Blog

Rheumatoid arthritis (RA) is a polyarticular systemic disease that involves multiple joints bilaterally. A patient with RA typically presents with pain and swelling in the joints of the hands and feet. Which of the following is a characteristic of RA?

Your next patient is a 44-year-old mother of four who reports pain and stiffness in multiple joints that has persisted for the past 8 months. She has a diagnosis of RA, confirmed by lab results and synovial fluid analysis. Which of the following would be considered first-line therapy for the treatment of RA to achieve remission or low disease activity?

Chronic pain affects at least 116 million American adults and costs the nation up to $635 billion dollars each year. Which of the following statements is NOT included in Institute of Medicine Report on Goals of Treatment for chronic pain?

A postpartum woman develops fatigue, weight gain, and constipation. Laboratory values reveal elevated TSH and decreased T3 and T4 levels. What will the APRN tell this patient?

Answer the following questions         If the coding strand of DNA has a sequence   —- GACTCTGGCAGAAATC——   Write the sequence of the other strand of DNA     

A railroad tunnel is shaped like a semiellipse, as shown below.   The height of the tunnel at the center is 27 ft, and the vertical clearance must be 9 ft at a point 24 ft from the center. Find an equation for the ellipse. (5 points)

Find an equation in standard form for the hyperbola with vertices at (0, ±9) and foci at (0, ±10). (5 points)

A 78-year-old female patient with a history of hypertension, CHF, CAD, osteoarthritis, and mild cognitive impairment has been diagnosed with atrial fibrillation. The CHADS2-VASc scoring system is one validated measure to help estimate the annual risk of having a cerebrovascular accident with atrial fibrillation. ATRIAL FIBRILLATION: THE CHA2DS2-VASc SCORE Condition Points Patient Score CONGESTIVE HEART FAILURE Yes      1 point No       0 point HYPERTENSION Yes      1 point No       0 point AGE  >75     2 points 65-74 1 point

In order to make a diagnosis of dementia, delirium must be ruled out. However, patients with dementia are at increased risk of delirium and may have both diagnoses. Which of the following is more likely associated with dementia than delirium?

You are evaluating a 70-year-old male patient for syncope. Auscultation of his heart reveals a mid-systolic ejection murmur heard best to the right of the sternum in the second intercostal space. The harsh crescendo-decrescendo murmur is heard best with the diaphragm and it radiates to the neck. Which of the following murmurs does this represent?