A patient comes into the orthopedic clinic complaining of severe pain in his hip that was not caused by a fall. On inspection, the femur and tibia are bowed. There is also a reduced angle of the femoral neck, which gives the patient a “waddling gait” appearance. The specialist diagnoses him with Paget disease. The patient asks his NP, “how’d I get that?” The NP will respond:

 A 56-year-old woman comes to her NP for evaluation for acid-reflux & swallowing difficulties not improving with H2-blocker or proton pump inhibitors.  Review of symptoms endorses fatigue and dryness and “tightness” of the skin. The NP notices during her physical exam that the patient has skin tightening over the face, hands, and forearms. Telangiectasia is noted of the cheeks. Which of the following is the most likely presentation of the patient’s presentation? 

A 50-year-old woman comes to her primary care NP because of progressively worsening pain, stiffness, and swelling in her joints. The patient endorses morning stiffness that improves after about 2 hours. In addition, she reports generalized fatigue despite getting adequate rest each night. Serology testing is positive for antinuclear and anti-cyclic citrullinated peptide antibodies. Which of the following joint will likely be affected in this patient? 

A 45-year-old female comes to your primary care office to establish care. She reports that over the past year, she has been tired a lot and has gained 10 pounds. She states that she has near-constant pain “all over” that is worst in her shoulders, low back, and buttocks. She cannot pinpoint any specific joints that are involved. She has not been sleeping well. She has missed several days of work for her symptoms this year. Her past medical history includes type 2 diabetes mellitus (DM) and hypercholesterolemia, although previous labs show these conditions are controlled, and she has a normal CBC, CMP and sed rate. Her medications are metformin and simvastatin.  You diagnose her with . Treatments for her condition will include

The NP is working in a rural health clinic and assesses a patient who was was working in auto shop sustained a crush injury to the right forearm. The patient is complaining of extreme pain. The patient also complains of numbness. Assessment shows the R arm to be pale in color and cooler to touch, with a diminished pulse.  Which of the following actions by the NP is appropriate? 

Where is the gallbladder located in the abdomen? 

How many instrument categories are there? 

For online classes, you can take proctored exams either on-campus or remotely. Who will proctor your exams if you take them remotely?

In the United States, small businesses:

STOP! Do not answer the next two questions until you are ready to submit your exam. If you run out of time for the last two questions or you experience any issues during the exam, be sure to report them immediately after the exam. The link can be found on the Unit 3 Review page.