1 Individuals with a history of Parkinson’s

1 Individuals with a history of Parkinson’s disease, stroke, multiple sclerosis, or spinal cord injury are at increased risk for which type of urinary Your instructo disorder? A)Overactive bladder (B) Overflow incontinence C) Urge incontinence (D Stress incontinence 2 A patient presents for initial management of chronic obstructive pulmonary disease (COPD). Upon review of the ABCD algorithm, you note the patient is a category B. Which treatment should be considered first line? (A) Long-acting muscarinic agent (B Oral glucocorticoids (C Long-acting beta-2 agonist (D Short-acting beta-2 agonist 3 Which age group is most likely to be diagnosed with chronic obstructive pulmonary disease (COPD)? A)35-40 years (B 65 and older C)45-50 years D)55-60 years 4 What is the optimal hemoglobin A1 C (HbA1C) level for a patient with diabetes? (A) There is no goal for type 1 diabetics, while type 2 diabetics should aim for levels below 7% B Below 7% for all patients C Between 8% and 10% for elderly patients D) Between 7% and 7.5% for all patients 5 In a patient with Crohn’s disease who has undergone subtotal ileocolectory, what is the likely cause of a macrocytic anemia? A)Vitamin D deficiency B)Drug-induced hemolytic anemia C )Vitamin B12 deficiency (D) Iron deficiency 6 Asthma is more likely to be diagnosed during childhood, rather than during adulthood. (True/False) (T True (F False 7 What is the safest formulation of iron supplementation for mild-to-moderate iron deficiency anemia? A)Iron dextran (Infed) (B) Iron sucrose (Venofer) C)Ferrous sulfate D)Ferumoxytol 8 Which finding in a patient’s history would help confirm a diagnosis of overflow incontinence? (AHaving herpetic lesions (B Experiencing multiple births C Working as a floor nurse (D Being a marathon runner 9 A 72-vear-old woman presents to the clinic for evaluation of hypertension. Her BP is 155/90 mg and pulse is 55 bpm. Physical examination is unremarkable. ECG shows normal sinus rhythm and echocardiogram shows left ventricular hypertrophy with normal ejection fraction (66%). Which of the following is the MOST appropriate initial treatment for this patient’s BP? A)Labetalol B)Chlorthalidone C)Metoprolol (D Furosemide 10 An adult African American patient is started on antimalarial prophylaxis for an upcoming missionary trip. He develops jaundice and a mild anemia. What is the likely diagnosis? A)Glucose-6-phosphate dehydrogenase (G6PD) deficiency B)Anemia of chronic disease C)Immune hemolytic anemia D)Sickle cell trait 11 The advantages of the novel oral anticoagulants (NOACs) over warfarin include all of the following EXCEPT (A) Bridging with parenteral anticoagulation therapy is not necessary (B More rapid onset of action C) No significant interference from diet D )Less stable pharmacologic profiles 12 Which of the following are the targets of the main treatment strategies for atrial fibrillation? A)Stroke prevention B)All of the above C)Rate control D)Rhythm control Vhich of the following is NOT a risk factor for an upper respiratory illness? A Lack of sleep (B Malnutrition C)Psychological stress (DVitamin C intake 14 I presents with symptoms of urine leakage associated with physical exertion, including coughing, laughing, running, and rising from a seated position. What is the most likely diagnosis? A Stress incontinence (B) Urge incontinence (C Overactive bladder (D) Nocturia 15 Which is an appropriate indication for the use of granulocyte colony-stimulating factor (G-CSF)? A To fight infections seen in association with sickle cell disease (B To stimulate lymphocyte maturation in patients receiving radiation therapy to the thymus C To act as a prophylaxis in patients with solid tumors receiving therapy that might cause myelosuppression To prevent reactivation of disease in patients receiving methotrexate for autoimmune disorders

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