HX
"strawberry cervix" and discharge is then, yellow-green & frothy, foul-smelling
Trichomoniasis
DEXA scan is the gold standard for screening _____.
and screening is done every _______.
Osteoporosis.
every 2 years.
On this November day, a non vaccinated 20 year old presents with malaise, cough, congestion and fever of 101 for 2 days. Mother reports decreased appetite and sleep. Mother states theres a familial presence. What diagnostic should be considered?
What is rapid influenza immunoassay intranasal.
A pt come into the primary care office with c/o sinus pressure and dry cough. Pt states she recently got over and upper respiratory infection but the coughing is now exacerbated. The cough does not wake her up at night and its exertional. Whats missing from this patients HX?
What is- recent travel, hx of smoking, fever, what relieves her cough, does the cough radiate, what makes it better, worse, how long has she noticed these symptoms, what brings her in now?
Practitioner dx 30 yr old woman with UTI. What s/s can be expected?
BONUS: WHAT DO YOU EDUCATE HER ABOUT?
What is dysuria, frequency, burning, urethral pressure & pain.
What is hygeine, voiding after intercourse, cotton underwear, use of pH cleanse, cranberry juice.
Patient complaining of growing pains, painful swelling/tenderness of the anterior trial tubercle. Patient (male, 19 years old) states she has been doing strenuous activity. What is the Dx?
Osgood-Schlatter.
Evaluation of an elderly male client reveals a macrocytic, normochromic anemia. Subsequent testing shows a folate level that is normal and a decreased vitamin B12 level. Further evaluation could include:
A) Referral to hematologist for bone marrow biopsy
B) anti-intrinsic factor antibodies and serum gastrin or pepsinogen
C) Upper GI series
D) No tests are indicated at this time
Answer: B
they can help distinguish among inadequate intake, an intrinsic factor, or a malabsorption problem.
Which hematologic condition has a symptom of koilonychia??
micro? macro? hypo? hyper?
iron deficiency anemia.
Microcytic, Hypochromic red cells with marked anisopoikilocyosis on the Peripheral smear.
A pt come into the primary care office with c/o sinus pressure and dry cough. Pt states she recently got over and upper respiratory infection but the coughing is now exacerbated. The cough does not wake her up at night and its exertional. The patient is dx with acute viral bronchitis. What differentials can be assessed.
What is pneumonia, asthma, sinus infection, pharyngitis, influenza.
HIV positive patient has Mantoux skin test for tuberculosis, which shows 4 mm of induration and a red color at 48 hours. Which is the approbate next step in management?
Answer: No further action is necessary
The patient has a negative skin test for TB. This patient is in high-risk group for TB, but a positive test is a test with 5 of more mm of induration at 48 hours. No further action is necessary.
45 year old man presents with continuous chest pain for 2 days. He states he has no familial hx or his own hx of HTN, dyslipedemia, obesity, or MI. Man states he works in construction and was lifting heavy materials 4 days ago. What are the differential dx?
What is chest pain, costochondritiis, triple A, indigestion, pulmonary embolism.
A 30-year old healthy female is treated for atypical pneumonia with erythromycin, but returns to the clinic complaining of voting and nausea after one day of therapy. She has a headache and sore throat, Her temp is 99.6 F, BP 105/80, HR 88, RR 18 bpm. Her lungs have diffuse wheezes and her abdomen is soft, contender, and non distended. What is the best management for this patient.
A) obtain sputum smoke for culture and sensitivity
B) stop the erythromycin and initiate therapy with a Z-pack
C) stop erythromycin and initiate therapy with ciprofloxacin
D) Obtain chest x-ray
Ordering addition tests for this patient will not change the course of therapy.
Erythromycin can be discontinued and another macrolide, such as Zithromax can be initiated.