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Which of the following as needed pain medications is safe for patients with aspirin exacerbated respiratory disease?

Choose the correct answer: A late, middle-aged adult presents to the primary care nurse practitioner with complaints of daily pain in the right foot. The pain begins at the heal and radiates to the arch of the foot when the patient is walking. The patient reports that the symptoms are worse when first applying pressure to the foot after a period of rest, such as when getting out of bed in the morning or up from a chair after a period of sitting. The pain began when the patient was breaking in a new pair of sneakers. On physical exam, the NP observes no obvious defects to the foot. The patient does have increased pain with forced dorsiflexion.  What initial recommendations are appropriate for this patient? 

Choose the correct answer: An older adult has recently relocated to a new community to live closer to family following the death of a long-term partner. The patient is establishing with a new primary care provider and is requesting refill of all medications. Past medical history is positive for hypothyroidism, obstructive sleep apnea treated by c-pap, and osteoarthritis of the knees and hips – the patient deferred surgical correction of the left knee and is being managed “medically”.  The patient participated in physical therapy in the past. The patient voices concerns about worsening pain if a prescription of pain medication is not renewed. Allergies: none Medications: levothyroxine 75 mcg daily oxycodone every 6 hours as needed for pain (patient doses 2 times per day typically)   Review of prescription drug monitoring program data shows appropriate prescription fills for oxycodone by the prior primary care nurse practitioner.   Which of the following is an appropriate initial component for the primary care nurse practitioner to include in this patient’s treatment plan today?    

What is it called when myosin pulls actin closer to the center of the sarcomere?

Differentiation and integration are essentially the same concept, as both involve dividing and coordinating tasks within an organization.

In Mintzberg’s Model, which of the following is the group where senior managers such as executives belong?

Choose the correct answer: A middle-aged adult with a negative health history presents to an urgent care clinic with complaints of an acute paralysis of the left side of the face that began 2 days ago and has worsened since that time. The patient is unable to fully close the left eye.  Physical assessment including neurological exam shows facial asymmetry including at the forehead and minimal movement of the left side of the face including the eye. The patient has no allergies or known chronic illnesses. What clinical management plan is most appropriate for this patient? 

Choose the correct answer: A middle-aged adult with a history of schizophrenia presents to a community clinic for refills of medications. The patient is new to the clinic, and the primary care nurse practitioner is completing the intake visit. T he nurse practitioner should evaluate the patient for the presence of which of the following disorders which often co-present with schizophrenia?   

Which of the following statements regarding job costing is true?  

Choose the correct answer: A young adult presents to an urgent care clinic with complaints of acute onset of pain in the right knee.  Prior to the injury, the patient was playing tennis and felt the right knee “pop” when reaching to return a ball. The patient immediately collapsed on the court and required help getting up and has not been able to bear weight on the leg since the time of injury.  On exam, the right knee is swollen and the patient is unable to fully flex or extend the knee.  Which of the following maneuvers is most specific in differentiating the most likely cause of this clinical presentation?