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1. Visual acuity test 20/30 in the left eye and 20/40 in the right
eye using the Snellen eye chart indicates
the need for further evaluation.
2. Munchausen Syndrome By Proxy A caregiver making up or causing an ill-
ness or injury in a person under his or her
care.
3. Symptoms of depression Side effect of medications such as sero-
tonin and norepinephrine.
4. Lesion characteristics A dark raised and asymmetric lesion
with irregular border is indicative of
melanoma.
5. Puffiness of the eyes Dull puffiness of the eyes pronounced
not pitting periorbital edema suggests
nephrotic syndrome.
6. Prophylactic medication for migraines Amitriptyline (Elavil) is considered off-la-
bel use for prophylactic treatment of mi-
graines.
7. Scaling on the scalp Areas of scaling on the scalp with round
patches of alopecia are consistent with
tinea capitis.
8. Combined hormonal contraceptive con- Contraindicated in women older than
traindications 45, breastfeeding, smoking, hyperten-
sion, diabetes, or history of stroke.
9. Bloody nipple discharge
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Bloody spontaneous discharge from the
right nipple indicates the need for further
evaluation.
10. Rho (D) immunoglobulin administration Rh negative women should receive Rho
(D) immunoglobulin at 28 weeks' gesta-
tion.
11. Mean corpuscular volume (MCV) MCV describes the size of the RBCs;
small-sized RBCs result in a lower MCV,
while larger RBCs result in a higher MCV.
12. Avoided medication for headache prophy- Venlafaxine (Effexor) should be avoided
laxis due to serious side effects.
13. Prostaglandin E1 (PG1) mechanism Maintains patency of the great arteries in
a patient with transposition of the great
arteries.
14. Calf pain in peripheral artery disease A dull pain or cramp describes lower ex-
tremity calf pain associated with periph-
eral artery disease.
15. Hyperprolactinemia symptoms Typical symptoms include infertility,
oligomenorrhea, or amenorrhea in pre-
menopausal women.
16. Asthma treatment Short-acting bronchodilators are used to
relieve acute wheezing in asthma patients.
17. Shingles vaccine The shingles (herpes zoster) vaccine re-
duces the risk for infection with the virus
that causes painful localized blistering
rash.