Exam tips for Clinical Questions AANP (Revised)

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, ...

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  Elder presents with atrophic vaginitis-add estrogen cream  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 high 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  Lachmans- 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