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NBCE Part 3 Vignettes: Clinical Case Questions and Answers, Exams of Nursing Assured A+ Certified Pass

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NBCE Part 3 Vignettes: Clinical Case Questions and Answers, Exams of Nursing Assured A+ Certified Pass NBCE Part 3 Vignettes: Clinical Case Questions and Answers, Exams of Nursing Assured A+ Certified Pass

Institution
Ncbe
Course
Ncbe

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NBCE Part 3 Vignettes: Clinical
Case Questions and Answers,
Exams of Nursing Assured A+
Certified Pass
24 year old female
hand pain
shiny skin on arms and hands
provocative cold environment and cryotherapy
x ray shows erosions of distal tufts and

calcinosis in hands - ANSWERS-scleroderma



DDX - ANSWERS-acro osteolysis

calcinosis cutis
systemic sclerosis



associated signs - ANSWERS-raynaud's phenomenon

skin hardening
increase ANA



sequelae - ANSWERS-dysphagia

, gastric problems
pulmonary fibrosis


62 yr old male
LBP
difficulty urinating
polyuria in middle of night
+ kemps

x ray shows non enlarged ivory white vertebrae - ANSWERS-blastic mets

or
prostate cancer



positive labs - ANSWERS-PSA

acid phosphatase
alkaline phosphatase



DDX - ANSWERS-paget's disease

blastic mets
hodgkin's diz



Follow up - ANSWERS-refer to oncologist

CT of spine
Radionucleotide scan/ bone scan

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Course
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Written in
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Type
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Contains
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