A 60 year old female present to clinic for follow- up of COPD

Question 1. 1.A 60 year old female present to clinic for follow- up of COPD. Which of the following should be included in the plan of care as a secondary prevention strategy for this patient? (Points : 2)

Question 2. 2.You are conducting an educational session in a community health center to increase awareness of risk factors to chronic diseases. Based on your knowledge of community health, which of the following statements are true?(Points : 2)

Question 3. 3.You are conducting a health history of a 19 Y/O male and notice that he is not responding to your questions appropriately. Which of the following questions would help you obtain pertinent information?(Points : 2)

Question 4. 4.An 18 Y/O AAF inquires about having a PAP at her next visit to the clinic. Based on the American Cancer Society recommendation, you would respond by stating: (Points : 2)

Question 5. 5.You are preparing to begin work at a college health clinic and plan to review most common concerns and recommended screenings for this population. Which of the following statements are true?(Points : 2)

Question 6. 6.You are caring for a 38 Y/O CF with diagnosis of hypertension and high cholesterol.
You have discussed diet and exercise as a part of the treatment plan. Which of the following diagnostic tests should be considered as a precautionary measure?(Points : 2)

Question 7. 7.You are educating postmenopausal women on the importance of adequate calcium intake to promote bone health. What is the recommended dose of calcium for postmenopausal women?(Points : 2)

Question 8. 8.Which of the following activities promote cardiac health due to strengthening of heart muscles?(Points : 2)

Question 9. 9.The most common symptoms experienced with sudden cessation of nicotine are:(Points : 2)

Question 10. 10.A mother brings her 3 Y/O female toddler in for an annual physical exam. Which of the following screenings should be included in the annual exam?(Points : 2)

Question 11. 11.A 19 Y/O female presents with red tender “knot” on her left eye lid. Upon examination, the APN noticed an erythematous pustule on the lateral border of the left eyelid margin. The most likely diagnosis is:(Points : 2)

Question 12. 12.What is the imagining modality of choice in evaluating head and neck tumors?(Points : 2)

Question 13. 13.When assessing the corneal light reflex, an abnormal finding indicates:(Points : 2)

Question 14. 14.A cerumen impaction may result in:(Points : 2)

Question 15. 15.A 5 Y/O female toddler present to the clinic with history of chronic ear infections with ear tube placement x 2 years ago. Upon exam, you notice a white mass behind the TM. You suspect:(Points : 2)

Question 16. 16.What is a common cause of hearing loss in aging adults?(Points : 2)

Question 17. 17.A 35 Y/O male has otitis externa. Likely causative pathogens include all of the following except:(Points : 2)

Question 18. 18.A 55 Y/O present to the clinic with a papular rash in palms of hands x 3 weeks with HA, body aches, nasal congestion and erosion, runny nose of clear drainage and tiredness. Afebrile at home, no meds taken or topical meds applied to rash site. You suspect:(Points : 2)

Question 19. 19.Anterior epistaxis is usually caused by:(Points : 2)

Question 20. 20.Which of the following medications is most appropriate for allergic rhinitis therapy in an acutely symptomatic 24-year-old male?(Points : 2)

Question 21. 21.A 25 Y/O male present with acute sinusitis. Based on your knowledge, the most likely causative organisms include all of the following except:(Points : 2)

Question 22. 22.A 32 Y/O female present to the clinic with 2 week H/O stabbing jaw pain 8/10 with lightening-like sensation along the eye and over the forehead. No meds taken for relief, afebrile at home, no facial trauma or head injuries in past. Upon examination, you palpate crepitus in the TMJ area with opening and closing of mouth. The most likely diagnosis is:(Points : 2)

Question 23. 23.A definitive diagnosis of epiglottis is made by:(Points : 2)

Question 24. 24.A 23 Y/O AAM present to the clinic with temp of 102.4, chills, fatigue, malaise, foul breath and odynophagia x 2 days. Upon exam you observe drooling, right tonsillar pillar with downward displacement, exudate, erythematous and edematous soft palate and uvula, tender cervical adenopathy and HR of 110. The most likely diagnosis is:(Points : 2)

Question 25. 25.You have diagnosed a 45 year old female with bronchitis. She is a current smoker of 1PPD. All of the following statements are appropriate except:(Points : 2)

Question 26. 26.A 40 Y/O CM present with asthma also needs antihypertensive therapy. Which product would you avoid prescribing?(Points : 2)

Question 27. 27.You have examined a 24 Y/O female who has acute asthma flare-ups. She is using fluticasone and albuterol as directed and continues to have difficulty with coughing and wheezing. Her peak expiratory flow is 55% of predicted. Which of the following medications should be added to the treatment regimen?(Points : 2)

Question 28. 28.You examine a 60 Y/O female with CHF and dilated cardiomyopathy. On examination, you expect to find all of the following except:(Points : 2)

Question 29. 29.You examine an elderly man with long-standing, poorly controlled HTN. When evaluating her for hypertensive end-organ damage, you look for evidence of:(Points : 2)

Question 30. 30.You are examining a 50 Y/O female and ausculate a middle to late systolic murmur with a midsystolic click. You suspect:(Points : 2)

Question 31. 31.Upon examination of an elderly man, you ausculatate a grade 3/6 cresendo-decresendo systolic murmur with radiation to the neck. The most likely cause is:(Points : 2)

Question 32. 32.A 55 Y/O present with chronic cough x4 months despite antitussives, require referral to specialist if the symptoms are accompanied by:(Points : 2)

Question 33. 33.You have diagnosed a 55 Y/O CM with COPD. What are effective first line therapy?(Points : 2)

Question 34. 34.A 20 Y/O female has a chief complaint of cough and body aches. Otherwise her history shows nothing unusual. You conclude that she has atypical pneumonia. Assuming she has no other significant history, you prescribe:(Points : 2)

Question 35. 35.What is the mode of action of decongestants?(Points : 2)

Question 36. 36.Which of the following should be considered for hypertensive therapy in a 60 Y/O man with CHF?(Points : 2)

Question 37. 37.Typically, the earliest sign of venous insufficiency is:(Points : 2)

Question 38. 38.A 42 Y/O woman presents with a 3 month H/O progressive fatigue and memory problems. Her physical examination reveals delayed relaxation phase of the reflexes and coarse, dry skin. You consider a diagnosis of:(Points : 2)

Question 39. 39.Folate deficiency anemia causes which of the following changes in the RBC indices?(Points : 2)

Question 40. 40.Imaging features of sinusitis include all of the following except:(Points : 2)

Question 41. 41.You examine a 30 Y/O male who has emigrated from a South American country. He has documentation of receiving bacilli Calmette-Guerin (BCG) vaccine as a child. Based on this information, which statement is true? (Points : 2)

Question 42. 42.Physical exam findings of a 65 Y/O male reveals increased tactile fremitus and dullness to percussion at the right base. These findings are consistent with:(Points : 2)

Question 43. 43.You are performing a skin assessment on a 75 year old female, based on your knowledge of structural and functional changes of the skin, all of the following statements are true except:(Points : 2)

Question 44. 44.A 31 Y/O male present with C/O left ear discomfort with itching and drainage x 1 week. Upon examination you notice white adherent malodorous plaques with edema. The most likely diagnosis is:(Points : 2)

Question 45. 45.A 21 Y/O female patient present with 4 day H/O right 4th finger nail bed with throbbing pain, redness, and swelling. Upon examination, you notice nail bed with surrounding erythema, edema with tenderness, finger nail intact in nail bed. The most likely diagnosis is:(Points : 2)

Question 46. 46.What lab tests should be monitored for individuals taking Ace Inhibitors?(Points : 2)

Question 47. 47.The following are risk factors for peptic ulcer disease except:(Points : 2)

Question 48. 48.Gram stain of the urethral discharge of a 30 Y/O man with dysuria reveals gram negative cocci. The most likely diagnosis is:(Points : 2)

Question 49. 49.In assessing the head and neck, you palpate for lymphadenopathy. Which of the following sites for lymph node enlargement indicates the most serious problem?(Points : 2)

Question 50. 50.Which statement below is true concerning weight loss?(Points : 2)