Reference no: EM133541312

Questions

1. When reading a TST(PPD) all of the following indicate a positive test except:

2. In the employee health office, you have diagnosed latent TB in an employee who has a positive tuberculin skin test (TST) You have a positive QuantiFERON (QFT) test and a chest x-ray that shows no active disease. What other diagnostic test would you order before starting this employee on INH therapy?

3. The estimated attributed cause of lung cancer from active cigarette smoking is?

4. Assessment finding of greatest concern in an individual who smokes with a chronic cough that warrants CT scan:

5. As a primary care clinician, recommendations you would give a patient for smoking cessation would be all the following except?

6. Bacterial causes of acute bronchitis include all of the following except:

7. All of the following are expected symptoms of pneumonia EXCEPT:

8. Which of the following is done to confirm a diagnosis of pneumonia?

9. Guidelines recommend high risk patients be screened for lung cancer beginning at:

10. Which of the following best describes asthma?

11. Treatment for a pulmonary embolus would include all the following pharmacological agents except?

12. Classic EKG changes seen in an individual with pulmonary emboli are:

13. A patient presents to your office with significant shortness of breath, tachycardia, and recent history of travel. Your immediate concern would be to rule out?

14. Which of the following statements about lung cancer is NOT true?

15. Which of the following is NOT part of the differential diagnosis for a patient who complains of cough?

16. Which of the following is the gold standard in assessment and diagnosis of COPD?

17. An example of a SAMA you would use in the treatment of COPD is:

18. A patient diagnosed with acute bronchitis and cough 5 days ago, calls to report that his cough is persistent since yesterday. He has no other new symptoms. How should the NP manage this patient?

19. Ryan is a 28 year old male who presents to your practice with symptoms consistent with acute bronchitis. Risk factors associated with acute bronchitis include the following EXCEPT?

20. When providing Ryan with patient education about his acute bronchitis, you explain acute bronchitis is :

21. A 50 year old male patient presents to your practice with cough, pharyngitis, nasal discharge, and fever. Which of these symptoms is most common with acute bronchitis?

22. A 25 year old female presents to the office with a hx of asthma. She states that she was uses her albuterol inhalers 2-3 times a week with good relief symptoms and that is why she doesn't use the ICS that was previously prescribed. She does not consider her asthma to interfere with her life. She is requesting a refill of her albuterol. Your priority advise to the patient is that:

23. Which of the following is a basis of drug therapy used in the treatment of moderate persistent asthma?

24. When educating your patient all of the following information you provide is correct EXCEPT:

25. Which of the following would be an appropriate treatment choice for a 40-year-old female diagnosed with community aquired pneumonia who has no co-morbidities? (select 2)

26. A 21 year old presents with ear pain. On PE, you observe pain with palpation of pinna and tragus and redness swelling of the external auditory canal. The patient has tympanostomy tubes. Which medication would you NOT prescribe:

27. A 35 year old female presents with redness in her eyes, yellowish drainage and some discomfort, she does not feel comfortable using her contact lenses. She has no visual disturbance. Her son who is in grade school had the same problem and was treated by the pediatrician. You diagnose her with acute bacterial conjunctivitis. The most appropriate antibiotic to prescribe is:

28. Lily has nasal congestion with purulent nasal discharge and facial pain without improvement for the past 12 days. She has a PCN allergy. The best option for initial therapy is:

29. The recommended pharmacological management for acute bacterial sinusitis include: 

30. James has a URI that started bout 2 weeks ago. He started getting nasal congestion with purulent nasal discharge and facial pain without improvement. Your examination for James would include palpation and transillumination of the largest facial sinuses: