Adam, 70 years old, is being evaluated for possible myasthenia gravis (MG). The FNP knows that MG is commonly seen in women between 20 and 40 years old. Adam, however, is experiencing an ocular form of MG, has dysphonia, and does not have any thymus abnormalities. Adam asks why the FNP is concerned about MG, as he is older and this is a “young person’s disease.” Which responses from the FNP are best? 

Question 8 Your next patient is 72 years old and has a wound on her right leg from a fall; the wound is infected. Betty tells the FNP that she has been changing the dressings regularly and limiting her activity. She has come in to see if anything else should be done to aid healing. Which of the following is the FNP’s best response?

Question 29 One of the things affecting drug distribution is the bioavailability of the drug. Which of the following factors may affect the amount of a drug that reaches the systemic circulation? 

Question 17 Your next patient is a 66-year-old woman experiencing itching, discomfort, and bleeding after intercourse. Which of the following conditions may be developing in the patient?

What must you see to commence a circling approach in ICAO?

(2 pts) You are enroute to Bahrain International in your Cat D airliner. RNAV approaches are NOTAM’d out due to GPS spoofing in the region and the terminal radar is also out of service. You are cleared direct to BAH to commence the full procedure ILS 12L approach. Your inbound heading (and course) to BAH is 090 degrees. The holding pattern depicted at BAH has an inbound course of 323 and an outbound course of 143.  How do you fly this approach?

(2 pts) You decide the situation at OBBI (Bahrain) is too much to handle and divert to Dubai Intl (OMDB). Unfortunately, the situation there is worse; no GPS, no radar and no ILS. You are cleared direct to DXB for the full procedure VOR DME RWY 30R. You’re still flying your Cat D airliner.  What entry sector must you arrive from to be able to proceed directly outbound on the applicable procedure turn course?

You’re flying into an international location and on final the tower reports the winds and runway visibility as follows: Wind: 240/12 m/s and Visibility: 2400 m.  What is the approximate wind speed in knots and visibility in statute miles?

ICAO approaches are designed so the pilot has some discretion when deciding how to fly them.

The nurse at a long-term care facility is reviewing a new resident’s medication regimen and notes that he takes omeprazole.  The nurse should be aware that this medication creates a risk of: