Question at position 13 What is the most common complaint from children that represents less

Question at position 13 What is the most common complaint from children that represents less than 5% of pediatric cases? Shortness of Breath Congestion *Chest Pain Ear Discomfort Question at position 14 The nurse practitioner diagnosis a patient who has had Sinusitis for 6-7 days. The patient is prescribed over the counter medications to assist with symptoms. What education will the NP provide to the patient in the event they need to return to the clinic (RTC) for more treatment? If the symptoms continue beyond 5 days RTC for more treatment *If the symptoms worsen beyond 8 days RTC for more treatment If the symptoms continue beyond 2 days RTC for more treatment If the symptoms worsen beyond 4 days RTC for more treatment Question at position 15 Kevin has been on a statin for 4 months and has been complaining of bilateral muscle pain, cramps, and weakness for the last week. His LDL is still not at the goal. Which of the following is the MOST appropriate step to take? Wait until muscle symptoms resolve and restart on lower dose of a different statin (fluvastatin or pitavastatin) Change patient to a different class of drug instead of a statin to treat hyperlipidemia *Check liver and renal function, Vitamin D Wait until muscle symptoms resolve and restart on lower dose of same statin Question at position 16 Match the following short cases by indicating how the provider should treat a child with Acute Otitis Media (AOM). 6 year-old with fever and sick less than 48 hrs. (Do not treat) 5 year-old with >102.2 F; otalgia (treat) 8 year-old -child with severe ear symptoms (send to ER) 3 year-old with mild bulging of the TM (do not treat) Match with- Treat, do not treat, send to er Question at position 17 Helen had labs drawn today during her annual exam. Her lipid profile reads as follows: LDL-C: 115, HDL-C: 45, Total Cholesterol: 178, Triglycerides: 156. She only takes medication for her hypertension. Her family history and other lab is unremarkable. She has no complaints today. VS: BP 136/82. HR 74, RR 18, T 98.3, Ht. 5’5, Wt. 191, BMI 31.8 and the physical exam is unremarkable. She smokes ½ pack a day and walks 1-2 times on the weekends for about 45 minutes. How should you coach her today as her provider? *Coach her on lifestyle changes and start her on a moderate intensity statin Coach her on lifestyle changes and start her on a high intensity statin and add metformin Coach her on lifestyle changes and start her on a high intensity statin Coach her on lifestyle changes and start her on a moderate intensity statin and add metformin Question at position 18 A patient reports her right ear has some tinnitus, a popping fullness sensation, and vertigo after having an ear infection. What could possibly be causing her manifestations? Foreign Body Acute Otitis Media *Tympanic Membrane Perforation Chronic Otitis Externa Question at position 19 Smell and taste disturbances could be early manifestations of Alzheimer’s and Parkinson disease. *True False Question at position 20 What is the most common chief compliant that can occur across the lifespan? Hearing Loss Vision Loss *Chronic Cough Chronic Chest Tightness Question at position 21 What drug is recommended in all Heart Failure with Reduced Ejection Fraction (HFrEF) patients unless contraindicated, ejection <=40, and with or without evidence of fluid overload? Beta Blocker Loop diuretic *ACE inhibitor Digoxin Question at position 22 Anna is a 75-year-old Latino female with a new onset of hypertension. Her blood pressure is 166/80. She has been checking it at home and the reading has been around the same. She has no other comorbidities, other vital signs are within normal limits, and her physical exam is unremarkable. What is the best treatment choice for her? Lisinopril 20mg HCTZ 5mg *Lisinopril 10mg qd and HCTZ 12.5mg qd Lisinopril 10mg Question at position 23 NPs work longer hours more and more to increase profit for their employer. Overscheduling can cause better outcomes for both patients and providers. True *False Question at position 24 A 65-year-old patient suspects hearing loss. She states when her husband calls her name lately, she cannot hear him with her back turned away. What could be the most common cause for her loss of hearing? TM perforation Otitis Media Foreign body in her ear *Cerumen Impaction

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