Assignment: End-stage Renal Disease

Assignment: End-stage Renal Disease

Question 73

Which is the most common cause of end-stage renal disease in the United States?

Question 74

A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient’s blood pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How should the nurse practitioner respond?

Question 75

A patient has just been diagnosed with Bell’s palsy. He is understandably upset and has questions about the prognosis. You response should be:

Question 76

Major depression occurs most often in which of the following conditions?

Question 77

At what age is screening most likely to detect scoliosis?

Question 78

A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis?

Question 79

Sam, age 67, is a diabetic with worsening renal function. He has frequent hypoglycemic episodes, which he believes means that his diabetes is getting “better.” How do you respond?

Question 80

Which of the following set of symptoms should raise suspicion of a brain tumor?

Question 81

What is the first step in the treatment of uric acid kidney stones?

Question 82

A 35 year old male presents with a complaint of low pelvic pain, dysuria, hesitancy, urgency, and reduced force of stream. The nurse practitioner suspects acute bacterial prostatitis. Which of the following specimens would be least helpful for diagnosis?

Question 83

A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis?

Question 84

How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout?

Question 85

The most reliable diagnostic indicator of gout is:

Question 86

What information should patients with diabetes and their families receive about hypoglycemia?

Question 87

Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up. On examining his feet with monofilament, you discover that he has developed decreased sensation in both feet. There are no open areas or signs of infection on his feet. What health teaching should Martin receive today regarding the care if his feet?

Question 88

Microalbuminuria is a measure of:

Question 89

Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to:

Question 90

A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time?

Question 91

The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy:

Question 92

Which factors are associated with high risk for foot complications in a patient with diabetes mellitus?

Obesity

Abnormal nails

Abnormal gait

Poorly controlled lipids

Question 93

After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured?

Question 94

A 14 year old female cheerleader reports gradual and progressive dull anterior knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis?

Question 95

A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH?

Question 96

A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be:

Question 97

A 25 year old overweight patient presents with a complaint of dull achiness in his groin and history of a palpable lump in his scrotum that “comes and goes”. On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis?

Question 98

Which of the following is the most common cause of low back pain?

Question 99

A nurse practitioner diagnoses a 60 year old male with balanitis. Which disease is commonly associated with balanitis?

Question 100

Which of the following characteristics are associated with prepatellar bursitis?