Maryville College

A 13 year old obese (BMI greater than 95%) boy reports low-grade left knee pain for the past 2 months. He denies antecedent trauma but admits to frequent horseplay with his friends. The pain has progressively worsened, and he is now unable to bear weight at all on his left leg. His current complaints include left groin, thigh, and medial knee pain and tenderness. His examination demonstrates negative Drawer, Lachman, and McMurray tests; left hip with decreased internal rotation and abduction; an...

1. One of the initial steps in assessing patients with musculoskeletal complaints is to determine whether the complaint is articular or nonarticular in origin. Which of the following is an example of an articular structure? a. Bone b. Synovium c. Tendons d. Fascia - ANS b. Synovium 2. You have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is a limited range of motion (ROM) with both active and passive movement....

What is the most common psychiatric disorder in the U.S? - ANS Anxiety What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? - ANS excessive anxiety and worry of variety of things for at least 6 months What are the DSM-5 symptom criteria for a major depressive disorder? - ANS Five or more symptoms including at least one depressed mood or loss of interest present in the same two weeks and present nearly every day differential diagnoses that...

A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was positive. What is the nurse's most plausible conclusion based on this assessment finding? - ANS The patient's insulin levels are inadequate. A patient presents to the clinic complaining of symptoms that suggest diabetes. What criteria would support checking blood levels for the diagnosis of diabetes? - ANS Fasting plasma glucose greater than or equal to 126 mg/dL A patient ...

The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision) state that excessive worry or apprehension must be present more days than not for at least: a. 1 month b. 3 months c. 6 months d. 12 months - ANS C. The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant (TCA) for a patient fitting the diagnostic criteria for depression...

The ABCDEs of melanoma identification include which of the following? A. Asymmetry: One half does not match the other half. B. Border: The borders are regular; they are not ragged, notched, or blurred. C. Color (pigmentation) is uniform. D. Diameter: The diameter is 5 mm. - ANS A. Thin, spoon-shaped nails are usually seen in: A. Trauma. B. A fungal infection. C. Anemia. D. Psoriasis. - ANS C. Which of the following types of cellulitis is referred to as "fles...

As a general assessment, the estimated level of hematocrit is how many times the value of the hemoglobin? • Five • Four • Two • Three - ANS D What is the most appropriate treatment for the diagnosis of contact dermatitis? • Antiviral medications and Tylenol PRN • TMS/SMZ BID for 7 days • Clobetasol 0.05% creams and antihistamines • Clotrimazole 1% cream and Prednisone - ANS C Sally a 35-year-old present to your office with a vesicular, weepi...

Barbie, age 27, had her spleen removed after an automobile accident. You are seeing her in the office for the first time since her discharge from the hospital. She asks you how her surgery will affect her in the future. How do you respond? A. "Your red blood cell production will be slowed." B. "Your lymphatic system may have difficulty transporting lymph fluid to the blood vessels." C. "You'll have difficulty storing the nutritional agents needed to make red blood cells." D. "You may...

Is transmission of Lyme disease likely if the thick attachment is less than 48 hours? - ANS No What is the incubation period of Lyme disease? - ANS 3 to 31 days but typically around 7 to 14 days How many stages does Lyme disease have? - ANS 4 What is the first stage of Lyme disease called? - ANS Early localized Lyme disease What is the second stage of Lyme disease called? - ANS Early disseminated Lyme disease What is the third stage of ...

What are the Stages of Lyme Disease? - ANS Early localized Early disseminated Late Lyme Early Localized Lyme Disease - ANS -occurs days to months after exposure -Symptoms nonspecific: malaise, fever, cervical stiffness, myalgias, arthralgias -Can have a " bulls eye rash aka "erythema migrans"which is > 5cm Early disseminated Lyme Disease - ANS -occurs days to 10 months after infection -Systemic manifestations ie: meningitis, cranial nerve palsies (esp....