MN 568 Unit 2 Discussion Assignment Essay Papers
MN 568 Unit 2 Discussion Assignment Essay Papers
Unit 2 Discussion
Topic: Selected Disorders of the Neurologic and Musculoskeletal Systems
You will be assigned one or more topics from the list below. MN 568 Unit 2 Discussion Assignment Essay Papers.
For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. MN 568 Unit 2 Discussion Assignment Essay Papers. You will share your information on the topic(s) you are assigned in the Unit 2 Discussion as your discussion entry The entry should be posted in the Discussion space; do not post the Discussion as an attachment.
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Neurologic System Topics:
Musculoskeletal System Topics:
MN 568 Unit 2 Discussion Assignment Essay Papers
MN 568 Unit 3 Discussion
Unit 3 Discussion
Topic: Respiratory and Cardiovascular System
You will be assigned one or more topics from the list below.
For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. The entry should be posted in the Discussion space; do not post the Discussion as an attachment.
Respiratory
Cardiovascular
MN 568 Unit 5 Discussion
Unit 5 Discussion
Topic: Renal Disease and Men’s Health Issues
(respond to only one of the topics)
Topic 1
K.N. is a 24-year-old woman who presents to the family practice clinic complaining of sudden urgency to urinate, back pain, frequent urination, and pain with urination. Symptoms began approximately 48 hours ago. She awoke from sleep with urgency and suprapubic discomfort 2 nights ago. MN568 Full Course Discussion Assignment Papers. Her urine now has a strong odor and a cloudy appearance. She has an allergy to Bactrim. MN 568 Unit 2 Discussion Assignment Essay Papers.
- What are some appropriate questions to ask the patient?
- What are three differential diagnoses for the patient?
- What physical examination would you perform?
- What diagnostics would you include?
- Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.
Urine dipstick results: Color, dark yellow, specific gravity 1.035, ph 5.5, protein (-), Ketones (-), Bilirubin (-), Trace blood, Leukoesterase (+), Nitrites (+), Urobilinogen (-)
Topic 2
Mr. J.R. is a 73-year-old man who presents to the office with a 3-day history of nausea, vomiting, and diarrhea. He also has some weakness and dizziness and a bothersome metallic taste in his mouth. The patient is pale and sweaty. He had been fine until 3 days ago when he began to experience severe nausea several hours after eating out at a restaurant. He has taken Kaopectate several times without relief. Since yesterday he has had six to seven watery stools.
- What are some appropriate questions to ask the patient?
- What are three differential diagnoses for the patient?
- What physical examination would you perform?
- What diagnostics would you include?
- Create an evidenced based plan of care. Include pharmacological and non-pharmacological treatments.
Urine dipstick: Clear, pale yellow urine, Microscopy was negative for cells, casts, pigments and crystals, SG 1.019, (-) bacteria, (-) glucose, (-) protein, WBC 1/HPF with no eosinophils, RBC 1/HPF, Na concentration= 14 meq/L, Osmolality= 769 mOsm/kg H2O. Na 144 meq/L, K 4.7 meq/L, Cl 111 meq/L, HCO3 57 mg/dL, Cr 2.6 mg/dL, Glucose random 155mg/dL, Ca 9.1 mg/dL, Phos 4.1 mg/dL, Mg 2.8 mg/dL, Alb 4.3 g/dL, H
Topic 3
Mr. E.D. is a 63-year-old retired mail carrier who presents to his primary care provider for a routine follow up for his hypertension. He complains of a 4-day history of dysuria, increased urinary frequency, and nocturia. He states that he has been having fever and chills. Denies any recent sexual activity. On examination, his temperature is 99.5 F., pulse 75 and regular, respiratory rate 16 and unlabored, and blood pressure 135/85. He does not appear acutely ill and is in no apparent distress. Examination of the abdomen was normal. A digital rectal exam revealed a moderately enlarged, firm, non-tender prostate gland. He states that he has severe urgency and difficulty urinating.
- What are some appropriate questions to ask the patient?
- What are three differential diagnoses for the patient?
- What physical examination would you perform?
- What diagnostics would you include?
- Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.
Topic 4
T.R. is a 51-year-old male who presents to his PCP with the complaint of having some problems in the bedroom. He states that for the past 7 months he has only been able to achieve temporary, partial erections that are insufficient for intercourse. MN 568 Unit 1 Discussion Assignment Essay Papers. This issue has caused T.R. and his wife to have some marital issues. He was diagnosed with hypertension. He is currently taking Hydrochlorothiazide 25 mg daily.
- What are some appropriate questions to ask the patient?
- What are three differential diagnoses for the patient?
- What physical examination would you perform?
- What diagnostics would you include?
- Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.
MN 568 Unit 6 Discussion
Unit 6 Discussion
Topic: Common Skin Issues on Primary Care
For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. The entry should be posted in the Discussion space; do not post the Discussion as an attachment. MN 568 Unit 2 Discussion Assignment Essay Papers.
Please select one of the topics from the list:
- Candidiasis cutaneous
- Contact dermatitis
- Erythema multiforme
- Cellulitis
- Impetigo
- Eczema
- Scabies
- Tinea pedis
- Lichens simplex chronicus
- Tinea versicolor
- Tinea pedis
- Tinea capitis
- Tinea cruris
- Tinea corporis
- Shingles
- Psoriasis
- Rosacea
MN 568 Unit 7 Discussion
Unit 8 Discussion
Topic: Disorders of the Musculoskeletal System
You will be assigned one or more topics from the list below.
For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. You will share your information on the topic(s) you are assigned in the Unit 8 Discussion as your discussion entry. The entry should be posted in the Discussion space; do not post the Discussion as an attachment. MN 568 Unit 2 Discussion Assignment Essay Papers.
- Bursitis
- Arthritis rheumatoid
- Osteoarthritis
- Costochondritis
- Osteoporosis
- Lumbar spinal stenosis
- Carpal Tunnel Syndrome
- Ganglion cyst
MN 568 Unit 8 Discussion
Unit 8 Discussion
Topic: Disorders of the Musculoskeletal System
You will be assigned one or more topics from the list below.
For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing You will share your information on the topic(s) you are assigned in the Unit 8 Discussion as your discussion entry. The entry should be posted in the Discussion space; do not post the Discussion as an attachment.
- Bursitis
- Arthritis rheumatoid
- Osteoarthritis
- Costochondritis
- Osteoporosis
- Lumbar spinal stenosis
- Carpal Tunnel Syndrome
- Ganglion cyst
MN 568 Unit 9 Discussion
Unit 9 Discussion
Topic: Psychosocial Disorders
You will be assigned one or more topics from the list below. For your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. You will share your information on the topic(s) you are assigned in the Unit 9 Discussion as your discussion entry. The entry should be posted in the Discussion space; do not post the Discussion as an attachment. MN 568 Unit 2 Discussion Assignment Essay Papers.
Psychosocial
- Depression
- Anxiety
- Generalized anxiety disorder
- Substance abuse, dependence, and addictions
- Bipolar disorder
- Bulimia nervosa
- Anorexia nervosa
- Obsessive compulsive disorder
- Post-traumatic stress disorder
- Panic disorder
- Adult onset attention deficit hyperactivity disorder
- Schizophrenia
- Restless legs syndrome
- Cerebrovascular accident
- Migraine headaches
- Tension headaches
- Cluster headaches
- Meningitis
- Bell’s palsy
MN 568 Unit 10 Discussion
Unit 10 Discussion
Topic: Self Reflection
This Discussion topic is based on your review and self-reflection of how you have met each of the MN 568 course outcomes in this course.
The purpose of this Discussion is to review the six course outcomes for MN 568. The five MN 568 course outcomes are:
MN 568-1: Demonstrate a consistent approach to the evaluation and management of illnesses and conditions for patients presenting in primary care setting.
MN 568-2: Order and interpret diagnostic testing based on the history and physical assessment for patients presenting with acute, episodic, and chronic illness in the primary care setting.
MN 568-3: Formulate an evidence-based management plan for patients in the primary care setting with acute, episodic, and chronic illnesses
MN 568-4: Design age appropriate health maintenance and screening plans for adult primary care patients.
MN 568-5: Form a collaborative relationship with the patient, family and other health care providers.
MN 568-6: Apply principles of informatics to primary care setting.
Provide one example of how you met each of the five course outcomes during this course. MN 568 Unit 2 Discussion Assignment Essay Papers.
Hypertension Case Study
C.D is a 55-year-old African American male who presents to his primary care provider with a 2-day history of a headache and chest pressure.
PMH
Allergic Rhinitis
Depression
Hypothyroidism
Family History
Father died at age 49 from AMI: had HTN
Mother has DM and HTN
Brother died at age 20 from complications of CF
Two younger sisters are A&W
Social History
The patient has been married for 25 years and lives with his wife and two children. The patient is an air traffic controller at the local airport. He has smoked a pack of cigarettes a day for the past 15 years. He drinks several beers every evening after work to relax. He does not pay particular attention to sodium, fat, or carbohydrates in the foods he eats. He admits to “salting almost everything he eats, sometimes even before tasting it.” He denies ever having dieted or exercised.
Medications
Zyrtec 10 mg daily
Allergies
Penicillin
ROS
States that his overall health has been fair to good during the past year.
Weight has increased by approximately 30 pounds in the last 12 months.
States he has been having some occasional chest pressure and headaches for the past 2 days. Shortness of breath at rest, headaches, nocturia, nosebleeds, and hemoptysis.
Reports some shortness of breath with activity, especially when climbing stairs and that breathing difficulties are getting worse.
Denies any nausea, vomiting, diarrhea, or blood in stool.
Self treats for occasional right knee pain with OTC Ibuprofen.
Denies any genitourinary symptoms.
Vital Signs
B/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs.
HEENT
TMs intact and clear throughout
No nasal drainage
No exudates or erythema in oropharynx
PERRLA
Funduscopy reveals mild arteriolar narrowing without nicking, hemorrhages, exudates, or papilledema
Neck
Supple without masses or bruits
Thyroid normal
No lymphadenopathy
Lungs
Mild basilar crackles bilaterally
No wheezes
Heart
RRR
No murmurs or rubs
Abdomen
Soft and non-distended
No masses, bruits, or organomegaly
Normal bowel sounds
Ext
Moves all extremities well
Neuro
No sensory or motor abnormalities
CN’s II-XII intact
DTR’s = 2+
Muscle tone=5/5 throughout
What you should do:
- Develop an evidence-based management plan.
- Include any pertinent diagnostics.
- Describe the patient education plan.
- Include cultural and lifespan considerations.
- Provide information on health promotion or health care maintenance needs.
- Describe the follow-up and referral for this patient.
- Prepare a 3–5-page paper (not including the title page or reference page). MN 568 Unit 2 Discussion Assignment Essay Papers.
Assignment Requirements:
Before finalizing your work, you should:
- be sure to read the Assignment description carefully (as displayed above);
- consult the Grading Rubric to make sure you have included everything necessary; and
- utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
- follow the conventions of Standard English (correct grammar, punctuation, etc.);
- be well ordered, logical, and unified, as well as original and insightful;
- display superior content, organization, style, and mechanics; and
- use APA 6th Edition format as outlined in the APA Progression Ladder.
MN 568 Unit 5 Seminar
This Seminar will review the graded i-Human case study.
Attending live Seminars is important to your academic success, and attendance is highly recommended. The Seminar allows you to review the important concepts presented in each unit, discuss work issues in your lives that pertain to these concepts, ask your instructor questions, and allow you to come together in real time with your fellow classmates.
There will be a graded Seminar in three units in this course. You must attend the live Seminar or listen to the archived transcript.
There will not be a Quiz for this Seminar. You must either attend Seminar or complete the alternative assignment to earn points.
Option 1- Attend Seminar
Option 2- Alternative Assignment: Listen to the archived Seminar, then write a 1-page synopsis of Seminar.
MN 568 Unit 7 Case Study
Diabetes Case Study
Chief Complaint
“My left foot feels weak and numb. I have a hard time pointing my toes up.”
History of Present Illness
D.T. is 42-year-old Caucasian woman who has had an elevated blood sugar and cholesterol 2 years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed her fasting blood sugar was 160 and her cholesterol was 250. However, she felt “perfectly fine at the time” and did not want to take any more medications. Except for a number of “female infections,” she has felt fine recently.
Today, she presents to the clinic complaining that her left foot has been weak and numb for nearly 3 weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. She does report that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 50 pounds since her last pregnancy 10 years ago, 20 pounds in the last 6 months alone. MN 568 Unit 2 Discussion Assignment Essay Papers.
Past Medical History
- Seasonal allergic rhinitis (since her early 20s)
- Breast biopsy positive for fibroadenoma at age 30
- Gestational diabetes with second child 10 years ago
- Multiple yeast infections during the past 3 years that she has self-treated with OTC antifungal creams and salt bath
- Hypertension for 10 years
Past Surgical History
C-section 14 years ago
OB-GYN History
Family History
- Type 2 DM present in older brother and maternal grandfather. Both were diagnosed in their late 40s. Brother takes both pills and shots.
- Mother alive and well
- Father has COPD
- Two other siblings alive and well
- All three children are alive and well
Social History
- Married 29 years with 3 children; husband is a school teacher
- Family lives in a four bedroom single family home
- Patient works as a seamstress
- Smokes 1 pack per day (since age 16) and drinks two alcoholic drinks 4 days per week
- Denies illegal drug uses
- Never exercises and has tried multiple fad diets for weight loss with little success. She now eats a diet rich in fats and refined sugars. MN 568 Unit 1 Discussion Assignment Essay Papers.
Allergies
NKDA
Medications
Review of Systems
General
Admits to recent onset of fatigue
HEENT
Has awakened on several occasions with blurred vision and dizziness or lightheadedness upon standing: Denies vertigo, head trauma, ear pain, difficulty swallowing or speaking
Cardiac
Denies chest pain, palpitations, and difficulty breathing while lying down
Lungs
Denies cough, shortness of breath, and wheezing
GI
Denies nausea, vomiting, abdominal bloating or pain, diarrhea, or food intolerance, but admits occasional episodes of constipation
GU
Has experienced increased frequency and volumes of urination, but denies pain during urination, blood in the urine, or urinary incontinence
EXT
Denies leg cramps or swelling in the ankles and feet; has never experienced weakness, tingling or numbness in arms or legs prior to this episode
Neuro
Has never had a seizure and denies recent headaches
Derm
Has a rash under her bilateral breast and in groin area
Endocrine
Denies a history of goiter and has not experienced heat or cold intolerance
Vital Signs
BP 165/100, T 98 F, P 88 regular, HT 5 feet 4 inches, RR 20 non labored, WT 210 lbs
What you need to do:
- Develop an evidence-based management plan.
- Include any pertinent diagnostics.
- Describe the patient education plan.
- Include cultural and lifespan considerations.
- Provide information on health promotion or health care maintenance needs.
- Describe the follow-up and referral for this patient.
- Prepare a 3–5-page paper (not including the title page or reference page).
Format
The paper should be no more than 3–5 pages (not including the title page and reference pages.
Assignment Requirements:
Before finalizing your work, you should:
- be sure to read the Assignment description carefully (as displayed above);
- consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
- utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
- follow the conventions of Standard American English (correct grammar, punctuation, etc.);
- be well ordered, logical, and unified, as well as original and insightful;
- display superior content, organization, style, and mechanics
MN 568 Unit 8 Assignment
The i-Human scenario below is designed to help you move through a simulated clinical patient scenario. Your work will be scored by i-Human rubric below and transferred to a grade in the gradebook by faculty. This Assignment is worth 100 points.
Grading criteria for Assignment are:
History = 30
Physical Exam = 30
Differential Diagnosis = 15
Rank Differential Diagnosis = 10
Test Selection = 15
The follow up review i-Human Seminar will be held in Unit 9 and is mandatory either by live attendance or review of recording and alternative assignment. This Seminar is worth 20 points.
For this Activity, you will need to log in to your i-Human account. Instructions for logging in are as follows:
Go to https://ih2.i-human.com/.
Log in with your credentials (username and password).
Select “Assignments” from the menu options on the top left of the screen.
Press the green play button next to the Mr. Tyson case study.
The case study will open; click Start to begin.
Complete all elements of the case study (history, physical exam, assessment, etc.).
Once you have successfully completed the Assignment, take a screenshot of the last screen of the activity, paste it into a Microsoft Word document, save your document, and Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
For help creating a screenshot, visit the website below. MN 568 Unit 2 Discussion Assignment Essay Papers.
Take a Screenshot. Retrieved from http://www.take-a-screenshot.org
MN 568 Unit 2 Exam
Question 1 0 / 2 points
Acute angle-closure glaucoma involves a sudden severe rise in intraocular pressure. Which of the following ranges represents normal intraocular pressure?
Question options:
a)
0 to 7 mm Hg
b)
8 to 21 mm Hg
c)
22 to 40 mm Hg
d)
40 to 80 mm Hg
Question 2 0 / 2 points
Which obstructive lung disease is classified as reversible?
Question options:
a)
Asthma
b)
Chronic bronchitis
c)
Emphysema
d)
COPD
Question 3 0 / 2 points
A 65-year-old man presents to the clinician with complaints of increasing bilateral peripheral vision loss, poor night vision, and frequent prescription changes that started 6 months previously. Recently, he has also been seeing halos around lights. The clinician suspects chronic open-angle glaucoma. Which of the following statements is true concerning the diagnosis of chronic open-angle glaucoma?
Question options:
a)
The presence of increased intraocular pressure measured by tonometry is definitive for the diagnosis of open-angle glaucoma.
b)
The clinician can definitively diagnosis open-angle glaucoma based on the subjective complaints of the patient.
c)
Physical diagnosis relies on gonioscopic evaluation of the angle by an ophthalmologist.
d)
Early diagnosis is essential in order to reverse any damage that has occurred to the optic nerve.
Question 4 2 / 2 points
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from infection with which of the following pathogens?
Question options:
a)
Coxsackievirus
b)
Cytomegalovirus
c)
Francisella tularensis
d)
Group A streptococcus
Question 5 2 / 2 points
The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is strongly suggestive of which type of infection?
Question options:
a)
HSV type 2
b)
HIV
c)
Pneumonia
d)
Syphilis
Question 6 0 / 2 points
Your patient is on Therabid for his asthma. You want to maintain his serum levels between:
Question options:
a)
0 to 5 mcg/mL
b)
5 to 10 mcg/mL
c)
5 to 15 mcg/mL
d)
10 to 20 mcg/mL
Question 7 0 / 2 points
African American patients seem to have a negative reaction to which of the following asthma medications?
Question options:
a)
Inhaled corticosteroids
b)
Long-term beta-agonist bronchodilators
c)
Leukotriene receptor agonists
d)
Oral corticosteroids
Question 8 2 / 2 points
Which of the following statements is true concerning the use of bilberry as a complementary therapy for cataracts?
Question options:
a)
The body converts bilberry to vitamin A, which helps to maintain a healthy lens.
b)
Bilberry blocks an enzyme that leads to sorbitol accumulation that contributes to cataract formation in diabetes.
c)
Bilberry boosts oxygen and blood delivery to the eye.
d)
Bilberry is a good choice for patients with diabetes as it does not interact with antidiabetic drugs.
Question 9 2 / 2 points
Your patient has decided to try to quit smoking with Chantix. You are discussing his quit date, and he will begin taking the medicine tomorrow. When should he plan to quit smoking?
Question options:
a)
He should stop smoking today.
b)
He should stop smoking tomorrow.
c)
His quit date should be in 1 week.
d)
He will be ready to quit after the first 30 days.
Question 10 2 / 2 points
The forced vital capacity is decreased in:
Question options:
a)
Asthma
b)
Chronic bronchitis
c)
Emphysema
d)
Restrictive disease
MN 568 Unit 4 Exam
Question 1 0 / 2 points
Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn for several months and takes Tums® with temporary relief. He has been waking during the night with a burning sensation in his chest. Which additional information would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain? .MN568 Full Course Discussion Assignment Papers
Question options:
a)
The pain seems better when he smokes to relieve his nerves.
b)
Coffee and fried foods don’t bother him,
c)
He wakes at night coughing with a bad taste in his mouth.
d)
All of the above
Question 2 2 / 2 points
A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis?
Question options:
a)
Very early
b)
3 to 4 hours after perforation
c)
Late in inflammation
d)
Appendicitis never presents with vague pain.
Question 3 2 / 2 points
A patient is seen with complaints of diarrhea. Which of the following should be included in the patient’s differential diagnosis?
Question options:
a)
Gastroenteritis
b)
Inflammatory bowel disease
c)
Lactase deficiency
d)
All of the above
Question 4 0 / 2 points
If chest pain can be alleviated with time, analgesics, and heat applications, what might the differential diagnosis be?
Question options:
a)
Peptic ulcer
b)
Hiatal hernia
c)
Costochondritis
d)
Pericarditis
Question 5 2 / 2 points
A patient is seen in the office with complaints of six to seven liquid bowel movements per day. Which of the following assessment findings would lead the NP to a diagnosis of inflammatory bowel disease?
Question options:
a)
Intermittent constipation with periods of diarrhea
b)
Wakens at night with diarrhea
c)
History of international travel
d)
All of the above
Question 6 2 / 2 points
In which type of arterioventricular (AV) block does the pulse rate (PR) interval lengthen until a beat is dropped? MN568 Full Course Discussion Assignment Papers
Question options:
a)
First-degree AV block
b)
Second-degree Mobitz I AV block
c)
Second-degree Mobitz II AV block
d)
Third-degree AV block
Question 7 2 / 2 points
For the best therapeutic effect after a myocardial infarction (MI), thrombolytics should be administered within the first 3 hours (ideally 30 minutes) of symptom onset. Studies have shown, however, that thrombolytic therapy can be of benefit up to how many hours after the initial presentation of MI symptoms?
Question options:
a)
6 hours
b)
8 hours
c)
10 hours
d)
12 hours
Question 8 2 / 2 points
Which of the following is associated with celiac disease (celiac sprue)?
Question options:
a)
Malabsorption
b)
Constipation
c)
Rectal bleeding
d)
Esophageal ulceration
Question 9 2 / 2 points
A 46-year-old female patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient?
Question options:
a)
CBC with differential
b)
Urine human chorionic gonadotropin
c)
Barium enema
d)
Computed tomography of the abdomen
Question 10 2 / 2 points
Which high-density lipoprotein (HDL) level is considered cardioprotective?
Question options:
a)
Greater than 30
b)
Greater than 40
c)
Greater than 50
d)
Greater than 60
MN 568 Unit 1 Discussion Assignment Essay Papers
MN 568 Unit 6 Exam
Question 1 2 / 2 points
A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting, and diaphoresis. In addition to nephrolithiasis, which of the following should be added to the list of differential diagnoses?
Question options:
a)
Pancreatitis
b)
Peptic ulcer disease
c)
Diverticulitis
d)
All of the above
Question 2 2 / 2 points
Which of the following would be an appropriate treatment for a patient with mild BPH?
Question options:
a)
Refer to a urologist for surgery.
b)
Prescribe a trial of tamsulosin.
c)
Recommend cranberry supplements.
d)
Reevaluate symptoms in 1 to 3 months.
Question 3 2 / 2 points
The result of the patient’s 24-hour urine for protein was 4.2 g/day. The clinician should take which of the following actions? MN568 Full Course Discussion Assignment Papers.
Question options:
a)
Repeat the test.
b)
Refer to a nephrologist.
c)
Measure the serum protein.
d)
Obtain a blood urea nitrogen (BUN) and creatinine.
Question 4 2 / 2 points
Which is the most potent and irritating dose of tretinoin?
Question options:
a)
0.05% liquid formulation
b)
0.1% cream
c)
1% foam
d)
0.02% cream
Question 5 2 / 2 points
Which of the following clinical manifestations are consistent with a patient in ARF?
Question options:
a)
Pruritis
b)
Glycosuria
c)
Irritability
d)
Hypotension
Question 6 2 / 2 points
Which of the following is an infraorbital fold skin manifestation in a patient with atopic dermatitis?
Question options:
a)
Keratosis pilaris
b)
Dennie’s sign
c)
Keratoconus
d)
Pityriasis alba
Question 7 2 / 2 points
The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this patient for which of these side effects?
Question options:
a)
Erectile dysfunction
b)
Glaucoma
c)
Hypotension
d)
Headache
Question 8 2 / 2 points
When using the microscope for an intravaginal infection, you see something translucent and colorless. What do you suspect?
Question options:
a)
A piece of hair or a thread
b)
Hyphae
c)
Leukocytes
d)
Spores
Question 9 2 / 2 points
Your patient is in her second trimester of pregnancy and has a yeast infection Which of the following is a treatment that you usually recommend/order in nonpregnant patients, but is listed as a Pregnancy category D? MN568 Full Course Discussion Assignment Papers.
Question options:
a)
Vagistat vaginal cream
b)
Monistat combination pack
c)
Terazol vaginal cream
d)
Diflucan, 150 mg
Question 10 2 / 2 points
A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that might be the cause of hematuria?
Question options:
a)
NSAIDs
b)
Beets
c)
Vitamin A
d)
Red meat
MN 568 Unit 8 Exam
Question 1 2 / 2 points
Osteoarthritis is primarily a noninflammatory condition.
Question options:
a) True
b) False
Question 2 2 / 2 points
Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy?
Question options:
a)
Insulin
b)
Metformin
c)
Glucotrol
d)
Precose
Question 3 2 / 2 points
After removing a tack from a type 2 diabetic’s heel and evaluating the site for infection, what is the best plan for this patient?
Question options:
a)
Suggest she use a heating pad to improve circulation.
b)
Refer to a podiatrist for a foot care treatment plan.
c)
Send her for acupuncture treatments.
d)
All of the above
Question 4 2 / 2 points
Sam is a 25-year-old who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?
Question options:
a)
Morning stiffness and limited mobility of the lumbar spine
b)
Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain
c)
Fever, chills, and elevated erythrocyte sedimentation rate
d)
Pathologic fractures, severe night pain, weight loss, and fatigue
Question 5 2 / 2 points
John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?
Question options:
a)
Valgus stress test
b)
McMurray circumduction test
c)
Lachman test
d) Varus stress test . MN568 Full Course Discussion Assignment Papers.
Question 6 2 / 2 points
The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptoms of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs?
Question options:
a)
“You should start with the lowest dose that is effective in managing your pain, because long-term use of NSAIDs can result in gastrointestinal (GI) disorders such as ulcers and hemorrhage.”
b)
“You should start with the lowest dose that is effective in managing your pain to avoid developing tolerance to the medication.”
c)
“You should take the maximum recommended dose of NSAIDs so that you will not need to take narcotics to control your pain.”
d)
“It is important to take NSAIDs on an empty stomach in order to increase absorption.”
Question 7 2 / 2 points
The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is not always necessary for an injured ankle and that the decision to obtain radiographs is dependent on the examination and Diane’s description of her injury. Which of the following clues in Diane’s examination or history would alert the clinician to the need for obtaining radiographs?
Question options:
a)
Inability to bear weight immediately after the injury
b)
Development of marked ankle swelling and discoloration after the injury
c)
Crepitation with palpation or movement of the ankle
d)
All of the above
Question 8 2 / 2 points
The clinician finds numerous nodules on the thyroid of a 65-year-old woman. The clinician suspects thyroid cancer. Which of the following data would be most significant for this patient?
Question options:
a)
A history of tonsillectomy in the 1940s
b)
Recent exposure to mumps
c)
Vegetarian diet
d)
Allergy to iodine
Question 9 2 / 2 points
A vegetarian patient with gout asks the clinician about food he should avoid. The clinician should advise the patient to avoid which of the following foods?
Question options:
a)
Rice
b)
Carrots
c)
Spinach
d) Potatoes. MN568 Full Course Discussion Assignment Papers.
Question 10 2 / 2 points
One of the most frequent presenting signs/symptoms of osteoporosis is:
Question options:
a)
Goiter
b)
Abnormal serum calcium
c)
Elevated urine biochemical markers
d)
Bony fracture
Question 11 2 / 2 points
After 6 months of Synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies?
Question options:
a)
Elevated TSH
b)
Normal TSH
c)
Low TSH
d)
Undetectable TSH
Question 12 2 / 2 points
Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?
Question options:
a)
Decreased C-reactive protein
b)
Hyperalbuminemia
c)
Morning stiffness
d)
Weight gain
Question 13 2 / 2 points
The clinician prescribes glipizide (Glucotrol) for a diabetic patient. Which statement made by the patient would indicate that your teaching has been effective?
Question options:
a)
“I’ll take my pill at least 30 minutes before breakfast.”
b)
“I’ll take my Glucotrol before bedtime.”
c)
“It is important to take my medication right after I eat.”
d)
“Since I only like to eat two meals a day, I can take the pill between my meals.”
Question 14 2 / 2 points
The presence of a positive rheumatoid factor is always indicative of rheumatoid arthritis.
Question options:
a) True
b) False
Question 15 2 / 2 points
Which of the following statements is true regarding the treatment of carpal tunnel syndrome?
Question options:
a)
The goal of treatment is to prevent flexion and extension movements of the wrist.
b)
Splints are used in carpal tunnel syndrome, because they allow for free movement of the fingers and thumb while maintaining the wrist in a neutral position.
c)
Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of the risks for median nerve damage, scarring, and infection.
d)
All of the above
MN 568 Unit 10 Final
Question 1 2 / 2 points
Which statement about confusion is true?
Question options:
a)
Confusion is a disease process.
b)
Confusion is always temporary.
c)
Age is a reliable predictor of confusion.
d)
Polypharmacy is a major contributor to confusion in older adults.
Question 2 0 / 2 points
Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear?
Question options:
a)
Meclizine
b)
Diphenhydramine
c)
Diamox
d)
Promethazine
Question 3 2 / 2 points
The hallmark of an absence seizure is:
Question options:
a)
No activity at all
b)
A blank stare
c)
Urine is usually voided involuntarily
d)
The attack usually lasts several minutes
Question 4 2 / 2 points
How often should drug levels be monitored when a seizure medication has controlled the seizures, and the drug level is adequate?
Question options:
a)
Every 3 months
b)
Every 6 months
c)
Annually
d)
Whenever there is a problem
Question 5 2 / 2 points
Which of the following persons fits the classic description of a patient with multiple sclerosis (MS)? MN568 Full Course Discussion Assignment Papers.
Question options:
a)
A teenage male
b)
A 65-year-old male
c)
A 25-year-old female
d)
A 60-year-old female
Question 6 2 / 2 points
Which of the following is a specific test to MS?
Question options:
a)
Magnetic resonance imaging (MRI)
b)
Computed tomography (CT) scan
c)
A lumbar puncture
d)
There is no specific test.
Question 7 2 / 2 points
Which drug for Alzheimer’s disease should be administered beginning at the time of diagnosis?
Question options:
a)
Cholinesterase inhibitors
b)
Anxiolytics
c)
Antidepressants
d)
Atypical antipsychotics
Question 8 2 / 2 points
Which hematoma occurs along the temporal cranial wall and results from tears in the middle meningeal artery?
Question options:
a)
Epidural hematoma
b)
Subdural hematoma
c)
Subarachnoid hematoma
d)
Intraparenchymal hemorrhage
Question 9 2 / 2 points
Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing?
Question options:
a)
CN V
b)
CN VII
c)
CN IX
d)
CN X
Question 10 2 / 2 points
Which statement best describes a carotid bruit?
Question options:
a)
It is felt with the middle three fingers over the carotid artery.
b)
A bruit becomes audible when the lumen is narrowed to 1 mm or less.
c)
A low-pitched bruit is a medical emergency.
d)
The higher the pitch of the bruit, the higher the degree of stenosis.
Question 11 2 / 2 points
Which patient is more likely to have a cluster headache?
Question options:
a)
A female in her reproductive years
b)
A 40-year-old African American male
c)
A 55-year-old female who drinks 10 cups of coffee daily
d)
A 45-year-old male awakened at night
Question 12 2 / 2 points
Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of?
Question options:
a)
Dementia
b)
Alzheimer’s disease
c)
Parkinson’s disease
d)
Delirium
Question 13 2 / 2 points
Which type of meningitis is more benign, self-limiting, and caused primarily by a virus?
Question options:
a)
Purulent meningitis
b)
Chronic meningitis
c)
Aseptic meningitis
d)
Herpes meningitis
Question 14 2 / 2 points
Which is the most sensitive neuroimaging test to evaluate patients with encephalitis? MN568 Full Course Discussion Assignment Papers.
Question options:
a)
MRI
b)
CT
c)
Electroencephalogram (EEG)
d)
An initial lumbar puncture
Question 15 2 / 2 points
What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster?
Question options:
a)
A stabbing pain on one small area of the body
b)
A vesicular skin lesion on one side of the body
c)
A pain that is worse upon awakening
d)
A lesion on the exterior ear canal
Question 16 1 / 1 point
Gabby, aged 22, has Bell’s palsy on the right side of her face. Her mouth is distorted, and she is concerned about permanent paralysis and pain. What do you tell her?
Question options:
a)
“Most patients have complete recovery in 3 to 6 months.”
b)
“Unfortunately, you’ll probably have a small amount of residual damage.”
c)
“Don’t worry, I’ll take care of everything.”
d)
“You may have a few more episodes over the course of your lifetime but no permanent damage.”
Question 17 2 / 2 points
Sam, aged 65, is started on L-dopa for his Parkinson’s disease (PD). He asks why this is necessary. You tell him:
Question options:
a)
“L-dopa is neuroprotective.”
b)
“The primary goal of therapy is to replace depleted stores of dopamine.”
c)
“This is the only drug that can provide symptomatic benefit.”
d)
“This is the initial monotherapy drug.”
Question 18 2 / 2 points
Which of the following signs is seen in a patient with more advanced PD?
Question options:
a)
Resting tremor
b)
Bradykinesia
c)
Rigidity
d)
Postural instability
Question 19 2 / 2 points
Which of the following is the most commonly experienced symptom of migraine?
Question options:
a)
Light sensitivity
b)
Pulsatile pain
c)
Sound sensitivity
d)
Experiencing an aura
Question 20 2 / 2 points
Which of the following characteristics differentiates peripheral vertigo from central vertigo?
Question options:
a)
The duration of central vertigo is shorter than that of peripheral vertigo.
b)
There is an auditory-associated symptom with peripheral vertigo and a visual-associated symptom with central vertigo.
c)
Central vertigo is positional, and peripheral vertigo is not.
d)
The onset of central vertigo is more sudden than that of peripheral vertigo.
Question 21 2 / 2 points
Carotid endarterectomy should be considered only for symptomatic patients with greater than what percentage of stenosis?
Question options:
a)
Greater than 25%
b)
Greater than 50%
c)
Greater than 75%
d)
Only for 100% occlusion
Question 22 2 / 2 points
What antiplatelet agent is most widely used for secondary prevention of stroke?
Question options:
a)
Aspirin
b)
Ticlopidine
c)
Clopidogrel
d)
Aspirin and clopidogrel
Question 23 2 / 2 points
Which adjunctive diagnostic test should be used in the work-up of a patient with suspected Creutzfeldt-Jakob disease or transient epileptic amnesia?
Question options:
a)
MRI
b)
CT
c)
Cerebrospinal fluid analysis
d)
EEG
Question 24 2 / 2 points
Which herbal preparation may cause delirium and should be avoided in an elderly patient?
Question options:
a)
Sam-e
b)
Saint John’s Wort
c)
Melatonin
d)
Saw Palmetto
Question 25 0 / 2 points
Which of the following activities is part of the functional activities questionnaire?
Question options:
a)
Asking the patient to unravel a Rubik’s cube
b)
Determining if the patient can drive on the highway
c)
Asking the patient about a news event from the current week
d)
Seeing if the patient can keep his or her home clean
Question 26 2 / 2 points
About 90% of all headaches are?
Question options:
a)
Tension
b)
Migraine
c)
Cluster
d)
Without pathological cause
Question 27 2 / 2 points
Which statement is true regarding driving and patients with a seizure disorder
Question options:
a)
Once diagnosed with a seizure disorder, patients must never drive again.
b)
After being seizure free for 6 months, patients may drive.
c)
Each state has different laws governing driving for individuals with a seizure disorder.
d) These persons may drive but never alone. MN568 Full Course Discussion Assignment Papers
Question 28 2 / 2 points
Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which medication might help given intravenously once a month?
Question options:
a)
Glatiramer acetate
b)
Natalizumab
c)
Fingolimod
d)
Glucocorticoids
Question 29 2 / 2 points
The ‘freezing phenomenon’ is a cardinal feature of?
Question options:
a)
Parkinson’s disease
b)
Alzheimer’s disease
c)
A CVA
d)
Bell’s palsy
Question 30 2 / 2 points
A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as?
Question options:
a)
Spinothalamic dysfunction
b)
Ratcheting
c)
Cogwheeling
d)
Hand tremors
Question 31 2 / 2 points
Clinical features of insidious onset, slow progression, and a lack of other findings to explain the symptoms are fairly diagnostic of which condition?
Question options:
a)
Guillain-Barré syndrome
b)
Parkinson’s disease
c)
Alzheimer’s disease
d)
Huntington’s disease
Question 32 1 / 1 point
Which condition is characterized by the impaired ability to learn new information along with either a cognitive disturbance in language, function, or perception?
Question options:
a)
Guillain-Barré syndrome
b)
Parkinson’s disease
c)
Alzheimer’s disease
d)
Delirium
Question 33 2 / 2 points
A score of 20 to 25 on this test indicates early-stage Alzheimer’s disease:
Question options:
a)
SLUMS
b)
MoCA
c)
FAST
d)
MMSE
Question 34 2 / 2 points
Intravenous thrombolytic therapy following an ischemic CVA should be given within how many hours of symptom onset?
Question options:
a)
1 hour
b)
3 hours
c)
6 hours
d)
12 hours
Question 35 2 / 2 points
When administered at the beginning of an attack, oxygen therapy may help this kind of headache?
Question options:
a) Tension
b) Migraine
c) Cluster
d) Stress