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- A 64 year old with HTN and DM presents with productive cough, fever, body
16 AANP Exam Review Expected Questions and Answers (Verified Answers)
aches. What diagnosis is most likely?a.Acute bronchitis b.Chronic bronchitis c.Pneumonia
d.Pertussis: c. Pneumonia
1st clue: 64 year old
2nd clue: multiple comorbidities 3rd
clue: cough, fever
what was the stem of the question? 1 / 4
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16 2.Indications for a chest xray with acute cough: abnormal vital signs (increased RR or HR, temp >38c, 100.4F rales, consolidation > or equal 75 years of age with cough*** ***Pneumonia in older patient: tachypnea, decreased O2 sat, OR change in mental status or behavior 3.A 75 year old patient wo smokes and has COPD presents with a worsening cough, weight loss, fatigue, and an enlarged right supraclavicular node. Which finding is most indicative of a right lung tumor?
1.worsening cough 2.weight loss 3.fatigue
4.supraclavicular node: 4. supraclavicular node
most important stem clue because this lymph node drains the chest and breast. It's a BIG 2 / 4
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- What symptoms most commonly accompany acute bronchitis?
16 deal!If the stem gives a unilateral finding, look for a unilateral diagnosis
1.Fever, runny nose 2.Cough, fever 3.Cough and URI symptoms
4.Cough, URI, and headache: 3. Cough and URI symptoms
Remember that bronchitis is an inflammation of the bronchioles, bronchi, and trachea; usually follows an upper respiratory infection 3 / 4
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- A 35 year old patient with acute bronchitis has no underlying lung disease. He asks,
16 Starts above the shoulders and drops down into chest.
"How long before my cough goes aways?" The NP responds:
1.<1 week 2.about 1 week 3.1-3 weeks
4.>3 weeks: 3. 1-3 weeks
The patient with bronchitis will have evidence of upper AND lower airway symptoms.COUGH, COUGH, COUGH, usually worse at night!
6.What is the management of bronchitis?: Treat symptoms! Time
is the only thing for bronchitis ABX usually prescribed, but usually not necessary
7.Differential Diagnosis for Acute Bronchitis: PND
Asthma
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