorter course of antibiotics

A 62-year-old male presents with leg pain and occasional numbness that is worse with

ambulation and improved with lumbar flexion. What is the likely diagnosis?

 spinal stenosis

A 67-year-old woman with atrial fibrillation and an ejection fraction of 48% is on digoxin and

has had normal digoxin levels of 0.8- 2 ng/dL for the past 9 months. Today, the level is 0.4

ng/dL. What could account for this change?

 regular use of an antacid

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