Question 1

Condylomata Acuminate

Accepted Answer

Genital warts- Cauliflower appearance, painless, genitals, STD, cause by HPV virus, treated with topical Podophyllotoxin 0.5% solution and 0.15% cream  or removal

Question 2

Bornholm disease

Accepted Answer

also known as pleurodynia viral myalgia defined by the sudden occurrence of lancinating chest pain or abdominal pain, commonly associated with fever, malaise, and headaches.

Question 3

bacterial endocarditis

Accepted Answer

Osler’s nodes, roth’s spots, and splinter hemorrhages,Painful, red-purple lesions on the hands and feets are osler’s nodes. Retinal hemorrhages with a white center are  roth’s spots. Red-brown lines underneath the fingernails is splitter hemorrhage.

Question 4

which of the following bacterias leads to the most overall deaths in patients with community acquired pneumonia

Accepted Answer

Streptococcus pneumoniae

Question 5

raised and have a silvery-white appearance. When assessing the area, a small piece falls off, and some bleeding is noted

Accepted Answer

Auspitz Sign,  classic clinical finding in plaque psoriasis

Question 6

Actinic keratosis

Accepted Answer

a pink, yellow, or tan rough and scaly lesion) can lead to squamous cell carcinoma if it is not treated and removed. If it were to turn to squamous cell carcinoma, the lesion would be red and ulcerated and bleed easily

Question 7

hidradenitis suppurativa (HS)

Accepted Answer

painful, erythematous pustules on the skin,  axillae, groin, buttox, or mammary regions, warm, damp areas underarms and the groin area. forms under the skin, with pustules growing and potentially opening at the surface, draining a purulent discharge

Question 8

folliculitis

Accepted Answer

Folliculitis tends to be more superficial and does not typically have purulent discharge associated with it

Question 9

burns to the front and back of her bilateral arms. What percentage of her body surface area has been affected by these burns?

Accepted Answer

The front of the arm constitutes 4.5%, and the back of the arm constitutes an additional 4.5%. As both the fronts and the backs of the arms are affected, this would equal a total of 18% of her body surface area.

Question 10

fibroadenoma, a common benign breast tumor

Accepted Answer

rubbery, mobile, well circumscribed mass

Question 11

Prehn’s sign

Accepted Answer

reduction in pain when the scrotum is manually lifted.

Question 12

presumptive signs

Accepted Answer

breast tenderness, nausea and vomiting, kicking, amenorrhea and quickening.

Question 13

Probable signs

Accepted Answer

include a positive urine pregnancy test along with Chadwick and Hegar’s sign

Question 14

positive pregnancy signs

Accepted Answer

cardiac activity and use of doppler to detect fetal heart rate. Later, the provider palpating the fetus is also a positive sign.

Question 15

milky discharge from both breasts what tests needed?

Accepted Answer

Prolactin, This is because in rarer cases, the milky discharge can be due to a
prolactinoma, and this patient will need referra

Question 16

combined oral contraceptive side effects

Accepted Answer

breast
swelling, bleeding between periods, and melasma. Melasma is an
overproduction of melanin in the skin

Question 17

12 weeks fundal height

Accepted Answer

fundal height at the symphysis pubis

Question 18

20 weeks fundal height

Accepted Answer

at umbalicus

Question 19

when does placental abruption happen usually how many weeks?

Accepted Answer

20 weeks and greater

Question 20

Brudzinski sign

Accepted Answer

passively flexing a patient’s neck to observe for involuntary hip flexion, you are assessing Brudzinski’s sign. If the hips involuntarily flex, it indicates a positive sign and is suggestive for meningitis

Question 21

most sensitive diagnostic tool to diagnose an anterior crucial ligament (ACL),

Accepted Answer

Lachman test, supine position, place one hand behind the tibia and the other hand on the lower thigh. While stabilizing the thigh, bend the knee to a 20 degree angle then pull the leg forward. Excess activity is indicative of an ACL injury

Question 22

McMurray’s test

Accepted Answer

used to assess an injury of the medial meniscus

Question 23

valgus stress test

Accepted Answer

medial collateral ligament (MCL)

Question 24

Allopurinol labs needed

Accepted Answer

black box warning for potential bone marrow suppression so a complete blood count needs to be monitored while the patient takes the medication. In addition, this medication is known to have potential renal and hepatic repercussions

Question 25

Gout attack likley lab changes

Accepted Answer

WBCs, ESR (erythrocyte sedimentation rate), and CRP (C-reactive protein) are all elevated in an acute attack

Question 26

An angle of  metatarsophalangeal (MTP) joint is deviated inwards and greater than 15 degrees on x-ray is indicative of what deformity of the foot

Accepted Answer

hallux valgus

Question 27

Waddell’s signs

Accepted Answer

eight clinical signs that were developed to evaluate lumbar back pain developed to evaluate lumbar back pain specifically

Question 28

incredibly difficult to straighten out her thumb after bending it, and she feels as if her thumb is “stuck in place.” The nurse practitioner suspects a possible diagnosis of De Quervain’s tenosynovitis

Accepted Answer

finkelstein test, The nurse practitioner grabs the patient’s thumb and performs ulnar deviation of the hand

My weak spots

weaknesses

Term	Definition
Condylomata Acuminate	Genital warts- Cauliflower appearance, painless, genitals, STD, cause by HPV virus, treated with topical Podophyllotoxin 0.5% solution and 0.15% cream or removal
Syphilis
Atopic Dermatitis
Lichen Chronicus
Bornholm disease	also known as pleurodynia viral myalgia defined by the sudden occurrence of lancinating chest pain or abdominal pain, commonly associated with fever, malaise, and headaches.
bacterial endocarditis	Osler’s nodes, roth’s spots, and splinter hemorrhages,Painful, red-purple lesions on the hands and feets are osler’s nodes. Retinal hemorrhages with a white center are roth’s spots. Red-brown lines underneath the fingernails is splitter hemorrhage.
which of the following bacterias leads to the most overall deaths in patients with community acquired pneumonia	Streptococcus pneumoniae
raised and have a silvery-white appearance. When assessing the area, a small piece falls off, and some bleeding is noted	Auspitz Sign, classic clinical finding in plaque psoriasis
Actinic keratosis	a pink, yellow, or tan rough and scaly lesion) can lead to squamous cell carcinoma if it is not treated and removed. If it were to turn to squamous cell carcinoma, the lesion would be red and ulcerated and bleed easily
hidradenitis suppurativa (HS)	painful, erythematous pustules on the skin, axillae, groin, buttox, or mammary regions, warm, damp areas underarms and the groin area. forms under the skin, with pustules growing and potentially opening at the surface, draining a purulent discharge
folliculitis	Folliculitis tends to be more superficial and does not typically have purulent discharge associated with it
burns to the front and back of her bilateral arms. What percentage of her body surface area has been affected by these burns?	The front of the arm constitutes 4.5%, and the back of the arm constitutes an additional 4.5%. As both the fronts and the backs of the arms are affected, this would equal a total of 18% of her body surface area.
fibroadenoma, a common benign breast tumor	rubbery, mobile, well circumscribed mass
Prehn’s sign	reduction in pain when the scrotum is manually lifted.
presumptive signs	breast tenderness, nausea and vomiting, kicking, amenorrhea and quickening.
Probable signs	include a positive urine pregnancy test along with Chadwick and Hegar’s sign
positive pregnancy signs	cardiac activity and use of doppler to detect fetal heart rate. Later, the provider palpating the fetus is also a positive sign.
milky discharge from both breasts what tests needed?	Prolactin, This is because in rarer cases, the milky discharge can be due to a prolactinoma, and this patient will need referra
combined oral contraceptive side effects	breast swelling, bleeding between periods, and melasma. Melasma is an overproduction of melanin in the skin
12 weeks fundal height	fundal height at the symphysis pubis
20 weeks fundal height	at umbalicus
when does placental abruption happen usually how many weeks?	20 weeks and greater
Brudzinski sign	passively flexing a patient’s neck to observe for involuntary hip flexion, you are assessing Brudzinski’s sign. If the hips involuntarily flex, it indicates a positive sign and is suggestive for meningitis
most sensitive diagnostic tool to diagnose an anterior crucial ligament (ACL),	Lachman test, supine position, place one hand behind the tibia and the other hand on the lower thigh. While stabilizing the thigh, bend the knee to a 20 degree angle then pull the leg forward. Excess activity is indicative of an ACL injury
McMurray’s test	used to assess an injury of the medial meniscus
valgus stress test	medial collateral ligament (MCL)
Allopurinol labs needed	black box warning for potential bone marrow suppression so a complete blood count needs to be monitored while the patient takes the medication. In addition, this medication is known to have potential renal and hepatic repercussions
Gout attack likley lab changes	WBCs, ESR (erythrocyte sedimentation rate), and CRP (C-reactive protein) are all elevated in an acute attack
An angle of metatarsophalangeal (MTP) joint is deviated inwards and greater than 15 degrees on x-ray is indicative of what deformity of the foot	hallux valgus
Waddell’s signs	eight clinical signs that were developed to evaluate lumbar back pain developed to evaluate lumbar back pain specifically
incredibly difficult to straighten out her thumb after bending it, and she feels as if her thumb is “stuck in place.” The nurse practitioner suspects a possible diagnosis of De Quervain’s tenosynovitis	finkelstein test, The nurse practitioner grabs the patient’s thumb and performs ulnar deviation of the hand

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