With Correct Answers
The most likely working diagnosis for a 14 year old patient who fell on an outstretched hand, complains
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of proximal forearm pain, and has a positive fat pad sign on X-ray. - ANSWER-Radial head fracture
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The child quickly begins to use the affected arm after closed manipulation. - ANSWER-Successful
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treatment indication for radial head subluxation
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A 10-month old with a rash, runny nose, cough, and a cluster of tiny white papules with an
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erythematous base on the buccal mucosa suggests this diagnosis. - ANSWER-Measles
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Indicated by a 12-month-old child looking for a toy that the father has hidden under the table. -
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QANSWER-Object permanence Q
Expected examination result for a 14-year-old male with bronchitis returning with fever, right pleuritic
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chest pain, and green sputum. - ANSWER-Right lower lobe crackles
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The diagnostic test that should be performed immediately for a 15-year-old female with burning
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urination after treatment for trichomonas vaginitis. - ANSWER-Microscopic exam of urine
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Essential education for a 15-year-old male with a history of cryptorchidism which was surgically
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repaired. - ANSWER-Testicular self-examination
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The first action a school nurse should take when a child with type I diabetes mellitus reports sweating
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and weakness after insulin injection. - ANSWER-Measure the blood sugar
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The appropriate response for a 16-year-old female experiencing midcycle spotting while on Ortho-
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Novum 7/7/7. - ANSWER-Providing reassurance
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,The most appropriate diagnostic tests to order for a 17-year-old female suspected of having polycystic
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ovary syndrome, in addition to testosterone. - ANSWER-FSH, LH, TSH
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The most likely diagnosis for a 17-year-old female who has never had her menses and is at Tanner stage
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III of sexual development. - ANSWER-Primary amenorrhea
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Condition suspected for a 20-year-old male with a 1-month history of a bump on his testicle and a
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history of unprotected intercourse. - ANSWER-Cancer of the testicles
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Suspected condition for a 21-year-old college student presenting with copious, markedly purulent
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discharge from her left eye. - ANSWER-Gonococcal conjunctivitis
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Most likely diagnosis for a 21-year-old patient presenting with abdominal guarding, rigid abdominal
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musculature, rebound tenderness at McBurney's point, and leukocytosis. - ANSWER-Appendicitis
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A question to consider when analyzing a 22-year-old college student's heart rate of 48/minute and
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regular during a routine physical examination. - ANSWER-Is this student an athlete?
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Advice for a 24-year-old female taking oral contraceptives who has missed her last 2 pills to minimize
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her risk of pregnancy. - ANSWER-Double today's dose and tomorrow's dose and use a barrier method
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for the rest of the month
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Contraceptive technique to prevent pregnancy. - ANSWER-Barrier method
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Common cause of recurrent candidal infections. - ANSWER-Diabetes mellitus
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Non-tender breast mass with nipple discharge. - ANSWER-Intraductal papilloma
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Often asymptomatic in males; no remarkable symptoms. - ANSWER-Chlamydia infection
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Skin rash caused by irritants or allergens. - ANSWER-Contact dermatitis
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, Test to identify pathogens in respiratory secretions. - ANSWER-Sputum culture
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Autoimmune condition causing joint inflammation and stiffness. - ANSWER-Rheumatoid arthritis
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Infection causing pelvic pain and urinary symptoms. - ANSWER-Acute bacterial prostatitis
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Ultrasound imaging to assess internal structures. - ANSWER-Sonogram
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Referral for specialized evaluation of reproductive issues. - ANSWER-Gynecological consultation
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Emergency condition causing acute testicular pain. - ANSWER-Testicular torsion
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Typically decreases, causing light-headedness when standing. - ANSWER-Blood pressure changes in
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pregnancy
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Class of antibiotics effective against bacterial infections. - ANSWER-Macrolide antibiotic
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Agency to report suspected child abuse or neglect. - ANSWER-Child protective services
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Movement of a joint without patient effort. - ANSWER-Passive range of motion (ROM)
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Benign tumors causing heavy menstrual bleeding. - ANSWER-Uterine leiomyomas
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Fluid released from the nipple, may indicate pathology. - ANSWER-Nipple discharge
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Inflammation of bronchial tubes, often due to infection. - ANSWER-Acute bronchitis
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Indicates possible bacterial infection in respiratory tract. - ANSWER-Foul-smelling sputum
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