A 70 year old female patient, Lupita presents with urinary frequency and dysuria for the past 2 days.  She has a history of 3 UTI’s last year.   Allergies: Keflex, Lisinopril Urine with micro shows: Color – dark yellow  Clarity/turbidity – Cloudy pH – 6.2 Specific gravity – 1.005-1.025 Glucose – ≤130 mg/ Ketones – None Nitrites – positive Leukocyte esterase – positive Bilirubin – Negative Urobilirubin – Small amount (0.5-1 mg/dL) Blood – ≤3 RBCs Protein – ≤150 mg/d RBCs – ≤2 RBCs/hpf WBCs – TNTC Squamous epithelial cells – ≤15-20 squamous epithelial cells/hpf Casts – 0-5 hyaline casts/lpf Crystals – Occasionally Bacteria – Moderate Yeast – None   What is your diagnosis?

What differential diagnoses can you expect to see elevated urinary protein?

Dermabond is the best option for an eye lid laceration.  

The following statements are true regarding this EKG

A 16 year old male patient presents with 3 cm laceration to left lower leg which will require suturing. The wound was cleaned with chlorhexidine.  You instruct the nurse to irrigate with _____ ml of NS, pull up ____________ for anesthetization of the wound area.  You request a laceration tray, gloves and a ________ (size/kind) of suture. (3 points)

The different infarct patterns are named according to the leads with maximal ST elevation.  Match the infarct pattern with the leads of maximal ST elevation.

Beth presents with complaints of intermittent palpitations that started last week, with spells of lightheadedness and nausea, and feeling like “my heart beats out of my chest”.  You obtain an EKG and find the following rhythm:  

A 14-year-old was diagnosed and treated for left acute otitis media 3 weeks ago. She reports resolution of pain but persistent fullness feeling of her ear at today’s follow-up visit. You perform tympanometry and the results for the left ear are abnormal showing shallow peak/low compliance. What do you suspect is the cause?

The nurse practitioner suspects Meniere’s disease on a patient with episodes of vertigo & hearing loss, so she performs the Weber and Rinne tests. What are the expected findings:

You are examining a patient who presents to your clinic with report of ear pain and foreign body in the ear. You are aware that you should refer to ENT for the foreign body removal & NOT attempt it in your clinic if: