AANP FNP TEST Review Questions With Complete Solutions.

AANP FNP TEST Review Questions With Complete Solutions. ADA mscreening mfor mDM min mChildren m- m m m mcorrect manswer.-symptomatic mchildren m(polyuria, mpolydipsia, mpolyphagia, mblurred mvision) mregardless mof mrisk mfactors m -asymptomatic mchildren mafter mpuberty mor m10 myears mof mage mor molder mif moverweight mor mobese m(85th mpercentile). mPlus m1 mof mthe mfollowing: *T2DM min m1st mor m2nd mdegree mrelative *high mrisk mracial/ethnic mgroup m *signs mof minsulin mresistance m(HTN, mdyslipidemia, macanthosis mnigricans, mPCOS, mSGA) *maternal mhx mof mDM mor mGDM mduring mthe mchild's mgestation Statistics m- m m m mcorrect manswer.- mleading mcauses mof mdeath: mHeart mdisease, mcancer, mlung mdisease - mleading mcause mof mcancer mdeath: mlung m - mleading mcause mof mdeath min madolescents: maccidents - mmost mcommon mcancer: mskin. m - min mmales: mprostate. min mfemales: mbreast suicide: mmales mmore msuccessful, mwomen mmore mattempts. mhighest mrate mis molder mwhite mmales. Osgood-Schlatter: m- m m m mcorrect mpain min myoung madults, moveruse. mRepetitive mstress mpain, mtenderness, mswelling mat mthe mtendon's minsertion msite. mThe mtibial mtuberosity. mRule mout mavulsion mfracture mif mthere mis man macute monset mand morder ma mlateral mxray. mRICE. mUsually mstops mwhen mthe mgrowth mstops. If mpatient mhas mright msided mweakness, metc. mthe mCVA moccurred mwhere m- m m m mcorrect mside initial mevaluation mof msymptoms mof macute mprostatitis m- m m m mcorrect manswer.Urinalysis mand murine mculture A m65-year-old mwoman mpresents mfor ma mfollow-up mexamination mafter ma mnew mpatient mvisit. mShe mhas mnot mseen ma mhealthcare mprovider mfor mseveral myears. mShe mis ma msmoker mand mher mhypertension mis mnow madequately mcontrolled mwith mmedication. mHer mmother mdied mat mage m40 mfrom ma mheart mattack. mThe mfasting mlipid mprofile mshows mcholesterol m= m240 mmg/dL, mHDL m= m30, mand mLDL m= m200. mIn maddition mto mstarting mTherapeutic mLifestyle mChanges, mthe mnurse mpractitioner mshould mstart mthe mpatient mon: 1. mbile macid msequestrant. 2. ma mstatin mdrug. 3. ma mcholesterol mabsorption minhibitor. 4. mlow-dose maspirin. m- m m m mcorrect manswer.A mstatin mdrug Ortolani's mClick m- m m m mcorrect manswer.a mclick mis mheard mor mfelt mas mdislocation mis mreduced m(developmental mdysplasia mof mhip) m(good muntil mone myear) Which mof mthe mfollowing mlaboratory mtests mshould ma mnurse mpractitioner morder mwhen mthe msuspected mdiagnosis mis mtemporal marteritis? m- m m m mcorrect manswer.Erythrocyte msedimentation mrate m(ESR) What mare mnarrow mtherapeutic mindex mdrugs? m- m m m mcorrect manswer.1. mWarfarin msodium m(Coumadin): mmonitor mINR 2. mDigoxin m(lanoxin): mmonitor mdigoxin mlevel, mEKG, melectrolytes(potassium, mmagnesium, mcalcium) 3. mTheophylline: mmonitor mblood mlevels 4. mCarbamazepime m(Tegretol) mand mPhenytoin m(Dilantin): mMonitor mblood mlevels 5. mLevothyroxine: mMonitor mTSH 6. mLithium: mMonitor mblood mlevels, mTSH m(risk mof mhypothyroidism) Otitis mExterna mtx m- m m m mcorrect manswer.Fluoroquinolone m& mPolymyxin mB mcortisporin mdrops An melderly mmale mpatient mcomplains mof ma mnew-onset, mleft-sided mtemporal mheadache maccompanied mby mscalp mtenderness mand mindurated mtemporal martery. mThe mNP msuspects mtemporal marteritis. mWhat mscreening mtest mwould myou morder mto massist mwith mdiagnosis? m- m m m mcorrect entation mrate m(expect mto mbe mvery melevated) Basal mCell mCarcinoma m- m m m mcorrect manswer.Pearly mdomed mnodule mwith moverlaying mtelangiectatic mvessels. mCould mbe mplaque, mpapule, mpossible mcentral mulceration mand mcrusting. mDx: mBiopsy mTx: Normal, mhealthy mwoman mof mreproductive mage m- m m m mcorrect , mclear, mflocculent(physiologic mleukorrhea), mno mcomplaints, mpH m3.8-4.2 m(toward macidic), mno modor, mmicroscopic mshows mlactobacilli m(gram+bacteria) Multiple minfections mfrom mbacteria mand mfungus? m- m m m mcorrect manswer.Screen mfor mHIV Screening mTests m- m m m mcorrect manswer.- msensitivity: mdetect mthose mWITH mthe mdisease. mhigher mthe msensitivity mis mhigher mthe mfalse mpositives - mSpecificty: mdetect mthose mwho mDONT mhave mthe mdisease. erythromycin mfor mchlamydia meye minfection min minfants m- m m m mcorrect manswer.... to massess mpts mability mto mthink mabstractly ma mnurse mpract mcould mask mthe mpatient m- m m m mcorrect mmeaning mof ma mcommon mproverb The mmost mcommonly mprescribed mmedication mfor mmild msystemic mlupus merythematosus m(SLE) mis: 1. m azathioprine m(AZA). 2. m belimumab m(Benlysta). 3. m ibuprofen m(Advil). 4. m cyclophosphamide m(Cytoxan). m- m m m mcorrect ofen m(advil) A m17-year-old mfemale mis msuspected mof mhaving mpolycystic movary msyndrome. mIn maddition mto mtestosterone, mthe mmost mappropriate mdiagnostic mtests mto morder mwould mbe: m- m m m mcorrect cle-stimulating mhormone m(FSH), mluteinizing mhormone m(LH), mprolactin, mand mthyroid-stimulating mhormone m(TSH). Barlow's mManeuver m- m m m mcorrect manswer.Feeling mof ma mslip mas mthe mfemoral mhead mslips maway mfrom mthe macetabulum m(toward mthe mbutt) m(good muntil m6 mmo) Candida mvulvovaginitis m- m m m mcorrect ogy: mcandida malbican m(80-90%) white, mcurdy, m"cottage-cheese" mlike, msometimes mincreased, mitching/burning mdischarge, mpH m4.5, modor mis musually mabsent, mmicroscopic mshows mmycelia, mbudding myeast, mpseudohyphae mw/KOH mprep. mTreatment: moral mdiflucan mor mvaginal mmiconazole mor mterconazole PSEUDOHYPHAE, mCLOTRIMAZOLE mCREAM Proton mInhibitors m- m m m mcorrect manswer.Increased mrisk mof mfractures(postmenopausal mwomen), Pneumonia, mClostridium mdifficile minfection, mhypomagnesemia, mB12 mand miron mmalabsorption, matrophic mgastritis, mand mkidney mdisease Bacterial mConjunctivitis mtx m- m m m mcorrect manswer.Eye mdrops mor mointment: mPolytrim, mtrimethoprim, mpolymyxin, mmacrolide A mpatient mwith man melevated mWBC m(11k) maccompanied mby mneutrophilia m(70%) mand mthe mpresence mof mbands mis mwhat mkind mof mshift mand mprognosis? m- m m m mcorrect manswer.-Shift mto mthe mleft -Serious mbacterial minfection Actinic mKeratosis m- m m m mcorrect manswer.Rough mflat, mdry mcrusty, merythematous mpapules mor mplaques. mScaly mpatch mof mred mbrown mskin mcaused mby myears mof mSUN mexposure. mPrecursor mto msquamous mcell mcarcinoma. mDx. mBiopsy. mTx: mtopical m5 mfluroracil m5-FU, mcryotherapy. A mpatient mwith mmacular mdegeneration mhas mdeficit mvision min? m- m m m mcorrect manswer.Central mvision Dacyrocystitis m- m m m mcorrect manswer.Typical msymptoms mof macute mtear mduct minfection minclude: Pain, mredness mand mswelling mof mthe mlower meyelid mat mthe minner mcorner mof mthe meye Excessive mtearing Pus mor mdischarge mfrom mthe meye Fever Tx: lacrimal msac mmassage- mrub mdown mtowards mmouth. oral mclindamycin m(topical mtobramycin mor mmoxifloxacin mif mmild-purulent mdrainage, mno mredness) Pre-DM min mchildren mvalues m- m m m mcorrect manswer.A1C: m5.7% mto m6.4% Fasting: m100-125 2 mhour mGTT: m140-199 Primary mPrevention m- m m m mcorrect manswer.- mindividual mactions: meating mnutritious mdiet, mexercise, mseatbelts, mgun msafety. mIMMUNIZATIONS squamous mepithelial mcells mwith mstippling mappearance, mno mlactobacilli mand mmany mWBCs mis m- m m m mcorrect mmount mthat mshows mBV trigeminal mneuralgia mmanifests m- m m m mcorrect ric mshock mfacial mpain The mmost mcommon msign mof mcervical mcancer mis: 1. m postcoital mbleeding. 2. m strong modor mfrom mvaginal mdischarge. 3. m itching min mthe mvaginal marea. 4. m molluscum mcontagiosum. m- m m m mcorrect oital mbleeding To massess ma mpatient's mability mto mthink mabstractly, ma mnurse mpractitioner mcould mask mthe mpatient: m- m m m mcorrect mmeaning mof ma mcommon mproverb. Auspitz msign m- m m m mcorrect ets mof mblood mwhen mscales mremoved m= mpsoriasis Bacterial mvaginosis m- m m m mcorrect ogy: munclear, mlikely mpolymicrobial, massociated mwith mG. mvaginalis, mM. mhominid, mothers. thin, mhomogeneous, mwhite, mgray, madherent, moften mincreased, mdischarge mis mfoul modor(fishy), mitching mis moccasionally mpresent, mpH m5-7(alkaline- mno mactive mbacilli min mvagina), m"fishy" msmell, mmicroscopic m m20 mclue mcells/HPF, mfew mor mno mWBCs. mTreatment: mmetronidazole mtopical, moral mFlagyl, mclindamycin mvaginal mcream, moral mtinidazole m(Tindamax) CLUE mCELLS, mMETRONIDAZOLE mGEL mOR mORAL, mCLINDAMYCIN mCREAM Omeprazole m(Prilosec) m- m m m mcorrect acts mwith mwith mWarfarin m(Coumadin), m diazepam m(Valium), m Carbamazepine m(Tegretol), m Pheytoin m(Dilantin), m ketocanazole m(Nizoral) Viral mConjunctivitis mtx m- m m m mcorrect manswer.Antihistamine, mdecongestant mdrops m(Trigluridine min mherpes mconjunctivitis) What mis mthe mcommon mpresentation mof ma mnavicular mfracture? m- m m m mcorrect manswer.Tenderness mat mthe m"N mspot," mwhich mis mdefined mas mthe mproximal mdorsal mportion mof mthe mnavicular m(see mthe mimage mbelow). mThis mis mthe mmost mimportant mphysical mfinding. Melanoma m- m m m mcorrect manswer.ABCDE: masymmetry, mborder mirregularity, mcolor mvariation, mdiameter mgreater mthan m.6 mmm, melevation mabove mskin mlevel. Type m2 mDM min mchildren mvalues m- m m m mcorrect manswer.A1C: m6.5% Fasting: m126 2 mhour mGTT: m200 Random: m200 Central mclearing mlesion mafter mcamping mtrip mflu mlike msymptoms mwith mmuscle maches mfor mseveral mdays mis? mand mtreated mby? m- m m m mcorrect manswer.Lyme mdisease; mdoxycycline Wilms mtumor m- m m m mcorrect manswer.(Nephroblastoma)- mNot mpainful. mAsymptomatic mabd mmass mdoes mNOT mcross mthe mmidline. m2-3 my. mo.d. mdo mnot mpalpate. mDo mABD mUS. mPUNT. mThink mNephro mdoesn't mcross. mStays mwhere mkidney mis. the mheadache mof man mintracranial mtumor m- m m m mcorrect mneurological msigns mand mpain mworse min msupine mposition socioeconomic mstatus m- m m m mcorrect mimportant mduring memployment mphysical mwith m21 myo mwith mbruising mon mbreasts The mnurse mpractitioner mprescribes mamitriptyline m(Elavil) mfor ma mpatient mwith mneuropathic mpain msecondary mto mdiabetes mmellitus. mOn mfollow-up, mthe mpatient mcomplains mof murine mretention mand mdry mmouth. mThe mpractitioner mwould: 1. m discontinue mamitriptyline mand mbegin mibuprofen m(Motrin). 2. m refer mto mphysical mtherapy. 3. m start mmethocarbamol m(Robaxin). 4. m discontinue mamitriptyline mand mbegin mgabapentin m(Neurontin). m- m m m mcorrect ntinue mamitriptyline mand mbegin mgabapentin m(neurontin) To massess mspinal mfunction mat mthe mS1 mlevel, mwhich mdeep mtendon mreflex mshould mbe mtested? m- m m m mcorrect manswer.Achilles Herald mpatch m+ mchristmas mtree m- m m m mcorrect iasis mrosea Secondary mPrevention m- m m m mcorrect manswer.- mscreening mtests m(pap, mmammogram, mCBC). Strep mPharyngitis mtx m- m m m mcorrect manswer.PCN, mamoxicillin, mmacrolide, mcephalosporin Vitamin mK mAgonist mWarfarin m(Coumadin) m- m m m mcorrect manswer.Interactw mwith m"G" mhers: Garlic Ginger Gingko Ginseng Other mherbs/supplemts: Feverfew green mtea fish moil **Discontinue m7 mdays mbefore msurgery What mis mthe mgold mstandard mtest mfor msickle mcell manemia, mglucose-6-phosphage mdehydrogenase m(G6PD) manemia, mand malpha mor mbeta mthalassemia?? m- m m m mcorrect manswer.Hemoglobin melectrophoresis Postherpetic mneuralgia m- m m m mcorrect manswer.Tx: mProphylaxsis mTCA-Elavil Atrophic mvaginitis m(genitourinary msyndrome mof mmenopause mGSM) m- m m m mcorrect ogy: mestrogen mdeficiency m(after mmenopause). mD/C mscant, mwhite-clear mdryness mas mwell msometimes murinary mincontinence, mitching/burning, mdischarge mbut moften mw/o msymptoms, mpH m5 m(little mto mno mlactic mbacilli), modor mis mabsent, mmicroscopic mfew mor mabsent mlactobacilli. Treatment: mtopical mand/or mvaginal mestrogen mif msymptomatic mand/or mrecurrent mUTI. m(Oral mestrogen mas msolo mintervention mlikely minadequate) Diverticulitis: mTreatment ms/s: m- m m m mcorrect manswer.Antibiotics mand mclear mliquids mand mincreased mfiber m(some msay mno mnuts mor mseeds). m(7 mto m10 mdays mABT) Ciprofloxacin m(500 mmg mPO mtwice mdaily) mplus mmetronidazole m(500 mmg mPO mthree mtimes mdaily). mAmoxicillin-clavulanate m(875/125 mmg mtwice mdaily) mis man macceptable malternative. The mcriteria mfor mpatients mwith macute muncomplicated mdiverticulitis mto mbe mtreated min mthe moutpatient msetting minclude: ●Reliability mto mreturn mfor mmedical mreevaluation mif mcondition mworsens ●Compliance mwith moutpatient mtreatment mplan ●Abdominal mpain mis mnot msevere ●No mhigher mthan ma mlow-grade mfever ●Can mtolerate moral mintake ●No mor mminimal mcomorbid millnesses ●Available msupport msystem Approximately msix mweeks mfollowing mthe mresolution mof msymptoms mof macute mdiverticulitis, mpatients mwho mhave mnot mhad ma mrecent mcolonoscopy mshould mundergo mone mto mexclude mother mpossible mdiagnoses m(such mas mcolonic mneoplasia) mand mto mevaluate mthe mextent mof mthe mdiverticulosis. Recomendations mfor msurgery: mPatients min mwhom melective msurgery mhas mbeen mrecommended mfollowing ma msingle mattack mof mdiverticulitis minclude myounger mpatients m(variously mdefined min mthe mliterature mas mless mthan m40 mor m50 myears mof mage) mand mthose mwho mare mimmunosuppressed. Neuroblastoma- m- m m m mcorrect ul mabd mmass mfixed mfirst mirregular, mcrosses mmidline. mMost mcommon mside mis madrenal mglands. mWeight mloss mfever. mHORNERS msyndrome. mRACOON meyes, mbone mpain, mHYPERTENSION. m1-4 myear molds. mDx multrasound mPUNT mto mnephro. mNEURO mthink mbrain min mmiddle mcrosses mmidline. m**Urine mcatecholamines mand manemia ADHD m- m m m mcorrect activity, mimpulsive mand/or minattention. DSM-5 mCriteria: *sx mpresent mbefore m12 myears mof mage *sx mfor mat mleast m6 mmonths m *sx min m2 mdifferent msettings m Medications mconsidered m1st mline mif mover m6 myears mof mage TZD Pioglitazone m(Actos) m- m m m mcorrect manswer.Black mBox mwarning: mcause mor mexacerbate mcongestive mheart mfailure min msome mpatients; mdo mnot. muse mif mNew mYork mhealth massociation mClass mIII mor mIV mHeart mfailure STOP mif mcauses mdyspnea, mweight mgain, mcough m(heart mfailure) in morder mto mimprove mlongevity mof mpatient mwith mCOPD, mtx mof mchoice mis m- m m m mcorrect n current msocial mrelationships, history mof mpresent mor mpast mtraumas mental mhealth mstatus m- m m m mcorrect mimportant mon mthe mpe mof m21 myo, mfor memployment mwith mbruising mon mbreasts A m17-year-old mmale mwith mrheumatoid marthritis mis mbeing mtreated mwith man mNSAID mand momeprazole m(Prilosec). mThe mpatient mcomplains mof mheadache, mabdominal mpain, mand mgas. mThese msymptoms mare mmost mlikely: 1. m associated mwith mthe momeprazole. 2. m related mto mthe munderlying mcondition. 3. m the mresult mof mthe mNSAID. 4. m caused mby mviral mgastroenteritis. m- m m m mcorrect iated mwith mthe momeprazole Koplick mSpots m- m m m mcorrect mwith mred mring minside mcheek mfrom mrubeola mor mmumps Tertiary mPrevention m- m m m mcorrect manswer.- mAA, msupport mgroups, meducation mfor mthose mwith mthe mdisease, mrehab, mexercise mprograms mfor mobese Which mof mthe mfollowing msigns/symptoms mare moften massociated mwith mheadaches mdue mto man mintracranial mtumor? m- m m m mcorrect manswer.Pain mworse min msupine mposition; mfocal mneurological msigns Acute mrhinosinusitis mtx m- m m m mcorrect manswer.Wait m10 mdays mthen mAmoxicillin mor mAugmentin m(If mallergy, muse mfluouroquinolones/tetracyclines) MRSA m- m m m mcorrect manswer.Tx: Autism m- m m m mcorrect manswer.Impairment min msocial mcommunication mand msocial minteraction. mRestricted, mrepetitive mpatterns mof mbehavior, minterests mand mactivities. Red mflags: mdelayed mlanguage/communication mmilestones, mregression min msocial mand mlanguage mskills, msibling mwith mautism screen mat m9, m18, m24 mand m30 mmonths mor mwhen mconcerns mare mraised mby mparents Genital mHerpes m- m m m mcorrect tive morganism: mhuman mherpes mvirus m2 clinical mfindings: mpainful, mulcerated mlesions, mmarked mlymphadenopathy mwith minitial mlesions. mWomen=thin mvaginal mdischarge mif mlesion mat mvagina mor mintoitus with mrecurrence msymptoms mvary- masymptomatic mtransmission mcommon treatment: moral macyclovir m(Zovirax), mfamciclovir m(Famvir), mvalacyclovir(Valtrex), mdose mand mlength mof mtreatment mdepends mon mthe mmedication mchoice mand mthe mclinical mpresentation. Diverticulosis: mTreatment ms/s: m- m m m mcorrect manswer.Diverticu-lO-sis mhas mnO minflamation: mBoth mdiverticulitis mand m*osis mare msimilar mto mumbilical mhernia min mthat ma mvein mrunning mthrough mthe mmuscle mof mthe mbowel mmuscle mweakens mthe marea mand mpressure mcauses ma mhernia m"out mpouching". RETINOBLASTOMA m- m m m mcorrect coria: mHallmark msign mwhite mspots min meye. mCancer. mRed mlight mreflex mnegative What mare mfirst mand msecond mline mantibiotics mfor macute motitis mmedia? m- m m m mcorrect manswer.1. mAmoxicillin 2. mAmoxicillin-Clavulanate m(Augmentin) Screening mTests: m- m m m mcorrect manswer.- mBreast mCancer: m50yrs mq2years muntil m75yo. m(40-49 mis mindividualized) - mCervical mCancer: m21yrs mq3yrs muntil m65y. mno mscreening mafter mhysterectomy - mColorectal mCancer: m50yrs muntil m75. mFOBT mx3 myearly. mFlex msig mq5yrs mOR mcolonoscopy mq m10yrs - mLipids: mmen m35y mand mwomen m45y. munless mincreased mrisk mfor mheart mdisease - mProstate: mdon't mscreen - mSkin mCancer mcounseling: m10-24yo mwith mfair mskin which mof mthe mfollowing mcriteria mdifferentiates ma mTIA mfrom ma mCVA m- m m m mcorrect ce mof mresidual msymptoms m- mTIA msx moccur mrapidly mand mthen mresolve, mCVA msx mare mresidual m- mTIA mis mtemporary mblock mand musually mno mresidual msx CD4 mcount mand mviral mload m- m m m mcorrect mwidely maccepted mindicators mof mHIV minfection The mmedication mof mchoice mfor mthe minitial mtreatment mof mjuvenile mrheumatoid marthritis mis: 1. m acetaminophen. 2. m prednisone. 3. m aspirin. 4. m ibuprofen. m- m m m mcorrect ofen Which mof mthe mfollowing mlaboratory mtests mare mmost mwidely maccepted mas mindicators mof mthe mprogression mof mHIV minfection? m- m m m mcorrect manswer.CD4 mcount mand mviral mload slapped mcheek mand mlacy mexanthem m- m m m mcorrect manswer.Erythema mInfectiosum mor mFifths mdisease Intertrigo mtx m- m m m mcorrect manswer.Nystatin Atypical mantipsychotics: Risperidone m(Risperdal) Olanzapine m(Zyprexa) Quetiapine m(Seroquel) m- m m m mcorrect manswer.High mrisk mfor mweight mgain metabolic msyndrome Type m2 mDM ** mhigh mmortality min melderly mpatients Monitor: mweight mand mblood msugar TSH, mL mlipids, mweight mbody mmass mindex If ma mpatient mis mallergic mto mpenicillin mand mhas ma mgram+ minfection mwhat mare mthe malternative mantibiotic mchoices? m- m m m mcorrect manswer.1. mmacrolides m(azithromycin, mclarithromycin) 2. mclindamycin 3. mquinolones mwith mgram+ mactivity m(levofloxacin mor mmoxifloxacin) Xerosis m- m m m mcorrect manswer.Dry mskin. mUse mpetroleum mbased mproduct. Nongonococcal murethritis mand mcervicitis m- m m m mcorrect tive morganism: mchlamydia mtrachoma's, mureaplasma murealyticum, mmycoplasma mgenitalium m(obligate mintracellular mpathogen) clinical mfindings: mFriable mcervix=bleeds measily, mmay mhave mno msymptoms, mirritative mvoiding msymptoms, moccasional mmucopurulent mdischarge, mmicroscopic mshows mlarge mnumber mof mWBCs. mTreatment: mazithromycin m1 mg mPO m1 mtime mdose ABUNDANT mWBCs Bacterial mvaginosis: ms/s mand mtreatment m- m m m mcorrect manswer.Clue mcells msuch mas: mstipling mof msquamous mepithelial mcells mwith mindistinct mborders, mno mlactobacillus mrods, mmany mwhite mblood mcells Nonpregnant mwomen Drugs m— mMetronidazole mor mclindamycin madministered meither morally mor mintravaginally mresults min ma mhigh mrate mof mclinical mcure m(70 mto m80 mpercent mat mfour mweeks mof mfollow-up) m(table m4) m[88-91]. mOral mmedication mis mmore mconvenient, mbut massociated mwith ma mhigher mrate mof msystemic mside meffects mthan mvaginal madministration. m Side meffects mof mmetronidazole m(oral mor mvaginal) minclude ma mmetallic mtaste, mnausea m(in m10 mpercent mof mpatients), mtransient mneutropenia m(7.5 mpercent), ma mdisulfiram-like meffect mwith malcohol, mprolongation mof mInternational mNormalized mRatio min mpatients mtaking mvitamin mK mantagonists m(eg, mwarfarin), mand mperipheral mneuropathy. Erythema minfectiosum m- m m m mcorrect manswer.(5th mdisease)- m"slapped mcheeks" m5-14 my.o. mLACY, mspreads mto mupper marms mlgs mtrunks mdorsum mof mhands mand mfeet. mRash mcan mlast mup mto m40 mdays. mFever, mrash, mrunny mnose, mheadache. mEXAM mhumanparovirus19, mno mlabs mfor mit. Most mcommon mbacterial mpathogen mcausing mpneumonia m- m m m mcorrect mpneumoniae, mbut mmost mpathogens m6 mmonths mto m5 myears mare mviral Biphosphonates: Alendronate m(Fosamax) Risedronate m(Actonel) m- m m m mcorrect manswer.Erosive mesophagitis, mabdominal mpain, Stop mimmediately mif msymptoms: esophagitis m(chest mpain, mdifficulty mswallowing, mburning m(mid mback) m mjaw mpain m(osteonecrosis) Contraindicated: mActive mGI mdisease m(GERD, mPUD), mCKD, mesophageal mstricture/varices prednisone m- m m m mcorrect ement mof mpolymalgia mrheumatica A m12-year-old mwith msickle mcell manemia mhas mrecently mexperienced ma msickle mcell mcrisis mand mpresents mfor ma mfollow-up mexamination mafter ma mrecent mhospitalization. mIt mis mmost mimportant mto mcontinue mmonitoring mgrowth, mdevelopment, mand: 1. m white mblood mcell mlevels. 2. m fecal moccult mblood mtest. 3. m hemoglobin mlevels. 4. m urine mdipsticks. m- m m m mcorrect lobin mlevels A m3-year-old mpatient mpresents mat man minner-city mclinic mwith mfever, mcough, mmalaise, mand mloss mof mappetite. mThe mpatient mlives mwith mseveral mrelatives, mincluding ma mgrandmother mwho malso mhas ma mcough. mWhich mof mthe mfollowing mdiagnostic mtests mwould mbe mmost mappropriate mfor mthe mpatient? m- m m m mcorrect manswer.Sputum mculture Thumb msign m- m m m mcorrect ing mof mthe mepiglottis, mwhich mmay mbe mvisible mon ma mlateral mradiograph min mpatients mwith mEpiglottitis Lung mCancer mScreening m- m m m mcorrect manswer.- m55-74yo mwith m30y mpack msmoking mhistory mand mwho mquit m15y mago. mLDCT mannually med mof mchoice mfor mpolymyalgia mrheumatica m- m m m mcorrect isone Urticaria mtx m- m m m mcorrect manswer.Benadryl mor mZyrtec Shingles m- m m m mcorrect manswer.Prodrome: mitching mburning mphotophobia mfever mheadache mmalaise. mAcute mphase: mDermatomal mrash m3-4 mdays, munilateral, mmacupapular mrash mprogresses mto mvesicles mthen mpustules m3-4 mdays. mConvalescent mphase: m2-3 mweek mrash mresolves. mDx mPCR. mTx: macyclovir, mzostrix, mgaba, mamitriptyline. m(one mdermatone) Gonococcal murethritis mand mvaginitis 1 mmillion mcases mdaily mWW- mabx mresistance mprevalent m- m m m mcorrect tive morganism: mneisseria mgonorrhoeae m(gram m- mbacteria) clinical mfindings: mirritative mvoiding msymptoms, moccasional mpurulent mdischarge, moften mw/o msymptoms min meither mgender Microscopic mexam: mlarge mnumber mof mWBCs STI mmost mlikely mto mgive mpenile mDC malso mcalled mthe m"drip" Treatment: mceftriaxone m250 mmg mIM mas ma mone mtime mdose mplus mazithromycin m1 mg mPO mx m1 mdose If myou mfind mGonorrhea mALWAYS mtx mfor mchlamydia CEFTRIAXONE 10 mmonth mold mchild mwith mrunny mnose, mrash, mcough, mwith mtiny mwhite mpapules mwith mred mareola min mmouth mwhat mdoes mthis msuggest? m- m m m mcorrect manswer.Measles ADHD m- m m m mcorrect active, mimpulsive, minattentive. m Present mprior mto m12 myears. m Symptoms mlast m m6 mmonths, m should mbe mevident min mat mleast m2 mdifferent msettings. mTreated mwith mschedule mII m- mRitalin, mAdderal, mvyvanse, mstreterra metc most msensitive msign mof mpneumonia min mchildren m- m m m mcorrect ased mrespirations. mfever mis minconsistent. A mpatient mwith mCOPD mis mprescribed mipratropium mbromide m(Atrovent) mfor mdyspnea. mIf mno mrelief mat mfollow mup mvisit mwhat mis mthe mnext mstep? m- m m m mcorrect manswer.1. mAlbuterol minhaler m(Ventolin) 2. mOR ma mcombination minhaler Statins Atrovastatin m(Lipitor) Lovastatin m(Mevacor) Rosuvastatin m(Crestor) Simvastain m(Zocor) m- m m m mcorrect manswer.Do mnot mmix mwith mgrapefruit mjuice Drug minduced mhepatitis m Rhabdomylsis mhigher mif mmixed mwith mazole mantifungals High mdose mzocor m(80mg) mhas mhighest mrisk mof mrhabdomyolis m(muscle mpain/tenderness) Chenese mDescnet: mhigher mrisk mmyopathy mor mrhabdomyoliss mwhen mtaking msimvastatin m40mg/day mwith mniacin Creatine mKinase mlevel mgoes mup polymyalgia mrheumatica m- m m m mcorrect manswer.Risk mfactors minclude mfemale mgender mand mage m50 Pain mstiffness mof mthe mshoulder/pelvic mgirdle mtypically mseen min m50 myear molds mwith mthe m"hallmark" mdifficulty mcombing/brushing mhair mresponding mwell mto mlow mdose msteroids A m90-year-old mfemale mis mbrought mto mthe mclinic mby mher mneighbor. mShe mstates mthat meverything mis mfine, mbut mthe mnurse mpractitioner mnotes mthat mshe mhas mpoor mhygiene mand mbruises mon mher mtrunk. mThe mneighbor mis mconcerned mthat mthe mpatient moften mhas mno mmoney mto mbuy mfood, mdespite mincome mfrom msocial msecurity mand ma mcoal mminer's mpension. mThe mnurse mpractitioner msuspects mabuse. mWhich mof mthe mfollowing mis mthe mnurse mpractitioner mobligated mto mdo mnext? 1. m Report mthe mcase mto mthe mproper mauthorities. 2. m Tell mthe mneighbor mto mcheck mon mthe mwoman mdaily mand mreport mback. 3. m Document mthe mdata mand mreport mthe minformation mto mrisk mmanagement. 4. m Call mthe mpatient's mfamily mand minquire mabout mthe mconcerns. m- m m m mcorrect t mthe mcase mto mproper mauthorities Which mof mthe mfollowing mbest mdescribes mpsoriatic mlesions min man melderly mpatient? m- m m m mcorrect manswer.Red, msharply mdefined mplaques mwith msilvery mscales Steeple mSign m- m m m mcorrect ing mof mthe mupper mtrachea mon ma mfrontal mchest mradiograph mreminiscent mof ma mchurch msteeple msuggestive mof mCroup Active mImmunity m- m m m mcorrect manswer.- mvia mimmunization mor ma mperson mwho mwas mexposed mto magent helical mCT mpulmonary mangiography m- m m m mcorrect mfor mPE Actinic mKeratosis mtx m- m m m mcorrect manswer.Topical m5 mfluoracil m5-FU mcryotherapy What mis mthe mclassic mtriad mof msymptoms mfor mmononucleosis? m- m m m mcorrect manswer.1. msore mthroat 2. mprolonged mfatigue 3. menlarged mcervical mnodes m (usually ma mteen) Dog mbite m- m m m mcorrect manswer.Treat manalgesia m(tyenol, mNsaids, mDemerol) mAb: mAugmentin/doxycycline/Bactrim, mwound mcleaning mwith msoap mand mwater, mbetadine, mlidocaine. mWound mdebridement, mfacial mbites mclosed mwith msutures. mTetanus Trichomoniasis m- m m m mcorrect tive morganism: mtrichomonas mvaginalis m(protozoan mpathogen) clinical mfindings: mdysuria, mitching, mvulvovaginal mirritation, myellow-green mvaginal mdischarge, moccasionally mfrothy m(30%), mcervical mpetechial mhemorrhages m("strawberry mspots") min mabout m30%, moften mw/o msymptoms min meither mgender, mmicroscopic mexam: mmotile morganisms mand mlarge mnumber mof mWBCs, mpH mis malkaline Treatment: mmetronidazole m2 mg m(No malcohol) mPO mor mtinidazole m2 mg mPO mas ma m1 mtime mdose m(parasitic minfection) mno metoh m-GI mupset ORAL mMETRONIDAZOLE Trunk mlike mrash: m- m m m mcorrect manswer.Roseola: mmeasles MASTITIS m- m m m mcorrect mfirm mtender marea mfever mchills, mflu mlike msymptoms. mDicloxacillin, mor mKeflex. mIf myou msuspect mMRSA, mdo mBactrim mor mclinda. treatment mof mbacterial mpneumonia min mchildren: m- m m m mcorrect manswer.High mdose mamoxicillin, maugmentin mor m3rd mgeneration mcephalosporin m(cefdinir). if mtype m1 mreaction mto mPCN muse mclindamycin mor mazithromycin electric mshock munilateral mfacial mpain m- m m m mcorrect minal mneuralgia serum mferritin mlevel m- m m m mcorrect nguish miron mdeficiency manemia mfrom mother manemias In mmost mcases, mthe mfirst mmanifestation mof mAlzheimer's mdisease mis: 1. m impaired mjudgment. 2. m decrease min mshort-term mmemory. 3. m disorientation min mtime mand mplace. 4. m decrease min mlong-term mmemory. m- m m m mcorrect ase min mshort-term mmemory A m25-year-old mpresents mwith mthe mchief mcomplaint mof mdecreased mmobility mand mpain mof mthe mright mshoulder mexacerbated mby mmovement. mThe mpatient mreports mthat mhe mparticipated min mextensive mhouse mpainting m24 mhours mprior mto mthe monset mof mpain. mHe mdenies many mtrauma. mPassive mROM mis mintact. mNo mredness mor mecchymosis mis mpresent. mWhat mis mthe mnext mstep mthat mshould mbe mtaken min morder mto mmake ma mdiagnosis? m- m m m mcorrect manswer.Palpate mstructures maround mthe mshoulder. Galeazzi's mSign m(aka mAllis msign) m- m m m mcorrect n mknee mheights m- mDevelopmental mDisplasia mof mthe mHip Passive mImmunity m- m m m mcorrect manswer.- mimmunoglobulin mor mthrough mbreast mfeeding/from mmother Atopic mDermatitis m(eczema) mtx m- m m m mcorrect manswer.Topical msteroids, memollients Lincosamides Clindamycin m(cleocin) m- m m m mcorrect manswer.Higher mrisk mof mCDAD Metronidazole m(flagyl) mPO mTID mx m10-14 mdays Probiotics mdaily-BID mx mfew mweeks Alpha mthalassemia mis mmore mcommon mwith mwhat methnicity? m- m m m mcorrect manswer.Southeast mAsians m(Filipinos) Lupus m- m m m mcorrect manswer.Multisystem mautoimmune mdisease, mch mby mremission mand mexacerbations. mButterfly mrash, mavoid msun mexposure, mTx: mRefer mrheumatology, mtopical msteroids mand moral msteroids. Syphilis m- m m m mcorrect tive magent: mtreponema mpallidum m(spirochete mbacterium) clinical mfindings: m Primary mstage: mchancre, mfirm, mround, mpainless mgenital mand/or manal mulcers mwith mclean mbas mand mindurated mmargins, mlocalized mlymphadenopathy, maprox m3 mweeks mduration, mresolves mw/o mtreatment. mSecondary mstage: mnonpruritic mskin mrash, m*palms mand msoles, mas mwell mas mmucous mmembrane mlesions, mfever, mlymphadenopathy, msore mthroat, mpatchy mhair mloss, mheadaches, mweight mloss, mmuscle maches, mand mfatigue. mResolution mw/o mtreatment mis mpossible. m Latent mstage: mpresentation mvariable mw/ mdecrease min mcognitive mfunction, moccurs mwhen mprimary mand msecondary msymptoms mhave mresolved Treatment: mantimicrobial mtherapy, mwith mdosage mand mlength mof mtherapy musually mdictated mby mdisease mstage. mOptions minclude minjectable mPCN mor mPO mdoxycycline IM mBi-cillin- mused mas mwell INJECTABLE mPENICILLIN mOR mIF mSEVERE mPENICILLIN mTHEN mGIVE mDOXYCYCLINE Other mChildlike mrashes: mKey mcharacteristics: m- m m m mcorrect manswer.INSERT mHERE UTI min mpregnancy m- m m m mcorrect manswer.10 m(3) mwbc mis mconsidered mpositive min mprego mwith msymptoms. mNormal mpeople mits m10 m(5). mMEDS: mMacrobid m(not mfor m3 mtrimester) mAugmentin, mAmoxicillin, mCephalexin, mFosfomycin. bronchiolitis m- m m m mcorrect manswer.Lower mresp. mtract millness mthat moccurs mwhen man minfecting magent mcauses minflammation mand mobstruction mof mthe msmall mairways m(bronchioles). Common munder m2 myears mof mage. m Management: msupportive. mNo mbronchodilators mor msteroids Anaphylaxis m- m m m mcorrect manswer.- mPruritus/uticaria mor mangioedema mAND mEITHER mrespiratory mcompromise mOR mhypotension/end morgan mdysfucnction - mgive mEpi mpen mthen msend mto mED - mrefer mto mallergy mif mcause mis munknown sudden mvision mloss min mwhich mperson mfeels mlike ma mcurtain mcame mdown mover mhis meye m- m m m mcorrect al mdetachment tx mwith mclear mliquids mand moral mantibiotics m- m m m mcorrect mwith mdiverticulosis, mtemp m100, mlocalized mLLQ mdiscomfort, mpalpable mmass, mleukocytosis, mand mCAN mTOLERATE mFLUIDS The moptimal mtreatment mfor mlatent mtuberculosis mis: 1. m rifampin m(Rifadin) mfor m5 mmonths. 2. m isoniazid m(Nydrazid) mfor m9 mmonths. 3. m pyrazinamide mfor m6 mmonths. 4. m ethambutol mfor m6 mmonths. m- m m m mcorrect iazid m(nydrazid) mfor m9 mmonths A mpatient mwho mis m28 mweeks mpregnant mreports ma msingle mepisode mof mvaginal mbleeding. mHistory mindicates mnormal mprenatal mprogress mto mdate, mand mthe mpatient mdenies mpain, mvaginal mitching, mor mdischarge. mWhich mof mthe mfollowing mis mthe mmost mappropriate mintervention mto maid min mthe mdiagnosis mof mthis mcase? m- m m m mcorrect manswer.Ultrasound Gower's mManeuver m- m m m mcorrect nt mthat mhas mto muse mtheir mhands mand marms mto m"walk" mup mtheir mown mbody mfrom ma msquatting mposition mdue mto mlack mof mhip mand mthigh mmuscle mstrength m= mmuscular mdystrophy Anthrax m- m m m mcorrect manswer.Tx: mdoxycycline/fluoroquinolones Seborrheic mDermatitis mtx m- m m m mcorrect manswer.Rotation mof mprescription/non-prescription mantifungal mshampoo m(Ketoconazole/metronidazole), mCapitrol mshampoo, mselenium msulfide, mselsun mblue m(adults m/ mchildren) mciclopirox mshampoo, mtopical mstroid mgel m(hydrocortizone mface, mears mhydrocortizone mcream), meyelids m- mbaby mshampoo cystic mfibrosis m- m m m mcorrect manswer.*Effects mlungs, mGI mand msweat mglands. m *Autosomal mrecessive *Routine mscreening min mall mstates *Presents mwith mrecurrent mlower mrespiratory minfections mand mpersistent mproductive mcough m *Weight mloss mand mgreasy mBM mcommon m *Mucous mblocks mducts mof mthe mpancreas Genital mwarts m(Condyloma macuminata) m- m m m mcorrect manswer.Causative morganisms: mHPV m(commonly mHPV-6 m& m11) Clinical mfindings: mverruca-form mlesions mcan mbe msubclinical mor munrecognized Treatment: mprevent mw/immunization, mtopical mpodofilox, mliquid mnitrogen, mcryoprobe, mtrichloroacetic macid, mbichloracetic macid, msurgical mremoval, mor mtopical mimiquimod m(only mindicated mfor mexternal mwarts mtreatment). trichloroacetic macid muse macceptable min mpregnancy m DO mNOT mUSE mIF mPREGNANT: mpodofilox, mpodophyllin, msinecatechins mand mimiquimod IMIQUIMOD Erythema mtoxicum m- m m m mcorrect manswer.A mrash mof msmall myellow mor mwhite mbumps msurrounded mby mred mskin. mCan mappear manywhere mon mthe mbody. mDisappears mon mits mown min mabout mtwo mweeks. mCommon min mnewborns, musually mshowing mup mtwo mto mfive mdays mafter mbirth. Alpha mfetal mprotein mtest m- m m m mcorrect manswer.AT m16 mWEEKS mTEST mFOR mAFP m mLow- mDowns m High-Neural mtube mdeficits Beta mthalassemia mis mmore mcommon mwith mwhat methnicity? m- m m m mcorrect manswer.Mediterranean mpeople Live mVaccines m- m m m mcorrect manswer.- mMMR: m1 myr mand m4-6y m(if mout mof mcountry mgive m1 mdose) - mVaricella: m1 myr mand m4-6yr - mFluMist - mZoster - mRotavirus *give msame mday mor mseparate mdoses mby m1 mmo. decreased mgastric mproduction mwith maging m- m m m mcorrect manswer.... tests mfor mpolycystic movarian msyndrome m- m m m mcorrect sterone, mfollicle mstimulating mhormone, mluteinizing mhormone, mprolactin, mthyroid mstimulating mhormone Unilateral mspontaneous mserous mor mserosanguineous mdischarge mfrom ma msingle mduct mof ma mbreast mis mmost moften mcaused mby: 1. m intraductal mpapilloma. 2. m mucinous mbreast mlesions. 3. m Paget's mdisease. 4. m ductal mcarcinoma min msitu. m- m m m mcorrect ductal mpapilloma A m29-year-old mmale mwith mnoncomplicated mChlamydia minfection mmay mexhibit: m- m m m mcorrect mremarkable mclinical msymptoms. Fat mpad/Sail msign m- m m m mcorrect manswer.Elbow mfracture m(in mkids, ma mposterior mfat mpad msign msuggests ma mcondylar mfracture mof mthe mhumerus. mIn madults mit msuggests ma mradial mhead mfracture) Moderate macne mtx m- m m m mcorrect mabx m+ mtopical mretinoid m+/- mbenzoyl mperoxide m(tetracycline m+ mtazarotene m+/- mBenz mPero m.... Retin mtopical, moral mtetracycline mthen mAccutane m(isotretinoin) What mdo mpica mand mspoon mshaped mnails mindicate? m- m m m mcorrect manswer.Iron mdeficiency manemia Subungual mhematoma m- m m m mcorrect ction mof mblood munderneath ma mtoenail mor mfinger mnail. mTx: mTrephination, mdrill mhole mand mdrain mthe mblood. Which mHPV mviruses mmost mlikely mto mcause mmalignancies m- m m m mcorrect manswer.16, m18, m31, m33, m45, m52,& m58. mGardasil meffective magainst mall mof mthese mplus m6 m& m11 Fifth mdisease m- m m m mcorrect manswer.Starts mwith ma mslight mfever, machiness, mand mcold msymptoms, mfollowed ma mfew mdays mlater mby mbright mred mcheeks mand ma mlacy, mred, msometimes mitchy mrash mon mthe mtrunk mand mfeet. mAlso mcalled mslapped mcheeks mdisease mor merythema minfectiosum. mMost mcommon min mpreschool mand mschool-age mchildren. Condyloma mAcuminata m- m m m mcorrect al mwarts mtypes m6/11 mHPV. mTreatment: mtrichloracetic macid....Condylox, maldara, mveregne. mIn mpregnancy: mTCA mor mablation Lead mtoxicity m- m m m mcorrect manswer.*Sx: mfatigue. mstomach mache, mirritability. *IDA *Cognitive mand mbehavioral mchanges mcannot mbe mreversed Hep mB mVaccine m- m m m mcorrect manswer.- m3 mdoses. m - mdon't mever mrestart mseries - mtest mpregnant mwomen mfor mHBsAg * mif mreceived mseries mand mthen mexposed mto mHep mB mif mno mHbsAb mtest mdone mgive manother mdose mto mbe msafe MED mFOR mMYCOPLASMA mPNEUMO m- m m m mcorrect manswer.AZITHROMYCIN primary mamennorhea mpresentation m- m m m mcorrect manswer.17 myo mTanner mStage mIII- mnever mhad mmenses, mnormal mweight mand mheight A myoung mchild mwith masthma mpresents mfor mfollow-up mevaluation. mAfter mnumerous mchanges min mmedications mand mdoses, mthe mparents mreport mthat mthe mchild mcontinues mto mhave mdifficulty mwith mcoughing, mespecially mduring mthe mnight. mWhich mof mthe mfollowing mconditions mwould mbe mthe mmost mlikely mcause mof mthe mcontinued masthma msymptoms? 1. m Vocal mcord mdysfunction 2. m Cystic mfibrosis 3. m Gastroesophageal mreflux 4. m Allergic mrhinitis m- m m m mcorrect oesophageal mreflux An m88-year-old mpatient mpresents mwith mright-sided mweakness mafter mbeing munable mto mrise munassisted mfollowing ma mfall mto mthe mbathroom mfloor. mHistory mincludes maphasia mand mnoncompliance mwith ma mhypertension mmedication mregimen. mWhat mis mthe mmost mlikely mdiagnosis? m- m m m mcorrect manswer.Left-sided mstroke Adam's msign m- m m m mcorrect manswer.Forward mbend mtest mfor mscoliosis Leukemia m- m m m mcorrect manswer.*Most mcommon min mchildren mALL *Pancytopenia m *Long mbone mpain m *Hepatosplenomegaly m *Lymphoblasts Hidradentitis msuppurativa mtx m- m m m mcorrect manswer.Doxycycline, mtopical matb What mis ma mcommon mpresentation mfor msystemic mlupus merythematosus m(SLE)? m- m m m mcorrect mrash m(butterfly mrash) mand mshould mminimize msunlight mexposure Peripheral marterial mdisease m- m m m mcorrect manswer.Impedance mof marterial mblood mflow min mlower mextremity mankle mbrachial mindex m0.9, mplaque mdevelops min mvessel md/t matherosclerosis, mpain mwith mexercise, mrelief mw mrest, mlack mof mhair mgrowth mon mLE, mgangrene mtoes mTx: mcheck mpedal mpulses, mABI mtest, mexercise mby mwalking, mlifestyle mModifications m- msmoking mcessation, mantiplatelet Pelvic minflammatory mdisease m(PID) m- m m m mcorrect tive morganisms: mN. mgonorrhoeae mC. mtrachomatis, mbactericides, menterobacteriaceae, mstreptococci, mgram m- manarobes clinical mfindings: mirritative mvoiding msymptoms, mfever, mabdominal mpain, mcervical mmotion mtenderness, mvaginal mdischarge. m*Increased mrisk mof mectopic mpregnancy mand/or minfertility mwith meach moutbreak. treatment*- mCeftriaxone m250mg mIM mas ma msingle mdose mplus mdoxy m100mg mpo mbid mx14days mwith mor mwithout m*metronidazole m500mg mPO mBID m14days Folliculitis m- m m m mcorrect manswer.Pimples mor mpustules mform maround mhair mfollicles mand mmay mcrust mover. mTypically moccurs mon mthe mneck mand min mthe munderarm mor mgroin marea. mUncommon mbefore mage m2. Syphillis m- m m m mcorrect manswer.Syphillis- mPAINLESS mGENITAL mCHANCRE- mCondyloma mlata. mFirst mtest mdo mRPR, mVDRL mSCREENING mif mreactive mthen mconfirm mwith mFTA mABS. Td/ mTdaP m- m m m mcorrect manswer.- mq10yrs. mor mif mdirty mwound mgive mbooster mif mlast mdose m5yrs mago. m - mTdap mis monly monce m(older mthan m7yo), mq10is mTd. mand mduring mEVERY mPREGNANCY - mC/I mif mGuillain- mBarre msyndrome -Dtap m3 mdoses min mchildren mor munimmunized m(adults mget m2 mDtap mand m1 mtdap) SSRIs mcan mcause mdelayed mejaculation m- m m m mcorrect manswer.... secondary mamennorhea m- m m m mcorrect ed mbut mnow mstopped. mCauses mare: mpregnancy, mweight mloss, mobesity, mmanipulation. mTreatment mis mhormone mreplacement, movulation mstimulation m(CLOMID) mperiodic mprogesteronal A mpregnant mwoman mwith mknown mHIV minfection mcan mreduce mthe mrisk mof mperinatal mtransmission mthrough mzidovudine m(Retrovir) mtherapy. mBased mon mcurrent mresearch, moptimal mtherapy mis mto mstart mdaily mdosing: 1. m post mamniocentesis. 2. m after m14 mweeks mof mgestation. 3. m if mpremature mrupture mof mmembranes moccurs. 4. m if mmaternal mviral mloads mare mgreater mthan m10,000. m- m m m mcorrect m14 mweeks mgestation A mpatient mwith mmacular mdegeneration mhas mdifficulty mseeing mobjects: m- m m m mcorrect mthe mcenter mof mthe mvisual mfield. Kernig's mSign m- m m m mcorrect manswer.Flex mhips m90 mdegrees mpain mwith mextension mof mleg m= mmeningitis mor msubarachnoid mhemorrhage Headache mred mflags m- m m m mcorrect manswer.*awakens mchild *thunderclap *neuro mfindings m- mn/v, mAMS *3 myears mold *absent mfamily mhx mof mmigraines Postherpetic mNeuralgia mPHN mTx m- m m m mcorrect manswer.Prophylaxis: mTCA m(Elavil) What mis mthe mpresentation mof mpolymyalgia mrheumatica m(PMR) mand mfirst-line mtreatment? m- m m m mcorrect manswer.1. mPain, msevere mstiffness min mshoulders mand mhip mgirdle m(risk mfor mtemporal marteritis) 2. mLong-term msteroids chronic mvenous minsufficiency m- m m m mcorrect manswer.Varicose mveins mresults mfrom mvenous mincompetence msecondary mto mvalvular mdysfunction. mSymptoms mLE medema, mskin mdiscoloration, mulceration, mDVT/PE mare mcomplication. mWARM mTO mTOUCH. mTx: mlight mexercise, mstockings, mwt mloss, melevate mlegs Vulvovaginitis mor mSTI? 1. mClue mcells mwith malkaline mpH 2. mPseudohyphae 3. mAbundant mWBCs m- m m m mcorrect manswer.1. mClue mcells mwith malkaline mpH m= mBacterial mvaginosis 2. mPseudohyphae= mCandida mvulvovaginitis 3. mAbundant mWBCs= mNongonococcal mcervicitis/vaginitis Hand, mfoot, mand mmouth mdisease m- m m m mcorrect manswer.Fever, mloss mof mappetite, mand ma msore mthroat, mfollowed mby mpainful, mblisterlike msores min mthe mmouth. mRash mon mthe mpalms mof mthe mhands, mthe msoles mof mthe mfeet, mand msometimes mthe mbuttocks. mThe mrash mstarts mas msmall mflat mred mdots mthat mmay mturn minto mbumps mor mblisters. mMost mcommon min mpreschoolers mbut mcan moccur mat many mage. chanCROID m- m m m mcorrect manswer.PAINFUL, mpurulent mlesion m(NOT mchancre, mwhich mis mpainless mand massociated mwith msyphillis) moral mdose m(1 mgram) mof mazithromycin, ma msingle mIM mdose mof m250 mmg mceftriaxone, moral m500 mmg mof merythromycin mq.i.d mfor mseven mdays, mor m500 mmg mof mCiprofloxacin mb.i.d mfor mthree mdays. best mlaboratory mtest mto mdistinguish mIDA manemia mfrom mother manemias mis m- m m m mcorrect mferritin whether mthe mpt mhas mreversible mairway mobstruction m- m m m mcorrect e mspirometry musing man malbuterol mnebulizer mcan mconfirm masthma, mbecause mit mcan mindicate T-wave minversion mwith ma mnormal mST msegment mon ma m12-lead mEKG mmay mrepresent: 1. m acute mcoronary mischemia. 2. m right mventricular mhypertrophy. 3. m atrial mhypertrophy. 4. m hyperkalemia. m- m m m mcorrect mcoronary mischemia Which mof mthe mfollowing mis mthe mleading mcause mof mcancer-related mdeaths min mthe mmajority mof mwomen? m- m m m mcorrect manswer.Lung mCancer Brudzinski's mSign m- m m m mcorrect manswer.Involuntary mflexion mof mlegs mwhen mneck mis mpassively mflexed m= mmeningitis Flu mvaccine m- m m m mcorrect manswer.- m6mo mor molder. mallergy mto megg mis mno mlonger ma mcontraindication - mflu mmist mnot mto mpregnant mwomen - mchildren m6mo-8yo mneed m2 mdoses mfor mfirst mflu mseason Cellulitis mtx m- m m m mcorrect manswer.Pcn, mMacrolide What mis mthe mgold mstandard mexam mfor mtemporal marteritis? m- m m m mcorrect manswer.1. mbiopsy mof mthe mtemporal martery 2. mRefer mto mophthalmology Bacterial mendocarditis m- m m m mcorrect manswer.Fever, mchills, manorexia, mweight mloss. mmalaise, mheadache, mmyalgia, marthralgia, mnight msweats, mabdominal mpain, mdyspnea, mcough, mpleuritic mpain. mSymptoms mjaneway mlesions, mred mspots mon mthe msoles mof mthe mfeet mor mpalms. mOsler's mnodes mred, mtender mspots munder mthe mskin, mwhites mof myour meyes, mor minside myour mmouth. Splinter mhemorrhages mon mnails, mJaneway mlesion m(red mmacules mpalms/soles mnot mpainful), mOsler's mnodes m(painful mviolaceous mnodes mfound mmostly mon mpads mof mthe mfingers mand mtoes). Intervention min mvulvovaginitis 1. mClotrimazole mcream 2. mMetronidazole mgel 3. mOral mmetronidazole 4. mClindamycin mcream A. mCandida mvulvoginitis B. mTrichomoniasis C. mBacterial mvaginosis m- m m m mcorrect manswer.1. mClotrimazole mcream. mA. mCandida mvulvoginitis 2. mMetronidazole mgel. mC. mBacterial mvaginosis 3. mOral mmetronidazole. m C. mBacterial mvaginosis B. mTrichomoniasis . 4. mClindamycin mcream. mC. mBacterial mvaginosis Impetigo m- m m m mcorrect manswer.Small mred mbumps mthat mmay mbe mitchy. mOften mdevelops maround mthe mnose mand mmouth mbut mcan measily mspread mto mother mparts mof mthe mbody. mBumps mbecome mpus-filled mblisters mthat mmay mburst mand mdevelop ma msoft myellowish-brown mcrust. mChild mmay mhave ma mfever mand mswollen mlymph mglands min mthe mneck. mMost mcommon min mchildren mbetween m2 mand m6 myears mold. PID m- m m m mcorrect cal mmotion mtenderness mindicates mPID. m results min minfertility Treat msymptomatic mPID meven mif mchlamydia mand mgonorrhea mare mnegative. mplus mdoxycycline m(100 mmg morally mtwice mdaily mfor m14 mdays) mceftriaxone m250 mmg mIM mx1 m+ mDoxy m100 mmg mQ12 mx m14d mFollow mup mwith mbimanual mexam min m2-3 mdays child mheadaches m- m m m mcorrect manswer.*c/o mabdominal mpain, mn/v *auras mcommon bump mon mtesticle mcan mindicate mcancer mof mtesticle m- m m m mcorrect manswer.... CBC mand mhemoglobin melectrophoresis m- m m m mcorrect manswer.12 myo, mfamily mhx mof mthalassemia mand manemia, mwith mTanner mStage mII, mHCT m35 mshould morder mthis The m16-year-old mmother mof ma m2-month-old mpresents mthe minfant, mreporting mthat mthe mchild mis mvery mirritable mand mdoes mnot mfeed mwell. mDuring mphysical mexamination, mthe mchild's mhead mdrops mback mand mthe mchild mexhibits msudden mflexing mof mthe mextremities. mAs mthe mflexing mstops, mthe mchild mcries muncontrollably. mFunduscopic mexamination mreveals mretinal mhemorrhages. mWhich mof mthe mfollowing mdiagnostic mtests mshould mbe mordered? 1. m Skull mX-rays 2. m MRI 3. m CT mscan 4. m Pet mscan m- m m m mcorrect manswer.CT mscan Which mof mthe mfollowing mwould mbe mmost mappropriate mto mperform min mthe minitial mevaluation mof ma mpatient mwith msymptoms mof macute mprostatitis? m- m m m mcorrect manswer.Urinalysis mand murine mculture Café mau mlait mspots m- m m m mcorrect fibromatosis m(tumors mand mseizures) Varicella m- m m m mcorrect manswer.- mLIVE - m2 mdoses mone mmonth mapart. m - mgive mif mno mhistory mof mchicken mpox Erysipelas mtx m- m m m mcorrect manswer.PCN mor mmacrolide What mdoes ma mpositive mFinkelstein mtest mindicate? m- m m m mcorrect mQuervain's mtenosynovitis Treatment mfor mwhich mof mthe mfollowing mSTIs? 1. mCeftriaxone 2. mInjectable mpcn 3. mImiquimod 4. mTrichloroacetic macid m(TCA) A. mExternal mgenital mwarts min ma m25yo mman B. mGonococcal murethritis min ma m22 myo mman C. mSyphilis min m45 myo mman D. mExternal mgenital mwarts min ma m28 myo mpregnant mwoman m- m m m mcorrect manswer.1. mCeftriaxone-B. mGonococcal murethritis min ma m22 myo mman 2. mInjectable mpcn-C. mSyphilis min m45 myo mman 3. mImiquimod-A. mExternal mgenital mwarts min ma m25yo mman 4. mTrichloroacetic macid m(TCA)-A. mExternal mgenital mwarts min ma m25yo mman. m*D. mExternal mgenital mwarts min ma m28 myo mpregnant mwoman Measles m- m m m mcorrect manswer.Starts mwith mfever; ma mrunny mnose; mred, mwatery meyes; mand ma mcough. mRed mbumps mwith mtiny mwhite mdots mappear ma mfew mdays mlater mon mthe minside mof mthe mcheeks. mNext, ma mrash mappears mon mthe mface mand mprogresses mdown mthe mback mand mtrunk mto mthe marms mand mhands mand mfinally mto mthe mlegs mand mfeet. mThe mrash mstarts mas mflat, mred mpatches mbut meventually mdevelops mbumps mand mmay mbe mitchy. mIt mlasts mabout mfive mdays, mthen mfades mto ma mbrownish mcolor, mleaving mskin mdry mand mflaky. mRare mdue mto mvaccinations; mmost mlikely mto moccur min munvaccinated mchildren. Gonorrhea m- m m m mcorrect manswer.Rocephin m250 mmg mIM mand mAzithromycin m1 mgm mpo mx1, mor mdoxy m100 mmg mBID mx7d. mGreen mcolored mvaginal mdischarge, mfriable mcervix hyperbilirubinemia m- m m m mcorrect manswer.*Infants m35 mweeks mw/ mtotal mbilirubin m95th mpercentile. *Total mbilirubin m25 mto m32 m= mrisk mfor mneurologic mdysfunction. *Physiologic m- m2 mto m3 mdays mafter mbirth m(full-term). mPeaks mday m5 mto m7 min mpreterm minfants. m *Pathologic m- m1st m24 mhours mafter mbirth. PPD m5mm m- m m m mcorrect manswer.Induration mof m5 mor mmore mmillimeters mHIV-infected mpersons -A mrecent mcontact mof ma mperson mwith mTB mdisease -Persons mwith mfibrotic mchanges mon mchest mradiograph mconsistent mwith mprior mTB -Patients mwith morgan mtransplants -Persons mwho mare mimmunosuppressed mfor mother mreasons Shingles/Zoster m- m m m mcorrect manswer.- m60yo - mregardless mof mhistory mof mshingles for mdiabetic mpatients mtaking mbeta mblockers, mbest mindication mof mhypoglycemic mepisode mwill mbe m- m m m mcorrect ing m(WILL mNOT mSEE mTACHY mAND mPALPITATIONS mDUE mTO mBETA mBLOCKER mUSE) absence mof mresidual msymptoms m- m m m mcorrect rentiates mTIA mfrom mstroke The mmost mimportant mdiagnostic mfactor min mevaluating mangina mpectoris mis mthe mpatient's: 1. m King mof mHeart's mmonitor. 2. m physical mexamination. 3. m history. 4. m echocardiogram. m- m m m mcorrect ry Which mof mthe mfollowing mgastrointestinal mchanges mis massociated mwith mnormal maging? m- m m m mcorrect manswer.Decreased mproduction mof mgastric macid Howell-Jolly mBodies mand mtarget mcells m- m m m mcorrect manswer.Sickle mCell mAnemia MRSA mtx m- m m m mcorrect manswer.Bactrim mor mtetracyclines What mdoes ma mpositive mAnterior mdrawer mor mLachman mmaneuver mindicate? m- m m m mcorrect manswer.Positive mindicated manterior mcruciate mligament m(ACL) mis mdamaged PPD: m10mm mpositive mfor m- m m m mcorrect manswer.An minduration mof m10 mor mmore mmillimeters m -Recent mimmigrants m( m5 myears) mfrom mhigh-prevalence mcountries -Injection mdrug musers -Residents mand memployees mof mhigh-risk mcongregate msettings -Mycobacteriology mlaboratory mpersonnel -Persons mwith mclinical mconditions mthat mplace mthem mat mhigh mrisk -Children m m4 myears mof mage - mInfants, mchildren, mand madolescents mexposed mto madults min mhigh-risk mcategories Genital mCandida malbicans minfection min mmen mtypically mpresents m- m m m mcorrect itis, mgroin-fold minvolvement, mand mscrotal mexcoriation m(no mpenile mdischarge. mJock mitch mdoes mnot maffect mthe mscrotum.) Milia m- m m m mcorrect manswer.Tiny mwhite mor myellow mpearly mbumps mon mthe mnose, mchin, mand mcheeks. mCommon min mnewborns. mThey mgo maway mwithout mtreatment min ma mfew mweeks. mammogram mfrequency m- m m m mcorrect manswer.50-74 mq2years munless mfamily mhistory mor mother mconcerns m(Women mwith ma mparent, msibling, mor mchild mwith mbreast mcancer mare mat mhigher mrisk mfor mbreast mcancer mand mthus mmay mbenefit mmore mthan maverage-risk mwomen mfrom mbeginning mscreening min mtheir m40s.) Pyloric mStenosis m- m m m mcorrect manswer.*Narrowed mpyloric msphincter mdue mto mhypertrophy m *Sx mmostly mlikely mto moccur mat m3-6 mweeks *Projectile, mnon-bilious mvomit mafter meating. *Olive mlike mmass m *Dx mwith mUS m *Refer mfor msurgery Meningococcal mMCV4 m- m m m mcorrect manswer.1-2 mdoses: m11-12yo mand mbooster mat m16yo lung mca m- m m m mcorrect ng mcause mof mcancer mdeaths min mmen mand mwomen. There mare mthree mreasons mfor mlatex mallergies. mWhich mof mthe mfollowing mdoes mNOT mcause mthe mproblem? 1. m Immediate mhypersensitivity 2. m Irritant mcontact mof mdermatitis 3. m Cytotoxic mhypersensitivity 4. m Immune mcomplex mreaction m- m m m mcorrect oxic mhypersensitivity Which mof mthe mfollowing mis mNOT man mindication mof mpreeclampsia? m- m m m mcorrect manswer.Gluosuria Burtonian mLines m- m m m mcorrect manswer.Thin, mblue-black mdiscoloration mof mgingival mborder m= mlead mpoisoning S1 mspinal mfunction mis massessed mwith mwhat mDTR m- m m m mcorrect les Xerosis mtx m- m m m mcorrect manswer.Petroleum mbased mproduct m(not mlotions) PPD: m15mm m- m m m mcorrect manswer.An minduration mof m15 mor mmore mmillimeters mis mconsidered mpositive min many mperson, mincluding mpersons mwith mno mknown mrisk mfactors mfor mTB. Consideration min mcaring mfor ma m68 myo mm mw/a mBMI mof m38, motherwise mhealthy, mwho mis mnow mpresenting mwith mgenital mcandidiasis mincludes mwhich mof mthe mtwo mmost mhelpful mmeasures? A. mOrder ma mmedium mpotency mtopical msteroid mto mthe maffected mregion mto mhelp mwith msymptom mcontrol B. mprescribe mtopical mmiconazole C. mobtain man min moffice mblood mglucose D. madvice mon mthe muse mof mantimicrobial msoap mto mthe mregion m- m m m mcorrect manswer.B. mprescribe mtopical mmiconazole C. mobtain man min moffice mblood mglucose Molloscum mcontagiosum m- m m m mcorrect manswer.Flesh-colored, mdome-shaped mlesions mthat mcan mbe mpearly min mappearance mand mhave ma mdimpled mcenter. mMay mbe mitchy. mUncommon mbefore mthe mfirst mbirthday. Postmenopausal mbleeding mf/u mtesting m- m m m mcorrect manswer.- mENDOMETRIAL mBX GER m- m m m mcorrect manswer.*Frequent mregurgitation *GERD m= mpathology m *Immature mLES muntil m9-12 mmonths mold *Red mFlags: mchoking mwith meating, mcoughing mwith meating, mforceful mvomiting, mbilious mvomit, mblood min mstool, mpoor mweight mgain, mrefusal mto meat, mconstipation mor mdiarrhea, mabdominal mtenderness, mfever. *Avoid msmoke, msmall mfrequent mfeedings m(thickened), mtrial mof mPPI. What mcan ma mpositive mMcMurray's msign mindicate? m- m m m mcorrect manswer.Meniscus minjury mof mthe mknee. Pneumonia mPneumovax- mPPSV-23 m- m m m mcorrect manswer.- mone mdose m65yo min mwell madults - mif mvaccinated mbefore m65y mneed mbooster min m5 myrs mand mthen magain mat m65yo Paxil, mSSRI m- m m m mcorrect ed mejaculation A mpatient mon mwarfarin m(Coumadin) mtherapy mfor mrecurrent mdeep mvein mthrombosis m(DVT) mis mabout mto mhave mlumbar mspinal mfusion msurgery. mThe mpatient's mwarfarin mis mput mon mhold mstarting m5 mdays mprior mto mthe msurgery mand msubcutaneous mLovenox mhas mbeen mordered mfor mDVT mprophylaxis muntil mthe mresumption mof mthe mwarfarin. mThe mnurse mpractitioner mknows mthat mthe mpatient's mpostoperative mwarfarin mdose mshould mbe mrestarted mbased mon mthe: 1. m value mof mher mmorning mProthrombin mtime. 2. m loading mdose mof m10 mmg, mplus mthe mprevious mwarfarin mdose. 3. m baseline mPT mand mINR mvalues. 4. m target mINR mof m2. m- m m m mcorrect ine mPT mand mINR mvalues Assessment mfindings mthat mwould msupport ma mdiagnosis mof mmitral mregurgitation minclude: m- m m m mcorrect , mhigh-pitched mpansystolic mmurmur. Goodwell's mSign m- m m m mcorrect manswer.Softening mof mthe mcervix m(pregnancy mindication) children mover m8 myears mold mcan muse mdoxy m- m m m mcorrect manswer.... Psoriasis mtx m- m m m mcorrect manswer.Topical mSteroids Lateral mX-ray mof mthe mneck m- m m m mcorrect manswer.Epiglottitis Acute, muncomplicated mUTI min mnon mpregnant mwomen m- m m m mcorrect manswer.Pathogen: mE. mcoli m(gram-, mmost mcommon), mKlebsielle mspp. m(gram-), mS. msaprophyticus m(gram+) Treatment: mE. mcoli: mTMP/SMX-DS mPO mBID mx m3 mdays m(always morder mdouble mstrength). mIf mE. mcoli mresistant mor msulfa mallergy mthen mnitrofurantoin m(Macrobid) m100 mmg mBID mx m5 mdays mor mfosfomycin m(Monurol) m3 mg mPO mx m1 mdose. mAdd mphenazopyridine m(Pyridium) mPO mto massist mwith msymptom mcontrol. Roseola m- m m m mcorrect manswer.Usually mstarts mwith ma msudden mrelatively mhigh mfever, moften mover m103 mdegrees mFahrenheit, mthat mtypically mlasts mthree mto mfive mdays. mA mpink mrash mon mtorso mand mneck mfollows mand mmay mspread mto mthe marms, mlegs, mand mface. mChild mmay mbe mirritable mand mmay mhave mdiarrhea mor mvomiting. mMost mcommon min mchildren mbetween m6 mmonths mand m3 myears mold. Atrophic mvaginitis mcause mand mtx m- m m m mcorrect ma mestrogen, mapply mtopical mestrogens Intussusception m- m m m mcorrect manswer.*Intestinal mobstruction *Sudden monset. mIntermittent. mCrampy mabdominal mpain. m *Cries mand mpulls mlegs mup mto mchest *Currant mjelly mBM m *Dx: mUS *Non-operative: menema munder mfluoroscopy mor msurgery On meye mexam, mwhat mdoes mneovascularization, mcotton mwool mspots, mand mmicro-aneurysms mindicate? m- m m m mcorrect tic mretinopathy PCV13 m- m m m mcorrect manswer.- mchildren mreceive m - mgive mfirst m - monly mever mneed m1 mdose in mdoing minitial meval mof mpatient mwith msuspected macute mprostatitis, mwhat mtest mto mdo m- m m m mcorrect lysis mand mculture Somogyi meffect m- m m m mcorrect manswer.Type m1 mdiabetes mwith mincreased mearly mam mlevels mwith mcorrect minsulin mdose An m87-year-old mpatient mpresents mwith mround, mpruritic mplaques mand msmall mvesicles mon mthe mlower mlegs. mThe mmost mlikely mdiagnosis mis: 1. m allergic mcontact mdermatitis. 2. m plaque mpsoriasis. 3. m cutaneous mT-cell mlymphoma. 4. m nummular meczema m- m m m mcorrect lar meczema An m18-year-old mcollege mstudent mpresents mfor man mathletic mphysical. mWhen masked mabout mcurrent mmedications, mshe mmentions mthat mshe mtakes m"some mherb" mshe mbought mat ma mhealth mfood mstore mfor mmigraines mand mmenstrual mcramps. mWhich mof mthe mfollowing mherbal mremedies mhas mbeen mcommonly mused mfor mthese mconditions? m- m m m mcorrect manswer.Feverfew Chadwick's mSign m- m m m mcorrect h mdiscoloration mof mthe mcervix, mvagina, mand mlabia mresulting mfrom mincreased mblood mflow mobserved m6-8 mweeks mafter mconception On meye mexam, mwhat mcan matrioventricular mnicking, msilver mand/or mcopper mwire marterioles mindicate? m- m m m mcorrect manswer.Hypertensive mretinopathy Shingles mDx m& mTx m- m m m mcorrect manswer.Dx: mViral mCulture, mpolymerase mchain mreaction m(PCR) Tx: mAcyclovir, mZostrix mcream, mGabapentin, mamitriptyline Croup m(laryngotracheobronchitis) mParainfluenza m(*) m- m m m mcorrect msymptoms, mlow mfever, mstridor, mbarking mcough, mand mhoarseness. mNo mdrooling, mnasal mflaring, msore mthroat, mresp mdistress, mab mbreathing. mSteeple msign mfrontal mradiograph mof mneck. mMild: mOutpt msupportive mcare mMod: mHosp mresp msupport mRacemic mepi, mshort mcourse mcorticosteroids Which mof mthe mfollowing mis minconsistent mwith mBPH? A. mobliterated mmedian msulcus B. msize m= m2.5 mcm mx m3 mcm C. msymptoms mimproved mw/use mof man malpha-1 mreceptor mblockade msuch mas mtamsulosin m(Flomax) D. msurgical mintervention mshould mbe moffered mearly min mthe mdisease mprocess m- m m m mcorrect manswer.D. msurgical mintervention mshould mbe moffered mearly min mthe mdisease mprocess Ringworm m- m m m mcorrect manswer.Rash mof mone mor mseveral mred mrings, mranging mfrom mdime- mto mquarter-size. mRings mare musually mcrusty mor mscaly mon mthe moutside mand msmooth min mthe mcenter mand mmay mget mlarger mover mtime. mMay malso mappear mas mdandruff mor mbald mspots mon mscalp. mMost mcommon min mchildren m2 mand molder. WET mPREP mfor mwhich mgu minfections m- m m m mcorrect manswer.BV, mYEAST, mTRICH Encopresis m- m m m mcorrect manswer.*Involuntary msoiling min mchild m4 myears mor molder *Underlying missue: mconstipation *Loss mof murge mto mdefecate m *Management: mPEG, mMiralax. mBehavior mchange, mfiber, mfluids, mreward msystem. Hegar's mSign m- m m m mcorrect manswer.Softening mof mthe mcervicouterine mjunction Koplik mspots m- m m m mcorrect es dawn mphenomenon m- m m m mcorrect manswer.Characterized mby mhyperglycemia mthat mis mpresent mon mawakening min mthe mmorning mdue mto mthe mrelease mof mcounterregulatory mhormones min mthe mpredawn mhours. A m3-year-old mpresents mwith ma m2-day mhistory mof macute mdiarrhea mwith ma mtotal mof m8 mwatery mstools mwithout mblood mor mmucus, mand m2 mepisodes mof mvomiting min mthe mpast m48 mhours. mAssessment mreveals mno mcurrent mantibiotic mtherapy, mdehydration m5%, msoft mabdomen mwith mhyperactive mbowel msounds, mno mmasses mor morganomegaly; mother mphysical mfindings mare mnormal. mWhich mof mthe mfollowing mis mthe mmost mappropriate mmanagement mplan? 1. m Stool mculture; mImmodium mAD mliquid. 2. m No mlaboratory mworkup; minstruct mparents mon msigns mand msymptoms mof mdehydration; mdiet mof mclear mliquids, madvancing mto mbananas, mrice mcereal, mJell-O, mand msoup. 3. m Start mdiet mof mclear mliquids, madvancing mto mbananas, mrice mcereal, mJell-O, mand msoup mover mnext m72 mhours; mImodium mAD mliquid, m1 mmg/sml 4. m Stool mfor mova mand mparasites; madvise mparents mof mlikely msources mof mGiardia; mprescribe mfurazolidone m(Furoxone) m- m m m mcorrect manswer.No mlaboratory mworkup; minstruct mparents mon msigns mand msymptoms mof mdehydration; mdiet mof mclear mliquids, madvancing mto mbananas, mrice mcereal, mJell-O, mand msoup. An m88-year-old mpatient mhas mhad ma mgradual monset mof mhearing mloss min mthe mleft mear. mExamination mshows ma mlarge maccumulation mof mcerumen min mthe mexternal mauditory mcanal. mAssuming mthere mis mno mneural mloss, mthe mnurse mpractitioner mwould mexpect mthe mWeber mtest mto: m- m m m mcorrect alize mto mthe mleft BCG m- m m m mcorrect manswer.- mLIVE mfor mTB - mnot min mUS. Spider mbite mtx m- m m m mcorrect manswer.Atb mon mwound, mcold mpacks, mNSAIDS When mchecking mdeep mtendon mreflexes m(DTRs) min ma mpatient mwith msevere msciatica mor mdiabetic mperipheral mneuropathy, mwhat mcan myou mexpect mthe mAchilles mreflex mto mshow? m- m m m mcorrect manswer.The machilles mreflex mmay mbe mabsent mor mhypoactive m(0-1+) Epiglottis m(*) m- m m m mcorrect manswer.Hemophilus minfluenza, mStreptococci, mPneumococci. m(6-10) mRapid monset, macute mbacterial minfection, mhigh mfever, mstridor, mcholing msensation, mresp mdistress, mdrooling, mhead mtilted mback mto mbreath m(hyperextension). mThumb msign mon mradiograph. mER!! mCephalosporin Epididymoorchitis m(upper mreproductive me mtract minfection mwith minflammation mof mepididymis/testis) m- m m m mcorrect manswer.Age m⬇️35 Causative morganisms: mN. mgonorrhoeae, mC. mtrachomatis Presentation: mirritative mvoiding msymptoms, mfever, mpainful mswelling mof mepididymis mand mscrotum. mInfertility mis mpossible mpost minfection mdue mto mscarring mof mthe mvas mdeferins Treatmen