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1. Visual acuity test: 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart indicates the need for
further evaluation.
2. Munchausen Syndrome By Proxy: A caregiver making up or causing an illness or injury in a person under his
or her care.
3. Symptoms of depression: Side ettect of medications such as serotonin and norepinephrine.
4. Lesion characteristics: A dark raised and asymmetric lesion with irregular border is indicative of
melanoma.
5. Puffiness of the eyes: Dull puflness of the eyes pronounced not pitting periorbital edema suggests nephrotic
syndrome.
6. Prophylactic medication for migraines: Amitriptyline (Elavil) is considered ott-label use for prophylactic
treatment of migraines.
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, 7. Scaling on the scalp: Areas of scaling on the scalp with round patches of alopecia are consistent with tinea capitis.
8. Combined hormonal contraceptive contraindications: Contraindicated in women older than 45,
breastfeeding, smoking, hypertension, diabetes, or history of stroke.
9. Bloody nipple discharge: Bloody spontaneous discharge from the right nipple indicates the need for further
evaluation.
10. Rho (D) immunoglobulin administration: Rh negative women should receive Rho (D) im-
munoglobulin at 28 weeks' gestation.
11. Mean corpuscular volume (MCV): MCV describes the size of the RBCs; small-sized RBCs result in a
lower MCV, while larger RBCs result in a higher MCV.
12. Avoided medication for headache prophylaxis: Venlafaxine (Ettexor) should be avoided due to
serious side ettects.
13. Prostaglandin E1 (PG1) mechanism: Maintains patency of the great arteries in a patient with
transposition of the great arteries.
14. Calf pain in peripheral artery disease: A dull pain or cramp describes lower extremity calf pain
associated with peripheral artery disease.
15. Hyperprolactinemia symptoms: Typical symptoms include infertility, oligomenorrhea, or amenor- rhea in
premenopausal women.
16. Asthma treatment: Short-acting bronchodilators are used to relieve acute wheezing in asthma patients.
17. Shingles vaccine: The shingles (herpes zoster) vaccine reduces the risk for infection with the virus that
causes painful localized blistering rash.
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