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A nursing home adopts a standardized care checklist to ensur…

A nursing home adopts a standardized care checklist to ensure all residents receive proper hygiene, nutrition, and medication management daily. Audits reveal improved compliance with care protocols. What quality assessment strategy is being used in this scenario?

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How does the government influence the pharmaceutical industr…

How does the government influence the pharmaceutical industry?

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Most cases of slipped capital (or upper) femoral epiphysis r…

Most cases of slipped capital (or upper) femoral epiphysis respond to conservative treatment, which consists of offloading the joint and restriction of activities.

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Myositis ossificans traumatica is defined as deposition of b…

Myositis ossificans traumatica is defined as deposition of bone or ossification in muscles and/or soft tissues with a history of trauma or hematoma.

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Which of the following represent contemporary theories for w…

Which of the following represent contemporary theories for what cause acetabular labral tears? (Select those that are best fits.)

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Cam morphology of the hip can be described as an over-covera…

Cam morphology of the hip can be described as an over-coverage of the femoral head by the acetabulum that leads to the acetabular rim being extended beyond the typical amount.

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The Kendall (or Modified Thomas) test can be used to screen…

The Kendall (or Modified Thomas) test can be used to screen for stiffness (or tightness) of what muscles? (Select those that are best fits.)

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A hallmark sign of athletic pubalgia (or sports hernia) is t…

A hallmark sign of athletic pubalgia (or sports hernia) is the presence of a palpable mass usually in the inguinal region.

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Which of the following muscles have a comparatively higher i…

Which of the following muscles have a comparatively higher incidence of strain in the thigh? (Select those that are best fits.)

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SCENARIO: A 20-year-old Olympic female ice hockey athlete re…

SCENARIO: A 20-year-old Olympic female ice hockey athlete reports to you complaining of left groin and hip pain.  History She tells you that the pain has gradually become worse over the course of a month. She does not recall a specific mechanism of injury. Physical activity, especially intensive effort skating during practices, exacerbates her pain. She has also noticed that sitting for prolonged periods tends to aggravate her pain, especially when cycling. She did not make any substantial changes to her training regimen before experiencing this pain. Her primary complaint is pain that she describes as deep and spans along the anterior and lateral aspect of her hip. She reports that the pain periodically extends to her low back. However, she does not complain of any abnormal sensations other than an infrequent clicking when in deep positions of hip flexion, adduction, and internal rotation. After one week of persistent pain, she sought treatment from a massage therapist who performed trigger-point release and prescribed routine stretching of her hip flexors and adductors. This and taking a week off from training/practicing seemed to improve her condition. However, the pain resurfaced almost immediately after resuming training and practicing. She habitually ices her hip and groin or does a cryotherapy bath after each training/practice session but this has not significantly helped. Over the last two weeks she has elevated her use of OTC NSAIDs to help manage her pain, particularly with heavy training bouts.   She recalls suffering from a femoral stress fracture a few years ago. However, she does not recall what that specific diagnosis was.  AT RESPONSE: Based on the patient’s history, what corresponding conditions are you considering in the first step of differential diagnosis?  DIRECTIONS: Bullet your individual text entries. Your entries must be concise, specific, and accurate. Your entries must include correct spelling.  You may (and are encouraged) to use common abbreviations and acronyms linked to anatomical and medical terminology when appropriate. 

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