NSG6420 midterm Exam Study Guide 2023 The first step in the genomic assessment of a patient is obtaining information regarding - family history Rheumatic heart disease is a complication that can arise from which type of infection - Group A beta hemolytic streptococcus A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of the eyes. The symptoms occur intermittently throughout the year and he has associated clear nasal discharge. Which of the following is most likely because of the inflammation? - Allergen
- Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain and
left-sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began a few months ago, intermittent, aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left shoulder, definitely affects quality of life by limiting activity. Pain is worse today; did not go away after he stopped walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs. Which of the following differential diagnoses would be most likely? - coronary artery disease with angina pectoris Which disease process typically causes episodic right upper quadrant pain, epigastric pain or chest pain that can last 4-6 hours or less, often radiates to the back (classically under the right shoulder blade) and is often accompanied by nausea or vomiting and often follows a heavy, fatty meal. - cholecystitis Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers.What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori test? - Treatment regimen is multiple medications taken daily for a few weeks An obese middle-aged client presents with a month of nonproductive irritating cough without fever. He also reports occasional morning hoarseness. What should the differential include? - Gastroesophageal reflux Jenny is a 24-year-old graduate student that presents to the clinic today with complaints of fever, midsternal chest pain and generalized fatigue for the past two days. She denies any cough or sputum production. She states that when she takes Ibuprofen and rest that the chest pain does seem to ease off.Upon examination the patient presents looking very ill. She is leaning forward and states that this is the most comfortable position for her. Temp is 102. BP= 100/70. Heart rate is 120/min and regular. Upon 1 / 2
auscultation a friction rub is audible. Her lung sounds are clear. With these presenting symptoms your
initial diagnosis would be: - pericarditis
The pathophysiological hallmark of ACD is: - Impaired ability to use iron stores A key symptom of ischemic heart disease is chest pain. However, angina equivalents may include
exertional dyspnea. Angina equivalents are important because: - A & B only
- women with ischemic heart disease many times do not present with chest pain
- some patients may have no symptoms or atypical symptoms, diagnosis may only be made at the time
of an actual myocardial infarction The cytochrome p system involves enzymes that are generally: - inhibited or induced by drugs Which of the following details are NOT considered while staging asthma? - Long-acting beta agonist usage Jeff, 48 years old, presents to the clinic complaining of fleeting chest pain, fatigue, palpitations, lightheadedness, and shortness of breath. The pain comes and goes and is not associated with activity or exertion. Food does not exacerbate or relieve the pain. The pain is usually located under the left nipple.Jeff is concerned because his father has cardiac disease and underwent a CABG at age 65. The ANP examines Jeff and hears a mid-systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is
a hallmark sign of: - mitral valve prolapse
Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This classification refers to which of the following laboratory data? - mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH) What is the most common valvular heart disease in the older adult? - aortic stenosis Your patient has been using chewing tobacco for 10 years. On physical examination, you observe a white ulceration surrounded by erythematous base on the side of his tongue. The clinician should recognize that very often this is: - squamous cell carcinoma
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