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MSN 621 FINAL STUDY GUIDE LATEST 2024. ALL QUESTIONS & CORRECT ANSWERS. GRADED A+
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MSN 621 FINAL STUDY GUIDE LATEST 2024. ALL QUESTIONS & CORRECT ANSWERS. GRADED A+
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MSN 621 FINAL STUDY GUIDE LATEST 2024.ALL QUESTIONS & CORRECT ANSWERS.
GRADED A+
A 16-year-old boy presents with fever, fatigue, lymphadenopathy, and sore
throat. His medical history is positive for asthma; his father had leukemia. Social
history is notable for being involved in multiple school sporting activities. Vital
signs are blood pressure 135/85 mm Hg, heart rate 92 bpm, and respiratory rate
16 breaths/min. Physical examination shows exudative pharyngitis and
splenomegaly. Rapid streptococcal testing is negative. What is the most
appropriate recommendation? - ANSAvoid contact sports for a minimum of 6
weeks
A 16-year-old boy with a low-grade fever and a cough is seen in the ER. The
clinician sends blood work for the measurement of heterophile antibodies
because they suspect which of the following? - ANSInfectious mononucleosis
A 16-year-old female presents with complaints of fever, lethargy, and night
sweats. The patient also reports a 6-kilogram (13.2 pound) weight loss in the past
3 months. On examination, painless, enlarged cervical and supraclavicular lymph
nodes are palpated. A fine-needle aspiration biopsy of one of the lymph nodes is
shown in the image. The patient's findings are most suggestive of which of the
following? - ANSHodgkin lymphoma
,A 16-year-old girl presents because she believes she was bitten by a tick while
hiking in the woods 4 weeks ago. She mentions swelling in her right ear and
general malaise. On exam, she has a 1 x 2 cm bluish-red nodule on the right ear
lobe. What is the next best step in management for this patient? - ANSLyme
serology
A 16-year-old male presents with fatigue, easy bruisability, and weight loss. On
examination, hepatosplenomegaly is noted. After a detailed evaluation, the
patient is diagnosed with acute lymphocytic leukemia. Which of the following is
used in the management of this patient's condition? - ANSL-asparaginase
A 16-year-old male presents with lethargy, fatigue, and occasional mucosal
bleeding. The patient also reports weight loss in the past 5 months. Laboratory
analysis reveals a white blood cell count of 32,000 cells/microL. On examination,
hepatosplenomegaly is noted. Further evaluation shows findings suggestive of
acute lymphocytic leukemia. What is the most likely cause of the patient's
mucosal bleeding? - ANSDecreased platelet count
A 17-year-old girl presents with a complaint of urine leakage for the last 2 weeks.
She states that she will randomly have urges to urinate, which can not be
deferred. She also admits to occasional loss of urine when laughing or coughing.
She was diagnosed with myasthenia gravis 2 years ago. Vital signs show blood
pressure 119/72 mm Hg, heart rate 75 bpm, respiratory rate 12 breaths/min, and
temperature 37.2 °C (99 °F). A physical exam is unremarkable. Urinalysis is
,negative for leukocyte esterase, nitrites, and red blood cells. Available treatment
options are discussed with the patient, and she eventually decides on medical
management. Which of the following medications is contraindicated in this
patient? - ANSOxybutynin
A 17-year-old girl presents with a severe sore throat and fever for 4 days. The
patient's voice is muffled, and she prefers not to speak secondary to pain. She has
not been able to eat solids for 2 days and has refused to drink for 1 day. Vital
signs are temperature 39.8 C (103.6 F), heart rate 140 bpm, respiratory rate 20
breaths/min, and blood pressure 110/70 mmHg. The physical examination shows
the tonsils to be 4+ enlarged with partial airway obstruction and grey-white
exudates, cervical lymphadenopathy, and splenomegaly. A rapid strep screen is
negative. A CBC shows atypical lymphocytes. What is the most appropriate
management? - ANSAdmission for hydration and corticosteroids
A 17-year-old girl presents with left flank, pain, nausea, vomiting, and dysuria that
started a day ago. She has no significant history. She is afebrile, and her vital signs
are stable. A physical examination demonstrates costovertebral tenderness as
well as tenderness in the left flank on palpation. Urinalysis shows 12 RBC/hpf and
2 WBC/hpf. What is the best next step in making a definitive diagnosis? - ANSNon-
contrast CT scan of the abdomen and pelvis
A 17-year-old male patient with no significant past medical history presents with
several days of loose, watery stools since returning from a trip to Mexico. He was
in Mexico for one week and frequently drank water from the hotel faucet. He
, describes having up to six brown, non-bloody, loose, watery stools per day. His
heart rate is 66 beats per minute, blood pressure 138/72 mmHg, respiratory rate
14 breaths per minute, and temperature 101.4 F (38.6 C). He denies taking any
medication and denies any known food intolerances. His most likely condition is
associated with which of the following changes? - ANSDecreased extracellular
fluid volume and unchanged intracellular fluid volume
A 17-year-old presents with tonsillar hypertrophy, bilateral cervical
lymphadenopathy, low-grade fever, and general malaise. Which of the following
is the gold standard test for diagnosing this condition? - ANSEpstein-Barr specific
antibodies
A 17-year-old woman from Wisconsin presents with arthralgias, progressive
confusion, a rash with central clearing over several weeks, and memory loss. She
has no significant history and is an avid camper. Her temperature is 100.4 °F (38
°C). What is her most likely diagnosis? - ANSLyme disease
A 20-year-old male presents with a two month history of cough and right-sided
chest pain. On examination, his chest movement on the right side is diminished,
the trachea is shifted to the left, and a stony dull percussion note is on the right.
His breath sounds are impaired, and vocal fremitus is present. Which of the
following is the most likely diagnosis? - ANSRight-sided pleural effusion
A 20-year-old woman presents with painful menstrual periods and associated
abdominal bloating over the last 6 months. The symptoms are most severe on the
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