1. The first step in the genomic assessment of a patient is obtaining information regarding: Answer family history 2. Rheumatic heart disease is a complication that can arise from which typeof infection: Answer Group A beta hemolytic streptococcus 3. A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of the eyes. The symptoms occur intermittently throughout the year and he has associated clear nasal discharge. Which of the following is most likely because of the inflammation?: Answer Allergen 4. 4 Dan G.,a 65-year-old man,presentsto your primary care office forthe evaluation of chest pain and left-sided shoulder pain. Pain begins after strenuousactivity, including walking. Pain is characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began a few months ago, intermittent, aggravated byexercise, and relieved by rest. Has occasional nausea. Pain is retrosternal, radiating to left shoulder, definitely affects quality of life by limiting activity. Pain is worse today; did not go away after he stopped walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no murmurs.Which of the following differential diagnoses would be most likely?: Answer coronary artery disease with angina pectoris 5. Which disease processtypically causes episodic right upper quadrant pain, epigastric pain or chest pain that can last 4-6 hours or less, often radiates tothe back (classically under the rightshoulder blade) and is often accompaniedby nausea or vomiting and often follows a heavy, fatty meal.: Answer cholecystitis 6. Helicobacter pylori isimplicated as a causative agent in the development ofduodenal or gastric ulcers. What teaching should the nurse practitioner planfor a patient who has a

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