1. A 67-year-old male presents to the clinic along with his family with a chief complaint of having problems with his short-term memory. His family had dismissed these problems and attributed them to the aging process. Over time they have noticed changes in his behavior, along with increased confusion and difficulty completing basic tasks. He got lost driving home from the bowling alley and had to be brought home by the police department. He is worried that he may have Alzheimer’s Disease (AD). Past medical and social history positive for a minor cerebral vascular accident when he was 50 years old but without any residual motor or sensory defects. No history of alcohol or tobacco use. medications is clopidogrel 75 mg po qd. Neurological testing confirms the diagnosis of AD. Question: What is Alzheimer’s Disease and how does amyloid beta factor into the development and progression of the disease?

explain the differences between primary and secondary traumatic brain injuries (TBIs)?

How does atrial fibrillation contribute to the development of aCVA?

What are the underlying causes of fibromyalgia?

The patient had pain several weeks ago after his tennis team went to a regional competition. When he rests, the pain seems to go away. The pain is alleviated when he takes Naprosyn. No history of trauma or infection in the elbow. Past medical and social history non contributary. He's a junior at the local high school and just started taking tennis lessons 2 months ago and his coach is working with him on his backhand serve. Focused physical exam revealed point tenderness over the lateral epicondyle which increases with pronation and supination. The APRN diagnoses him with lateral epicondylitis and orders a wrist splint to prevent wrist flexion. Question: Why did the APRN feel a wrist splint would be helpful? What patient characteristics lead to this diagnosis.

why did the APRN order an HLA-B27 lab? How would that lab result assist in understanding what ankylosing spondylitis?

The patient is a 45-year-old man who presents to the clinic complaining of intermittent fevers, joint pain, myalgias, and generalized fatigue. He noticed a rash several days ago that seemed to appear and disappear on different parts of his abdomen. He noticed the lesion below this morning and decided to come in for evaluation. He denies recent international travel and the only difference in his usual routine was clearing some underbrush from his back yard about a week ago. Past medical history non-contributory with exception of severe allergy to penicillin resulting in hives and difficulty breathing. Physical exam: Temp 101.1 ˚F, BP 128/72, pulse 102 and regular, respirations 18. Skin inspection revealed a 4-inch diameter bull’s eye type red rash over the left flank area. The APRN, based on history and physical exam, diagnoses the patient with Lyme Disease. She ordered appropriate labs to confirm diagnosis but felt it urgent to begin antibiotic therapy to prevent secondary complications.  

What is Lyme disease and what patient factors may have increased his risk developing Lyme disease?

why a patient with gout is more likely to develop renal calculi.

Write the following terms of Pharmacology

1.         Rectal administration

2.         Inhalation

3.         Sublingual administration

4.         Topical application

5.         Oral administration

6.         Parenteral

7.         p.r.n or prn

8.         a.c. or ac

9.         ad lib

10.       PO or p.o. or po

11.       b.i.d or bid

12.       c

13.       gm or g

14.       h

15.       IV

16.       Mg

17.       q.i.d or qid

18.       ml or mL

19.       NPO

20.       P

21.       p.c. or pc

22.       pt

23.       h.s. or hs

24.       Rx

25.       S

26.       SL

27.       q.h. or qh

28.       SQ

29.       t.i.d or tid

30.       IM

31.       q2h

32.       Analgesics

33.       Anesthetics

34.       Antibiotics and Antivirals

35.       Anticoagulants and Antiplatelets

36.       Anticonvulsants

37.       Antidepressants

38.       Antidiabetics

39.       Antihistamines

40.       Antiosteoporosis

41.       Cardiovascular

42.       Endocrine

43.       Autacoids

44.       Gastrointestinal

45.       Respiratory

46.       Sedative-Hypnotics

47.       Stimulants

48.       Neurotransmitters

49.       Tranquilizers

50.       Inhibitor

Brad presents with report of foreign object in right eye.Brad Pittman is a 35 year old welder.While at work welding , a metal splinter lodged in his eye.

Scenario:.The patient is afebrile and appears in moderate distress,clutching his face.Respirations increased .Heart rate elevated.Patient is slightly diaphoretic.No obvious debris lodged in the face,neck or hands.Nares clear.Ipsilateral lids normal.Sclera grossly inflamed .Upon examinatiuon with slit lamp,the metal splinter is embedded in the cornea but does not enter the anterior chamber.Splinter removed without complications .Contralateral eye is unaffected.Identify the Examinatio elements in this note by organ system,

A. Eye, Ears, Nose

B. Mouth, Throat

C. Skin

D. Cardiovascular and Respiratory

E. all of the above

Ampicillin 0.5G ordered 4 times a day. It is supplied in 250mg capsules. How many capsules will you give

Aspirin 975mg ordered 4 times a day. It is supplied in tablets of 325 mg. How many tablets will you give?

Phenobarbital 30 mg po q 12 hrs is ordered. It is supplied 20 mg/5ml. How much will you give? How much will the patient receive in 24 hrs?

1000ml of 0.9 NS to infuse in 10 hours what will be the rate of infusion?

1000ml of D5W to infuse in 10 hours. Tubing gtt factor is 10gtts/ml. what will be the rate of infusion?

Write prescription for following conditions below. Also, alternative medications for patients who may have allergies to Penicillin.

Sinusitis on a 20 yr old with Sickle Cell Disease

Write prescription for following conditions below. Also, alternative medications for patients who may have allergies to Penicillin.

Allergic Rhinitis on 54 yr old with glaucoma

All of the following are examples of non-traditional ambulatory care services except: