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NUR 504 3P APEA QUESTIONS AND
ANSWERS UPDATED 2024- 2025.
The,NP,is,counseling,a, 25 ,y/o,sexually,active,male,patient,about,condom,use,,which,of,the,following,state ment,is,INCORRECT a.,Adequate,lubrication,is,needed,to,prevent,damage,to,the,condom b.,Roll,the,condom,over,an,erect,penis,before,any,sexual,contact c.,Make,sure,the,condom,is,tight,against,the,head,of,the,penis d.,Withdraw,while,the,penis,is,erect,,so,that,the,condom,stays,in,place Explanation:,Condoms,,ANS,-,,c.,Make,sure,the,condom,is,tight,against,the,head,of,the,penis The,NP,is,counseling,a, 25 ,y/o,sexually,active,male,patient,about,condom,use,,which,of,the,following,state ment,is,INCORRECT a.,Adequate,lubrication,is,needed,to,prevent,damage,to,the,condom b.,Roll,the,condom,over,an,erect,penis,before,any,sexual,contact c.,Make,sure,the,condom,is,tight,against,the,head,of,the,penis d.,Withdraw,while,the,penis,is,erect,,so,that,the,condom,stays,in,place Explanation:,Condoms,,ANS,-,,c.,Make,sure,the,condom,is,tight,against,the,head,of,the,penis Which,of,the,following,descriptions,of,Denver,II,Developmental,Screening,Test,is,most,accurate? a.,Applicable,to,children,from,birth,to, 2 ,years;,evaluates,four,major,categories,of,development:,motor,,in tellectual,,emotional,,and,language,to,determine,whether,a,child,is,within,normal,range,for,various,beha viors,or,is,developmentally,delayed b.,Applicable,to,children,from,birth,to, 5 ,years;,evaluates,four,major,categories,of,development:,motor,,vi sion,,hearing,and,psychosocial,to,determine,whether,a,child,is,normal,or,developmentally,compromised d.,Applicable,to,children,from,birth,to, 6 ,years;,evaluates,four,major,categories,of,development:,gross,mo tor,,fine,motor- adaptive,,language,,and,personal,social,to,determine,whether,a,child,is,within,normal,range,for,behavior s,or,is,developmentally,delayed.,,ANS,- ,,d.,Applicable,to,children,from,birth,to, 6 ,years;,evaluates,four,major,categories,of,development:,gross,m otor,,fine,motor-
adaptive,,language,,and,personal,social,to,determine,whether,a,child,is,within,normal,range,for,behavior s,or,is,developmentally,delayed. A, 15 ,years,old,high,school,student,with,a,mild,sore,throat,and,low- grade,fever,that,has,persisted,for,about, 3 ,weeks.,She,reports,general,malaise,,fatigue,,and,loss,of,appetit e.,The,NP,suspects,mononucleosis.,Which,of,the,following,is,the,LEAST,appropriate,intervention? a.,Palpate,the,lymph,nodes,and,spleen b.,Examine,the,posterior,oropharynx,for,petechiae c.,Obtain,a,CBC,,throat,culture,,and,heterophil,antibody,test. d.,Obtain,an,urinalyses,and,serum,for,LFTs,and,amylase,,ANS,- ,,d.,Obtain,an,urinalyses,and,serum,for,LFTs,and,amylase A, 32 ,years,old,male,patient,complaint,of,urinary,frequency,and,burning,on,urination,for, 3 ,days.,Urinalyse s,reveals,bacteriuria,and,positive,nitrites.,He,denies,any,past,hx,of,urinary,tract,infections.,The,initial,trea tment,should,be: a.,trimethoprim-sulfamethoxazole,(Bactrim,,Sulfatrim),for, 7 - 10 ,day b.,ciprofloxacin,(Cipro),for, 3 - 5 ,days c.,Trimethoprim-Sulfamethoxazole,for, 3 ,days d., 750 ,mg,ciprofloxacin,as,a,one-time,dose,,ANS,-,,a.,trimethoprim- sulfamethoxazole,(Bactrim,,Sulfatrim),for, 7 - 10 ,day Which,agent,is,most,effective,for,the,treatment,of,nodulocystic,acne? a.,Benzoyl,peroxide,(Benzac) b.,Retinoic,acid,(Retin,A) c.,Topical,tetracycline d.,Isotretinoin,,ANS,-,,d.,Isotretinoin An, 18 ,y/o,woman,is,taking,a,combined,hormonal,oral,contraceptive.,She,should,be,instructed,to,use,a,ba ckup,method,for,the,prevention,of,pregnancy a.,Throughout,the,week,of,placebo,pills b.,If,prescribed,topiramate,(Topamax),for,the,treatment,of,migraines. c.,If,prescribed,amoxicillin/clavulanate,(Augmentin),for,a,sinus,infection
d.,Topical,anti-fungal/,steroid,cream,,ANS,-,,c.,Topical,corticosteroids,cream Antidepressant,discontinuation,syndrome,is,less,likely,if,the,patient a.,Is,male b.,Is,less,than, 35 ,y/o c.,Has,taken,an,SSRI,with,a,short,half,life d.,Gradually,tapers,SSRI,use,,ANS,-,,d.,Gradually,tapers,SSRI,use Patient,with,benign,prostatic,hyperplasia,(BPH),should,be,taught,to,avoid,which,one,of,the,following,dru g,classes? a.,Alpha,adrenergic,antagonist b.,Anti-androgen,agents c.,Tricyclic,antidepressant,(TCA) d.,Sulfonamides,,ANS,-,,c.,Tricyclic,antidepressant,(TCA) Which,of,the,following,is,the,best,response,to,a,woman,who,has,just,admitted,she,is,a,victim,of,spousal,a buse? a.,What,was,if,you,did,to,make,him,angry? b.,You,must,seek,refuge,immediately c.,I,am,concerned,about,your,safety d.,I,am,going,to,call,a,shelter,for,you,,ANS,-,,c.,I,am,concerned,about,your,safety For,which,patient,group,does,the,US,Preventive,Services,Task,Force,recommend,routine,screening,for,as ymptomatic,bacteriuria a.,pregnant,woman b.,Children c.,Patients,with,diabetes d.,patients,over,the,age,of, 70 ,,ANS,-,,a.,pregnant,woman What,diabetic,complications,result,from,hyperglycemia?
1.,Retinopathy 2.,Hypertension,resistant,to,treatment 3.,Peripheral,neuropathy 4.,Accelerated,atherosclerosis a.,1,2, b.,2,3, c.,1,3, d.,1,2,4,,ANS,-,,c.,1,3, A, 6 ,y/o,presents,w/,complaints,of,sore,throat,and,fever,for, 2 ,days.,He,has,multiple,vesiculated,ulceration s,on,his,tonsils,and,uvula.,There,are,no,other,remarkable,findings.,What,i,the,most,likely,diagnosis? a.,Viral,pharyngitis b.,Herpangina c.,Epiglottitis d.,Tonsillitis,,ANS,-,,b.,Herpangina A,patient,has,Kawasaki,syndrome.,Which,characteristics,would,be,UNUSUAL? a.,Age,>, 15 ,years b.,Fever,>, 101 ,F,(38.3,C) c.,Exudative,pharyngitis d.,Painful,rash,,ANS,-,,a.,Age,>, 15 ,years According,to,the,JNC, 8 ,guideline,hypertension,in,a, 40 ,y/o,can,be,diagnosed,when,blood,pressure,exceeds a.,140/ b.,130/ c.,125/ d.,150/100,,ANS,-,,a.,140/
a.,Thyrotoxicosis b.,Menopausal,vasomotor,instability c.,Alcohol,or,another,drug,withdrawal d.,New,onset,type, 2 ,diabetes,mellitus,,ANS,-,,New,onset,type, 2 ,diabetes,mellitus A,young,couple,is,being,seen,by,the,NP,for,preconception,counseling.,They,express,a,wish,for,pregnancy, within,the,next, 3 ,month,and,are,very,eager,to,know,what,they,can,do,now,to"make,the,baby,as,healthy,a s,possible".,Which,of,the,following,should,the,NP,encourage,to,decrease,the,chance,of,neural,tube,defec t,in,the,fetus? a.,Maternal,alpha-fetoprotein,level b.,Folic,acid,0.4,mg,daily c.,Rubella,vaccine,today d.,Vitamin,E, 400 ,IU,daily,,ANS,-,,b.,Folic,acid,0.4,mg,daily A,patient,with,a,past,history,of,documented,coronary,arterial,blockage,less,than,70%,complains,of,chest, pain,several,time,p....,which,is,relived,with,nitroglycerin.,Which,is,the,most,appropriate,initial,action,for,t he,NP? a.,Refer,to,a,cardiologist,as,soon,as,possible b.,Prescribe,long-acting,nitroglycerin c.,Order,treadmill,stress,test d.,Prescribe,an,ACE,inhibitor,and,re-evaluate,in, 24 ,to, 48 ,hours,,ANS,- ,,a.,Refer,to,a,cardiologist,as,soon,as,possible Which,of,the,following,indicated,need,for,further,evaluation? a.,A, 7 ,y/o,girl,with,vaginal,bleeding b.,A, 7 ,years,old,girl,with,no,true,pubic,hair c.,A, 12 ,years,old,boy,with,sparse,,slightly,pigmented,pubic,hair d.,A, 12 - year-old,girl,with,breast,buds,,ANS,-,,A, 7 ,y/o,girl,with,vaginal,bleeding A, 3 ,y/o,has,enlarged,,warm,,tender,cervical,lymph,nodes,,indicating: a.,Infection,proximal,to,the,nodes
b.,A,possible,cancer,diagnosis c.,Shorty,nodes,,a,common,normal,variant,in,children d.,An,infectious,process,distal,to,the,nodes,,ANS,-,,a.,Infection,proximal,to,the,nodes The,NP,examines,a, 2 - month-old,with,unequal,gluteal,and,thigh,skin,folds.,What,should,the,NP,do,next? a.,Send,the,infant,for,x-ray,of,the,hips b.,Send,the,infant,for,ultrasound,of,the,hips c.,Perform,Ortolani,and,Barlow,test d.,Examine,the,infant,for,unequal,arm,length,,ANS,-,,c.,Perform,Ortolani,and,Barlow,test A,very,active, 35 ,years,old,male,has,painful,hemorrhoid,,but,he,does,not,want,hemorrhoidal,surgery,at,thi s,time.,His,diet,has,been,indiscriminate,as,his,job,requires,frequent,travel.,The,most,appropriate,recomm endation,is,for,him,to,select,food,that,are: a.,Low,in,fiber,such,as,milk,and,other,dairy,products b.,High,in,simple,carbohydrates,such,as,white,bread,and,mashed,potatoes c.,High,in,fiber,such,as,bran,,complex,carbohydrates,and,fresh,fruit d.,High,protein,such,a,meat,,poultry,and,fish,,ANS,- ,,High,in,fiber,such,as,bran,,complex,carbohydrates,and,fresh,fruit A, 13 ,y/o,pt.,complains,that,he,fell,while,running,during,football,practice.,Now,his,knee,hurts,and,someti mes,"lucks".,The,NP,conducts,McMurrays,test.,Which,of,the,following,is,TRUE,about,this,test? a.,An,audible,or,palpated,"click",is,positive,for,a,torn,meniscus b.,A,various,stress,is,applied,to,the,flexed,knee c.,The,straight,leg,is,internally,rotated,with,the,patient,supine,and,flat d.,The,knee,is,grasped,with,the,examiner's,fingers,placed,laterally.,,ANS,- ,,a.,An,audible,or,palpated,"click",is,positive,for,a,torn,meniscus A, 20 ,y/o,male,patient,complains,of,"scrotal,swelling".,He,states,his,scrotum,feels,heavy,but,denies,pain., On,examination,,the,NP,notes,transillumination,of,the,scrotum.,What,is,the,most likely,diagnosis? a.,Hydrocele
b.,Protection,of,the,testes,during,sports,activities c.,Risk,of,testicular,torsion d.,Practicing,safer,sex,,ANS,-,,a.,Testicular,self-examination Moderate,weight,loss,,particularly,of,visceral,adipose,tissue,in,patients,with,type, 2 ,diabetes,mellitus,may ,have,all,of,the,following,beneficial,effects,EXCEPT: a.,Improved,insulin,sensitivity b.,Increased,glucose,uptake,and,utilization,by,the,cells c.,Increase,lean,muscle,mass' d.,Improved,lipid,profile,,ANS,-,,c.,Increase,lean,muscle,mass' According,to,Erickson,,the,developmental,task,of,the,elderly,adult,is: a.,Intimacy,VS,isolation b.,Ego,integrity,VS,despair c.,Industry,VS,self-doubt d.,Trust,Vs,mistrust,,ANS,-,,b.,Ego,integrity,VS,despair A, 12 ,y/o,presents,with,eat,pain,or, 36 ,hours,duration.,The,NP,diagnoses,acute,otitis,media,because,the a.,Tympanic,membrane,is,bulging,and,glossy,with,tiny,bubbles,visible,posteriorly b.,Tympanic,membrane,is,retracted,against,boy,landmarks c.,Bony,landmarks,are,obscured,,and,the,tympanic,membrane,is,mildly,erythematous,,dulls,and,immobil e. d.,Canal,is,narrowed,,erythematous,,and,exquisitely,tender,with,speculum,contact,,ANS,- ,,Bony,landmarks,are,obscured,,and,the,tympanic,membrane,is,mildly,erythematous,,dulls,and,immobile. A, 26 ,y/o,patient,, 18 ,weeks,pregnant,with,twins,,has,been,healthy,and,has,followed,recommendations,of, her,nurse,midwife.,She,is,in,the,office,to,discuss,results,of,her,maternal,serum,alpha- fetoprotein,(MSAFP),test.,which,show,elevation,in,this,particular,pregnancy? a.,Elevated,MSAFPO,is,an,indicator,of,Down,Syndrome b.,Low,MSAFP,is,expected,at, 18 ,weeks',gestation
c.,Neural,tube,defects,are,highly,probable d.,Elevated,MSAFP,is,an,expected,finding,,ANS,-,,d.,Elevated,MSAFP,is,an,expected,finding The,NP,should,instruct,the,mother,of,an,infant,with,thrush,to: a.,Take,oral,nystatin,since,she,is,breastfeeding b.,Stop,breast,feeding,until,the,thrush,has,resolved c.,administer,antifungal,medication,to,the,infant,prior,to,feeding d.,sterilized,pacifiers,and,bottle,nipples,,ANS,-,,sterilized,pacifiers,and,bottle,nipples The,hallmark,of,neurofibromatosis,(von,Recklinghousen,disease),present,in,almost,100% of,patients,is: a.,Acoustic,neuroma b.,Astrocytoma,of,the,retina c.,Distinctive,osseous,lesion d.,Café,au,lait,spots,,ANS,-,,d.,Café,au,lait,spots An, 18 - year- old,female,applying,for,college,admission,present,to,the,health,clinic,because,evidence,of,rubella,vaccina tion,is,required,for,admission.,She,says,,"don't,remember,ever,getting,that,shot",She,has,negative,serolo gic,evidence,of,rubella,antibody.,The,NP,should: a.,Tell,her,that,her,serologic,evidence,demonstrates,that,she,is,immune,to,the,rubella,and,that,she,proba bly,has,the,disease,as,a,child b.,Administer,the,vaccination,after,a,negative,pregnancy,test,and,advise,the,patient,that,shemust,not,get ,pregnant,for, 28 ,days c.,Tell,her,that,she,needs,the,immunization,and,can,get,today,if,her,pregnancy,test,is,negative d.,Administer,the,rubella,vaccination,after,a,negative,pregnancy,test,and,advise,her,not,to,get,pregnant,f or,at,least, 6 ,months.,,ANS,- ,,Administer,the,vaccination,after,a,negative,pregnancy,test,and,advise,the,patient,that,shemust,not,get, pregnant,for, 28 ,days
It,is,imperative,that,the,NP,teach,patients,taking,oral,contraceptives,to,report,any,of,the,danger,signs,of,c omplications.,Which,of,the,following,would,be,the,LEAST,concern,to,the,NP? a.,Lower,leg,pain b.,Upper,abdominal,pain c.,Chest,pain d.,Weight,gain,,ANS,-,,d.,Weight,gain A, 12 - month- old,has,conjunctivitis,in,his,right,eye,with,a,mucopurulent,discharge.,The,mother,asks,if,the,child,can,fore go,for,antibiotic,eye,drops,because,he,does,not's,like,drops,in,his,eyes.,The,NP,replies,that: a.,If,untreated,,conjunctivitis,may,permanently,damage,the,cornea b.,Conjunctivitis,is,usually,caused,by,a,virus.,Let's,wait,a,few,days c.,If,no,one,else,at,the,daycare,has,it,,we,can,wait,a,few,days. d.,An,oral,antihistamine,may,be,prescribed,instead,of,eye,drops.,,ANS,- ,,a.,If,untreated,,conjunctivitis,may,permanently,damage,the,cornea Which,of,the,following,oral,medications,should,be,avoided,in,a,child,under, 8 ,years,of,age? a.,Cephalexin,(Keflex) b.,Tetracycline c.,Rifampin d.,Metronidazole,(flaggyl),,ANS,-,,b.,Tetracycline which,oral,hypoglycemic,agent,would,be,safest,for,an,elderly,patient,if,hypoglycemia,is,a,major,concern? a.,Tolbutamide,(orinase) b.,Glipizide,(Glucotrol) c.,Metformin,(Glucophage) d.,Chlorpropamide,(diabinese),,ANS,-,,c.,Metformin,(Glucophage) A,patient,has,been,taking,fluoxetine,(prozar),since,being,diagnosed,with,major,depression, 7 ,month,ago., She,reports,considerable,empowerment,in,her,symptoms,and,her,intention,to,discontinue,the,medicatio n,what,should,be,the,NP's,recommendation?
a.,Advice,the,patient,to,stop,the,antidepressant,medication b.,Question,the,patient,to,determine,if,the,self- assessment,is,correct,before,advising,her,to,discontinue,the,medication c.,Recommend,that,the,patient,continue,the,antidepressant,medication,for,at,least, 4 ,more,month d.,Discuss,with,the,patient,that,need,to,take,the,antidepressant,medication,indefinitely,,ANS,- ,,c.,Recommend,that,the,patient,continue,the,antidepressant,medication,for,at,least, 4 ,more,month the,components,of,the,Denver,II,Developmental,screening,test,are: a.,Personal/social,,fine,motor,,gross,motor,,language b.,Intelligence,,motor,performance,,language,development c.,Vocabulary,,clarity,of,speech,,abstract,thinking d.,Problem-solving,,speech,,gross,motor,,fine,motor,,ANS,- ,,a.,Personal/social,,fine,motor,,gross,motor,,language for,the,general,adult,population,,total,dietary,fat,intake,should,be,no,more,than,what,percent of,total,calories? a),10% b),20% c),30% d)40%,,ANS,-,,c),30% A, 30 ,y/o,female,patient,is,being,seen,by,the,NP,for,the,first,time.,She,is,seeking,advice,from,the,NP,about ,becoming,pregnant.,She,is,currently,taking,an,oral,contraceptive.,She,gives,a,hx,of,having,hydatidiform, molar,pregnancy, 2 ,years,ago.,An,appropriate,plan,of,care,for,this,patient,should,include b.,Delaying,pregnancy,for, 1 ,more,year c.,Measuring,serum,chorionic,gonadotropin,level d.,Discontinuing,oral,contraceptive e.,Recommending,permanent,sterilization,,ANS,-,,d.,Discontinuing,oral,contraceptive 24 ,y/o,female,taking,oral,contraceptive,has,missed,her,last, 2 ,pills.,What,should,the,NP,advise,her,to,do,to ,minimize,her,risk,of,pregnancy?
d.,Tetanus,,ANS,-,,c.,MMR following,the,finding,of,prostate,gland,abnormalities,on,DRE,,The,NP,orders,appropriate,labs.,When,prep aring,to,review,with,the,patient,,the,NP,knows,all,of,the,following,are,true,EXCEPT a.,Normal,PSA,is, 10 ,mg/ml,or,less b.,PSA,is,elevated,in,the,presence,of,malignant,prostate,epithelium c.,PSA,is,elevated,in,the,presence,of,BPH d.,Positive,serum,acid,phosphatase,reflects,malignancy,of,the,prostate,gland,with,bone,metastasis.,,ANS,
- ,,Normal,PSA,is, 10 ,mg/ml,or,less in,which,of,the,following,presentations,is,further,diagnostic,testing,NOT,warranted? a.,Bilateral,gynecomastia,in,a,prepubertal,male,of,average,weight;,Tanner,stage, 1 b.,Bilateral,gynecomastia,in,a, 13 ,y/o,male,with,normal,testicular,size,and,volume c.,Recent,onset,gynecomastia,in,a, 20 - year-old,male,with,breast,tenderness d.,Unilateral,breast,mass,which,is, 5 ,centimeters,in,diameter,,ANS,- ,,b.,Bilateral,gynecomastia,in,a, 13 ,y/o,male,with,normal,testicular,size,and,volume 59 ,years,old,post- menopausal,woman,has,atrophic,vaginitis.,She,has,a,hx.,Of,breast,cancerat,age, 40 ,years.,What,is,the,app ropriate,initial,treatment,for,this,patient? a.,Oran,conjugated,estrogens b.,Oral,medroxyprogesterone,aetate c.,Topical,medroxyprogesterone,aetate d.,Topical,conjugate,estrogen,cream,,ANS,-,,d.,Topical,conjugate,estrogen,cream Advances,in,obstetric,and,neonatal,care,have a.,Helped,to,identify,the,cause,of,cerebral,palsy b.,Demonstrated,the,cerebral,palsy,is,a,direct,result,of,birth,asphyxia c.,Has,no,effect,on,the,incident,of,cerebral,palsy d.,Resulted,in,a,dramatic,decrease,in,the,incidence,of,cerebral,palsy,,ANS,- ,,c.,Has,no,effect,on,the,incident,of,cerebral,palsy
which,of,the,following,physical,modalities,recommended,for,treatment,of,rheumatic,arthritis provides,the,most,effective,long-term,pain,relief? a.,Superficial,and,deep,heat b.,Application,of,cold c.,Transcutaneous,electrical,nerve,stimulation,(TENS) d.,Exercise,,ANS,-,,d.,Exercise 40 ,y/o,female,with,hx.,Of,frequent,sun,exposure,present,with,multicolored,lesion,on,her,back,it,has,irreg ular,borders,and,is,about, 11 ,mm,in,diameter.,What,should,the,NP,suspect? a.,Squamous,cell,carcinoma b.,Malignant,melanoma c.,Common,Nevis d.,Basal,cell,carcinoma,,ANS,-,,b.,Malignant,melanoma a,patient,with,moderate,persistent,asthma,will,probably,be,most,effectively,managed,with daily a.,Oral,leukotriene,blockers b.,Short,and,long,acting,bronchodilators c.,Inhaled,steroids,and,long,acting,bronchodilators d.,Oral,steroids,and,short,acting,bronchodilators,,ANS,-,, following,the,finding,of,prostate,gland,abnormalities,on,DRE,,The,NP,orders,appropriate,labs.,When,prep aring,to,review,with,the,patient,,the,NP,knows,all,of,the,following,are,true,EXCEPT a.,Normal,PSA,is, 10 ,mg/ml,or,less b.,PSA,is,elevated,in,the,presence,of,malignant,prostate,epithelium c.,PSA,is,elevated,in,the,presence,of,BPH d.,Positive,serum,acid,phosphatase,reflects,malignancy,of,the,prostate,gland,with,bone,metastasis.,,ANS,
- ,,Normal,PSA,is, 10 ,mg/ml,or,less
daily a.,Oral,leukotriene,blockers b.,Short,and,long,acting,bronchodilators c.,Inhaled,steroids,and,long,acting,bronchodilators d.,Oral,steroids,and,short,acting,bronchodilators,,ANS,-,, following,the,finding,of,prostate,gland,abnormalities,on,DRE,,The,NP,orders,appropriate,labs.,When,prep aring,to,review,with,the,patient,,the,NP,knows,all,of,the,following,are,true,EXCEPT a.,Normal,PSA,is, 10 ,mg/ml,or,less b.,PSA,is,elevated,in,the,presence,of,malignant,prostate,epithelium c.,PSA,is,elevated,in,the,presence,of,BPH d.,Positive,serum,acid,phosphatase,reflects,malignancy,of,the,prostate,gland,with,bone,metastasis.,,ANS,
- ,,Normal,PSA,is, 10 ,mg/ml,or,less in,which,of,the,following,presentations,is,further,diagnostic,testing,NOT,warranted? a.,Bilateral,gynecomastia,in,a,prepubertal,male,of,average,weight;,Tanner,stage, 1 b.,Bilateral,gynecomastia,in,a, 13 ,y/o,male,with,normal,testicular,size,and,volume c.,Recent,onset,gynecomastia,in,a, 20 - year-old,male,with,breast,tenderness d.,Unilateral,breast,mass,which,is, 5 ,centimeters,in,diameter,,ANS,- ,,b.,Bilateral,gynecomastia,in,a, 13 ,y/o,male,with,normal,testicular,size,and,volume 59 ,years,old,post- menopausal,woman,has,atrophic,vaginitis.,She,has,a,hx.,Of,breast,cancerat,age, 40 ,years.,What,is,the,app ropriate,initial,treatment,for,this,patient? a.,Oran,conjugated,estrogens b.,Oral,medroxyprogesterone,aetate c.,Topical,medroxyprogesterone,aetate d.,Topical,conjugate,estrogen,cream,,ANS,-,,d.,Topical,conjugate,estrogen,cream Advances,in,obstetric,and,neonatal,care,have
a.,Helped,to,identify,the,cause,of,cerebral,palsy b.,Demonstrated,the,cerebral,palsy,is,a,direct,result,of,birth,asphyxia c.,Has,no,effect,on,the,incident,of,cerebral,palsy d.,Resulted,in,a,dramatic,decrease,in,the,incidence,of,cerebral,palsy,,ANS,- ,,c.,Has,no,effect,on,the,incident,of,cerebral,palsy which,of,the,following,physical,modalities,recommended,for,treatment,of,rheumatic,arthritis provides,the,most,effective,long-term,pain,relief? a.,Superficial,and,deep,heat b.,Application,of,cold c.,Transcutaneous,electrical,nerve,stimulation,(TENS) d.,Exercise,,ANS,-,,d.,Exercise The,NP,is,counseling,a, 25 ,y/o,sexually,active,male,patient,about,condom,use,,which,of,the,following,state ment,is,INCORRECT a.,Adequate,lubrication,is,needed,to,prevent,damage,to,the,condom b.,Roll,the,condom,over,an,erect,penis,before,any,sexual,contact c.,Make,sure,the,condom,is,tight,against,the,head,of,the,penis d.,Withdraw,while,the,penis,is,erect,,so,that,the,condom,stays,in,place Explanation:,Condoms,,ANS,-,, following,the,finding,of,prostate,gland,abnormalities,on,DRE,,The,NP,orders,appropriate,labs.,When,prep aring,to,review,with,the,patient,,the,NP,knows,all,of,the,following,are,true,EXCEPT a.,Normal,PSA,is, 10 ,mg/ml,or,less b.,PSA,is,elevated,in,the,presence,of,malignant,prostate,epithelium c.,PSA,is,elevated,in,the,presence,of,BPH d.,Positive,serum,acid,phosphatase,reflects,malignancy,of,the,prostate,gland,with,bone,metastasis.,,ANS,
- ,,Normal,PSA,is, 10 ,mg/ml,or,less
