3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk;
now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you
order? Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? Increase Medication
3...
3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk;
now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you
order? Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss…. Mini
mental exam
4 month old with strabismus, mom is worried…… tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? Growth chart
6 month old closed anterior fontanel. XRAY
Abnormal cells on PAP, what do you do next? Refer for Colposcopy
CAGE ACRONYM
Causes of tachycardia
Cranial nerves responsible for extraocular eye movements… 3,4,6
Definition of metabolic syndrome- cluster of conditions that increase risk of heart disease,
stroke, diabetes.
Definitive diagnosis of acute bacterial prostatitis: urinalysis and culture!
Diagnose Trich: wet prep
Elederly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next?
Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this
located? Anterior septum
Fingernail hematoma treatment… drill hole, drain blood
GERD treatment: H2 is first line
Grade 3 cells on pap, treatment? Excision
Growth Plate fracture/Salter Harris Fx
Increased risk of ectopic pregnancy…. Salpingitis
Koplick Spots… Measles
Legg-Calve Perthes disease: avascular necrosis of the proximal femoral head
Lipid level of 1500, increased risk for? Pancreatitis
Low HGB, Low HCT, High MCV indicates what? Macrocytic anemia, B12 Def
Man with igh BPH, prostate feels on digital exam? Enlarged, symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal…. Arterial Insufficiency
McMurrays Sign- Meniscus tears
Lochmans- ACL
Know heart murmors!!!! MrPASS MVP MsARD
Newborn with foot turned in, what do you do? Refer to orthopedist
Osgood Schlatter disease- Knee pain
Patient forgot to start Thanksgiving dinner and husband states she has trouble remembering
tasks and trouble with organization. What is this indicative of? Alzheimers
Pt has Barretts Esophagus, insurance no longer covers GI who was treating condition. Pt at FNP
office wanting refill prescriptions. What do you do? Refer to oncologist
Know labs for diagnosing Hepatitis
Pt presents with rash on shoulder, erythematous maculopapular rash with center clearing and
scaling? Tinea Corporis
Pt presents with “bag of worms:, indicates? Varicocele
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