| Complete Questions & Rationales |
Graded A+
Visual acuity test - ---✔✔✔ANSWER----20/30 in the left eye and 20/40 in
the right eye using the Snellen eye chart indicates the need for further evaluation.
Munchausen Syndrome By Proxy - ---✔✔✔ANSWER----A caregiver
making up or causing an illness or injury in a person under his or her care.
Symptoms of depression - ---✔✔✔ANSWER----Side effect of medications
such as serotonin and norepinephrine.
Lesion characteristics - ---✔✔✔ANSWER----A dark raised and asymmetric
lesion with irregular border is indicative of melanoma.
Puffiness of the eyes - ---✔✔✔ANSWER----Dull puffiness of the eyes
pronounced not pitting periorbital edema suggests nephrotic syndrome.
,Prophylactic medication for migraines - ---✔✔✔ANSWER----Amitriptyline
(Elavil) is considered off-label use for prophylactic treatment of migraines.
Scaling on the scalp - ---✔✔✔ANSWER----Areas of scaling on the scalp
with round patches of alopecia are consistent with tinea capitis.
Combined hormonal contraceptive contraindications - ---✔✔✔ANSWER---
-Contraindicated in women older than 45, breastfeeding, smoking, hypertension,
diabetes, or history of stroke.
Bloody nipple discharge - ---✔✔✔ANSWER----Bloody spontaneous
discharge from the right nipple indicates the need for further evaluation.
Rho (D) immunoglobulin administration - ---✔✔✔ANSWER----Rh
negative women should receive Rho (D) immunoglobulin at 28 weeks' gestation.
Mean corpuscular volume (MCV) - ---✔✔✔ANSWER----MCV describes
the size of the RBCs; small-sized RBCs result in a lower MCV, while larger RBCs
result in a higher MCV.
Avoided medication for headache prophylaxis - ---✔✔✔ANSWER----
Venlafaxine (Effexor) should be avoided due to serious side effects.
, Prostaglandin E1 (PG1) mechanism - ---✔✔✔ANSWER----Maintains
patency of the great arteries in a patient with transposition of the great arteries.
Calf pain in peripheral artery disease - ---✔✔✔ANSWER----A dull pain or
cramp describes lower extremity calf pain associated with peripheral artery
disease.
Hyperprolactinemia symptoms - ---✔✔✔ANSWER----Typical symptoms
include infertility, oligomenorrhea, or amenorrhea in premenopausal women.
Asthma treatment - ---✔✔✔ANSWER----Short-acting bronchodilators are
used to relieve acute wheezing in asthma patients.
Shingles vaccine - ---✔✔✔ANSWER----The shingles (herpes zoster)
vaccine reduces the risk for infection with the virus that causes painful localized
blistering rash.
Short-Acting Beta Agonist (SABA) - ---✔✔✔ANSWER----Inhalers for
acute asthma attacks, quickly relieve constriction.
Albuterol - ---✔✔✔ANSWER----Common SABA, brand name Ventolin.
Levalbuterol - ---✔✔✔ANSWER----SABA, brand name Xopenex, less side
effects.