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1. Your patient is a 28-year-old female with a history of seizures. She is taking oral contraceptives. Which of the following medications may lead to contraceptive failure for this patient?
A) acetazolamide
B) gabapentin
C) carbamazepine
D) clonazepam
2. Louise is a 75-year-old patient who has been having regular Pap smears throughout her adult life. All of her Pap smears have been normal. She asks you whether she needs to keep having this test every year. Which of the following replies would be appropriate?
A) After age 70 having a Pap smear every 2 - 3 years is the norm.
B) All women must have a Pap smear annually.
C) If you are still sexually active a Pap smear is necessary every year.
D) Since you have never had abnormal results a Pap smear is no longer necessary.
3. A 13-year-old male patient has a bothersome wart on his index finger. You prescribed podofilox to be used for 4 - 6 weeks. The wart is not responding and, in fact, is interfering with hand and finger function. Which of the following would you recommend for this patient?
A) salicylic acid plaster
B) surgical excision
C) watch and wait
D) steroid cream
4. You are assessing an elderly patient and upon examination, you note severe dehydration. You know that rapid fluid resuscitation must be done to prevent which of the following?
A) adrenal dysfunction
B) thyroid dysfunction
C) hypovolemia
D) hypertension
5. A mother brings a 21-month-old Asian-American female child into the office. The chief complaint is abdominal pain with flatulence and diarrhea after eating. Up until 3 months ago, she was being breast-fed twice a day. The nurse practitioner suspects:
A) irritable bowel syndrome
B) Hirschsprung's disease
C) food allergy
D) lactose intolerance
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: D |
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