ANSWERS | GRADED A+ | GUARANTEED PASS!!!
WHAT IS THE BEST INDICATION OF AN ANOREXIC PATIENT DOING BETTER? THEY TELL YOU
THEY ARE EATING MORE, THEY HAVE WEIGHT GAIN, OR THEY GET THEIR PERIOD BACK?
- ANSWER:-THEY GET THEIR PERIOD BACK
WHAT IS THE BEST MARKER OF AN ACUTE MI?
- ANSWER:-TROPONIN
WHAT IS THE BIGGEST RISK ASSOCIATED WITH SCABIES?
- ANSWER:-SECONDARY INFECTION DUE TO ITCHING
WHAT IS THE BIGGEST SIDE EFFECT OF COLCHICINE?
- ANSWER:-DIARRHEA
WHAT IS THE CAUSATIVE ORGANISM OF MASTITIS?
- ANSWER:-STAPH
WHAT IS THE COOMB'S TEST AND WHEN IS THIS COMPLETED?
- ANSWER:-TEST GIVEN 8 WEEKS IN TO PREGNANCY TO DETERMINE A WOMAN'S RH
COMPATIBILITY
WHAT IS THE DIAGNOSTIC CRITERIA FOR ACUTE RHEUMATIC FEVER?
- ANSWER:-2 MAJOR CRITERIA OR 1 MAJOR + 2 MINOR CRITERIA PLUS EVIDENCE OF A
RECENT STREP INFECTION
WHAT IS THE DIFFERENCE BETWEEN A FOLLICULITIS AND A FURUNCLE?
- ANSWER:-FOLLICULITIS IS AN INFLAMMATION OF THE FOLLICE WHEREAS A FURUNCLE
IS AN ABSCESS THAT RESULTS FROM FOLLICULITIS
WHAT IS THE DIFFERENCE BETWEEN A PARKINSONIAN TREMOR AND AN ESSENTIAL TREMOR?
,- ANSWER:-A PARKINSON TREMOR IS ALSO KNOWN AS A RESTING TREMOR AND IS SEEN
AT REST, MAY LOOK LIKE PILL-ROLLING. AN ESSENTIAL TREMOR IS BILATERAL, SYMMETRIC AND
SEEN WHEN THE HANDS ARE DOING SOMETHING
WHAT IS THE DIFFERENCE BETWEEN CHRONIC VS GESTATIONAL HYPERTENSION?
- ANSWER:-CHRONIC HTN IS PRESENT BEFORE 20 WEEKS GESTATION OR 12 WEEKS AFTER
DELIVERY; GESTATIONAL HYPERTENSION IS AFTER 20 WEEKS GESTATION
WHAT IS THE DIFFERENCE BETWEEN PRINZMETALS AND STABLE (CLASSIC ANGINA)?
- ANSWER:-PRINZMETALS MAY OCCUR RANDOMLY AND WHILE AT REST, WHEREAS
STABLE ANGINA IS USUALLY ONLY WITH PHYSICAL ACTIVITY
WHAT IS THE DOSAGE PREFERRED FOR FOLIC ACID DEFICIENCY?
- ANSWER:-1-5MG DAILY
WHAT IS THE DRUG DANAZOL AND WHAT IS IT USED FOR?
- ANSWER:-AN ANDROGEN USED IN THE TREATMENT OF ENDOMETRIOSIS AND
FIBROCYSTIC BREAST DISEASE
WHAT IS THE DRUG OF CHOICE FOR TREATING UTIS IN MALE PATIENTS?
- ANSWER:-BACTRIM FOR 7-10 DAYS
WHAT IS THE DUCTUS ARTERIOSUS?
- ANSWER:-PROVIDES THE FETUS WITH A PATHWAY FROM THE PULMONARY ARTERY TO
THE AORTA IN UTERO IN ORDER TO SKIP THE LUNGS
WHAT IS THE EARLIEST SIGN OF DIABETIC NEPHROPATHY ON LABWORK?
- ANSWER:-MICROALBUMINURIA IN THE URINE
2 YEAR OLD CHILD IS DIAGNOSED WITH RADIAL HEAD SUBLUXATION ("NURSEMAID'S ELBOW").
AFTER CLOSED MANIPULATION, THE BEST INDICATION OF SUCCESSFUL TREATMENT IS THAT:
,A. SWELLING DISSIPATES IMMEDIATELY
B. PULSE AND SENSATION ARE RESTORED
C. THE CHILD QUICKLY BEGINS TO USE THE AFFECTED ARM
D. A CLICK IS FELT WHILE THE CHILD IS EXTENDING AND ROTATING THE ARM
- ANSWER:-C. THE CHILD QUICKLY BEGINS TO USE THE AFFECTED ARM.
14 YEAR OLD PATIENT WHO FELL ON A OUTSTRETCHED HAND COMPLAINS OF PROXIMAL
FOREARM PAIN. X-RAY REVEALS A POSITIVE FAT PAD SIGN, AND THE PATIENT IS UNABLE TO
FULLY EXTEND THE ELBOW. NO DEFINITIVE BONY CHANGES ARE SEEN ON XRAY. THE MOST
LIKELY WORKING DIAGNOSIS IS:
A. UPPER ARM SPRAIN
B. LATERAL EPICONDYLITIS
C. RADIAL HEAD FRACTURE
D. OLECRANON BURSITIS
- ANSWER:-C. RADIAL HEAD FRACTURE.
A 2MONTH OLD INFANT IS PRESENTED FOR EXAMINATION AND IMMUNIZATIONS. HISTORY
INCLUDES AN UNCOMPLICATED FULL-TERM DELIVERY AND HEPATITIS B VIRUS IMMUNIZATION
SHORTLY AFTER BIRTH. EXAMINATION IS UNREMARKABLE EXCEPT FOR A DIFFUSELY
ERYTHEMATOUS (NOT BEET RED) MACULAR RASH IN THE DIAPER AREA., SPARING THE
INGUINAL FOLDS. NO SATELLITE LESIONS ARE NOTED . THE INFANT'S RASH IS MOST LIKELY
CAUSED BY.
A. CANDIDA ALBICANS INFECTIONS.
B. ECZEMA
C. SEBORRHEIC DERMATITIS
D. CONTACT DERMATITIS
- ANSWER:-D. CONTACT DERMATITIS
A 3 YEAR OLD PATIENT PRESENTS AT AN INNER-CITY CLINIC WITH FEVER, COUGH, MALAISE,
AND LOSS OF APPETITE. THE PATIENT LIVES WITH SEVERAL RELATIVES, INCLUDING A
GRANDMOTHER WHO ALSO HAS A COUGH. WHICH OF THE FOLLOWING DIAGNOSTIC TESTS
WOULD BE MOST APPROPRIATE FOR THE PATIENT?
, A. THROAT CULTURE
B. SPUTUM CULTURE
C. MANTOUX (PPD) SKIN TEST
D. COLD AGGLUTININ TEST
- ANSWER:-B. SPUTUM CULTURE
A 4-YO GIRL WITH A HISTORY OF RECURRENT URINARY TRACT INFECTIONS RETURNS FOR
FOLLOW-UP AFTER DIAGNOSIS OF THE MOST RECENT INFECTION. DURING THE PHYSICAL
EXAM, THE 4 YO TELLS THE NURSE PRACTITIONER THAT HER BROTHER (AGE 9) LIES ON TOP OF
HER AND RUBS HIS PENIS IN HER PUBIC AREA. AFTER COMPLETING THE PHYSICAL EXAM, THE
NURSE PRACTITIONER MUST:
A. DISCUSS THE CHILD'S REPORT WITH THE MOTHER
B. REPORT SUSPICION'S TO THE APPROPRIATE CHILD PROTECTIVE SERVICES AGENCY
C. REFER THE CASE TO A PHYSICIAN
D. SUGGEST PSYCHOLOGICAL COUNSELING.
- ANSWER:-B. REPORT SUSPICIONS TO THE APPROPRIATE CHILD PROTECTIVE SERVICES
AGENCY.
A 6 YO HAD AN ACUTE ONSET OF FEVER, PHARYNGITIS, AND HEADACHE 2 DAYS AGO. TODAY,
HE PRESENTS WITH CERVICAL LYMPHADENOPATHY AND SANDPAPER TEXTURED RASH
EVERYWHERE EXCEPT ON HIS FACE. A RAPID STREPTOCOCCAL ANTIGEN TEST IS POSITIVE. THE
REMAINDER OF THE ASSESSMENT IN UNREMARKABLE. WHAT IS THE MOST LIKELY DIAGNOSIS
AND THE MOST APPROPRIATE ACTION?
- ANSWER:-SCARLET FEVER; TREAT WITH ANTIBIOTICS.
THIS DISEASE IS DUE TO INFECTION WITH GROUP A BETA-HEMOLYTIC STREPTOCOCCUS. THE
RASH IS THOUGHT TO BE DUE TO A SYSTEMIC REACTION TO THE TOXIN PRODUCED BY THE
MICROORGANISM. THE RASH FADES WITH PRESSURE AND ULTIMATELY DESQUAMATES. A
DEEP, NONBLANCHING RASH ON THE FLEXOR SURFACES OF THE SKIN IS REFERRED TO AS
PASTIA LINES.