Reference no: EM133341881

Questions

1. A 42-year-old floor tech has a positive ppd test 1 week ago. She has been asymptomatic and denies contact with any infectious people. Repeat ppd shows an induration of 12mm, however chest x-ray is normal. What is the next step?

No action is necessary since she is asymptomatic

Monitor her and quarantine her for 3 months

Start antibiotics and quarantine for duration of antibiotics

Start antibiotics for latent TB for 9 months duration

2. 77 y/o female presented to the ER due to a near-syncopal episode. She states she experiences dizziness when she does moderate activity. Lab work was unremarkable. EKG showed a few premature ventricular contractions. Heart tones are positive for a grade III/IV systolic crescendo-decrescendo murmur at the 2nd intercostal space. right sternal border. What could be a likely cause of the syncopal episode?

Aortic Stenosis

Cardiac arrhythmia

Transient ischemic attack

Mitral valve prolapse

3. Step-down therapy is possible in a patient with asthma, if the asthma has been controlled for how long?

At least 1 month

At least 3 months

At least 6 months

At least 1 year

4. You are evaluating a patient with shortness of breath. During the interview he states he is having worsening dyspnea on exertion. On physical exam you note he is tachycardia. Chest x-ray shows pulmonary edema. These clinical findings are consistent with what diagnosis?

Heart Failure

Asthma

Stable angina

Chronic venous insufficiency

5. What is first line treatment to prescribe for prinzmetal's angina?

Long-acting nitrates

Beta blocker

Calcium channel blocker

Diuretics

6. You are treating a patient prophylactically for stable angina. What drug is appropriate to prescribe for the patient's condition but not appropriate for Prinzmetals angina?

Verapamil

Propanolol

Nitroglycerin

Plavix

7. The nurse practitioner gets called to the bedside of a patient in the ICU. The patient is on the ventilator. The nurse states the high alarm on the vent keeps going off. The NP obtains a chest X-ray and notices no lung markings on the left lateral side of the middle lobe. What is most likely the cause?

Pneumothorax

Atelectasis

Pneumonia

Pleural effusion

8. What is part of the treatment plan in a patient with NSTEMI?

nitroglycerin, clopidogrel, enoxaparin

aspirin, clopidogrel, metoprolol

clopidogrel, epinephrine, aspirin

enoxaparin, digoxin, dobutamine

9. A 21-year-old female is diagnosed with acute otitis media. Only past medical history is a UTI that was treated 6 weeks ago with Bactrim. Which antibiotic should be prescribed to her?

Bactrim

Erythromycin

Amoxicillin

Levaquin

10. You suspect your patient has an acute bacterial upper respiratory infection by which finding?

Mild mid facial fullness

Preauricular lymphadenopathy

Marked eyelid edema

Purulent sinus discharge