Note: it is recommended that you save your response as you complete each question.

question 1 (1 point)

an older male patient reports urinary frequency, back pain, and nocturia. a dipstick urinalysis reveals hematuria. what will the provider do next to evaluate this condition?
question 1 options:

a) order a psa and perform a digital rectal exam

b) refer for a biopsy

c) refer the patient to a urologist

d) schedule a transurethral ultrasound

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question 2 (1 point)

a 30-year-old male patient has a positive leukocyte esterase and nitrites on a random urine dipstick during a well patient exam. what type of urinary tract infection does this represent?
question 2 options:

a) complicated

b) isolation

c) uncomplicated

d) unresolved

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question 3 (1 point)

a high school athlete is brought to the emergency department after collapsing during outdoor practice on a hot day. the patient is weak, irritable, and confused. serum sodium is 152 meq/l and has dry mucous membranes and tachycardia. what is the initial approach to rehydration in this patient?
question 3 options:

a) hypotonic intravenous fluid replacement

b) intravenous fluid resuscitation with an isotonic solution

c) loop diuretics and hypotonic intravenous fluids

d) oral water replacement

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question 4 (1 point)

what is an important purpose of conducting an interview prior to beginning neuropsychological testing on an older adult suspected of having dementia?
question 4 options:

a) to assess the patient’s ability to cooperate with the testing

b) to determine the patient’s degree of dementia

c) to evaluate the patient’s feelings about family members’ concerns

d) to find out whether a referral to a specialist is needed

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question 5 (1 point)

a patient reports recurrent headaches occurring 1 or 2 times per month that generally occur with weather changes or when sleep patterns are disrupted and describes them as severe, with throbbing on one side of the head and sometimes accompanied by nausea. what is the recommended treatment for this type of headache?
question 5 options:

a) gabapentin

b) propranolol

c) rizatriptan

d) topiramate