Nokea
Headaches with symptoms of nausea and vomiting may be associated with all of the following, EXCEPT:
- A. Migraine headache
- B. Brain tumors
- C. Subarachnoid hemorrhage
- D. Tension headache
Correct Answer: D
Rationale: Tension headaches typically do not present with nausea and vomiting.
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An 84-year-old male with a history of stroke without residual deficit, systolic heart failure, and type 2 diabetes presents to clinic for follow-up. He is independently living in a retirement community and still works part-time on a golf course. He currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID (twice a day), furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy was 8 years ago, with no abnormality. He reports he is sexually active with men and women, engaging in receptive oral, receptive anal, and penetrative sex. He states he has had over three sexual partners in the last year with intermittent condom use.
- A. Urine testing
- B. Urine testing, blood testing
- C. Urine testing, blood testing, anal swab
- D. Urine testing, blood testing, anal swab, and oropharyngeal swab
Correct Answer: D
Rationale: Comprehensive STI testing is essential for anyone with multiple sexual partners and inconsistent condom use.
During an abdominal examination, the NP percusses the bulging area of the abdomen. Which sounds suggest the presence?
- A. Tympanic
- B. Dullness
- C. Hyperresonant sounds
- D. Normal resonance
Correct Answer: B
Rationale: Dullness suggests the presence of fluid or a solid mass in the abdomen, indicating conditions like ascites or tumors.
Rh-negative women should receive Rho (D) immunoglobulin at what gestational time?
- A. 6 weeks
- B. 12 weeks
- C. 28 weeks
- D. 35 weeks
Correct Answer: C
Rationale: RhoGAM is administered at 28 weeks for Rh-negative women.
George Hall is a 91-year-old man. If the physician agrees with his daughter and does not inform George of bad news, which ethical principle might this violate?
- A. Paternalism
- B. Autonomy
- C. Authenticity
- D. None of the above
Correct Answer: B
Rationale: Autonomy is violated when the patient is not informed about his medical condition.
Desmopressin acetate (DDAVP) nasal spray has been found to be useful in the management of enuresis in children. In which of the following situations is the drug especially beneficial?
- A. Daytime incontinence
- B. Hypertensive children with enuresis
- C. Secondary enuresis
- D. Sleepovers
Correct Answer: D
Rationale: DDAVP is especially beneficial for primary nocturnal enuresis, and may be used during situations like sleepovers.