Multiple choice Items(13)

Midterm Exam ANP 652

16 Immunologic mediators that play a role in the pathophysiology of fever include all of the following except:

 Interleukin 1 - primary

 Interleukin 2

 Interleukin 6

 Tumor necrosis factor

Question Points: 1.0 / 1.0

17 The most common causes of fever in a geriatric patient include all of the following except:

 Malignancies

 Medication effect

 Connective tissue disorders (rheumatoid arthritis, sarcoidosis, temporal arteritis)

 Sexually transmitted infections (chlamydia, herpes)

Question Points: 1.0 / 1.0

19 Areas of occult infection include:

 Sinuses, teeth, central nervous system

 Lung, ear, throat

 Skin, joints, lymph nodes

 Pelvis, abdomen, and chest

Question Points: 1.0 / 1.0

27 The most common causes of fever in a geriatric patient include all of the following except:

 Malignancies

 Medication effect

 Connective tissue disorders (rheumatoid arthritis , sarcoidosis, temporal arteritis)

 Sexually transmitted infections (chlamydia, herpes)

Question Points: 1.0 / 1.0

29 Robert is a 72-year-old male with a past medical history significant for CHF, hypertension, and diabetes, who presents to the ER with a family member who states that Robert has been acting strange lately. Which of the following is an assessment tool most commonly used to screen for dementia?

 MMSE

 Tinetti

 Romberg

 GDS

Question Points: 1.0 / 1.0

32 Viral infections include which of the following:

 Rocky Mountain spotted fever and Q fever

 Malaria and toxoplasmosis

 Histoplasmosis and cryptococcosis

 Epstein-Barr virus and cytomegalovirus

Question Points: 1.0 / 1.0

36 Tamara is a 68-year-old female with a past medical history significant for CHF and recently found to have DIC in the intensive care unit. Which one of the following is not a therapeutic option?

 Heparin

 Amicar or EACA

 Vitamin K

 Platelet transfusion

Question Points: 1.0 / 1.0

37 Which of the following medications would be most appropriate for the patient who is suffering from neuropathic pain?

 NSAID

 Acetaminophen

 Gabapentin

 Morphine

Question Points: 1.0 / 1.0

38 Patients with central nervous system injuries and paralysis suffer from venous pooling in the legs and orthostatic hypotension. Which of the following represent etiologies for this hypotension?

 Increased of skeletal muscle pump

 Impaired sympathetic nervous system

 Impaired parasympathetic nervous system

 Impaired absorption of antihypertensive medications

Question Points: 1.0 / 1.0

39 Sarah is a 25-year-old female with no significant past medical history who presented to the ER with headache and loss of consciousness. Sarah was playing on a co-ed soccer team. She was doing a diving header to score a goal and accidentally hit her head on the goal post. What is the first diagnostic test to perform on the patient?

 Skull x-ray

 EEG

 CBC, PT/INR

 CT head

Question Points: 1.0 / 1.0

40 A 22-year-old female presents with left ear pain that increases with external ear palpation. She also noticed discharge on her pillow this morning. On physical exam, patient is afebrile and mildly ill-appearing. Otoscopic examination reveals an erythematous and edematous left ear canal with purulent exudates. Which of the following is not the likely causative organism for the patient's ear pain?

 Staphylococcus aureus

 H. influenzae

 Candida albicans

 Pseudomonas aeruginosa

Question Points: 1.0 / 1.0

42 A differential diagnosis for a patient who presents with a severe headache of recent onset, neck stiffness, and fever is:

 Subdural hematoma

 Migraines

 Tension headaches

 Meningitis

Question Points: 1.0 / 1.0

44 Which of the following has an association with AIDS dementia complex?

 "Wet, Wobbly, Whacky"

 CD4 count less than 200

 Exaggerated response to neuroleptics

 Multiple lacunar infarcts

Question Points: 1.0 / 1.0