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Author Archives: Anonymous

A 68-year-old woman with established osteoporosis has been s…

A 68-year-old woman with established osteoporosis has been stable on alendronate for 5 years, with improved bone mineral density and no fractures. Her current femoral neck T-score is −1.8, she has no prior fragility fractures, and her FRAX 10-year risk is below treatment thresholds. She asks about continuing treatment. What is the best next step?

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Identify a rotator cuff muscle that INSERTS in a different p…

Identify a rotator cuff muscle that INSERTS in a different part of the humerus than the other three rotator cuff muscles [A].  What is the landmark that this muscle attaches to on the humerus? [B]

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Which test is the gold standard to diagnose suspected esopha…

Which test is the gold standard to diagnose suspected esophageal cancer?

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A 45-year-old man presents with painless bright red rectal b…

A 45-year-old man presents with painless bright red rectal bleeding noted on toilet tissue and streaking the stool. He denies abdominal pain or weight loss. On exam, there are non-tender bluish bulges inside the anal canal that do not protrude externally. Which of the following is the most likely diagnosis?

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Which of the following is true of the mushroom life cycle:

Which of the following is true of the mushroom life cycle:

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Demodex folliculorum is a microscopic mite that survives on…

Demodex folliculorum is a microscopic mite that survives on the skin of humans— but generally does not cause us any harm (you may not even know it is there!).  This relationship is an example of: Screenshot 2024-02-22 at 2.02.24 PM(1).png 

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A 35-year-old female reports pain/swelling in the front of h…

A 35-year-old female reports pain/swelling in the front of her knee “over the kneecap” that began 2 days ago. She denies trauma. She explains there has been no warmth, redness, or fever. She is a carpenter has been putting shingles on a roof. On exam you note swelling of the knee over the prepatellar, negative ballottement, no redness or warmth, full passive ROM but pain with flexion and extension on active ROM. She is neurovascularly intact. No evidence of any break in skin integrity and no palpable masses. Denies any medical problems and no underlying medical history. Which diagnosis would you associate with her history/exam?

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A 13-year-old soccer player presents with anterior knee pain…

A 13-year-old soccer player presents with anterior knee pain that worsens after running. Exam reveals tenderness and mild swelling over the tibial tubercle, and pain with squatting. Which diagnosis is most likely?

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The provider orders oxytocin to be started at 1 mu per minut…

The provider orders oxytocin to be started at 1 mu per minute at 0400 and increase 1 mu/min every 30 minutes.  The pharmacy sends 30 U of oxytocin in 500 mL of Lactated Ringers.  How many mL/hr will the nurse set the pump at 0430?  write in whole number only [BLANK-1]

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The nurse is augmenting a client with oxytocin. The client’s…

The nurse is augmenting a client with oxytocin. The client’s contractions are Q 1 minute and fetal monitor strip reveals a baseline rate of 110 with late decelerations and no variability. Which of the following are the initial priority nursing actions for uterine resuscitation? (Select all that apply)

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