Certification Exam Review ss ss ss
Questions and Verified Answers,100% Guarantee Pass
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1. 3 month old infant with down syndrome, due to milk intolerance, mom
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started on goats milk; now has pale conjunctiva but otherwise healthy.
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Low HCT. What additional test would you order
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Answer> Iron, TIBC ss ss
2. 3 months of synthroid,TSH increased,T4 normal, what do you do
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Answer> increase medicationss ss
3. 3 ways to assess cognitive function in patient with
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ss signs/symptoms of memory loss: ss ss ss ss
Answer> MMSE ss
4. 4 month old with strabismus, mom is worried
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Answer>: tell her it is normal
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5. 4 month old wont keep anything 1 down,
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ss what is the main thing
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Answer> growth chart ss ss
,7. 88/yr. old patient in for follow up secondary. She's been treated with
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Tylenol for Joint arthritis. Her SED rate was checked after 6 weeks of
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ss treatment and it was 28. Normal range is from something to 25. How
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ss would you treat the ss ss ss
pt: Answer> change to NSAID, SED rate is a sign of inflammation
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8. a pregnant female at slightly above symphysis pubic and Fundal
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ss height is 32cm (above the umbilical). What should be done:
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Answer> order Ultrasound ss ss
9. If A1C > 9 on two oral meds what do you order
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: Answer> If you are already on TWO oral drugs for diabetes and A1c is 9 or
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ss higher, start BASAL insulin.
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If you cannot tolerate metformin and your A1c is 9 or higher start BASAL insulin.
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ON EXAM
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Intermediate-acting- NPH (Humulin N, Novolin ss ss ss ss
ss N) Long-acting-Levimir/Basalgar/Lantus
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Ultra-long-acting-Degludec (Tresiba) and glargine u-300 (Toujeo) ss ss ss ss ss
10. Abnormal cells on PAP, what do you do next ss ss ss ss ss ss ss ss
Answer> refer for Colposcopy ss ss ss
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11. ACE/ARB contraindications: ss
,13. Acne Rosacea: chronic small acne like papules/pustules around nose
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ss mouth chin
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TREATMENT- Metrogel, Azelex. Low dose tetracycline. Clindamycin. EXAM
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14. Acne Vulgaris: common acne
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TREATMENT-Retin-A, acne worsens 4-6 weeks if no improvement in 8-12 ss ss ss ss ss ss ss ss ss
ss weeks increase dose or add erythromycin, benzoyl peroxide.
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15. actinic keratoses: Precursor to squamous cell carcinoma. "numerous dry round
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and pink to red lesions" with a rough and scaly texture. Does not heal. Slow
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growing in sun exposed areas.
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Diagnosis: BIOPSY Golden Standard.
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Treatment: Small area- liquid nitrogen or (cryotherapy), Large area (5-FU
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ss cream)- which causes skin to ooze, crust, scab, redness EXAM
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16. Acute Angle Closure Glaucoma: acute/severe halos, cupping optic
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ss nerve, cloudy cornea, mid-dilated oval pupil.
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ER STAT. EXAM
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17. Acute Bacterial Pneumonia CXR: middle lobe. ON EXAM
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18. Acute Closed Angle Glaucoma Vs Open Angle: Acute-Sudden pain,
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ss halos, cupping, dilated, cloudy , intraocular
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pressure, HA, refer ED
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, 20. Treatment of Initial Genital Herpes: Acyclovir 200mg 5 x day
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21. Addison's disease: Addison's- deficient in cortisol (pt have low sodium,
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ss blood sugar, but Increased K.)
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You must give cortisol.
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(Diagnosis Plasma Cortisol <5 mcg/dl @ 0800.) EXAM
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22. ADHD: A behavioral problem characterized by short attention span,
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ss restless s s movement, and impaired learning capacity.
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23. Which murmurs are pathological: all diastolic murmurs
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24. Murmur grading: I- ss ss
barely II-audible ss
III- clearly ss
ss audible. IV- first ss ss
ss time thrill V-
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Steth edge ss
VI-entire steth. EXAM ss ss
25. Allergic Conjunctivitis: "stringy; increased tearing" Type I sensitivity.
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ss Typically bilateral. Rhinitis and allergic shiner.
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TX=PO antihistamines ss