13 year antique Jessica presents to the Emergency Department along with her mom, declaring
that she cannot breathe, can not experience her palms and thinks she is having a panic attack.
Vital signs are: T-98.9, HR-115, RR-32, BP-136/ninety, O2-one hundred% RA. ABG effects had
been pH 7.Forty seven, pCO2 25, HCO3 21. What is the likely motive for her respiration
alkalosis?
A. Hypoventilation
B. Hyperventilation
C. Diarrhea
D. Hyperemesis - ANS-B
A 1-month-old female gives on your health center along with her mother for a nicely toddler test.
The mother reviews a vivid crimson, rubbery performing bump this is placed on her daughter's
neck. She says that it began out as a flat crimson vicinity, but now it has grown and is sticking
out. This most probable represents which type of birthmark:
a) Mongolian spot
b) Port-wine stain
c) Hemangioma
d) Melanocytic nevi - ANS-C
A 12-year-vintage male patient offers for your health facility nowadays with mom who reviews
for the beyond week he has been expecting muscle weakness, tingling all over his body this is
worse in his ft and hand and muscle spasms for the duration of the day. You acquired a 12-lead
ECG in the office which discovered peaked T waves and widening QRS. What electrolyte
abnormality might you suspect based totally on signs and symptoms and ECG findings?
A. Hypokalemia
b. Hyperkalemia
c. Hyponatremia
d. Hypercalcemia - ANS-B
A 13 y.O male with a medical history of intermittent allergies presents to the sanatorium c/o of
the following: symptoms that closing 3 days/week, minor predicament in normal hobby, and
waking up as a minimum once/week for the past month. The pt. States he has been using his
PRN SABA as a minimum as soon as an afternoon, 3 days all through the week. Keeping these
signs in mind, what classification of asthma severity need to the NP apprehend this as to
first-class tailor treatment?
A. Intermittent
b. Mild
c. Moderate
, d. Severe - ANS-B
A 16-12 months-antique woman affords to hospital followed by using her mom. She has a rash
that appears as erythematous plaques with thick, white, silvery overlying scales on her elbows,
knees, and umbilicus. She reports this has been happening for about 2 years and tends to come
back and pass. The mom reviews her father has psoriasis. The affected person isn't always on
any medications and he or she isn't currently treating her rash with whatever. She has tried
numerous moisturizers within the beyond however has never had a prescription to deal with
this. She weighs a hundred thirty kilos and has no hypersensitive reactions. You diagnose her
with psoriasis with frame surface place involvement much less than 10%. Which is the
exceptional option as first line therapy?
A. Ketoconazole (Nizoral) 2% cream
B. Clobetasol (Temovate) 0.05% ointment
C. Over the counter hydrocortisone (Cortizone-10) 1% cream
D. Oral prednisone forty mg x 3 days, 30 mg x three days, 20 mg x three days, 10 mg x three
days - ANS-B
A three-year-old-boy presents to medical institution together with his mom with honey-coloured
crusted sores around his mouth and nostril. The mother states her son started out attending
daycare more than one weeks in the past and noticed the sores beginning to broaden earlier
this week. Which extraordinarily contagious early life infection do you believe you studied?
A. Impetigo
B. Varicella
C. Herpes Simplex
D. Molluscum contagiosum - ANS-A
A 31 12 months old male offers to the health center for c/o fever of a hundred and one, nausea
and vomiting, and reduced urine output for 3 days. Patient reports he simply finished penicillin
for a bacterial contamination. On exam, the NP notices a maculopapular rash. Urinalysis reveals
pyuria and hematuria. The NP knows this to be anticipated in:
A. Pyelonephritis
B. Acute Kidney Injury
C. Interstitial Nephritis
D. Glomerulonephritis - ANS-C
A 34 12 months antique girl with out a regarded past scientific records provides in your health
facility with a criticism of fever, non-productive cough and shortness of breath. After a workup
she is recognized with bacterial pneumonia. She has no current history of hospitalization or
antimicrobial use. What is the maximum common causative agent of her pneumonia?
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