the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is: epicondylitis77.)Which of the following medications increase the risk for metabolic syndrome? Answer: antihistamines and proton pump inhibitors, diuretics, beta-blockers78.)Which of the following is a contraindication for metformintherapy? hypersensitity metabolic acidiosis, dehydration, sepsis, hypoxemia, hepatic impairment, renal dysfunction79.)The best test to determinemicroalbuminuriato assist in the diagnosis of diabetic neuropathy: tomeasure albumin in a spot urine sample, collected either as the first urine in the morning or at random, for example, at the medical visit. This method is accurate,:Early morning80.)Microalbuminuriais a measure of: Urinary excretion of 30-299mg/24 hours of albumin, Expressing albumin and creatinine ratio (ACR) takes the variability into account and normalizes the albumin in a spot specimen81.)The obligatory criteria for diagnosis of muscular dystrophy (MD)are: Genetic testing to evaluate missing or repeated mutations in the dystrophin gene. A lack of the dystrophin gene can lead to a diagnosis of Duchenne or Becker MD. The test is important not only to confirm the MD diagnosis in males but also to determine whether women with a family history of Duchenne or Becker MD may be carriers82.)Which of the following is the most common complication of the myelodysplastic syndromes? Bleeding83.)Who is at a higher risk for developing nephrolithiasis? Bill, who runs every day and takes excessive amounts of vitamin C84.)The most effective treatment of non-infectious bursitisincludes: Conservative treatment includes rest, cold and heat treatments, elevation, administration of nonsteroidal anti-inflammatory drugs (NSAIDs), bursal aspiration, and intrabursal steroid injections. 85.)Which of the following is the most common causative organism of nongonococcal urethritis? Chlamydia trachomatis86.)A 77-year-old female presents to the office complaining a sudden swelling on her right elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-tender area of swelling
over the extensor surface over the right elbow with evidence of trauma or irritation. The nurse practitioner suspects: Olecranon bursitis87.)What intervention does the American College of Rheumatology recommend as first line therapy for osteoarthritis? Acetaminophen should be used as first-line therapy for mild osteoarthritis. Nonsteroidal anti-inflammatory drugs are superior to acetaminophen for treating moderate to severe osteoarthritis88.)Establishment of a definitive diagnosis of osteomyelitisrequires: Bone biopsy leads to a definitive diagnosis89.)Jennifer says that she has heard that caffeine can causeosteoporosisand asks you why. How do you respond? "A high caffeine intake has a diuretic effect that may cause calcium to be excreted more rapidly."90.)Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect? Otitis externa/ swimmer’s earP, Q, R
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