A 30-year-old woman who has tried for a year to become pregnant presents to the nurse practitioner, who diagnoses cervical stenosis as the probable cause of her infertility. Which is the most appropriate treatment?

IUD insertion

Cervical dilation

Colposcopy

LEEP procedure

Answer and Explanation

The Correct Answer is B

Choice A reason: IUD insertion is a contraceptive method and would not address cervical stenosis or aid fertility.

Choice B reason: Cervical dilation is the standard treatment for cervical stenosis to mechanically open the cervical canal and restore patency for conception.

Choice C reason: Colposcopy is a diagnostic procedure for abnormal cervical findings, not a therapeutic intervention for stenosis.

Choice D reason: LEEP (Loop Electrosurgical Excision Procedure) removes abnormal cervical tissue, not indicated for mechanical stenosis without dysplasia.

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Correct Answer is D

Explanation

Choice A reason: Physical therapy is commonly used after elbow dislocation to restore range of motion and prevent stiffness, making it a standard component of care.

Choice B reason: Reduction, or realignment of the dislocated joint, is the primary initial treatment and is expected in managing elbow dislocations.

Choice C reason: Splinting or immobilization following reduction is standard to maintain stability while soft tissues heal, and it is a routine part of management.

Choice D reason: Surgical intervention is typically not required for uncomplicated elbow dislocations in children, as most can be managed with closed reduction and conservative care. Surgery is reserved for complex fractures or persistent instability.

A. A report of less need for sleep B. Evidence that the symptoms are episodic C. Rapid speech noted on examination D. Complaints of racing thoughts

Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Reduced need for sleep is a hallmark feature of hypomanic episodes in bipolar disorder and is not typical of ADHD.

Choice B reason: Symptoms that occur episodically rather than consistently over time suggest a mood disorder rather than a chronic condition like ADHD.

Choice C reason: Rapid speech can occur in both ADHD and hypomanic episodes, making it less specific.

Choice D reason: Racing thoughts are characteristic of hypomanic episodes in bipolar disorder, helping distinguish it from ADHD.

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A 30-year-old woman who has tried for a year to become pregnant presents to the nurse practitioner, who diagnoses cervical stenosis as the probable cause of her infertility. Which is the most appropriate treatment?

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Naxlex Comprehensive Predictor Exams

A 10-year-old girl presents to the urgent care clinic with a dislocated elbow sustained in a roller skating accident. Which of the following is NOT an expected treatment for this girl?

Correct Answer is D

Explanation

A mom brings her 13-year-old daughter to the PMHNP for an evaluation of suspected attention-deficit hyperactivity disorder (ADHD). For an adolescent who presents with distractibility, which of the following additional features would suggest an association with bipolar II disorder rather than ADHD?

Correct Answer is ["A","B","D"]

Explanation

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