solutions
III first time audible, IV first time thrill - All diastolic murmurs are pathological.
Murmurs Grades I-barely II-audible III- clearly audible. IV- first time thrill V-
Steth edge VI-entire steth. EXAM
Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US -
Fundal height 12 weeks
Iron, TIBC - 3 month old infant with down syndrome, due to milk intolerance,
mom started on goats milk; now has pale conjunctiva but otherwise healthy. Low
HCT. What additional test would you order?
Increase Medication - 3 months of synthroid, TSH increased, T4 normal, what do
you do?
Mini mental exam - 3 ways to assess cognitive function in patient with
signs/symptoms of memory loss
tell her it is normal. - 4 month old with strabismus, mom is worried......
Growth chart - 4 month old wont keep anything down, what is the main thing you
look at?
XRAY - 6 month old closed anterior fontanel.
Refer for Colposcopy - Abnormal cells on PAP, what do you do next?
Cut down
Annoyed by criticism
,Guilty about drinking
Eye opener drink - CAGE ACRONYM
Fever
Anemia
Hypotension - Causes of tachycardia
CN 3,4,6 - Cranial nerves responsible for extraocular eye movements
cluster of conditions that increase risk of heart disease, stroke, diabetes. -
Definition of metabolic syndrome
wet prep - diagnose trichomoniasis
Pelvic US - Elderly presents with atrophic vaginitis, small uterus, palpable 4x5
ovary, what do you do next?
Anterior septum - Epistaxis is most common in the area of the nose known as
kiesselbachs triangle, where is this located?
urinalysis and culture - Definitive diagnosis of acute bacterial prostatitis
H2 is first line, give hs - GERD treatment
LEEP
excision - Grade 3 cells on Pap, treatment?
drill hole and drain blood? - Fingernail hematoma treatment?
Salpingitis, or history of abortion, PID, - Increased risk of ectopic pregnancy
Measles (rubeola). Grains of salt lesions inside mouth in Measles - Koplick spots
Measles (rubeola). Grains of salt lesions inside mouth in Measles - Koplick spots
, Avascular necrosis of the proximal femoral head - Legg-Calve-Perthes Disease
Pancreatitis - Lipid level of 1500, increased risk for?
Macrocytic anemia, B12 Def - Low HGB, Low HCT, High MCV indicates what?
Enlarged, symmetrical, smooth - Man with BPH, prostate feels on digital exam?
Arterial Insufficiency - Man with HTN, CAD, present femoral pulses but absent
pedal
Meniscus tears - McMurray's Sign
(+) palpable or audible click while extending with varus stress
pivot shift test (ACL tear) - Lachman's Test
refer to orthopedist - Newborn with foot turned in, what do you do?
Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar
tendon - Osgood-Schlatter disease
Alzheimer's - Patient forgot to start Thanksgiving dinner and husband states she
has trouble remembering tasks and trouble with organization. What is this
indicative of?
Refer to oncologist - Pt has Barretts Esophagus, insurance no longer covers GI
who was treating condition. Pt at FNP office wanting refill prescriptions. What do
you do?
Tinea Corporis - Pt presents with rash on shoulder, erythematous maculopapular
rash with center clearing and scaling?
Varicocele - Pt presents with "bag of worms:, indicates?