jarvis physical assessment test bank

jarvis physical assessment test bank Related

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A 70-year-old man has bothersome lower urinary tract syndrome (LUTS) associated with benign prostatic hyperplasia (BPH). His symptoms are no longer well managed with lifestyle modifications. He is interested in medication to reduce his urinary symptoms but is concerned about possible side effects. He notes that he is recently married and sexual activity is very important to him. Which of the following medications would be most appropriate for this patient?

  • A. Alfuzosin
  • B. Ditropan
  • C. Dutasteride
  • D. Tamsulosin
Correct Answer: D

Rationale: Tamsulosin is an alpha-1 blocker that helps alleviate urinary symptoms without significantly impacting sexual function.

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The most common treatment for Helicobacter pylori is a triple therapy, interpreted as

  • A. 2 antibiotics and proton pump inhibitor for 7-14 days
  • B. 3 different antibiotics for 7-20 days
  • C. 3 rounds of the same antibiotic over 3 weeks
  • D. 2 proton pump inhibitors and 1 antibiotic for 7-14 days
Correct Answer: A

Rationale: Triple therapy for H. pylori typically includes 2 antibiotics and a proton pump inhibitor for 7-14 days.

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.

Which pathogen is associated with common urinary tract infections?

  • A. E. coli
  • B. Klebsiella
  • C. Streptococcus
  • D. Proteus mirabilis
Correct Answer: A

Rationale: E. coli is the most common pathogen responsible for urinary tract infections.

A common cause of decreased libido in men is due to:

  • A. Decreased blood flow in the hypogastric arterial system
  • B. Endocrine dysfunction
  • C. Neurologic deficit
  • D. Impaired neural innervation
Correct Answer: B

Rationale: Endocrine dysfunction, particularly low testosterone, is a common cause of decreased libido in men.

Joyce Mitchell is a 73-year-old frail female with a history of frequent falls, presenting with nausea, vomiting, sweating, and horizontal nystagmus. She is diagnosed with vestibular neuritis. What is the best initial course of treatment?

  • A. Vestibular rehabilitation
  • B. Supportive care with anti-nausea and anti-vertigo medication
  • C. Fluids
  • D. Epley maneuver
Correct Answer: B

Rationale: Supportive care with anti-nausea and anti-vertigo medication is appropriate for vestibular neuritis.

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