KAPLAN MN568 Full Course Latest 2018 March Question # 00599219 Course Code : MN568 Subject: Health Care Due on: 03/09/2019 Posted On: 03/09/2019 06:39 AM Tutorials: 1 Rating: 4.8/5

MN568 Primary Care Across the Span

Unit 2 Exam

Question 1

Which of the following statements regarding TST is true?

Question options:

a) Tests
should be read 48 hours after the injection.

b) The size
of the TST reaction has nothing to do with erythema but is based solely on
induration.

c) It is a
type V T cell-mediated immune response.

d) The
diameter of the induration is measured in centimeters.

Question 2

Julie has a postnasal drip along with her cough. You assess
her for:

Question options:

a) Asthma

b) Sinusitis

c) Allergic
or vasomotor rhinitis

d) Influenza

Question 3

Sinusitis is considered chronic when there are episodes of
prolonged inflammation with repeated or inadequately treated acute infection
lasting greater than:

Question options:

a) 4 weeks

b) 8 weeks

c) 12 weeks

d) 16 weeks

Question 4

Which obstructive lung disease is classified as reversible?

Question options:

a) Asthma

b) Chronic
bronchitis

c) Emphysema

d) COPD

Question 5

Which of the following medications used in the treatment of
glaucoma works by constricting the pupils to open the angle and allow aqueous
fluid to escape?

Question options:

a) Pilocarpine

b) Timolol

c) Brinzolamide

d) Acetazolamide

Question 6

Most nosocomial pneumonias are caused by:

Question options:

a) Fungi

b) Viruses

c) Gram-negative
bacteria

d) Pneumococcal
pneumonia

Question 7

A chronic cough lasts longer than:

Question options:

a) 3 weeks

b) 1 month

c) 6 months

d) 8 weeks

Question 8

African American patients seem to have a negative reaction
to which of the following asthma medications?

Question options:

a) Inhaled
corticosteroids

b) Long-term
beta-agonist bronchodilators

c) Leukotriene
receptor agonists

d) Oral
corticosteroids

Question 9

Which of the following is an example of sensorineural
hearing loss?

Question options:

a) Perforation
of the tympanic membrane

b) Otosclerosis

c) Cholesteatoma

d) Presbycusis

Question 10

Jolene has breast cancer that has been staged as T1, N0, M0.
What might this mean?

Question options:

a) The tumor
size cannot be evaluated; the cancer has not spread to the lymph nodes; and the
distant spread cannot be evaluated.

b) The
cancer is in situ; it is spreading into the lymph nodes, but the spread cannot
be evaluated otherwise.

c) The
cancer is less than 2 cm in size and has not spread to the lymph nodes or other
parts of the body.

d) The
cancer is about 5 cm in size; nearby lymph nodes cannot be evaluated; and there
is no evidence of distant spreading.

MN568 Primary
Care Across the Span

Unit 4 Exam

Question 1

Jamie, age
55, has just started on a statin after having his liver function tests (LFTs)
come back normal. He now asks you how often he has to have the LFTs repeated.
What do you tell him?

Question
options:

a)

Initially in
6 weeks

b)

Every 3
months

c)

Every 6
months

d)

It’s no
longer necessary for his statin regimen.

Question 2

A patient
comes to the office complaining of constipation. The patient lists all of the
following medications. Which drug could be responsible for the constipation?

Question
options:

a)

Multivitamin

b)

Magnesium
hydroxide

c)

Pepto-Bismol®

d)

Ibuprofen

Question 3

A patient is
diagnosed with GERD, and his endoscopic report reveals the presence of
Barrett’s epithelium. Which of the following should the PCP include in the
explanation of the pathology report?

Question
options:

a)

This is a
premalignant tissue.

b)

This tissue
is resistant to gastric acid.

c)

This tissue
supports healing of the esophagus.

d)

All of the
above

Question 4

A
28-year-old patient is seen in the clinic with colicky abdominal pain
particular with meals. She has frequent constipation, flatulence, and abdominal
distension. Which of the data make a diagnosis of diverticulitis unlikely?

Question
options:

a)

Her age

b)

Frequent
constipation

c)

Flatulence

d)

Colicky
abdominal pain

Question 5

A
46-year-old female patient is seen in the clinic with abdominal pain. Which of
the following tests is essential for this patient?

Question
options:

a)

CBC with
differential

b)

Urine human
chorionic gonadotropin

c)

Barium enema

d)

Computed
tomography of the abdomen

Question 6

There are
four stages of heart failure, classified as A to D, that describe the evolution
and progression of disease. In which stage are patients hospitalized or treated
with specialized interventions or hospice care for refractory symptoms of heart
failure despite medical therapy?

Question
options:

a)

Stage A

b)

Stage B

c)

Stage C

d)

Stage D

Question 7

Which of the
following is part of the treatment plan for the patient with irritable bowel
syndrome?

Question
options:

a)

High fiber
diet

b)

Tylenol with
codeine

c)

Daily
laxatives

d)

All of the
above

Question 8

A patient
has acute pancreatitis with seven of the diagnostic criteria from Ranson’s
criteria. In order to plan care, the NP must understand that this criteria
score has which of the following meanings?

Question
options:

a)

A high
mortality rate

b)

An increased
chance of recurrence

c)

A 7% chance
of the disease becoming chronic

d)

All of the
above

Question 9

Mary has
hypertension and previously had a stroke. Which hypertensive drug would you
order for her?

Question
options:

a)

Angiotensin
converting enzyme inhibitor

b)

Calcium
channel blocker

c)

Angiotensin
II receptor blocker

d)

Beta blocker

Question 10

In which
type of arterioventricular (AV) block does the pulse rate (PR) interval
lengthen until a beat is dropped?

Question
options:

a)

First-degree
AV block

b)

Second-degree
Mobitz I AV block

c)

Second-degree
Mobitz II AV block

d)

Third-degree
AV block

MN568 Primary
Care Across the Span

Unit 6 Exam

Question 1

Harvey has a
rubbery, smooth, round mass on his chest that is compressible and has a
soft-to-very-firm texture. What do you diagnose this as?

Question
options:

a)

A lipoma

b)

A nevi

c)

A skin tag

d)

A possible
adenoma

Question 2

Of the
following types of cellulitis, which is a streptococcal infection of the
superficial layers of the skin that does not involve the subcutaneous layers?

Question
options:

a)

Necrotizing
fasciitis

b)

Periorbital
cellulitis

c)

Erysipelas

d)

“Flesh-eating”
cellulitis

Question 3

The
56-year-old man with chronic prostatitis should be treated with trimethoprim 80
mg-sulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long?

Question
options:

a)

3 to 7 days

b)

14 to 21
days

c)

3 to 6 weeks

d)

6 to 12
weeks

Question 4

The patient
with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6
months. The clinician should assess this patient for which of these side
effects?

Question
options:

a)

Erectile
dysfunction

b)

Glaucoma

c)

Hypotension

d)

Headache

Question 5

Tinea
unguium is also known as:

Question
options:

a)

Onychomycosis

b)

Tinea
versicolor

c)

Tinea manuum

d)

Tinea
corporis

Question 6

Which is the
most potent and irritating dose of tretinoin?

Question
options:

a)

0.05% liquid
formulation

b)

0.1% cream

c)

1% foam

d)

0.02% cream

Question 7

Sally, age
25, presents with impetigo that has been diagnosed as infected with
Staphylococcus. The clinical presentation is pruritic tender, red vesicles
surrounded by erythema with a rash that is ulcerating. Her recent treatment has
not been adequate. Which type of impetigo is this?

Question
options:

a)

Bullous
impetigo

b)

Staphylococcal
scalded skin syndrome (SSSS)

c)

Nonbullous
impetigo

d)

Ecthyma

Question 8

Why do
people of African descent have a lower incidence of non-melanoma skin cancer?

Question
options:

a)

They have an
increased number of melanocytes.

b)

Their darker
skin protects from ultraviolet radiation.

c)

Their skin
is thicker.

d)

Their immune
system is stronger.

Question 9

A patient
with testicular cancer is being followed after completing treatment 1 year ago.
He has been symptom-free with no evidence of disease. How often should he have
a CT scan?

Question
options:

a)

Every month

b)

Every 3 to 4
months

c)

Every 6 to
12 months

d)

Every year

Question 10

A patient is
diagnosed with urge incontinence. Before prescribing Detrol XL, the provider
should question the patient about which of these contraindications to this
medication?

Question
options:

a)

Diarrhea

b)

Parkinson’s
disease

c)

Closed-angle
glaucoma

d)

Breast
cancer

MN568 Primary
Care Across the Span

Unit 8 Exam

Question 1

The
clinician prescribes glipizide (Glucotrol) for a diabetic patient. Which
statement made by the patient would indicate that your teaching has been
effective?

Question
options:

a)

“I’ll take
my pill at least 30 minutes before breakfast.”

b)

“I’ll take
my Glucotrol before bedtime.”

c)

“It is
important to take my medication right after I eat.”

d)

“Since I
only like to eat two meals a day, I can take the pill between my meals.”

Question 2

Urine-free
cortisol is one of four diagnostic tests recommended for Cushing’s syndrome.

Question
options:

a) True

b) False

Question 3

A patient is
diagnosed with hypothyroidism. Which of the following electrocardiogram changes
should the clinician expect as a manifestation of the disease?

Question options:

a)

Sinus
bradycardia

b)

Atrial
fibrillation

c)

Supraventricular
tachycardia

d)

U waves

Question 4

One of the
most frequent presenting signs/symptoms of osteoporosis is:

Question
options:

a)

Goiter

b)

Abnormal
serum calcium

c)

Elevated
urine biochemical markers

d)

Bony
fracture

Question 5

After
removing a tack from a type 2 diabetic’s heel and evaluating the site for
infection, what is the best plan for this patient?

Question
options:

a)

Suggest she
use a heating pad to improve circulation.

b)

Refer to a
podiatrist for a foot care treatment plan.

c)

Send her for
acupuncture treatments.

d)

All of the
above

Question 6

Which of the
following tests is considered the gold standard for definitively diagnosing
osteoporosis?

Question
options:

a)

Bone
alkaline phosphatase levels

b)

Urinary
N-telopeptide assay

c)

Bone mass
density measurement by densitometry

d)

Magnetic
resonance imaging

Question 7

You are
performing muscle strength testing on a patient presenting with musculoskeletal
pain and find that the patient has complete ROM with gravity eliminated. Which
numeric grade of muscle strength would you give this patient?

Question
options:

a)

1

b)

2

c)

3

d)

4

e)

5

Question 8

Which of the
following is diagnostic for diabetes mellitus?

Question
options:

a)

A1C 7.0 on
one occasion

b)

Fasting
blood sugar (FBS) of 100 mg/dL on two occasions

c)

Random
plasma glucose greater than or equal to 200 in a person with symptoms of
hyperglycemia

d)

Two-hour
post-load plasma glucose of 300 mg/dL on one occasion

Question 9

Fruit juice
with added sugar is the treatment of choice for anyone experiencing
hypoglycemia.

Question
options:

a) True

b) False

Question 10

Osteoarthritis
is primarily a noninflammatory condition.

Question
options:

a) True

b) False

MN568 Primary
Care Across the Span

Unit 10 Final Exam

Question 1

Which
statement about confusion is true?

Question
options:

a)

Confusion is
a disease process.

b)

Confusion is
always temporary.

c)

Age is a
reliable predictor of confusion.

d)

Polypharmacy
is a major contributor to confusion in older adults.

Question 2

Sondra’s
peripheral vestibular disease causes dizziness and vertigo. Which of the
following medications will help to decrease edema in the labyrinth of the ear?

Question
options:

a)

Meclizine

b)

Diphenhydramine

c)

Diamox

d)

Promethazine

Question 3

The hallmark
of an absence seizure is:

Question
options:

a)

No activity
at all

b)

A blank
stare

c)

Urine is
usually voided involuntarily

d)

The attack
usually lasts several minutes

Question 4

How often
should drug levels be monitored when a seizure medication has controlled the
seizures, and the drug level is adequate?

Question
options:

a)

Every 3
months

b)

Every 6
months

c)

Annually

d)

Whenever there
is a problem

Question 5

Which of the
following persons fits the classic description of a patient with multiple
sclerosis (MS)?

Question
options:

a)

A teenage
male

b)

A
65-year-old male

c)

A
25-year-old female

d)

A
60-year-old female

Question 6

Which of the
following is a specific test to MS?

Question
options:

a)

Magnetic
resonance imaging (MRI)

b)

Computed
tomography (CT) scan

c)

A lumbar
puncture

d)

There is no
specific test.

Question 7

Which drug
for Alzheimer’s disease should be administered beginning at the time of
diagnosis?

Question
options:

a)

Cholinesterase
inhibitors

b)

Anxiolytics

c)

Antidepressants

d)

Atypical
antipsychotics

Question 8

Which
hematoma occurs along the temporal cranial wall and results from tears in the
middle meningeal artery?

Question
options:

a)

Epidural
hematoma

b)

Subdural
hematoma

c)

Subarachnoid
hematoma

d)

Intraparenchymal
hemorrhage

Question 9

Which
cranial nerve is affected in a patient with a cerebrovascular accident who has
difficulty chewing?

Question
options:

a)

CN V

b)

CN VII

c)

CN IX

d)

CN X

Question 10

Which
statement best describes a carotid bruit?

Question
options:

a)

It is felt
with the middle three fingers over the carotid artery.

b)

A bruit
becomes audible when the lumen is narrowed to 1 mm or less.

c)

A
low-pitched bruit is a medical emergency.

d)

The higher
the pitch of the bruit, the higher the degree of stenosis.

MN568 Primary Care Across the Span

Unit 1 Discussion

This week you will create a 12–15-slide PowerPoint.

For your assigned topic(s), you are to discuss the incidence
and prevalence of the disorder, pathophysiology from an advanced practice
perspective, physical assessment and examination, evidence-based treatment plan
and patient education, as well as follow up and evaluation to assess the
efficacy and outcomes of the evidence-based treatment plan for management of an
episodic, acute, and chronic case involving the pathology(s) you are sharing.
List any diagnostic studies or laboratory test(s) you need to rule in or rule
out a diagnosis. The entry should be posted as an attachment. Please pick one
of the following topics for your post: Allergic rhinitis, conjunctivitis,
blepharitis, sinusitis, hordeolum, chalazion, otitis media, otitis externa,
pharyngitis, tonsillitis, glossitis, TMJ. Please respond to two your
classmates’ postings.

MN568 Primary Care Across the Span

Unit 2 Discussion

Selected Disorders of the Neurologic and Musculoskeletal
Systems

You will be assigned one or more topics from the list below.

For your assigned topic(s), you are to discuss the incidence
and prevalence of the disorder, pathophysiology from an advanced practice
perspective, physical assessment and examination, evidence-based treatment plan
and patient education, as well as follow up and evaluation to assess the
efficacy and outcomes of the evidence-based treatment plan for management of an
episodic, acute, and chronic case involving the pathology(s) you are sharing.
You will share your information on the topic(s) you are assigned in the Unit 2
Discussion as your discussion entry. The entry should be posted in the
Discussion space; do not post the Discussion as an attachment.

Neurologic System Topics:

Headaches

Seizures

Confusion

Dizziness

Dementia

Parkinson’s Disease

Alzheimer’s Disease

Trigeminal Neuralgia

Temporal Arteritis

Musculoskeletal System Topics:

Osteoarthritis

Osteoporosis

Osteopenia

Fibromyalgia

Degenerative Joint Disease

MN568 Primary Care Across the Span

Unit 3 Discussion

Respiratory and Cardiovascular System

You will be assigned one or more topics from the list below.

For your assigned topic(s), you are to discuss the incidence
and prevalence of the disorder, pathophysiology from an advanced practice
perspective, physical assessment and examination, evidence-based treatment plan
and patient education, as well as follow up and evaluation to assess the
efficacy and outcomes of the evidence-based treatment plan for management of an
episodic, acute, and chronic case involving the pathology(s) you are sharing.
The entry should be posted in the Discussion space; do not post the Discussion
as an attachment.

Respiratory

Pneumonia

Community — Acquired

Pneumococcal

Chronic Obstructive Pulmonary Disease

Interstitial Lung Disease

Sleep Apnea

Cough

Cardiovascular

Valvular Disease

Dyslipidemia

Atherosclerotic Coronary Artery Disease

Acute Coronary Syndrome

Peripheral Artery Disease

Deep Vein Thrombosis

Chronic Venous Insufficiency

MN568 Primary Care Across the Span

Unit 5 Discussion

Renal Disease and Men’s Health Issues

(respond to only one of the topics)

Topic 1

K.N. is a 24-year-old woman who presents to the family
practice clinic complaining of sudden urgency to urinate, back pain, frequent
urination, and pain with urination. Symptoms began approximately 48 hours ago.
She awoke from sleep with urgency and suprapubic discomfort 2 nights ago. Her
urine now has a strong odor and a cloudy appearance. She has an allergy to
Bactrim.

What are some appropriate questions to ask the patient?

What are three differential diagnoses for the patient?

What physical examination would you perform?

What diagnostics would you include?

Create an evidenced-based plan of care. Include pharmacological
and non-pharmacological treatments.

Urine dipstick results: Color, dark yellow, specific gravity
1.035, ph 5.5, protein (-), Ketones (-), Bilirubin (-), Trace blood,
Leukoesterase (+), Nitrites (+), Urobilinogen (-)

Topic 2

Mr. J.R. is a 73-year-old man who presents to the office
with a 3-day history of nausea, vomiting, and diarrhea. He also has some
weakness and dizziness and a bothersome metallic taste in his mouth. The
patient is pale and sweaty. He had been fine until 3 days ago when he began to
experience severe nausea several hours after eating out at a restaurant. He has
taken Kaopectate several times without relief. Since yesterday he has had six
to seven watery stools.

What are some appropriate questions to ask the patient?

What are three differential diagnoses for the patient?

What physical examination would you perform?

What diagnostics would you include?

Create an evidenced based plan of care. Include
pharmacological and non-pharmacological treatments.

Urine dipstick: Clear, pale yellow urine, Microscopy was
negative for cells, casts, pigments and crystals, SG 1.019, (-) bacteria, (-)
glucose, (-) protein, WBC 1/HPF with no eosinophils, RBC 1/HPF, Na
concentration= 14 meq/L, Osmolality= 769 mOsm/kg H2O. Na 144 meq/L, K 4.7
meq/L, Cl 111 meq/L, HCO3 57 mg/dL, Cr 2.6 mg/dL, Glucose random 155mg/dL, Ca
9.1 mg/dL, Phos 4.1 mg/dL, Mg 2.8 mg/dL, Alb 4.3 g/dL, H

Topic 3

Mr. E.D. is a 63-year-old retired mail carrier who presents
to his primary care provider for a routine follow up for his hypertension. He
complains of a 4-day history of dysuria, increased urinary frequency, and
nocturia. He states that he has been having fever and chills. Denies any recent
sexual activity. On examination, his temperature is 99.5 F., pulse 75 and
regular, respiratory rate 16 and unlabored, and blood pressure 135/85. He does
not appear acutely ill and is in no apparent distress. Examination of the
abdomen was normal. A digital rectal exam revealed a moderately enlarged, firm,
non-tender prostate gland. He states that he has severe urgency and difficulty
urinating.

What are some appropriate questions to ask the patient?

What are three differential diagnoses for the patient?

What physical examination would you perform?

What diagnostics would you include?

Create an evidenced-based plan of care. Include
pharmacological and non-pharmacological treatments.

Topic 4

T.R. is a 51-year-old male who presents to his PCP with the
complaint of having some problems in the bedroom. He states that for the past 7
months he has only been able to achieve temporary, partial erections that are
insufficient for intercourse. This issue has caused T.R. and his wife to have
some marital issues. He was diagnosed with hypertension. He is currently taking
Hydrochlorothiazide 25 mg daily.

What are some appropriate questions to ask the patient?

What are three differential diagnoses for the patient?

What physical examination would you perform?

What diagnostics would you include?

Create an evidenced-based plan of care. Include
pharmacological and non-pharmacological treatments.

MN568 Primary Care Across the Span

Unit 6 Discussion

Common Skin Issues on Primary Care

For your assigned topic(s), you are to discuss the incidence
and prevalence of the disorder, pathophysiology from an advanced practice perspective,
physical assessment and examination, evidence-based treatment plan and patient
education, as well as follow up and evaluation to assess the efficacy and
outcomes of the evidence-based treatment plan for management of an episodic,
acute, and chronic case involving the pathology(s) you are sharing. The entry
should be posted in the Discussion space; do not post the Discussion as an
attachment.

Please select one of the topics from the list:

Candidiasis cutaneous

Contact dermatitis

Erythema multiforme

Cellulitis

Impetigo

Eczema

Scabies

Tineapedis

Lichens simplex chronicus

Tineaversicolor

Tineapedis

Tineacapitis

Tineacruris

Tineacorporis

Shingles

Psoriasis

Rosacea

MN568 Primary Care Across the Span

Unit 8 Discussion

Topic: Disorders of the Musculoskeletal System

You will be assigned one or more topics from the list below.

For your assigned topic(s), you are to discuss the incidence
and prevalence of the disorder, pathophysiology from an advanced practice
perspective, physical assessment and examination, evidence-based treatment plan
and patient education, as well as follow up and evaluation to assess the
efficacy and outcomes of the evidence-based treatment plan for management of an
episodic, acute, and chronic case involving the pathology(s) you are sharing.
You will share your information on the topic(s) you are assigned in the Unit 8
Discussion as your discussion entry. The entry should be posted in the
Discussion space; do not post the Discussion as an attachment.

Bursitis

Arthritis rheumatoid

Osteoarthritis

Costochondritis

Osteoporosis

Lumbar spinal stenosis

Carpal Tunnel Syndrome

Ganglion cyst

MN568 Primary Care Across the Span

Unit 9 Discussion

Psychosocial Disorders

You will be assigned one or more topics from the list below.
For your assigned topic(s), you are to discuss the incidence and prevalence of
the disorder, pathophysiology from an advanced practice perspective, physical
assessment and examination, evidence-based treatment plan and patient
education, as well as follow up and evaluation to assess the efficacy and
outcomes of the evidence-based treatment plan for management of an episodic,
acute, and chronic case involving the pathology(s) you are sharing. You will
share your information on the topic(s) you are assigned in the Unit 9
Discussion as your discussion entry. The entry should be posted in the
Discussion space; do not post the Discussion as an attachment.

Psychosocial

Depression

Anxiety

Generalized anxiety disorder

Substance abuse, dependence, and addictions

Bipolar disorder

Bulimia nervosa

Anorexia nervosa

Obsessive compulsive disorder

Post-traumatic stress disorder

Panic disorder

Adult onset attention deficit hyperactivity disorder

Schizophrenia

Restless legs syndrome

Cerebrovascular accident

Migraine headaches

Tension headaches

Cluster headaches

Meningitis

Bell’s palsy

MN568 Primary Care Across the Span

Unit 10 Discussion

Self Reflection

This Discussion topic is

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