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Author Archives: Anonymous

 Following a partial resection of a primary tumor of the ton…

 Following a partial resection of a primary tumor of the tongue, a 76 yo man had no general sensation on the anterior 2/3 of the tongue.  Which of the following nerves was involved?

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A physician assistant passed a large bore needle through the…

A physician assistant passed a large bore needle through the cricothyroid membrane while establishing an emergency airway. In doing the procedure, the tip of the needle was passed directly posterior in the midline of the neck. If pushed too far and through the laryngeal cavity, the needle would then be stopped by the first structure that the needle hit after piercing the cricothyroid membrane which would be the _____________.

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A young child comes to your office with complains of a 2 wee…

A young child comes to your office with complains of a 2 week history of severe coughing.  You suspect that the child has pneumonia and order a chest x-ray.  While you notice bilateral infiltrates that are suggestive of pneumonia, you also notice an additional finding, a medium-size mass that lies in the superior mediastinum and extends to the anterior mediastinum.  The radiologist states it is a normal structure.  What is the structure?

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When examining a patient with left lower extremity weakness…

When examining a patient with left lower extremity weakness the APRN notes that the patient is able to move his leg against gravity with some resistance from the examiner. This is recorded as:

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An 86 year-old female with a history of osteoporosis present…

An 86 year-old female with a history of osteoporosis presents to the office for evaluation of fatigue and shortness of breath. The APRN examines the client and notes a spinal deformity. Which spinal deformity is most likely to be associated with impaired pulmonary function in this patient?

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  A 56 year-old female comes to the clinic complaining of a…

  A 56 year-old female comes to the clinic complaining of a change in the appearance of her breast. On  inspection the following is noted. How should this finding be reported?  

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When performing a history and physical, which item is includ…

When performing a history and physical, which item is included in the general survey?  

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A 45 year-old male presents with left sided back pain that s…

A 45 year-old male presents with left sided back pain that shoots down the left leg. A positive straightleg test is noted. Which of the following conditions is this presentation consistent with?

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The APRN is examining  30 year-old female and notes a palpab…

The APRN is examining  30 year-old female and notes a palpable posterior cervical lymph node. Which of the following findings is most concerning for serious pathology?

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The APRN is performing a school physical on 14-year-old fema…

The APRN is performing a school physical on 14-year-old female. The examination includes spinal assessment to screen for scoliosis. Which of the following is the best technique for this assessment?

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