Question: Women are at the highest risk for developing postpartum depression for up to how long after childbirth?
Question: CPT coding offers the uniformed language used for reporting medical services and procedures performed by physician and nonphysician practitioners. Clinicians are paid based on calculated resource costs that are calculated based on practice components. Which of the following are part of the components used to calculate the per CPT code payment rate?
Question: Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression?
Question: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment?
Question: Which of the following is a specific test for multiple sclerosis (MS)?
Question: Most adult poisonings are:
Question: A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?
Question: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?
Question: Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician suspect in the initial test results for this patient?
Question: Which solution should be used when irrigating lacerated tissue over a wound on the arm?
Question: Which ethical principle reflects respect for all persons and their self-determination?
Question: During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?
Question: How often should the clinician examine the feet of a person with diabetes?
Question: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
Question: Which of the following medications is the treatment of choice for trichomonas?
Question: Immunizations are an example of which type of prevention?
Question: What is the treatment of choice for a patient diagnosed with testicular cancer?
Question: George, aged 59, complains of a flulike illness, including fever, chills, and myalgia after returning from visiting his grandchildren in New England. He reports having discovered a rash or red spot that grew in size on his right leg. What disease are you considering?
Question: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to?
Question: What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?
Question: Which drug commonly prescribed for burns is active against a wide spectrum of microbial pathogens and is the most frequently used agent for partial- and full-thickness thermal injuries?
Question: Which of the following is a role of the advanced practice nurse in palliative cancer care?
Question: Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?
Question: The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) state that excessive worry or apprehension must be present more days than not for at least:
Question: In the United States, what is the second most common connective tissue disease and the most destructive to the joints?
Question: A sunscreen with a sun-protection factor (SPF) of at least what number will block most harmful ultraviolet (UV) radiation?
Question: The hallmark of an absence seizure is:
Question: The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the following neurotransmitters plays a role in anxiety?
Question: Which characteristic of delirium helps to distinguish delirium from dementia?
Question: A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?
Question: The clinician should question the patient with suspected gout about use of which of these medications that may be a risk factor?
Question: A bulla is:
Question: Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?
Question: Which of the following statements is true concerning the musculoskeletal exam?
Question: The current goal of treatment for a patient with HIV infection is which of the following?
Question: Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?
Question: After removing a tack from a type 2 diabetic's heel and evaluating the site for infection, what is the best plan for this patient?
Question: Which of the following statements is true concerning the management of the client with a herniated disc?
Question: Which patient is more likely to have a cluster headache?
Question: The main mechanism for avoiding a lawsuit involves:
Question: A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?
Question: Which of the following laboratory findings should the clinician expect in a patient with untreated Graves' disease?
Question: A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?
Question: When may confidentiality be overridden?
Question: A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?
Question: The most cost-effective screening test to determine HIV status is which of the following?
Question: After 6 months of synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies?
Question: The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?
Question: A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of "my feet feel like they are on fire." He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment?
Question: In the consensus model for Advanced Practice Registered Nurse (APRN) regulation, the "C" of LACE represents?
Question: In an outpatient setting, what is the most common reason for a malpractice suit?
Question: How often should the clinician examine the feet of a person with diabetes?
Question: Which drug for Alzheimer's disease should be administered beginning at the time of diagnosis?
Question: Which of the following medications is the treatment of choice for trichomonas?
Question: Most adult poisonings are:
Question: A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?
Question: Which of the following is a specific test for multiple sclerosis (MS)?
Question: After removing a tack from a type 2 diabetic's heel and evaluating the site for infection, what is the best plan for this patient?
Question: Which characteristic of delirium helps to distinguish delirium from dementia?
Question: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?
Question: Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation?
Question: In the consensus model for Advanced Practice Registered Nurse (APRN) regulation, the "C" of LACE represents?
Question: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
Question: Which of the following statements is true concerning the musculoskeletal exam?
Question: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?
Question: Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician suspect in the initial test results for this patient?
Question: Which of the following statements is true regarding the treatment of carpal tunnel syndrome?
Question: The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?
Question: A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?
Question: Which patient is more likely to have a cluster headache?
Question: A sunscreen with a sun-protection factor (SPF) of at least what number will block most harmful ultraviolet (UV) radiation?
Question: Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?
Question: What is the treatment of choice for a patient diagnosed with testicular cancer?
Question: Sam, aged 65, is started on L-dopa for his Parkinson's disease (PD). He asks why this is necessary. You tell him:
Question: A 60-year-old man presents with an enlarged scrotum. The clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find?
Question: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to?
Question: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment?
Question: When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are?
Question: A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self-examination (TSE). Which of the following should be included in the list of differential diagnoses?
Question: The clinician should question the patient with suspected gout about use of which of these medications that may be a risk factor?
Question: What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?
Question: Which ethical principle reflects respect for all persons and their self-determination?
Question: Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at some point?
Question: John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?
Question: Which of the following laboratory findings should the clinician expect in a patient with untreated Graves' disease?
Question: Which drug commonly prescribed for burns is active against a wide spectrum of microbial pathogens and is the most frequently used agent for partial- and full-thickness thermal injuries?
Question: During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?
Question: Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression?
Question: The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) state that excessive worry or apprehension must be present more days than not for at least:
Question: The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs to manage his pain?
Question: A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?
Question: Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?
Question: Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?
Question: Immunizations are an example of which type of prevention?
Question: If a previously frostbitten area becomes frostbitten again after it has healed, what might occur?
Question: In the United States, what is the second most common connective tissue disease and the most destructive to the joints?
Question: A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?
Question: A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding?
Question: Julie, aged 50, has migraine headaches, frequent asthma attacks, coronary artery disease, and hypertension. Which of the following prophylactic medications would you order for her migraines?
Question: A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of "my feet feel like they are on fire." He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment?
Instituition / Term
Term
Year 2022
Institution
NR 511 Differential Diagnosis and Primary Care Practicum