Mrs. Gonzalez is a 72y/o woman with a 10 year history of non-insulin dependent diabetes mellitus.  She has a full-thickness ulcer on her lateral right ankle caused by arterial insufficiency that has been present for the past 6 months.  She has 4/10 pain on VAS upon palpation of the surrounding tissues of the wound.  You would like to increase circulation to the area at this visit and to improve skeletal muscle blood flow.  Which of the following physical agents would be most appropriate to accomplish this goal at this time?

Which of the following is NOT a neuromuscular effect of thermotherapy?

Thermotherapy has various neuromuscular effects when applied to tissue.  Which of the following is a FALSE statement regarding the neuromuscular effects of heat?

In which of the following circumstances would you consider applying thermotherapy?

A 14-month-old child presents for his first well-child check. He was recently adopted from a Romanian orphanage. His parents are concerned that he appears small compared to other children his age. His weight, height, and head circumference are all < fifth percentile. He eats very well but has not gained weight since the adoption last month. He urinates several times each day and has four loose, greasy stools daily. Review of systems is also significant for a mild chronic cough. Blood and stool studies are sent. A chest film reveals mild bilateral bronchiectasis. What is the most likely cause of the child’s poor weight gain?

A common cause of heart failure in the first year of life is:

Which of the following screenings is done annually after 1 year of age in a child with Down syndrome? 

An expectant mother presents to clinic for a prenatal visit. Both she and the father are carriers for sickle cell anemia. Which of the following is the likelihood that her unborn son will have sickle cell anemia?

A 5-year-old patient presents for their annual well-child exam. History reveals that the patient snores loudly most nights of the week. You also learn the patient is a very sound sleeper, is a mouth breather, tends to be hyperactive at school and reports headaches in the evening. Which parts of the history indicate a possible diagnosis of obstructive sleep apnea?

A 6-year-old girl presents to clinic after her teacher notices episodes of ‘spacing out’. The episodes typically last about 10 seconds and happen multiple times over the course of the school day. During these episodes, the girl becomes still and does not respond to attempts at engagement. There are no rhythmic movements noted and no loss of tone. After the episode is over, the girl resumes previous activity. The girl’s vital signs and physical exam are normal. A staring spell is elicited after having the girl blow a pinwheel in clinic. What is the most likely diagnosis?