Nokea
The remission rate of depressed patients who are 65 years and older to initial antidepressant treatment is:
- A. 30%
- B. 40%
- C. 70%
- D. 80%
Correct Answer: C
Rationale: Older adults have a higher remission rate from antidepressant treatment compared to younger populations.
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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.
What specific part of the eye is primarily examined using an ophthalmoscope?
- A. Cornea
- B. Lens
- C. Retina
- D. Iris
Correct Answer: C
Rationale: An ophthalmoscope is used to examine the retina, which includes the optic disc and blood vessels.
Which of the following is true about tolterodine?
- A. It should be avoided in men with prostatic hypertrophy.
- B. It increases the risk of constipation compared with oral oxybutynin.
- C. It acts by ablating detrusor spasms.
- D. It has greater risk of adverse effects with its twice-daily formulation.
Correct Answer: C
Rationale: Tolterodine is an anticholinergic that reduces detrusor spasms to alleviate symptoms of overactive bladder.
Which of the following statements is true?
- A. Decision-making capacity can be determined only by a psychiatrist.
- B. A diagnosis of dementia precludes competent decision making.
- C. Lack of decision-making capacity should not be presumed if the patient goes against medical advice.
- D. Expression of a choice is sufficient to indicate decision-making capacity.
Correct Answer: C
Rationale: A patient's decision-making capacity cannot be assumed to be absent solely based on their refusal of medical advice.
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.