When performing a visual acuity test, the nurse practitioner notes 20/30 in the left eye and 20/60 in the right eye. The next step is to A- Have the patient return in 2 weeks for a follow-up vision screen B- Dilate the eyes and retest C- Refer the patient to an ophthalmologist D- Document this as a...
Questions 1
When performing a visual acuity test, the nurse practitioner notes 20/30
in the left eye and 20/60 in the right eye. The next step is to
A- Have the patient return in 2 weeks for a follow-up vision screen
B- Dilate the eyes and retest
C- Refer the patient to an ophthalmologist
D- Document this as a normal finding.
Question 2
The American Psychiatric Association’s Diagnostic and Statistical
Manual Disorder fifth edition (DMS-5) describes Munchausen
Syndrome by proxy as A- A self-inflicted injury to gain attention
B- A caregiver making up or causing an illness or injury in a person under
his or her care
C- An abusive behavior that does not involve the caregiver
D- A situation in which the abuser is often inattentive and uncaring
toward the victim
Question 3
Symptoms of depression are a side effect of which neurotransmitter
medication? [There are 3 categories of neurotransmitters in the brain:
small molecules for fast action/excitatory transmission = glutamate &
GABA; small molecules for slower modulation of activity = dopamine &
serotonin; Peptides = endorphins, cannabindoids, oxytocin)
A- Dopamine
B- B- Gabapentin
C- C- Mu
D- Cortisol
Question 4
The right lymphatic ducts drain into what part of the circulatory
system? (There are two lymph ducts, the right lymphatic duct and the
thoracic duct. The right drains lymph from the right upper limb, the right
side of thorax, and the right halves of head and neck. The thoracic duct
drains lymph into the circulatory system between the left subclavian
and the left internal jugular veins)
A- Arterial
B- Venous
C- Arteriovenous system
D- Capillary bed
, lOMoARcPSD|3013804
Question 5
Which lesion is dark, raised and asymmetric with irregular borders?
A- Nevus (the medical term for a mole. Nevi are very common. Most
people have between 10 and 40. Common nevi are harmless
collections of colored cells. They typically appear as small brown, tan,
or pink spots)
B- Actinic (a rough, scaly patch on your skin that develops from years
of exposure to the sun. It's most commonly found on your face, lips,
ears, back of your hands, forearms, scalp or neck)
C- Keratoacanthoma (a dome-shaped lump or tumor that grows on your
skin)
D- Melanoma (the most serious type of skin cancer, develops in the cells
(melanocytes) that produce melanin — the pigment that gives your skin its
color. Melanoma is asymmetric, irregular border, change in color, change
in diameter, and evolved over time [ABCDE])
Question 6
A pediatric patient has areas of scaling on the scalp, with round patches
of alopecia. This clinical finding is consistent with
A- Tinea capitis (Ringworm of the scalp is not really a worm, but a fungal
infection. It gets the name ringworm because the fungus makes circular
marks on the skin, often with flat centers and raised borders. Also called
Tinea capitis, this infection affects your scalp and hair shafts, causing
small patches of itchy, scaly skin)
B- Seborrheic dermatitis (a common skin condition that mainly affects
your scalp. It causes scaly patches, red skin and stubborn dandruff.
Seborrheic dermatitis can also affect oily areas of the body, such as
the face, sides of the nose, eyebrows, ears, eyelids and chest. For
infants, the condition is known as cradle cap and causes crusty, scaly
patches on the scalp.)
C- Trichotillomania (hair-pulling disorder, is a mental disorder that
involves recurrent, irresistible urges to pull out hair from your scalp,
eyebrows or other areas of your body, despite trying to stop)
D - Alopecia areata (a condition that causes hair to fall out in small
patches, which can be unnoticeable. These patches may connect,
however, and then become noticeable. The condition develops when
the immune system attacks the hair follicles, resulting in hair loss)
Question 7
A patient with an acute presentation of acute aortic regurgitation (AR)
typically presents with sudden severe shortness of breath, lower
extremity edema, a rapid heartbeat, and
A- Dry mouth
B- Chest pain
C- Decreased blood
pressure E - Systolic
murmur
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