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Midterm Exam: NR577 / NR 577 (Latest 2025/2026) Primary Care Management of Adolescents and Adults - Chamberlain

HEAL100 Health Care — exam and revision material · Other

Updated today

Health Care exam material, 66 pages. Originally published on StudyMerit.

Pages
66
Academic year
2025/2026
Language
English

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heterosexual women, increasing the risk for cervical cancer (Papadakis & McPhee, 2018, pp. 1736 - 1737). 58.A 6 - month - old baby girl presents to your office for a well visit. She is up to date on all previously, required vaccinations. Which vaccinations do you anticipate ordering today? A.No vaccinations today. B.Influenza, PCV 13, Hepatitis B, and Hib. C.Hepatitis B, DTaP, Rotavirus, and Hib. D.Influenza, Hepatitis B, DTaP, Hib, Inactivated Polio, Rotavirus, and PCV 13. Answer: D At 6 months of age, the CDC recommends: 3rd dose of Hepatitis B, 3rd dose of Diphtheria, tetanus, and acellular pertussis (DTaP), 3rd dose of RotaTeq (Rotavirus), 3rd dose of Haemophilus influenzae type b (Hib), 3rd dose of Inactivated Poliovirus, 3rd dose of Pneumococcal conjugate (PCV 13), and seasonal influenza (Daley, O'Leary, & Nyquist, 2018, pp. 248 - 251) 205. A 67 - year - old woman comes to the clinic with complaints of vaginal bleeding. She states she hasn't had a period for almost 10 years now and is concerned. The NP suspects the patient most likely has endometrial cancer. Which of the following test is re quired for diagnosis?

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A. Pap smear B. Blood work C. Endometrial biopsy D. Abdominal CT Answer: C Endometrial tissue biopsy is required to confirm the diagnosis of endometrial cancer. Pap smear is frequently negative due to lack of endometrial cells. Blood work and CT are not needed to confirm diagnosis. 1. A 56 - year - old patient comes in for a routine well visit. He has a history of a previous stroke and Type 2 Diabetes. Which of the following orders would be appropriate for a patient with a previous stroke? A. Initiate statin therapy B. EEG C. Warfarin therapy with an INR goal of 2 - 3 D. MRI A. Patients with a history of an ASCVD should be started on statin therapy regardless of current LDL. The question did not mention any other symptoms that would warrant additional diagnostics. Warfarin therapy is only indicated if indicated. AFIB would be the primary indication for anticoagulation after a stroke.

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156. The NP sees a 7 - year - old female in the office whose mother says she had an episode of hematuria earlier in the day. She also states she notices her daughter's eyes are "puffy". The only history she reports is strep throat 10 days ago and she completed antibiotic therapy. The NP might suspect: a. Postinfectious Glomerulonephritis b. UTI c. Polycystic Kidney Disease d. Hemolytic - uremic Syndrome a. Postinfectious Glomerulonephritis 107. A 23 - year - old premenopausal women presents to the office concerned about a milky discharge from various areas around the areola of her breast. Patient's breast exam is negative. She has no other complaints and only takes a combination oral contracepti ve. Which of the following options would not be appropriate, during initial evaluation? A. Stop the combination oral contraceptive pill, use a different form of abstinence. Follow - up in three months to see if the discharge has stopped. B. Order an ultrasonography, follow - up in 3 months. C. Refer to oncologist because a milky discharge is a sign of breast cancer. D. Order a prolactin level, follow - up in 3 months. C

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