Case Study: Periorbital Erythema

Case Study: Periorbital Erythema

Question 19

A patient presents with periorbital erythema and edema, fever, and nasal drainage. The nurse practitioner should:

Question 20

An employee picnic menu includes grilled hamburgers, potato salad, and homemade ice cream sundaes. Within an hour after the meal, several children and parents begin to have nausea, vomiting and stomach cramps. None of those affected have fever. What is the most likely etiologic agent?

Question 21

Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by:

Question 22

Treatment of H.pylori includes which of the following?

Question 23

Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order?

Question 24

A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed?

Question 25

Your patient Jerry has gout. What do you suggest?

Question 26

A 70 year old patient presents with a slightly raised, scaly, erythematous patch on her forehead. She admits to having been a “sun worshiper.” The nurse practitioner suspects actinic keratosis. This lesion is a precursor to:

Question 27

Martha had a less than 7% value on her Schilling test. What medication do you anticipate she might need?

Question 28

The nurse practitioner observes a tympanic membrane that is opaque, has decreased mobility, and is without bulging or inflammation. The least likely diagnosis for this patient is:

Question 29

Which statement below is correct about pertussis?

Question 30

An AST that is more than twice the level of ALT is suggestive of:

Question 31

Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you when she can go back to work. What do you tell her?

Question 32

Acute rheumatic fever is an inflammatory disease which can follow infection with:

Question 33

A 46-year-old female with a past medical history of diabetes presents with a swollen, erythematous right auricle and is diagnosed with malignant otitis externa. The nurse practitioner knows that the most likely causative organism for this patient’s problem is:

Question 34

Of the following, the patient who should be referred for periodic colonoscopy is the patient with:

Question 35

Which type of lung cancer has the poorest prognosis?

Question 36

Alan, age 54, notices a bulge in his midline every time he rises from bed in the morning. You tell him it is a ventral hernia, also known as:

Question 37

Treatment of acute vertigo includes:

Question 38

Marvin, age 56, is a smoker with diabetes. He has just been diagnosed as hypertensive. Which of the following drugs has the potential to cause the development of bronchial asthma and inhibit gluconeogenesis?

Question 39

A patient presents to the primary care provider complaining of a rash on his right forehead that started yesterday and is burning and painful. The physical exam reveals an erythematous, maculopapular rash that extends over the patient’s right eye to his upper right forehead. Based on the history and examination, the most likely cause of this patient’s symptoms is:

Question 40

Of the following choices, the least likely cause of cough is:

Question 41

An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she has even had fecal incontinence one time. She describes loose stools 3–4 times a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has:

Question 42

A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient to:

Question 43

An elderly patient is being seen in the clinic for complaint of “weak spells” relieved by sitting or lying down. How should the nurse practitioner proceed with the physical examination?

Question 44

The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following?

Question 45

Group A ?-hemolytic streptococcal (GABHS) pharyngitis is most common in which age group?

Question 46

Which of the following statements about malignant melanomas is true?

Question 47

What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?

Question 48

Appropriate therapy for peptic ulcer disease (PUD) is:

Question 49

A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation. She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these problems?

Question 50

A 16 year old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechiae. Without a definitive diagnosis for this patient, what drug would be least appropriate to prescribe?