Questions and Answers
In addition to starting Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on:
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
The most common sign of cervical cancer is:
The practitioner would discontinue amitriptyline and begin:
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These symptoms of headache, abdominal pain, and gas are most likely:
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The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
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It is most important to continue monitoring growth, development, and:
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The nurse practitioner suspects abuse. Which of the following is the nurse practitioner obligated to do next?
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In most cases, the first manifestation of Alzheimer's disease is:
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The optimal treatment for latent tuberculosis is:
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Unilateral spontaneous serous or serosanguineous discharge from a single duct of a breast is most often caused by:
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Which of the following conditions would be the most likely cause of the continued asthma symptoms?
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Based on current research, optimal therapy for a pregnant woman with known HIV infection is to start daily dosing:
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Study Notes
Card 1: Cardiovascular Risk Factors
- A 65-year-old woman, smoker, with a family history of heart disease (mother died at 40) presents for follow-up.
- Lipid profile indicates high cholesterol (240 mg/dL), low HDL (30), and high LDL (200).
- Recommended intervention includes starting a statin drug in addition to therapeutic lifestyle changes.
Card 2: Treatment for Systemic Lupus Erythematosus
- Ibuprofen (Advil) is the most commonly prescribed medication for mild systemic lupus erythematosus (SLE).
Card 3: Cervical Cancer Symptoms
- The primary sign of cervical cancer is postcoital bleeding.
Card 4: Neuropathic Pain Management
- Patient experiences urine retention and dry mouth while on amitriptyline for diabetic neuropathic pain.
- Recommended action is to discontinue amitriptyline and start gabapentin (Neurontin).
Card 5: Side Effects of Omeprazole
- A 17-year-old male with rheumatoid arthritis and abdominal symptoms likely has side effects related to omeprazole use, not the NSAID treatment.
Card 6: Juvenile Rheumatoid Arthritis Treatment
- Ibuprofen is the medication of choice for the initial treatment of juvenile rheumatoid arthritis.
Card 7: Monitoring in Sickle Cell Anemia
- In follow-up of a child with sickle cell anemia after a crisis, it is essential to monitor hemoglobin levels along with growth and development.
Card 8: Suspected Abuse in Elderly Patient
- Nurse practitioner should report concerns of possible abuse in a 90-year-old female to the proper authorities.
Card 9: Early Manifestation of Alzheimer's Disease
- The first manifestation of Alzheimer's disease is typically a decrease in short-term memory.
Card 10: Treatment for Latent Tuberculosis
- Optimal treatment for latent tuberculosis infection is isoniazid (Nydrazid) for 9 months.
Card 11: Breast Discharge Causes
- Unilateral serous or serosanguineous discharge from a single duct is often caused by intraductal papilloma.
Card 12: Asthma Symptoms in Young Child
- Continued coughing symptoms during the night in a child with asthma may be attributed to gastroesophageal reflux.
Card 13: HIV and Perinatal Transmission
- A pregnant woman with HIV can reduce the risk of perinatal transmission by starting daily zidovudine (Retrovir) therapy after 14 weeks of gestation.
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Description
This quiz covers essential practice questions related to cardiology, specifically focusing on risk factors, lipid profiles, and management strategies for patients. Ideal for nurse practitioners preparing for the AANP exam, it highlights scenarios relevant to cardiovascular health assessments and interventions.
