Nokea
A patient presents with an elongated head with bony prominence of the forehead, nose, and lower jaw. These facial features could be suggestive of:
- A. Nephrotic syndrome
- B. Acromegaly
- C. Cushing’s syndrome
- D. Parkinson’s disease
Correct Answer: B
Rationale: Acromegaly is characterized by enlargement of bones and soft tissues, leading to features like a prominent jaw and forehead.
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On examination, a patient is noted to have a "mask-like" face with decreased blinking and a characteristic stare. These features may be characteristic of:
- A. Nephrotic syndrome
- B. Myxedema
- C. Cushing’s syndrome
- D. Parkinson disease
Correct Answer: D
Rationale: A "mask-like" face is a classic feature of Parkinson’s disease.
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.
During a physical examination, a patient presents with swollen lymph nodes. How should you adjust your palpation technique based on the findings?
- A. Increase the pressure to assess for tenderness
- B. Use a firmer grip to ensure you can feel the nodes
- C. Continue using soft finger pads but apply a more vigorous motion
- D. Maintain the light circular motion but focus on the areas of swelling
Correct Answer: A
Rationale: Increased pressure helps assess tenderness and the degree of swelling or possible infection in swollen lymph nodes.
Rapid Human Immunodeficiency virus (HIV) testing would be appropriate for a patient with complaints of:
- A. Painful bowel movement, anal itching, and painful or swollen testicles or abnormal menstrual bleeding
- B. Painful urination, dyspareunia, and vaginal or penile discharge
- C. Fever, headache, and lymphadenopathy
- D. None of the above
Correct Answer: C
Rationale: Acute HIV symptoms may include fever, headache, sore throat, and lymphadenopathy.
Barriers to detecting elder mistreatment include all except:
- A. The tendency for many older adults to falsely claim they are being abused
- B. The fear that one might be institutionalized if one admits to being abused
- C. The shame that older adults feel if they have been a victim of abuse
- D. The difficulty that healthcare providers have making a determination regarding abuse if the victim has dementia
Correct Answer: A
Rationale: Many older adults do not falsely claim abuse, so this is not a significant barrier.