Nokea
A 40-year-old admits to multiple sex partners and presents with several lesions over his body. Findings reveal hemorrhagic vesiculopustular lesions over the hands and feet. These lesions are most likely associated with:
- A. Gonococcemia
- B. Infective endocarditis
- C. Hyperthyroidism
- D. Peripheral vascular disease
Correct Answer: A
Rationale: Hemorrhagic vesiculopustular lesions, particularly on the hands and feet, are associated with gonococcemia.
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Which of the following is a typical sign of diabetic ketoacidosis (DKA)?
- A. Excessive urination
- B. Ketone bodies in the urine
- C. High blood pressure
- D. Slow heart rate
Correct Answer: B
Rationale: Diabetic ketoacidosis often results in the presence of ketone bodies in the urine, along with hyperglycemia.
What is the most appropriate first step in treating a patient with acute asthma exacerbation?
- A. Administer oral corticosteroids
- B. Provide oxygen therapy
- C. Administer a short-acting beta-agonist (SABA)
- D. Give intravenous fluids
Correct Answer: C
Rationale: The first line treatment for acute asthma exacerbation is a short-acting beta-agonist to relieve bronchoconstriction
A 42-year-old woman with a history of migraine headaches is requesting prophylactic medication treatment. Which medication should the Nurse Practitioner prescribe?
- A. Sumatriptan (Imitrex)
- B. Amitriptyline (Elavil)
- C. Verapamil (Verelan)
- D. Metoprolol (Lopressor)
Correct Answer: B
Rationale: Amitriptyline is used off-label for migraine prophylaxis.
A 72-year-old woman reports vaginal dryness that interferes with coitus. Her medical history includes type 2 diabetes, hypertension, and osteoarthritis. Medications are glyburide, chlorthalidone, and acetaminophen. What would be your first step in therapy?
- A. Stop glyburide
- B. Stop chlorthalidone
- C. Stop acetaminophen
- D. Start topical vaginal lubricant
Correct Answer: D
Rationale: Topical vaginal lubricants can help alleviate vaginal dryness and improve sexual function.
Examination of the hair reveals a fine silky appearance. This finding may be seen in patients that have:
- A. Hypothyroidism
- B. Hyperthyroidism
- C. Type 2 diabetes
- D. Celiac disease
Correct Answer: B
Rationale: Hyperthyroidism can lead to fine, silky hair due to the effects of thyroid hormones.