Question 1 (2 points) v Saved ‘One of the most serious complications of Oyhemiparesis. Oarthrtis. (© blindness. Ouwveitis. Question 2 (2 points) v Saved In postmenopausal women, a major benefit from the use of topical or local estrogen, is: O decreased rate of breast cancer. (@ reduced risk of recurrent UTIs. O reduced risk of type 2 diabetes. CO increased levels of androgens. Question 3 (2 points) v Saved Concomitant disease seen with giant cell arteritis includes: (©) polymyalgia rheumatica. O acute panereat O psoriatic arthritis. CO reactive arthritis. Question 4 (2 points) v Saved The maximum recommended dose of citalopram for patients older than 60 years of age is: © 10 mg/day. (©) 20 mg/day. © 30 mg/day. O40 mg/day.Question 5(2 points) ~ Saved Risk factors for transient ischemic attack (TIA) include all of the following except: O atrial fibrillation. O carotid artery disease. © oral contraceptive use. (©) pernicious anemia. Question 6 (2 points) ~ Saved Which of the following is likely to be reported in a patient with persistent GERD? CO hematemesis ho (©) chronic sore throat O diarrhea Ovmelena Question 7 (2 points) v Saved Which of the following medications is most likely to cause sexual dysfunction? © vilazodone (Viibryd®) (@ fluoxetine (Prozac) © nortriptyline (Pamelor®) © bupropion (Wellbutrin)Question 8 (2 points) ¥ Saved The diagnosis of Parkinson disease relies on findings of: clinical evaluation of six cardinal features. CO head MRI or CT scan. O pleocytosis in the CSF. a visual evoked pote test. Question 9 (2 points) v Saved Prevention of acute colonic diverticulitis includes: CO use of antidiarrheal agents. O avoiding gas-producing foods. (© high-fiber diet. © low-dose antibiotic therapy. Question 10 (2 points) v Saved When reviewing the use of nutritional supplements for the management of menopausal symptoms, the NP considers that: few high-quality studies support the use of these products. O the use of these products is consistently reported to be helpful. the products can be safely used as long as blood hormone levels are carefully ~ evaluated, CD the use of these products is associated with a greater reduction in menopausal ‘~ symptoms than with prescription HT. Question 11 (2 points) v Saved In caring for elderly patients, the NP considers that all of the following is true except: © many older patients with dementia have a component of depression. > signs and symptoms usually evolve over months, but depression usually has a ‘~ more rapid onset. © with dementia, a patient is aware of Ficulties with cognitive ability. ) treating concurrent depression can help improve symptoms of dementia.Question 12 (2 points) v Saved The drug buspirone (BuSpar®) has: © low abuse potential. significant antidepressant action. Ca withdrawal syndrome when discontinued, similar to benzodiazepines. ») rapid onset of action. Question 13 (2 points) v Saved Postmenopausal HT used for use can result in: Ca reduction in the rate of cardiovascular O an increase in the rate of rheumatoid arthritis. © ) a reduction in the frequency and severity of vasomotor symptoms. turban sleep patterns. Question 14 (2 points) Saved In caring for a patient with symptomatic gastroesophageal reflux, you prescribe a PPI to: CO enhance motility. \crease the pH of the stomach. _) reduce lower esophageal pressure. help limit H. pylori growth. Question 15 (2 points) ¥ Saved 72-year-old man presents with a 2-month history of noting a "bit of dark blood mixed in with my stool most days Physical examination reveals external hemorthoids, no rectal mass, and a small amount of dark brown stool on the ‘examining digit. In-office fecal occult blood test is positive, and hemogram reveals a microcytic hypochromic anemia. The next best step in his care is to: — perform in-office anoscopy. the patient use sitz baths post bowel movement. (@ refer to gastroenterology practice for colonoscopy. O order a double contrast barium enema.Question 16 (2 points) Saved The location of discomfort with acute diverticuli following areas of the abdomen? is is usually in which of the O epigastrium (@) left lower quadrant ) right lower quadrant O suprapubic Question 17 (2 points) v Saved Which of the following is true concerning colorectal cancer? ~) Most colorectal cancers are found during rectal examination. .) Rectal carcinoma is more common than cancers involving the colon. O Early manifestations include abdominal pain and cramping ©@ Later disease presentation often includes iron deficiency anemia. Question 18 (2 points) v Saved ‘A 66-year-old woman is diagnosed with mild diverticulitis. In addition to counseling her about increased fluid intake and adequate rest, you recommend antimicrobial treatment wit O amoxicillin with clarithromycin. linezolid with daptomycin, (© ciprofloxacin with metronidazole. CO niitrofurantoin with doxycycline. Question 19 (2 points) v Saved All of the following are components of the classic ophthalmological emergency except: Oeye pain. (© purulent discharge. Oredeye. COnew onset change in visual acuity.Question 20(2 points) v Saved Rectal bleeding associated with hemorthoids is usually described as: (©) streaks of bright red blood on the stool. O dark brown to black in color and mixe with normal-appearing stool. Ca large amount of brisk red bleeding. ) significant blood clots and mucus mixed with stool. Question 21 (2 points) v Saved ‘Which of the following is most consistent with findings in patients with Parkinson disease? O rigid posture with poor muscle tone CO masklike facies and continued cognitive function ») tremor at rest and bradykinesia CO excessive arm swinging with ambulation and flexed posture Question 22 (2 points) Saved ‘A.58-year-old man reports intermittent right upper quadrant abdominal pain. He is obese and being actively treated for hyperlipidemia. maging in a patient with suspected symptomatic cholelithiasis usually includes obtaining an abdominal: © magnetic resonance image (MRI). Oct sean. © ultrasound of the right upper quadrant. O flat plate. Question 23 (2 points) v Saved Which of the following does not increase a patient's risk of developing colorectal cancer? ») family history of colorectal cancer C familial polyposis © personal history of neoplasm long-term aspirin therapyQuestion 24 (2 points) ~ Saved Dizziness can be described as: © perception that the person or the environment is moving subjective perception of altered equilibrium )) rhythmic oscillations of the eyes J perception of abnormal hearing or head noises Question 25 (2 points) Saved Identify the following as most likely associated with dementia. Select all that apply. (¥) Insidious onset over months to years (_ Acute onset of change in mental status (Associated with use of medications with anticholinergic effect (_) Mental status potentially returns to pre illness baseline (¥) No perceptual disturbances (i. e., hallucinations) until later disease