Exam (elaborations)
DIFFERENTIAL DIAGNOSIS AND PRIMARY CARE-M QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
- Course
- Institution
DIFFERENTIAL DIAGNOSIS AND PRIMARY CARE-M QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
[Show more]
Seller
Follow
Content preview
DIFFERENTIAL DIAGNOSIS ANDPRIMARY CARE-M QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
Which of the following initiatives does not fall under the National Prevention Strategy - ANSWER
Diabetes Management. Reference Page 29
All of the following statements about the US Preventive Services Task Force (USPSTF) are true except? -
ANSWER All of the recommendations made by the USPSTF are strong recommendations
What type of reaction following an immunization is considered serious and requires reevaluation -
ANSWER Temperature greater than 103F̊
Herbert, a 69-year-old man, comes to your office complaining of nocturia. On questioning Herbert, you
find that for the past 3 months he has been getting up at least 5 times a night to void. He came in to seek
help today because of his wife's insistence that he be checked out. When you perform the digital rectal
exam, you find that his prostate protrudes 3 to 4 cm into the rectum. What grade would you assign to
Herbert's prostate enlargement? - ANSWER Grade 3
Which of the following individuals should get the shingles (herpes zoster) vaccine - ANSWER Joe, who
has a stressful job
As a primary care provider, which of the following topics is not typically important for adults aged 20 to
40 - ANSWER Focusing on increasing lifespan
Which of the following statements defines health literacy - ANSWER The level to which a patient can
understand, gain access to, and make proper medical decisions
Between ages 7 and 18, both boys and girls are immunized against the following diseases - ANSWER
Tetanus, diphtheria, pertussis, meningitis, and human papillomavirus
The OLD CARTS (onset, location, duration, character, aggravating/alleviating factors, radiation, timing,
severity) mnemonic is best used in which part of your chart note - ANSWER History of present illness
,Eileen, a 42-year-old woman, comes to your office with a chief complaint of fatigue, weight loss, and
blurred vision. Eileen has a past medical history that is negative for any chronic medical problems. You
obtain a fasting chemistry panel, lipid profile, complete blood count (CBC), and hemoglobin A1c (HbA1c).
The results of the blood work show Eileen's blood sugar elevated at 356 mg/dL, total cholesterol
elevated at 255, high-density lipoprotein (HDL) cholesterol low at 28, low-density lipoprotein (LDL)
cholesterol elevated at 167, triglycerides 333, and HbA1c 12. On questioning Eileen further, you discover
that both her grandmothers had adult-onset diabetes mellitus. You diagnose type 2 diabetes mellitus.
Your treatment plan should include a cholesterol-lowering agent, an agent that lowers blood sugar, and
which other class of medication? - ANSWER Angiotensin-converting enzyme (ACE) inhibitor
Margaret, age 29, is of medium build and 5 ft 4 in tall. You estimate that she should weigh about -
ANSWER 120 lb
Susie, age 5, comes to the clinic for a well-child visit. She has not been in since she was 2. Her
immunizations are up to date. What immunizations would you give her today - ANSWER Diphtheria,
tetanus, and pertussis (DTaP); inactivated polio vaccine (IPV); and measles, mumps, and rubella (MMR)
Mimi, age 52, asks why she should perform a monthly breast self-examination (BSE) when she has her
mammograms on schedule. You respond: - ANSWER "More than 90% of all breast abnormalities are first
detected by self-examination."
Marian's husband, Stu, age 72, has temporal arteritis. She tells you that his physician wants to perform a
biopsy of the temporal artery. She asks if there is a less invasive diagnostic test. What test do you tell her
is less invasive? - ANSWER Color duplex ultrasonography
Which of the following refers to an aspect of a patient's health that can be changed or affected by a
health intervention? - ANSWER Modifiable risk factor
An 81-year-old patient presents for a physical. She recently had a fall and now has problems walking up
her stairs. The only restroom in the house is on the second floor. She also has a flight of stairs outside her
house she has to navigate in order to reach street level, and this is difficult for her. Where does this
information belong in your chart note? - ANSWER Functional health patterns
Telehealth has shown a drastic increase in utilization by patients in which of the following fields of
medicine - ANSWER Psychology and psychiatry
, Mark, a 56-year-old man, comes to your practice seeking help quitting smoking. You prescribe
varenicline (Chantix), a prescription medication, to aid with his attempt. What instructions do you give
Mark regarding how to stop smoking with Chantix? - ANSWER Start the Chantix today according to the
dosing schedule and then pick a date to stop smoking about 7 days after starting Chantix
Joseph, a 55-year-old man with diabetes, is at your office for his diabetes follow-up. On examining his
feet with monofilament, you discover that he has developed decreased sensation in both feet. There are
no open areas or signs of infection on his feet. What health teaching should Joseph receive today
regarding the care of his feet? - ANSWER "See a podiatrist yearly; wash your feet daily with warm, soapy
water and towel dry between the toes; inspect your feet daily for any lesions; and apply lotion to any dry
areas."
Marvin is a gay man who is ready to "come out." What is the last step in the process of coming out? -
ANSWER Identity integration and self-disclosure
A lab value that is commonly decreased in older adults is: - ANSWER Creatinine clearance
Martha, age 82, has an asymptomatic carotid bruit on the left side. What do you recommend? - ANSWER
No treatment at this time
Which of the following is not a modifiable risk factor - ANSWER Race
Which of the following is not one of the generalized patterns of nursing care included in the Circle of
Caring model - ANSWER Intelligence
Which of the following statements does not belong in the past medical history portion of your chart note
- ANSWER Your patient had lab work at their last appointment that was negative
You have a patient who presents with ankle pain. Which of the following facts or observations does not
belong in the physical exam portion of your note? - ANSWER The patient's pain started after a fall off his
skateboard
Harry is taking his entire family to Central America and is wondering about protection against bites from
malaria-causing mosquitoes. What advice do you give him? - ANSWER Use an insect repellent with
diethyltoluamide (DEET) for adults and permethrin for children, and stay inside from dusk to dawn
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller PASSINGPOINT. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78677 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now