You have four patients who all have a family history of developing coronary heart disease at
an early age. According to their blood test results, which patient would most likely develop
coronary heart disease first?
a. Cholesterol: 170; LDL: 120; Triglycerides: 120; HDL: 45
b. Cholesterol: 195;...
You have four patients who all have a family history of developing coronary heart disease at
an early age. According to their blood test results, which patient would most likely develop
coronary heart disease first?
a. Cholesterol: 170; LDL: 120; Triglycerides: 120; HDL: 45
b. Cholesterol: 195; LDL: 110; Triglycerides: 135; HDL: 30
c. Cholesterol: 170; LDL: 100; Triglycerides: 140; HDL: 20
d. Cholesterol: 190; LDL: 140; Triglycerides: 151; HDL: 50 - Ans d. Cholesterol: 190; LDL: 140;
Triglycerides: 151; HDL: 50
3 of the 4 measurements are above what should be; HDL <40 in men & 50 in women increase
risk, LDL aim is <130, Chol > 200 & trig >150 attributed to increase risk heart disease.
This low-molecular-weight heparin is indicated for use with warfarin for the treatment of
acute symptomatic deep vein thrombosis, either with or without pulmonary embolism:
a. Nadroparin
b. Dalteparin
c. Tinzaparin
d. Fondaparinux - Ans c. Tinzaparin-
can be combined with warfarin for DVT, aids warfarin in inhibiting clotting of blood. Nadroparin
& Dalteparin don't use w/ warfarin, use independently. Fondaparinux is a Xa inhibitor
NOT LMWH.
,he main reason for discontinuance of implanted etonogestrel (Nexplanon) is:
a. Weight gain
b. Pregnancy
c. Breast tenderness
d. Irregular bleeding - Ans d. Irregular bleeding
For the treatment of relapsing-remitting multiple sclerosis, the nurse practitioner knows that:
a. First-line therapy typically involves an immunomodulator
b. Natalizumab is one of the safest drugs to use as initial therapy
c. A patient using interferon-beta products would have to have renal function monitored.
d. Fingolimod is given intravenously for patients with resistant remitting-relapsing
multiple sclerosis. - Ans a. First-line therapy typically involves an immune modulator
therapy begins with interferon-beta products (fingolimod, glatiramer, natalizumab) which are
immune modulator. Natalizumab limited (assoc w/ infections in brain) are used if others don't
work. Meds are hepatotoxic and need liver function monitoring. Fingolimod is 1st ORAL
disease modifying med approved for MS.
Which of these are unique features of aripiprazole (Abilify)?
a. It causes hyperprolactinemia and gynecomastia as side effects.
b. It is a dopamine system stabilizer with affects against schizophrenia, mania, and agitation.
c. It causes agranulocytosis, which may be fatal; patient monitoring is necessary
d. It induces diabetes and myocarditis in certain patients - Ans b. It is a dopamine system
stabilizer with affects against schizophrenia, mania, and agitation.
All of the following facial movements are still possible after a cerebrovascular accident except:
a. Raising the eyebrows
,b. Wrinkling the forehead
c. Raising both sides of the mouth
d. Closing both eyes - Ans c. Raising both sides of the mouth
Which of the following is a characteristic of Somogyi effect?
a. It is characterized by an early morning rise in blood glucose, with no hypoglycemia during
the night.
b. It is more common in type 2 diabetics
c. It presents with a combination of hypoglycemia followed by rebound hyperglycemia.
d. It is more common in elderly patients with poorly controlled blood sugars. - Ans c. It presents
with a combination of hypoglycemia followed by rebound hyperglycemia
- Nocturnal hypoglycemia stimulates hyperglycemia counter-regulation in am. No hypoglycemia
in night is Dawn phenomenon, more common in T1DM, esp children w/ T1DM
Which of the following is a characteristic of B cell deficiency?
a. Inability to fight off cancer cells.
b. Inability to make antibodies
c. Increased incidence of granulomas
d. Increased incidence of anemia - Ans b. Inability to make antibodies
When counseling a pregnant patient on drug use during pregnancy, it is important that
the nurse practitioner advises her:
a. "The placenta provides a good protective barrier for your baby against almost all drugs you
might ingest."
b. "The placenta will screen out most harmful drugs, so they will never reach significant levels
in your baby."
, c. "The placenta will protect your baby against narcotic exposure, but all other drugs
will permeate within 15 minutes to an hour."
d. "The placenta is a barrier as far as time is concerned only- ultimately, your baby will be
exposed to any drug that you take." - Ans d. "The placenta is a barrier as far as time is
concerned only- ultimately, your baby will be exposed to any drug that you take."
Assuming these do not present with symptoms other than those stated, antibiotic use is
most likely to be appropriate for which of the following patients?
a. The 2-year-old with onset of mucopurulent rhinitis two days ago
b. The 10-year-old with dry cough lasting 7 days
c. The 60-year-old with clear rhinorrhea for 3 weeks.
d. The 5-year-old with cough and mucopurulent rhinitis for 3 weeks - Ans d. The 5-year-old with
cough and mucopurulent rhinitis for 3 weeks
In a patient diagnosed with syndrome of inappropriate antidiuretic hormone, the
nurse practitioner would expect to find which of the following?
a. Solute retention and water retention
b. Solute retention and water loss
c. Solute dilution and water retention
d. Solute dilution and water loss - Ans c. Solute dilution and water retention
SIADH (syndrome of inappropriate antidiuretic hormone) defined as hyponatremia despite NL
or increased plasma volume= impaired water excretion. Result of excess H2O vs deficiency of
sodium.
Sandra comes into the clinic complaining of the inability to discern touch as well as she used to.
During the physical examination, you tell Sandra to close her eyes and trace the outline of a
number into the palm of her hand. Which of the following tests have you performed?
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