Lucy, age 49, has pain in both the left and right lower quadrants. What might you suspect? 1. A gastric ulcer. 2. Gastritis. 3. Pelvic inflammatory disease. 4. Pancreatitis. {Ans: Pelvic inflammatory disease.}You are the nurse practitioner caring for Martha, a 47-year-old accountant. You have made a diagnosis of acute sinusitis based on Martha's history and the fact that she complains of pain behind her eye. Which sinuses are affected? 1. Maxillary. 2. Ethmoid. 3. Frontal. 4. Sphenoid. {Ans: Ethmoid.}In trying to differentiate between chronic bronchitis and emphysema, you know that chronic bronchitis: 1. Usually occurs after age 50 and has insidious progressive dyspnea. 2. Usually presents with a cough that is mild and with scant, clear sputum, if any. 3. Presents with adventitious sounds, wheezing and rhonchi, and a normal percussion note. 4. Results in an increased total lung capacity with a markedly increased residual volume. {Ans: Presents with adventitious sounds, wheezing and rhonchi, and a normal percussion note.}Jill, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her exacerbations affect her activities, and they occur at least twice weekly and may last for days. She is affected more than