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AANP Practice Questions And Answers
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As65-year-oldswomanspresentssforsasfollow-
upsexaminationsaftersasnewspatientsvisit.sSheshassnotsseensashealthcaresprovidersforss
everalsyears.sShesissassmokersandshershypertensionsissnowsadequatelyscontrolledswit
hsmedication.sHersmothersdiedsatsages40sfromsasheartsattack.sThesfastingslipidsprofile
sshowsscholesterols=s240smg/dL,sHDLs=s30,sandsLDLs=s200.sInsadditionstosstartingsThe
rapeuticsLifestylesChanges,sthesnursespractitionersshouldsstartsthespatientson:
1.bilesacidssequestrant.
2.sasstatinsdrug.
3.sascholesterolsabsorptionsinhibitor.
4.slow-dosesaspirin.s-sAsstatinsdrug
Thesmostscommonlysprescribedsmedicationsforsmildssystemicslupusserythematosuss(
SLE)sis:
1.sazathioprines(AZA).
2.sbelimumabs(Benlysta).
3.sibuprofens(Advil).
4.scyclophosphamides(Cytoxan).s-sibuprofens(advil)
Thesmostscommonssignsofscervicalscancersis:
1.spostcoitalsbleeding.
2.sstrongsodorsfromsvaginalsdischarge.
3.sitchingsinsthesvaginalsarea.
4.smolluscumscontagiosum.s-spostcoitalsbleeding
Thesnursespractitionersprescribessamitriptylines(Elavil)sforsaspatientswithsneuropath
icspainssecondarystosdiabetessmellitus.sOnsfollow-
up,sthespatientscomplainssofsurinesretentionsandsdrysmouth.sThespractitionerswould:
1.sdiscontinuesamitriptylinesandsbeginsibuprofens(Motrin).
2.sreferstosphysicalstherapy.
3.sstartsmethocarbamols(Robaxin).
4.sdiscontinuesamitriptylinesandsbeginsgabapentins(Neurontin).s-
sdiscontinuesamitriptylinesandsbeginsgabapentins(neurontin)
As17-year-
oldsmaleswithsrheumatoidsarthritississbeingstreatedswithsansNSAIDsandsomeprazoles(
Prilosec).sThespatientscomplainssofsheadache,sabdominalspain,sandsgas.sThesessympt
omssaresmostslikely:
,1.sassociatedswithsthesomeprazole.
2.srelatedstosthesunderlyingscondition.
3.sthesresultsofsthesNSAID.
4.scausedsbysviralsgastroenteritis.s-sassociatedswithsthesomeprazole
Thesmedicationsofschoicesforsthesinitialstreatmentsofsjuvenilesrheumatoidsarthritissis:
1.sacetaminophen.
2.sprednisone.
3.saspirin.
4.sibuprofen.s-sibuprofen
As12-year-
oldswithssicklescellsanemiashassrecentlysexperiencedsassicklescellscrisissandspresentssf
orsasfollow-
upsexaminationsaftersasrecentshospitalization.sItsissmostsimportantstoscontinuesmonit
oringsgrowth,sdevelopment,sand:
1.swhitesbloodscellslevels.
2.sfecalsoccultsbloodstest.
3.shemoglobinslevels.
4.surinesdipsticks.s-shemoglobinslevels
As90-year-
oldsfemalesissbroughtstosthesclinicsbyshersneighbor.sShesstatessthatseverythingsissfine,s
butsthesnursespractitionersnotessthatssheshasspoorshygienesandsbruisessonsherstrunk.s
Thesneighborsissconcernedsthatsthespatientsoftenshassnosmoneystosbuysfood,sdespitesi
ncomesfromssocialssecuritysandsascoalsminer'sspension.sThesnursespractitionerssuspe
ctssabuse.sWhichsofsthesfollowingsissthesnursespractitionersobligatedstosdosnext?
1.sReportsthescasestosthespropersauthorities.
2.sTellsthesneighborstoschecksonstheswomansdailysandsreportsback.
3.sDocumentsthesdatasandsreportsthesinformationstosrisksmanagement.
4.sCallsthespatient'ssfamilysandsinquiresaboutsthesconcerns.s-
sreportsthescasestospropersauthorities
Insmostscases,sthesfirstsmanifestationsofsAlzheimer'ssdiseasesis:
1.simpairedsjudgment.
2.sdecreasesinsshort-termsmemory.
3.sdisorientationsinstimesandsplace.
4.sdecreasesinslong-termsmemory.s-sdecreasesinsshort-termsmemory
Thesoptimalstreatmentsforslatentstuberculosissis:
1.srifampins(Rifadin)sfors5smonths.
, 2.sisoniazids(Nydrazid)sfors9smonths.
3.spyrazinamidesfors6smonths.
4.sethambutolsfors6smonths.s-sosioniazids(nydrazid)sfors9smonths
Unilateralsspontaneoussseroussorsserosanguineoussdischargesfromsassinglesductsofsas
breastsissmostsoftenscausedsby:
1.sintraductalspapilloma.
2.smucinoussbreastslesions.
3.sPaget'ssdisease.
4.sductalscarcinomasinssitu.s-sintraductalspapilloma
Asyoungschildswithsasthmaspresentssforsfollow-
upsevaluation.sAftersnumerousschangessinsmedicationssandsdoses,sthesparentssreport
sthatstheschildscontinuesstoshavesdifficultyswithscoughing,sespeciallysduringsthesnight.s
Whichsofsthesfollowingsconditionsswouldsbesthesmostslikelyscausesofsthescontinuedsas
thmassymptoms?
1.sVocalscordsdysfunction
2.sCysticsfibrosis
3.sGastroesophagealsreflux
4.sAllergicsrhinitiss-sgastroesophagealsreflux
AspregnantswomanswithsknownsHIVsinfectionscansreducesthesrisksofsperinatalstransm
issionsthroughszidovudines(Retrovir)stherapy.sBasedsonscurrentsresearch,soptimalsth
erapysisstosstartsdailysdosing:
1.spostsamniocentesis.
2.safters14sweekssofsgestation.
3.sifsprematuresrupturesofsmembranessoccurs.
4.sifsmaternalsviralsloadssaresgreatersthans10,000.s-safters14sweekssgestation
T-wavesinversionswithsasnormalsSTssegmentsonsas12-leadsEKGsmaysrepresent:
1.sacutescoronarysischemia.
2.srightsventricularshypertrophy.
3.satrialshypertrophy.
4.shyperkalemia.s-sacutescoronarysischemia
Thes16-year-oldsmothersofsas2-month-
oldspresentssthesinfant,sreportingsthatstheschildsissverysirritablesandsdoessnotsfeedswe
ll.sDuringsphysicalsexamination,stheschild'ssheadsdropssbacksandstheschildsexhibitsssu
ddensflexingsofsthesextremities.sAssthesflexingsstops,stheschildscriessuncontrollably.sFu
nduscopicsexaminationsrevealssretinalshemorrhages.sWhichsofsthesfollowingsdiagnost
icstestssshouldsbesordered?