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Most likely diagnosis for a 65 yo female with shoulder and
pelvic girdle pain for
6 months, recent unintentional weight loss, pain on ROM, low
hemoglobin, and
elevated SED rate. - ANSWER-Polymyalgia
Rheumatica
Recommended prescription for a 39 yo patient with acute
bronchitis, fever of
101.2, and cough productive of thick, yellow-green, foul-
smelling sputum. - ANSWER-Macrolide antibiotic
CD4 count and viral load are the most widely accepted
laboratory tests. -
ANSWER-Indicators of HIV infection
progression
,The best lab test to distinguish iron deficiency anemia from
other anemias. -
ANSWER-Serum
ferritin level
An appropriate plan for a 12 month old with a right tympanic
membrane showing visible serous fluid levels and decreased
mobility after treatment for bilateral otitis media. - ANSWER-
Follow-up evaluation of the ears in 2 months
A lab test that should be ordered when the suspected
diagnosis is temporal
arteritis. - ANSWER-Erythrocyte sedimentation
rate (ESR)
The most likely differential diagnoses for a 47-yo patient with
upper abdominal
discomfort with nausea and burning after eating. -
ANSWER-Gastritis and
peptic ulcer
disease
The deep tendon reflex that should be tested to assess spinal
function at the S1
level. - ANSWER-Achilles
reflex
,The condition a 66-yo patient with bilateral otitis media with
effusion and white patches in the mouth that do not rub off
should be evaluated for. – ANSWER-HIV infection
The use of lidocaine with epinephrine is contraindicated in all
areas except the
scalp. - ANSWER-Lidocaine with epinephrine
contraindications
Start at a lower dose than what is commonly prescribed for
adults, and increase
the dose slowly. - ANSWER-Medication prescribing
for the elderly
A nurse practitioner could ask the patient the meaning of a
common proverb. -
ANSWER-Abstract thinking
assessment
A superficial reflex observed in human males, elicited by lightly
stroking the
superior and medial part of the thigh, resulting in contraction of
the cremaster muscle. - ANSWER-Cremasteric Reflex
Visible in conditions like heart failure, nephrotic syndrome,
and liver failure. -
ANSWER-Edema from extravascular
fluid retention
, Includes tricyclic antidepressants, insulin, sulfonylureas,
contraceptives,
glucocorticoids, progestational steroids, mirtazapine,
paroxetine, gabapentin,
valproate, and propranolol. - ANSWER-Drugs associated
with weight gain
Includes GI diseases, endocrine disorders (diabetes,
hyperthyroidism, adrenal
insufficiency), chronic infections, malignancy, chronic
cardiac, pulmonary, or
renal failure, depression, and anorexia nervosa or bulimia. -
ANSWER-Causes
of weight
loss
Assess for positive McBurney's point tenderness, Rovsing's
sign, the psoas
sign, and obturator sign. - ANSWER-Appendicitis
assessment
Pain in the RIGHT lower quadrant during LEFT-sided
pressure is a positive
Rovsing's sign, indicating appendicitis. - ANSWER-
Rovsing's sign
Increased abdominal pain when patient attempts to raise thigh
against your hand or when asking the patient to extend their
right leg at the hip. Indicates