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When is th best time to screen for intimate partner violence…

When is th best time to screen for intimate partner violence (IPV)?

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The first line treatment for an 8 year old with atypical pne…

The first line treatment for an 8 year old with atypical pneumonia is

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Your patient is an 18-month-old with a three day history of…

Your patient is an 18-month-old with a three day history of clear nasal discharge and a dry cough.  Her parents deny a fever and state she is taking fluids well though she has a decreased appetite.  You diagnose a URI.   Her parents ask about using over the counter medications for her cold.  Which of the following would be the best response?

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Pain produced by manipulation of the auricle or pressure on…

Pain produced by manipulation of the auricle or pressure on the tragus suggest:

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In a suspected child abuse case the NP is required to

In a suspected child abuse case the NP is required to

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Tino, a healthy 4 year old, comes into the clinic for a well…

Tino, a healthy 4 year old, comes into the clinic for a well child check.  He has had four DTaPs, three IPVs, one MMR, one varicella, and two hepatitis B vaccines.  What would you order today?

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The nurse practitioner is treating a 10 month old infant who…

The nurse practitioner is treating a 10 month old infant who has painful grouped vesicles and ulcers on an erythematous base on the buccal mucosa, lips and palate.  The infant has had a wet diaper every four hours and has been running a fever of 102.  A diagnosis of coxsackie is made.  Which of the following is the most appropriate initial treatment for this infant?

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Owen, age 4 years, is brought to the urgent care clinic by h…

Owen, age 4 years, is brought to the urgent care clinic by his mother who reports he has been listless, had a fever of 102 F, and a cough for the past 48 hours.  Prior to these more acute symptoms, he had had symptoms of a cold for the previous week.  You need to evaluate Owen for possible pneumonia.  Which of the following signs and symptoms are most consistent with the diagnosis of pneumonia?

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A 16 y.o. male who plays basketball presents with anterior k…

A 16 y.o. male who plays basketball presents with anterior knee pain that has occurred intermittently over the past 3 months.  The pain is worse with squatting or walking up or down stairs and is better with rest.  On exam he is positive for tender, swollen tibial tuberosity in the L knee and is reproduced with passive hyperflexion of the knee. The most likely diagnosis is

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A 5 year old boy is in the office for his kindergarten physi…

A 5 year old boy is in the office for his kindergarten physical and up to date per his age but missed the 4 year appointment. The mom denies a history of chickenpox infection.  What immunizations should receive today?

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