, How does plantar fasciitis usually present? - ANSWER - as pain in the morning with
resolution after several steps, but as it worsens the patient will start to complain of heel
pain throughout the day and with walking
Scope of practice for NPs is not influenced by which entity? - ANSWER - a court of law
Used to establish a designated level of professional competence - ANSWER - licensure
Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is
___________. - ANSWER - greater than 10
In the presence of an elevated serum TSH, what is the next step in management? -
ANSWER - repeat TSH plus free T4
Patients with a history of UC or Crohn's should have a colonoscopy how often? -
ANSWER - every 1-5 years due to the increased risk of colorectal cancer
What is the first line treatment for community acquired atypical pneumonia? - ANSWER
- macrolides such azithromycin. If the pt cannot take a macrolide, then they can do
levofloxacin or doxycycline
What is metatarsus adductus? - ANSWER - the medical term for in-toeing
What is true regarding older adults who are overweight? - ANSWER - mortality in older
adults related to overweight states declines over time
How do we manage rubella immunity in pregnant women? - ANSWER - we screen all
pregnant women with a rubella titer. If they had a protective rubella titer in a previous
pregnancy, then they do not need to be checked again. If they are found to not be
immune when pregnant, then she should be vaccinated AFTER delivery
How is permethrin applied to the skin for scabies? - ANSWER - a one time application
to all skin below the neck and then left on for 8-12 hours is sufficient
After exposure to HIV, when will the patient seroconvert and become positive? -
ANSWER - 3 months
Is age less than 18 years a risk factor for an ectopic pregnancy? - ANSWER - no; but
personal history of PID, an IUD, previous ectopic pregnancy, previous tubal surgery,
pathology, or ligation all are risk factors
What is Tanner stage 5 of breast development in females? - ANSWER - projection of
the nipple only