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A 69-year-old man with a recent history of stroke and residual right-sided weakness presents to the nurse practitioner during rounds at a skilled nursing facility. The patient is deconditioned and requires nursing assistance to get out of bed. On exam, the nurse practitioner notes a 4 cm x 3 cm nonblanchable purplish wound with intact skin and bogginess on palpation. Which of the following is the best method to treat this patient's wound? - ANSWERFoam dressing A 14-year-old girl is brought i...

What are general pediatric infectious disease guidelines? - ANSWER•"Sick" children are a common source of family medicine, urgent care and ER visits for various reasons, most commonly "fever". •Your job is to determine sick vs. not sick and complete an appropriate history, exam, and A/P. *Children can compensate for a very long time before they "crump" and become extremely ill. What are important guidelines in infectious diseases in peds regarding fever? - ANSWER•Fever in th...

How does *NEONATAL* SKIN differ from adult skin? - ANSWER- LESS HAIRY - FEWER SWEAT and SEBACEOUS GLAND SECRETIONS - THINNER - WEAKER INTRACELLULAR ATTACHMENTS What are MILIA? - ANSWER- *superficial epidermal inclusion cysts* that contain *keratinized* material - a lesion of *newborns* - *firm* papule, 1-2 mm, with *pearly opalescent white* color - found on *face, forehead, cheeks, nose, gingiva* - referred to as an EPSTEIN PEARL when found on *palate or gingiva* What is SEBACEOUS H...

The exam shows erythematous plaques, consisting of confluent papules and weeping vesicles on his arms, legs, and neck bilaterally. Some of them are linear. What is the most likely diagnosis? a. Allergic contact dermatitis b. Bullous insect bites c. Cellulitis d. Herpes zoster e. Urticaria - ANSWERa. Allergic contact dermatitis primary skin lesions - ANSWERMacule - circumscribed area <1 cm of discoloration flat relative to surrounding skin. Patch - circumscribed area of discolor...

mom is worried about her newborn because she noticed 1-3 mm red macules start to develop on her baby's chest, back, and a little bit on his arms the day after he was born. Being the awesome PA, you tell her that he most likely has (BLANK) which usually fades within 1 week and no treatment is needed. - ANSWERerythema toxicum (*affects >50% of newborns) mom bring her newborn into the office because she noticed 1-2 mm white papules on the baby's face especially around the nose. You diag...

A 7-year-old African American female presents with several hyperkeratotic raised, periungual lesions on the two middle fingers of her left hand. She has a history of nail biting. The most likely diagnosis is: a. Impetigo b. Molluscum contagiousum c. Verruca vulgaris d. Herpetic whitlow - ANSWERc. Verruca vulgaris *Common warts are found most usually on fingers, hands, and feet in children and are often preceded by trauma such as nail biting or picking at cuticles Which of the followi...

What is the pathophysiology of acne vulgaris? - ANSWER1. accumulation of epithelial cells and keratin 2. accumulation of shed keratin and sebum 3. proliferation, mild inflammation 4. marked inflammation, scarring What are the primary lesions? - ANSWERComedones What are open comedones called? - ANSWERBlackheads What are closed comedones called? - ANSWERWhiteheads What are comedones? - ANSWERBlackheads and white heads caused by keratin plugging and sebaceous production What is...

Acute blistering eruption on the legs due to insect bites. The bite of wasp was 2 days ago, complaints about swelling, blisters and itching. Blisters are strained - ANSWER Fenistile gel was used. Acute eczema on the face due to a topical antihistamine preparation. Fenistil gel is used. There are complaints about itching, swelling and vesiculoform rash - ANSWER Cholinergic urticaria. Usually seen on the trunk after exercise, the lesion tend to be smaller than in other forms of urticaria. ...

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behavior modification - ANSWERinvolves the systematic application of learning principles and techniques to assess and improve individual's covert and overt behavior in order to enhance their daily functioning. behavior analysis - ANSWERRefers to the scientific study of the laws that govern the behavior of human beings and other animals target behavior - ANSWERBehaviors to be improved in a behavior modification program behavioral assessment - ANSWERInvolves the collection and analysis o...