Nokea
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to document her maternal status:
- A. Gravida 4 para 1114
- B. Gravida 4, para 1314
- C. Gravida 3, para 1114
- D. Gravida 3, para 1112
Correct Answer: A
Rationale: TPAL system: Gravida (pregnancies), Para (full-term, preterm, abortions, living children).
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Chronic bloody diarrhea could be suggestive of:
- A. Irritable bowel syndrome
- B. Crohn’s disease
- C. Hepatitis A
- D. Celiac disease
Correct Answer: B
Rationale: Chronic bloody diarrhea is common in inflammatory bowel diseases like Crohn’s disease.
Prostate pain is usually located in the:
- A. Supra pubic area
- B. Back
- C. Perineum
- D. In the glans penis
Correct Answer: C
Rationale: Prostate pain is typically felt in the perineum, lower abdomen, or groin.
A 74-year-old man who recently lost his spouse of 50 years in an auto accident tells the NP that "he has no purpose in this life":
- A. Have you told your family how you feel?
- B. Have you thought about hurting yourself?
- C. Are you taking your medication?
- D. Do you have any friends?
Correct Answer: B
Rationale: This is a key screening question to assess for suicidal ideation.
What is the first-line treatment for anaphylaxis?
- A. Epinephrine
- B. Antihistamines
- C. Intravenous fluids
- D. Corticosteroids
Correct Answer: A
Rationale: Epinephrine is the first-line treatment for anaphylaxis, as it rapidly reverses the effects of severe allergic reactions.
A 27-year-old male patient presents with a painless chancre on the shaft of his penis and regional lymphadenopathy. He is diagnosed with primary syphilis. The best initial treatment is:
- A. Ceftriaxone (Rocephin)
- B. Clindamycin (Cleocin)
- C. Metronidazole (Flagyl)
- D. Benzathine penicillin G (Bicillin L.A)
Correct Answer: D
Rationale: Benzathine penicillin G is the first-line treatment for primary syphilis.