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CORRECT ANSWERS(VERIFIED v v
ANSWERS)|AGRADE v
3 month old infant with down syndrome, due to milk intolerance, mom started
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on goats milk; now has pale conjunctiva but otherwise healthy. Low HCT.
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What additional test would you order? - ANSWER- Iron, TIBC
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3 months of synthroid, TSH increased, T4 normal, what do you do? -
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ANSWER- Increase Medication
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3 ways to assess cognitive function in patient with signs/symptoms of
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memory loss - ANSWER- Mini mental exam
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4 month old with strabismus, mom is worried...... - ANSWER-tell her it is
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normal.
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4 month old wont keep anything down, what is the main thing you look at? -
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ANSWER- Growth chart
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6 month old closed anterior fontanel. -ANSWER- XRAY
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Abnormal cells on PAP, what do you do next? - ANSWER- Refer for
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Colposcopy
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CAGE ACRONYM - ANSWER-Cutdown
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Annoyed by criticism v v
Guilty about drinking
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Eye opener drink
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,Causes of tachycardia - ANSWER- Fever
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Anemia
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Hypotension
Cranial nerves responsible for extraocular eye movements - ANSWER- CN
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3,4,6
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Definition of metabolic syndrome - ANSWER- cluster of conditions that
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increase risk of heart disease, stroke, diabetes.
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diagnosetrichomoniasis -ANSWER-wet prep
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Elderly presents with atrophic vaginitis, small uterus, palpable 4x5
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ovary, what do you do next? - ANSWER- Pelvic US
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Epistaxis is most common in the area of the nose knownas kiesselbachs
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triangle, where is this located? - ANSWER- Anterior septum
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Definitivediagnosis of acute bacterial prostatitis - ANSWER-urinalysis and
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culture
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GERDtreatment - ANSWER- H2 is first line, give hs
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Grade 3 cells on Pap, treatment? - ANSWER- LEEP
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excision
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Fingernailhematoma treatment? -ANSWER-drillholeand drainblood?
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Increased risk of ectopic pregnancy - ANSWER- Salpingitis, or history of
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abortion, PID,
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Koplick spots -ANSWER- Measles (rubeola). Grains of salt lesions inside
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mouth in Measles
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,Koplick spots -ANSWER- Measles (rubeola). Grains of salt lesions inside
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mouth in Measles
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Legg-Calve-Perthes Disease - ANSWER- Avascular necrosis of the v v v v v v v
proximal femoral head
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Lipid level of 1500, increased risk for? -ANSWER- Pancreatitis
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Low HGB, Low HCT, High MCV indicates what? - ANSWER- Macrocytic
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anemia, B12 Def
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Man with BPH, prostate feels on digital exam? - ANSWER- Enlarged,
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symmetrical, smooth
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Man with HTN, CAD, present femoral pulses but absent pedal -
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ANSWER- Arterial Insufficiency
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McMurray's Sign v
(+) palpable or audible click while extending with varus stress -
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ANSWER- Meniscus tears
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Lachman's Test - ANSWER- pivot shift test (ACL tear)
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Newborn with foot turned in, what do you do? - ANSWER- refer to
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orthopedist
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Osgood-Schlatterdisease -ANSWER-Kneepain. v v v v v
inflammation or irritation of the tibia at its point of attachment with the
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patellar tendon
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Patient forgot to start Thanksgiving dinner and husband states she has
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trouble remembering tasks and trouble with organization. What is this
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indicative of? - ANSWER- Alzheimer's
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, Pt has Barretts Esophagus, insurance no longer covers GI who was treating
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condition. Pt at FNP office wanting refill prescriptions. What do you do? -
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ANSWER- Refer to oncologist
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Pt presents with rash on shoulder,erythematous maculopapular rash with
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center clearing and scaling? - ANSWER- Tinea Corporis
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Pt presents with "bag of worms:, indicates? -ANSWER-Varicocele
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Pt with atopic dermatitis, look for what other diseases? - ANSWER- Asthma
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Pt with bleeding after menopause - ANSWER- endometrial biopsy, need to
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screen for cancer
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Pt with hx of PID, increased rick for? - ANSWER- Infertility
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Pt with HIV took high potency anti viral treatments and CD4 is >400, what
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does this indicate? - ANSWER- This is good. Want higher than 350
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Pt with hx of htn and stroke, now having memory loss. What does this
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indicate? - ANSWER- Vascular dementia
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Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk
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is there to the fetus? - ANSWER- slap cheek, PVB19, rash hands / feet Fetal
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death and birth defects
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Quick assessment of patients fall risk? Timed Get up and Go -
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ANSWER- Timed Get up and Go
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Red beefy tongue? -ANSWER-pernicious anemia
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Rotator cuff injury presentation - ANSWER- disturbs sleep, arm weakness,
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dull ache
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