NP Certification Q&A

Latest Episodes:

Osteoarthritis Assessment Feb 27, 2023

Show notes

Which of the following is a most often noted in a 65-year-old woman with osteoarthritis?
A. Anemia of chronic disease is often noted.
B. Usually presents as a systemic polyarthritis.
C. Constitutional signs and symptoms, including fatigue and unintended weight loss are reported
D. Typically impacts weight-bearing joints, particularly in early disease
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YouTube: https://www.youtube.com/watch?v=FXL1JYclKTg&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=7

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Hypertension Therapy Evaluation Feb 20, 2023

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A 55-year-old woman with recently diagnosed hypertension was started on a standard dose of or a thiazide diuretic daily 6 weeks ago. Today her blood pressure is 128/78 mm Hg and the patient is feeling well, and clinical exam fails to reveal abnormal heart sounds or hypertensive retinopathy. The appropriate action at this time would be to?
A. Consider switching her HTN medication to a calcium channel blocker
B. Continue on her current medication regimen
C. Add an ACEI to enhance HTN control
D. Advise patient she needs to take her HBP for at least 1 more month prior to evaluating its effectiveness
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YouTube: https://www.youtube.com/watch?v=dXpwpEaXsXc&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=6

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Laboratory Data Interpretation Feb 13, 2023

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A 45-year-old woman with no chronic health problems presents a 6-month history increasing fatigue despite adequate opportunity for rest , worsening dry skin and increased menstrual flow volume. In analyzing the laboratory data below, which is most consistent with the diagnosis of hypothyroidism?
A. TSH <0.15 mIU/L (0.4–4.0 mIU/L), free T4=79 pmol/L (10–27 pmol/L)
B. TSH=8.9 mIU/L (0.4–4.0 mIU/L), free T4=15 pmol/L (10–27 pmol/L)
C. TSH=1.9 mIU/L (0.4–4.0 mIU/L), free T4=22 pmol/L (10–27 pmol/L)
D. TSH=64 mIU/L (0.4–4.0 mIU/L), free T4=3 pmol/L (10–27 pmol/L)
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YouTube: https://www.youtube.com/watch?v=GRTO-JwQiQs&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=5

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Hypertension Therapy Feb 06, 2023

Show notes

Saundra is a 72-year-old with hypertension who is on an appropriate dose of an ACE inhibitor with adherence. Today’s BP= 152/96 and is without HTN-related complaint. Physical exam is unremarkable.She has a history of well-controlled asthma and is using ICS/LABA therapy. Due to osteoarthritis, she reports, “I get up slowly. Sometimes I do not get the bathroom on time and I lose my urine control.” Which of the following represents the next best step in Saundra’s HTN therapy?
A.Advise that her BP is in an acceptable range
B. Thiazide diuretic therapy should be initiated
C. Add a CCB to her current therapy
D. A beta blocker represents the optimal additional therapy
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YouTube: https://www.youtube.com/watch?v=-1Xaag9qsrQ&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=4

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Antimicrobial Therapy Jan 30, 2023

Show notes

Josh is a well 16-year-old male who presents with a reporting a 4-day history of moderate left-sided otalgia with intermittent fever. Clinical assessment is consistent with acute otitis media (AOM). No drug allergy or recent (within the past month) antimicrobial use is reported. Which of the following represents the most appropriate first-line antimicrobial therapy?
A. Oral moxifloxacin
B. Oral amoxicillin
C. Oral trimethoprim-sulfamethoxazole
D. Oral azithromycin
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YouTube: https://www.youtube.com/watch?v=MEtQfkXgZXo&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=3

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Differential Diagnosis Jan 23, 2023

Show notes

A 35-year-old w presents complaining of a 15+ year history of recurrent cramping abdominal pain that is often relieved with defecation that occurs intermittently. Symptom onset is often accompanied by bloating and a change in stool frequency and form, particularly when “I eat certain foods.” She denies bloody or tarry stools, nausea, vomiting or fever. The NP notes the patient’s weight is stable, and there is no evidence of anemia. The most likely diagnosis is?
A. Irritable bowel syndrome
B. Paralytic ileus
C. Peptic ulcer disease
D. Ulcerative colitis
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YouTube: https://www.youtube.com/watch?v=9rTwmoMMBvg&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=2

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Anemia Assessment Jan 16, 2023

Show notes

The NP sees a 34-year-old woman with a chief complaint of 6-month history of increasing fatigue despite adequate opportunity to sleep and rest. Laboratory results reveal a microcytic, hypochromic anemia with elevated RDW. You expect to find which of the following upon review of the patient’s health history?
A. Report that she has been eaten a plant-based diet since age 18
B. History of prolonged menses with the need for =8 pads per day
C. Report of drinking 5 or more 5 oz glasses of wine daily
D. A prior diagnosis of rheumatoid arthritis
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YouTube: https://www.youtube.com/watch?v=V6a_DYT3KEg&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=1

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