A 78-year-old man has an emergency partial colectomy for lower gastrointestinal bleeding. A localized colonic adenocarcinoma is completely resected. The surgeon did not dissect lymph nodes for metastatic sampling. The patient wants to know if he should have chemotherapy. Should he?- Skildor

Question 1 of 5

A 78-year-old man has an emergency partial colectomy for lower gastrointestinal bleeding. A localized colonic adenocarcinoma is completely resected. The surgeon did not dissect lymph nodes for metastatic sampling. The patient wants to know if he should have chemotherapy. Should he?

A. Yes because without knowing his complete staging it would be safer. B. No because he can be followed with serial carcinoembryonic antigens and CT scans. C. Yes because the severe bleeding indicates advanced disease. D. No because he is too old and will not likely have any problems during his lifetime.

Correct Answer: B

Rationale: Follow-up with serial carcinoembryonic antigens and CT scans is appropriate after resection of localized disease.

Question 2 of 5

On examination, a patient is noted to have a "mask-like" face with decreased blinking and a characteristic stare. These features may be characteristic of:

A. Nephrotic syndrome B. Myxedema C. Cushing�s syndrome D. Parkinson disease

Correct Answer: D

Rationale: A "mask-like" face is a classic feature of Parkinson�s disease.

Question 3 of 5

What is an appropriate step in the initial management of the seven patients receiving atypical antipsychotics?

A. No action is necessary, because one potential indication for atypical antipsychotic use is refractory behavioral disturbance in persons with significant dementia. B. Taper to discontinue the atypical antipsychotic; after a 2-week washout, begin therapy with zolpidem. C. Taper to discontinue the atypical antipsychotic, and create day programs that allow patients to develop a sleep deficit/need through the morning/afternoon/early evening. D. Start modafinil or a similar short-acting stimulant to minimize daytime sleepiness.

Correct Answer: C

Rationale: Creating day programs that help establish a sleep deficit and discontinuing antipsychotics is appropriate for managing the patients� sleep issues.

Question 4 of 5

Children born with Down syndrome often have other anomalies. They especially require evaluation of what body system?

A. Orthopedic B. Gastrointestinal C. Cardiac D. Endocrine

Correct Answer: C

Rationale: Children with Down syndrome often have congenital heart defects.

Question 5 of 5

A 40-year-old admits to multiple sex partners and presents with several lesions over his body. Findings reveal hemorrhagic vesiculopustular lesions over the hands and feet. These lesions are most likely associated with:

A. Gonococcemia B. Infective endocarditis C. Hyperthyroidism D. Peripheral vascular disease

Correct Answer: A

Rationale: Hemorrhagic vesiculopustular lesions, particularly on the hands and feet, are associated with gonococcemia.

jarvis physical assessment test bank

Skildor

ATI RN

ATI RN

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