A 45 year old woman presents with complaint of a nontender m…
A 45 year old woman presents with complaint of a nontender mass in her left breast that she discovered 3 days ago while taking a shower. On examination you note that there is a dimpled area of skin with a palpable mass approximately 6 cm above her areola at 2 o’clock. It is a fixed irregular shaped mass that is nontender to palpation. Your diagnosis today is “Left Breast Mass,” but you suspect it to be
Read DetailsYou are seeing a 57 year old patient that is presenting for…
You are seeing a 57 year old patient that is presenting for an annual exam. She is also needing a pap smear since her last pap smear was 5 years ago and negative. Upon genital and vaginal exam you note that the cervix is prolapsed just to the plane of the hymen. What degree of pelvic organ prolapse would you note in Judy’s chart?
Read Details*The NP is seeing a 7 y/o with his mom, who has started to w…
*The NP is seeing a 7 y/o with his mom, who has started to wet the bed again. Mom states the he has started to have problems after his grandfather died and they had a new baby. The NP has ruled out a UTI and her exam is normal. Which of the following would be the most appropriate FIRST step of the plan?
Read DetailsA 52-year-old patient who plays in a rock band complains tha…
A 52-year-old patient who plays in a rock band complains that he finds it difficult to understand his fellow musicians at the end of a night of performing, a problem that is compounded by the noisy environment of the club. This would be characteristic of which of the following?
Read DetailsJennifer is a 47yo patient recently diagnosed with DM2. She…
Jennifer is a 47yo patient recently diagnosed with DM2. She recently completed a comprehensive eye exam, including a dilated retinal exam. The examination was “normal”. When would you counsel her this exam needed to be repeated?
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