A gray or white ring present around the peripheral iris - ANSWERSarcus senilis
A loss of the central sulcus of the prostate on DRE is a sign of what? -
... [Show More] ANSWERSBPH
A male patient presents to your clinic with a lump in his breast. How should we work this up? - ANSWERSclinical breast exam, mammogram, AND ultrasound
A positive "drop arm" test is a sign of what? - ANSWERStorn rotator cuff
A woman who gets the MMR vaccine should wait at least __________ before getting pregnant. - ANSWERS4 weeks
ACEIs can cause what electrolyte abnormality? - ANSWERShyperkalemia
After exposure to HIV, when will the patient seroconvert and become positive? - ANSWERS3 months
An herbal supplement thought to help BPH - ANSWERSsaw palmetto
an inflammation in the hip joint that causes pain, limp and sometimes refusal to bear weight. This occurs in pre-pubescent children and is the most common cause of hip pain. It occurs when a viral infection, such as an upper respiratory infection, moves to and settles in the hip joint. - ANSWERStransient synovitis
Ankle inversion is a common complaint from a patient with what? - ANSWERSa lateral ankle sprain
Are saturated or unsaturated fatty acids better for you? - ANSWERSunsaturated
Children can start to ride a tricycle around age _____ - ANSWERS3
Diphenhydramine has __________ properties and is contraindicated in which patient populations? - ANSWERSanticholinergic; elderly and those with glaucoma
Dix Hallpike maneuver is the standard clinical test for _______ - ANSWERSBPPV
For a patient on warfarin who needs to receive a tetracycline antibiotic, how will we adjust their warfarin? - ANSWERStetracyclines depress prothrombin activity, same as warfarin, so we need to decrease the warfarin to avoid an increase in INR and significant bleeding
Growing pains often start in what age group? - ANSWERS3-5
HCTZ can cause _________, whereas ACEI can cause _________ - ANSWERShypokalemia; hyperkalemia
hey - ANSWERSstopped at top of page 7
HMO and PPOs are called what? - ANSWERSmanaged care plans
How can we best diagnose coarctation of the aorta? - ANSWERSby comparing the upper and lower extremity blood pressures
How do we manage rubella immunity in pregnant women? - ANSWERSwe screen all pregnant women with a rubella titer. If they had a protective rubella titer in a previous pregnancy, then they do not need to be checked again. If they are found to not be immune when pregnant, then she should be vaccinated AFTER delivery
How do we test cerebellar function? - ANSWERSrapid alternating movements, finger to nose test, balance (romberg), gait
How do we treat thrush in infants? - ANSWERSapplication of nystatin to inside of the mouth, sterilize all pacifiers and bottle nipples; a topical antifungal may be applied to the nipples
How does plantar fasciitis usually present? - ANSWERSas pain in the morning with resolution after several steps, but as it worsens the patient will start to complain of heel pain throughout the day and with walking
How is a diagnosis of neuroblastoma confirmed? - ANSWERSvia serum catecholamine testing and a biopsy
How is influenza diagnosed? - ANSWERSa nasal swab
How is permethrin applied to the skin for scabies? - ANSWERSa one time application to all skin below the neck and then left on for 8-12 hours is sufficient
How long must a tick be attached to the skin in order for Lyme disease to be transferred? - ANSWERS48 hours
Hyperparathyroidism can cause what? - ANSWERShypercalcemia and thus, osteoporosis
If a patient with strep comes back after 48 hours with no improvement on antibiotics, what should you then prescribe? - ANSWERSa penicillin or cephalosporin with beta lactamase coverage
Immunizations are considered to be what level of prevention? - ANSWERSprimary
In the presence of an elevated serum TSH, what is the next step in management? - ANSWERSrepeat TSH plus free T4
Is age less than 18 years a risk factor for an ectopic pregnancy? - ANSWERSno; but personal history of PID, an IUD, previous ectopic pregnancy, previous tubal surgery, pathology, or ligation all are risk factors
Is Meniere's disease most often unilateral or bilateral? - ANSWERSunilateral
Koilonychia is a sign of what? - ANSWERSiron deficiency anemia
Normal weight people should gain how much weight during pregnancy? - ANSWERS25-35 pounds
Obese women should gain how much weight during pregnancy? - ANSWERS11-20 pounds
Oral contraceptive regimen in which both the estrogen and progesterone concentrations vary throughout the cycle - ANSWERSquadriphasic
Oral contraceptive regimen in which in the estrogen dose remains the same for the first 21 days of the cycle, while progestin is lower in the first half and higher in the second half - ANSWERSbiphasic
Oral contraceptive regimen in which the estrogen and progestin doses are fixed throughout the cycle - ANSWERSmonophasic
Oral contraceptive regimen in which the estrogen remains consistent and the progestin dose varies - ANSWERStriphasic
Overweight women should gain how much weight during pregnancy? - ANSWERS15-25 pounds
Patients who are receiving beta blockers may find what treatment for allergies ineffective? - ANSWERStreatments containing epinephrine
Patients with a history of UC or Crohn's should have a colonoscopy how often? - ANSWERSevery 1-5 years due to the increased risk of colorectal cancer
PID should improve after ____ of the antibiotic course. - ANSWERS3 days
Pregnant women should increase their daily caloric intake by how many calories per day? - ANSWERS300
Prostate infection or inflammation can cause a sharp rise in PSA values. When should this value go back down to normal levels and be checked after an acute infection? - ANSWERS4 weeks
Scope of practice for NPs is not influenced by which entity? - ANSWERSa court of law
Signs of a ruptured ovarian cyst - ANSWERSnausea, vomiting, shoulder pain, fever
TCAs can cause what worsened problem in a patient with BPH? - ANSWERSurinary retention
The antibiotic of choice for a dog bite - ANSWERSaugmentin; doxy if there is a penicillin allergy
The first sign of puberty in girls - ANSWERSthelarche (breast budding)
The medical term for flat feet - ANSWERSpes planus
The medical term for spoon shaped nails - ANSWERSkoilonychia
The most common cause of atypical pneumonia in adults - ANSWERSmycoplasma pneumoniae
The most effective treatments for acne related to increased sebum production are what? - ANSWERSoral contraceptives and isotretinoin
Treatment of choice for pyelonephritis - ANSWERSciprofloxacin
Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is ___________. - ANSWERSgreater than 10
Underweight people should gain how much weight during pregnancy? - ANSWERS28-40 pounds
Used to establish a designated level of professional competence - ANSWERSlicensure
Vitamin B12 deficiency anemia is a type of ____________ anemia. - ANSWERSpernicious; macrocytic
What antibiotics are considered safe in pregnancy? - ANSWERSbeta lactams (cephalosporins, amox, augmentin), nitrofurantoin, vancomycin, metronidazole, clindamycin, and fosfomycin
What are the 4 components of Tetralogy of Fallot? - ANSWERSVSD, pulmonic stenosis, overriding aorta, right ventricular hypertrophy
What are the intrauterine transplacental infections that can be passed from mother to infant? - ANSWERSthink TORCH; toxoplasmosis, Other (syphilis, varicella zoster, parvovirus) Rubella, Cytomegalovirus and Herpes simplex, as well as tuberculosis. Note that chlamydia is NOT transplacental, but rather transvaginal during childbirth
What are two common classes of drugs that interact with grapefruit juice? - ANSWERSstatins and CCBs
What causes arcus senilis? - ANSWERSit is a normal, benign condition with aging, but can also occur in younger people as a result of high cholesterol and triglycerides
What class of drug is dabigatran (pradaxa)? - ANSWERSdirect thrombin inhibitor
What does the murmur of Tet of Fallot sound like? - ANSWERSharsh systolic murmur at the left upper sternal border
What finding would be most likely to differentiate gout from septic arthritis? - ANSWERSfever would be indicative of septic arthritis [Show Less]