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GU/Renal Exam 1 Vignettes A 21 y/o female presents w/ complaint of burning w/ urination, frequency, & urgency for the past 2 days. She reports she is sexually active with her partner of 3 years. PE is unremarkable w/ normal VS. With this information alone, what is the suspected diagnosis? How can you treat it? - Acute cystitis Tx: Nitrofurantoin, Fosfomycin, or Bactrim A 73 y/o male has been hospitalized for the past 36 hours for urinary retention w/ a urethral catheter in place. Your nur...

MF3 Vignettes An 18-year-old female college student with a history of prior chlamydia infection presents with low-grade fever and nonspecific lower abdominal pain. Examination reveals mild diffuse lower abdominal tenderness on deep palpation. She has cervical motion tenderness and a mucopurulent vaginal discharge on pelvic examination. - Pelvic Inflammatory Disorder A 35-year-old white man presents with a history of unprotected insertive anal sex with 2 male partners and a 3-day history of...

1. A wrestler comes in with a painful swollen ear. What does this pt have, what is the tx, and what are the complications?: -auricular hematoma -I&D, pressure dressing, antibiotics bactrim -Cauliflower deformity, can become aseptic or septic. 2. A pt comes in with tender and red auricle that spares the lobe. What is this disease, what causes this disease, and what do you do to treat this disease?: -Perichondritis -Pseudomonas, staph, strep pyogenes. Secondary to cellulitis, OE, frostbite, tr...

Derm Vignettes/exam questions and Answers A 70-year-old previously healthy white man presents with multiple, hyperkeratotic, scaly papules on the face, scalp, and hands. Some papules have grown to become larger nodules that sometimes bleed and fail to heal. In the past he has had significant sun exposure including multiple blistering sunburns. Previously, he has had skin cancer - SCC A 65-year-old man with light-colored skin presents with asymptomatic pink and yellowish scaly, irregularly ...

Vignette- Theories Solution-Focused Therapy Key Concepts - KEY CONCEPTS - Solution and Future Focus - Strengths and Resources - Beginner's Mind - Change is Constant - Language and Meaning - Hope Solution-Focused Therapy Goals - GOALS - How will problem by solved - How will we know when the problem is solved Solution-Focused STRUCTURE OF TREATMENT - - First Session - Define Problem in "Family Language" - Subsequent Sessions - Deconstruct Problem - Motivation - Solvable Prob...

Vignette Test LCSW PRE PDSM 5 1. TINA Tina is a 10 year old girl who has a long history of school problems. She told the interviewer that she failed third grade because her teacher was "mean" and "they put me in a special class because I got into fights." Now in the fifth grade, Tina is failing at reading, english, spelling and barely passing math. Her current teacher, Ms. Henderson, reports that Tina is a slow learner with a poor memory. Tina does not do well in a group setting. She re...

Exam 1 Clinical Vignettes Bone - A 14-year old boy died of an osteosarcoma that had metastasized to his lungs. Where did the tumor most likely arise? 45, X/46, XX (Turner syndrome) - A 16-year old girl complains that she had not started menstruating like other girls her age. The patient is short (4 ft, 11 inches) and has a thick webbed neck. Physical examination reveals widely spaced nipples and poor breast formation. If this patient's genetic disease was caused by nondisjunction during m...

Vignettes Exam 1 Path SG 16 A 89 man is brought into the clinic by his daughter, who is concerned about his growing inability to recognize objects despite knowing their function. An MRI scan displayed the beginning of generalized cerebral atrophy featuring pronounced sulci and diminishing gyri. The lateral ventricles were also larger than normal. Based on the symptoms and tests, what is the most likely cell adaptation occurring? a. Hypertrophy b. Hyperplasia c. Metaplasia d. Atrophy e. D...

Vignette Type Questions and Answers 57 Year old Male, Smoker, History of High blood pressure complaining of steady deep lumbosacral pain, leg pain, and feels lightheaded. Bruits may be heard. DX is likely - AAA Where is AAA most likely to occur? - Between Renal and Aortic Bifucation L1-L4 What additional patient intake questions may lead you to think AAA? (3) - Hypotension Severe abdominal pain Tachycardia Postive Labs and Orthos for AAA - None What type of imaging would you use...

744 Vignette Exam Mental Status Exam - Check for - Appearance Reality Testing (judgement; dangerous, impulsive behaviors, insight) Speech Emotions (mood; affect) Thought Content - Delusions of grandeur, persecution, control - Obsession (unrelenting, unwanted thought) - Compulsions (repeated behavior, often linked to obsession) - Phobias - Though broadcasting (beliefs that others can hear) - Ideas of reference (insignificant or unrelated events that have secret meaning to cl) ...

Clinical Vignettes - Final Exam *Loss of beta cells in the pancreas*, secondary to *Type I Diabetes mellitus* - A 12-year old boy presents for a pre-summer camp physical examination. Routine urinalysis discloses 3+ glucosuria. On questioning, the child admits to thirst and frequent urination, accompanied by weight loss over the past few months. A finger stick glucose test in the office shows elevated blood sugar level of 280 mg/dL. What is the likely diagnosis? *Crohn disease*, complicated...

Vignette Exam: Evaluation An OT is preparing to evaluate a toddler who has upper extremity orthopedic concerns. How will the OT MOST likely obtain the majority of initial assessment data? A. Measurement tools that assess visual-motor skills B. Dynamometer and pinch meter readings C. Observation of child during activities in the child-care center D. Functional independence measures - C. Observation of child during activities in the child-care center. During an initial evaluation, the ...

CANS EXAM PACKAGE DEAL LATEST 2023

CANS Testing What are the 4 categories of CANS dysfunction tests? - 1. Dichotic speech tests 2. Binaural interaction tests 3. Temporal ordering tests 4. Monaural low redundancy speech tests On what physiologic premise are dichotic speech tests based? - On the physiologic premise that contralateral pathways are more numerous and robust than ipsilateral pathways Which means that if we use monaural stimulation, the information can be processed equally well by both ipsilateral and contra...

CANS test 2 compassion fatigue - caring too much for others and not yourself where would you find the scope of practice? - Nurse Practice Act education development - Nightingale, Training schools, diploma programs, colleges Nightingale-education - -first formal education in St Thomas, London -schools should be separate from hospitals Training Schools-education - -1873-first US training school -1900-432 hospital operated nursing programs Diploma Programs-education - -hospital ...

CANS exam 1Dated 1860 - Nightingales St. Thomas Hospital Training School 1873 - 3 US hospital based schools NYC, New Haven CT, & Mass General 1886 - First school for males 1886 1893: Chicago World's Fair - Isabel Hampton Robb: need for uniformity in training Nightingale: Need for scientific training 1893: Spanish American War - Typhoid Outbreak Creation of Nursing Corps 1900 - American Journal of Nursing 1917 - WWI & Flu epidemic: nurses acting independently 1920 - Go...

CANS exam 1 Benner's stages of nursing proficiency - 1. Novice 2. Advanced Beginner 3. Competent Practitioner 4. Proficient Practitioner 5. Expert Practitioner When did Medicare and Medicaid begin? - 1965 When did mandatory licensing examination begin? - New Zealand: 1901 U.S.: 1903 Florence Nightingale's research - 1st nurse researcher, used data on morbidity and mortality of soldiers in hospitals in Scutari Ethnicity of Population vs. Ethnicity of Nurses - Ethnic minority...

CANS EXAM 2 Civil law - recognized and enforces the rights of individuals in disputes over legal rights or duties of individuals in relation to one another Criminal law - involves public concerns regarding an individual's unlawful behavior that threatens society the criminal court system defines what constitutes a crime and may mandate specific punishments within limits set by legislative bodies and the constitution. Negligence (4 parts) - 1. The professional (nurse) has assumed th...

CANS FINAL EXAM Reflective thinking - An active process valuable in learning and changing behaviors, perspectives or practices. Nursing diagnosis - A clinical judgement about individual, family or community responses to actual or potential health problems or life processes. What are the 5 phases of nursing processes? - Assessment Analysis and identification of the problem Planning Implementation of planned interventions Evaluation (AAPIE) Assessment - Gathering information or da...