Assignment:Conducting Physical Exam

Assignment:Conducting Physical Exam

MIDTERM EXAM

Question 1

A patient reports “something flew in my eye” about an hour ago while he was splitting logs. If there were a foreign body in his eye, the nurse practitioner would expect to find all except:

Question 2

Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is:

Question 3

Mark has just been given a diagnosis of congestive heart failure. Which of his medications should be discontinued?

Question 4

A 55 year old patient has a work-up for hypertension and is noted to have elevated BUN and creatinine. Which of the following should the nurse practitioner suspect?

Question 5

Which of the following is the most important diagnosis to rule out in the adult patient with acute bronchitis?

Question 6

Risk factors for acute arterial insufficiency include which of the following?

Question 7

What is the Gold standard for the diagnosis of asthma?

Question 8

Which of the following dermatologic vehicles are the most effective in absorbing moisture and decreasing friction?

Question 9

Amaurosis fugax is described as a:

Question 10

Jennifer, age 49, who has a history of hyperlipidemia, has symptoms that lead you to suspect unstable angina. Your next action would be to:

Question 11

Which of the following patient characteristics are associated with chronic bronchitis?

Question 12

In the initial evaluation of a patient with new onset hypertension, the nurse practitioner should:

Question 13

John, age 59, presents with recurrent, sharply circumscribed red papules and plaques with a powdery white scale on the extensor aspect of his elbows and knees. What do you suspect?

Question 14

A 2 year old presents with a white pupillary reflex. What is the most likely cause of this finding?

Question 15

Expected spirometry readings when the patient has chronic emphysema include:

Question 16

Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months post-MI. To prevent reinfarction, the most important behavior change that he can make is to:

Question 17

A 58-year-old man is diagnosed with Barrett’s esophagus after an endoscopy. He has no known allergies. Which of the following medications is MOST appropriate to treat this patient’s disorder?

Question 18

A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory?