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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Diagnosis | 24% | - Develop and prioritize differential diagnoses - Establish primary diagnosis - Synthesize and analyze patient data |
| Topic 2: Evaluation | 17% | - Evaluate effectiveness of interventions - Monitor patient outcomes - Modify care plan as needed |
| Topic 3: Plan | 23% | - Prescribe/order medications and treatments - Design evidence-based care plan - Provide patient education and counseling - Initiate referrals and consultations |
| Topic 4: Assessment | 36% | - Perform physical examination - Order, perform and interpret screening/diagnostic tests - Obtain subjective patient information |
1. Christopher is a 3-year-old patient with scabies. You prescribe permethrin 5% (Elimite) for him. You tell Christopher's parents all of the following in regards to using this medication EXCEPT:
A) Leave the cream on 8 to 12 hours and then remove by showering.
B) Precede the treatment with a warm bath.
C) One ounce of the cream is sufficient for one application.
D) Apply cream to the entire body while the skin is wet from shower or bath.
2. You suspect that your 19-year-old male patient has testicular torsion because he has reported a sudden onset of severe unilateral scrotal pain with noticeable swelling of the ipsilateral testicle. Because you want to rule out other causes you consider ordering an ultrasound. To help you decide whether an ultrasound is needed you use the TWIST scoring system. All but which of the following are part of this scoring system?
A) low-riding testis
B) absent cremasteric reflex
C) testis swelling
D) nausea/vomiting
3. A disease characterized by high fever, truncal and perineal area rash, and dry cracked lips with a strawberry tongue is known as:
A) Fifth disease
B) Scarlet Fever
C) Varicella
D) Kawasaki disease
4. You are doing a physical assessment of a female patient whose probable diagnosis is Addison's disease. If this is indeed the final diagnosis you would expect to find all but which of the following during this examination?
A) loss of hair in the axillary and pubic region
B) bradycardia
C) loss of weight
D) orthostatic hypotension
5. A 68 year old male patient is dehydrated with nausea and vomiting. The abdominal pain radiates to the back. He has a normal diet and family support. What is the best differential diagnosis?
A) Large bowel obstruction.
B) Diverticulitis.
C) Peptic ulcer disease.
D) Pancreatitis.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: D |
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