Author Question: The primary care NP examines an adolescent who complains of severe right ear pain for the past 3 ... (Read 59 times)

SGallaher96 · **on:** Jul 24, 2018

The primary care NP examines an adolescent who complains of severe right ear pain for the past 3 days.

When retracting the pinna of the right ear to examine the ear, the NP notes erythema, edema, and pain and a large amount of white exudate in the ear canal. The NP should prescribe: a. benzocaine otic drops tid.
b. ciprofloxacin otic drops qid.
c. glycerin oil drops weekly.
d. acetic acid, boric acid, and isopropyl alcohol solution.

Question 2

A primary care NP sees a 46-year-old male patient and orders a fasting lipoprotein profile that reveals LDL of 190 mg/dL, HDL of 40 mg/dL, and triglycerides of 200 mg/dL.

The patient has no previous history of coronary heart disease, but the patient's father developed coronary heart disease at age 55 years. The NP should prescribe: a. atorvastatin (Lipitor).
b. gemfibrozil (Lopid).
c. cholestyramine (Questran).
d. lovastatin/niacin (Advicor).

stallen · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B
This patient has otitis externa. Ciprofloxacin otic drops instilled onto a wick in the ear canal are indicated to treat this condition. Benzocaine is a local anesthetic and would not treat the infection. Glycerin oil drops are used to soften cerumen. An acetic acid, boric acid, and isopropyl alcohol solution is used to prevent, not treat, otitis externa.

Answer to Question 2

A
HMG-CoA reductase inhibitors are used to treat hyperlipidemia when the LDL is the primary lipid elevation. This patient has risk factors of being a man older than 45 years, with a positive family history of coronary heart disease before age 55 in a male first-degree relative. Gemfibrozil is used for patients with elevated triglycerides and low HDL. Bile acid sequestrants are used as adjunctive and not first-line therapy for reducing LDL. A combination product is not indicated for first-line therapy.