1. Which antibiotics would NOT be appropriate to empirically treat an E. Coli infection?

Cephalexin (Keflex

2. . A 45-year-old recently immigrated Mexican farmer comes to your office complaining

of dyspnea, fatigue and abdominal distention for the past two months. On physical exam,

his temperature is 37 C (98F), blood pressure is 126/80 mmHg, pulse is 80/min, and

respirations are16/min. You note pedal edema, elevated jugular venous pressure with

positive Kussmaul's sign, and increased abdominal girth with free fluid. Chest

auscultation reveals decreased heart sound intensity at the apex and an early heart sound

following S2 The jugular venous pressure tracing shows prominent 'x and 'y' descents.

Which of the following is the most likely cause of this patient's symptoms? Cor

pulmonale

3. A Nurse Practitioner is reviewing the prepregnancy medication regimen of a patient who

has just had a positive pregnancy test. The nurse should be aware of which of the

following changes in pharmacokinetics that accompanies pregnancy? Increased drug

distribution resulting from hemodynamic changes

4. The sequence of the physical examination should be individualized to - Minimize the

number of times the patient has to change positions to conserve the patient’s energy