Assignment: Outpatient Orthopedic Clinic

Assignment: Outpatient Orthopedic Clinic

Assignment: Outpatient Orthopedic Clinic

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Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn’t sure which was worse, the “morning after” headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn’t know what that was and really didn’t believe them anyway. He was still thinking just fine. His friend Joe wasn’t so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie was glad

Question 2

Your patient has an elevated mean cell volume (MCV). What should you be considering in terms of diagnosis?

Question 3

A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as:

Question 4

The most effective intervention(s) to prevent stroke is (are):

Question 5

Which of the following physical modalities recommended for treatment of rheumatoid arthritis provides the most effective long term pain relief?

Question 6

An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects?

Question 7

Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is:

Question 8

Prolonged PT suggests:

Question 9

Diagnostic radiological studies are indicated for low back pain:

Question 10

An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is:

Question 11

Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?

Question 12

Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, flashbacks, and depression. What is your initial diagnosis?

Question 13

A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis?

Question 14

Which of the following statements about multiple sclerosis (MS) is correct?

Question 15

Which patient would benefit most from screening for type 2 diabetes?

Question 16

Differential diagnosis of proteinuria includes which of the following?

Question 17

A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains:

Question 18

A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is:

Question 19

What intervention does the American College of Rheumatology recommend as first line therapy for osteoarthritis?

Question 20

The cardinal sign of infectious arthritis is:

Question 21

Legal authority for advanced practice nursing rests with:

Question 22

The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:

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