A nurse practitioner is doing a funduscopic exam on a 35-year-old female during a routine physical exam. He notices that she has sharp disc margins and a yellowish- orange color in the macular area. The ratio of veins to arteries is 3:2. What is the next most appropriate action? A) Advise the patient that she had a normal exam B) Advise the patient that she had an abnormal exam C) Refer the patient to the emergency room D) Refer the patient to an ophthalmologist {Ans: A) Advise the patient that she had a normal exam A normal funduscopic exam would include sharp disc margins, with the macula appearing yellow-orange in color. The ratio comparing the artery to vein width is 2:3.}All of the following agents are used to control the inflammatory changes seen in the lungs of asthmatics except: A) Albuterol inhaler (Proventil) B) Triamcinolone (Azmacort) C) Montelukast (Singulair) D) Cromolyn sodium inhaler (Intal) {Ans: A) Albuterol inhaler (Proventil) Proventil inhaler is a short-acting bronchodilator and is used for immediate relief of shortness of breath. It acts quickly to dilate the tubes in the lungs. Medications that have steroids and leukotrienes help the inflamed channels to remain open