Which of the following education would you give a survivor of childhood cancer for cancer prevention?

A 49 year old woman is diagnosed with intraductal breast cancer after a modified mastectomy and an axillary node dissection. HER2/neu, estrogen receptor and progesterone receptor were all negative. She was also found to have BRCA 1 and 2 gene mutations. She wants to know what to tell her younger sister age 40. You would recommend what type of screening for her sister?

Which of the following can contribute to poor prognostic outcomes for a diagnosis of cancer?

Your patient has been in remission from breast cancer for over 12 months now. Cancer survivorship in primary care should address which of the following:

You are seeing a 64 year woman for a new patient visit including well woman exam.  She had a total hysterectomy at age 49 due to fibroids.  She tells you that she has been having pap smears every 3 years. Which of the following would you recommend for her preventative care now?

In providing health teaching related to dietary restrictions, the nurse practitioner should advise a patient with gout to avoid which of the following dietary items:

A 35 year old woman complains of joint pain and stiffness. She has synovial thickening in her metacarpal phalanges, proximal interphalangeals, wrists and ankles bilaterally. Sed rate is 102, CRP is 7.5, ANA +1:160, rheumatoid factor is 168 (normal is 0-20) and anti CCP of 32 (normal 0-20). You are most suspicious that this patient has: 

You suspect that your patient has polymyalgia rheumatica and now are concerned that the patient may also have Giant Cell Arteritis (GCA). Which of the following is true of GCA and PMR?

Which of the following patients is NOT associated with a high risk of osteoporosis?

When collecting data from a patient suspected of having an immune deficiency, which factor(s) should be included?   (Select all that apply)