Assignment: Radionucleotide Imaging

Assignment: Radionucleotide Imaging

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Question 12 (1 point)

A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate thyroid nodules for potential malignancy, which test is performed?

Question 12 options:

a) Radionucleotide imaging

b) Serum calcitonin

c) Serum TSH level

d) Thyroid ultrasound

Question 13 (1 point)

What are some common goals of neuropsychiatric evaluation?

Question 13 options:

a) To definitively diagnose neurobehavioral disorders

b) To determine the need for neurosurgical procedures

c) To evaluate cognition when neuro-diagnostic tests are normal

d) To help identify rehabilitation goals in brain-injured patients

e) To monitor changes in symptoms over time

Question 14 (1 point)

A patient exhibits visual field defect, ataxia, and dysarthria and complains of a mild headache. A family member reports that the symptoms began several hours prior. An examination reveals normal range of motion of the neck. What type of cerebrovascular event is most likely?

Question 14 options:

a) Hemorrhagic stroke

b) Hypertensive intracerebral hemorrhage

c) Ischemic stroke

d) Transient ischemic attack

Question 15 (1 point)

An elderly patient is brought to the emergency department after being found on the floor after a fall. The patient has unilateral sagging of the face, marked slurring of the speech, and paralysis on one side of the body. The patient’s blood pressure is 220/190 mm Hg. What is the likely treatment for this patient?

Question 15 options:

a) Carotid endarterectomy

b) Close observation until symptoms resolve

c) Neurosurgical consultation

d) Thrombolytic therapy

Question 16 (1 point)

What are initial approaches when managing delirium in a hospitalized patient who is agitated and confused?

Question 16 options:

a) Administer medications for sleep

b) Apply physical restraints

c) Attend to hydration and toileting needs

d) Decrease stimulation

e) Discontinue any non-essential medications

Question 17 (1 point)

A previously lucid patient with early-stage Alzheimer’s disease is hospitalized after a surgical procedure and exhibits distractibility and perceptual disturbances that occur only in the late afternoon. The patient has difficulty sleeping at night and instead sleeps much of the morning. What is the likely cause of these symptoms?

Question 17 options:

a) Hyperactive delirium

b) Hypoactive delirium

c) Sundowner syndrome

d) Worsening dementia

Question 18 (1 point)

An elderly patient has symptoms of depression and the patient’s daughter asks about possible Alzheimer’s disease since there is a family history of this disease. A screening evaluation shows no memory loss. What is the initial step in managing this patient?

Question 18 options:

a) Order brain imaging studies such as CT or MRI

b) Perform genetic testing to identify true risk

c) Prescribe a trial of an antidepressant medication

d) Recommend a trial of a cholinesterase inhibitor drug

Question 19 (1 point)

A patient with dementia experiences agitation and visual hallucinations and is given haloperidol with a subsequent worsening of symptoms. Based on this response, what is the likely cause of this patient’s symptoms?

Question 19 options:

a) Alzheimer’s disease

b) Lewy body dementia

c) Pseudodementia

d) Vascular neurocognitive disorder

Question 20 (1 point)

Which medications may be useful in treating tension-type headache?

Question 20 options:

a) Antiemetics

b) Lithium

c) Muscle relaxants

d) NSAIDs

e) Oxygen

Question 21 (1 point)

A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is effective for a majority of patients with cluster headaches?

Question 21 options:

a) Lithium

b) NSAIDs

c) Oxygen

d) Verapamil

Question 22 (1 point)

A patient with a seizure disorder has seizures which begin with eye twitching and occasionally visual hallucinations. Which site in the brain is the seizure focus?

Question 22 options:

a) Frontal

b) Occipital

c) Parietal

d) Temporal

Question 23 (1 point)

A patient who has a seizure disorder and who takes levetiracetam is brought to an emergency department with a seizure which has persisted for15 minutes and which immediately followed another 15 minute seizure. What is the priority action for this patient?

Question 23 options:

a) Administer a dose of levetiracetam now and repeat in 10 minutes

b) Administer lorazepam and monitor cardiorespiratory status

c) Administer phenytoin and phenobarbital along with oxygen

d) Admit the patient to the hospital for a diagnostic work up

Question 24 (1 point)

Which drug is used to treat patients with focal epilepsy and complex partial seizures?

Question 24 options:

a) Carbamazepine

b) Ethosuximide

c) Lamotrigine

d) Topiramate

Question 25 (1 point)

Benign prostatic hypertrophy is a common finding as men age. Classically, this condition has many symptoms. Please select all that apply:

Question 25 options:

a) Difficulty initiating urinary stream

b) Urinary hesitancy and urgency

c) Sensations of a full bladder and bladder spasms

d) Incontinence and post void dribbling

Question 26 (1 point)

A 63 year old client presents to you with hematuria, hesitancy and dribbling. Digital rectal examination (DRE) reveals a moderately enlarged prostate that is smooth. The client’s prostate specific antigen (PSA) is 1.2. What is the most appropriate management strategy for the provider to follow at this time?

Question 26 options:

a) Prescribe an alph adrenergic blocker

b) Recommend saw palmetto extract

c) Prescribe antibiotic

d) Refer the client to urology

Question 27 (1 point)

A 15 year old client comes in with acute abdominal pain. When taking his history the nurse practitioner (NP) finds that he fell off his bike this morning and has vomited. Upon closer examination the NP determines his pain is localized to the Left groin and testicle. He is afebrile and reports no dysuria. The most likely differential diagnosis is:

Question 27 options:

a) Testicular torsion

b) Epididymitis

c) Hydrocele

d) Varicocele

Question 28 (1 point)

A client is pregnant and has been taking the same levothyroxine medication for years. What might the provider expect to do with the levothyroxine medication?

Question 28 options:

a) Increase the dosage while pregnant

b) Maintain her established dose

c) Decrease her dosage during the pregnancy

d) Decrease her dosage during the pregnancy

Question 29 (1 point)

A TSH of 0.2 can lead to the following symptoms.

Question 29 options:

a) Osteoporosis

b) Weight loss

c) Bradycardia

d) Diarrhea

Question 30 (1 point)

Which of the following are causes of dementia in older adults that can be removed or reversed?

Question 30 options:

a) Polypharmacy and nutritional disorders

b) Alzheimer’s diease and vascular disorders

c) Metabolic disorders and space-occupying lesions

d) Infections affecting the brain and polypharmacy

Assignment: Radionucleotide Imaging

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