ACTUAL EXAM WITH Q&A NEWLY
MODIFIED!!
The most appropriate diagnostic tests to order for a 17-year-old female
suspected of having polycystic ovary syndrome, in addition to testosterone. --
ANSWER--FSH, LH, TSH
The most likely diagnosis for a 17-year-old female who has never had her
menses and is at Tanner stage III of sexual development. -- ANSWER--Primary
amenorrhea
Condition suspected for a 20-year-old male with a 1-month history of a bump on
his testicle and a history of unprotected intercourse. -- ANSWER--Cancer of the
testicles
Suspected condition for a 21-year-old college student presenting with copious,
markedly purulent discharge from her left eye. -- ANSWER--Gonococcal
conjunctivitis
Most likely diagnosis for a 21-year-old patient presenting with abdominal
guarding, rigid abdominal musculature, rebound tenderness at McBurney's
point, and leukocytosis. -- ANSWER--Appendicitis
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,A question to consider when analyzing a 22-year-old college student's heart rate
of 48/minute and regular during a routine physical examination. -- ANSWER-Is
this student an athlete?
Advice for a 24-year-old female taking oral contraceptives who has missed her
last 2 pills to minimize her risk of pregnancy. -- ANSWER--Double today's dose
and tomorrow's dose and use a barrier method for the rest of the month
Contraceptive technique to prevent pregnancy. -- ANSWER--Barrier method
Common cause of recurrent candidal infections. -- ANSWER--Diabetes mellitus
Non-tender breast mass with nipple discharge. -- ANSWER--Intraductal
papilloma
Often asymptomatic in males; no remarkable symptoms. -- ANSWER--
Chlamydia infection
Skin rash caused by irritants or allergens. -- ANSWER--Contact dermatitis
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,Test to identify pathogens in respiratory secretions. -- ANSWER--Sputum
culture
Autoimmune condition causing joint inflammation and stiffness. -- ANSWER-
Rheumatoid arthritis
Infection causing pelvic pain and urinary symptoms. -- ANSWER--Acute
bacterial prostatitis
Ultrasound imaging to assess internal structures. -- ANSWER--Sonogram
Referral for specialized evaluation of reproductive issues. -- ANSWER--
Gynecological consultation
Emergency condition causing acute testicular pain. -- ANSWER--Testicular
torsion
Typically decreases, causing light-headedness when standing. -- ANSWER-
Blood pressure changes in pregnancy
Class of antibiotics effective against bacterial infections. -- ANSWER--
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, Macrolide antibiotic
Agency to report suspected child abuse or neglect. -- ANSWER--Child
protective services
Movement of a joint without patient effort. -- ANSWER--Passive range of
motion (ROM)
The child quickly begins to use the affected arm after closed manipulation. --
ANSWER--Successful treatment indication for radial head subluxation
The most likely working diagnosis for a 14-year-old patient who fell on an
outstretched hand, complains of proximal forearm pain, and has a positive fat
pad sign on X-ray. -- ANSWER--Radial head fracture
The first action a school nurse should take when a child with type I diabetes
mellitus reports sweating and weakness after insulin injection. -- ANSWER-
Measure the blood sugar
The appropriate response for a 16-year-old female experiencing midcycle
spotting while on Ortho-Novum 7/7/7. -- ANSWER--Providing reassurance
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