Scabies Evaluation

NP Certification Q&A

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Love Is Blind UK: The Official Podcast

1
Katisha and Javen talk triangles and photobooths with Sam Prince and Liv Bentley 37:22

۶ روز پیش37:22

پخش در آینده

لیست ها

پسندیدن

دوست داشته شد

37:22

Sarel is back to delve into all the drama from this week's drop of Love is Blind UK. Javen opens up about his time in the pods and responds to claims on social media that he was playing a game…. Meanwhile, Katisha reveals what she thought of Javen after the mixer. Expect emotional confessions and awkward confrontations with reality royalty Liv Bentley and Sam Prince. Subscribe now and buckle up for the ultimate Love Is Blind UK experience! Listen to more from Netflix Podcasts.…

۲ سال پیش 9:46

MP3•خانه قسمت

A 35-year-old man who is generally well was diagnosed with scabies 3 days ago presents with a chief complaint. “I do not think that skin medicine I was given worked. I am still really itchy and the rash looks the same”. He reports using topical permethrin as advised. Physical exam reveals excoriated papules on the interdigital area and scattered similar areas in the axillary and groin regions. Microscopic examination of skin scrapings supports the scabies diagnosis. He is otherwise without new findings. The NP considers the following:

A. Another course of permethrin is advised, to be used as soon as possible.
B. A skin biopsy should be performed today.
C. Low dose topical corticosteroids and oral antihistamines should be prescribed.
D. A topical antibacterial is advised.
---
Youtube: https://www.youtube.com/watch?v=JP9SBmkMSdg&t=1s

Visit fhea.com to learn more!

123 قسمت

#Higher Education #Podcasting Education #Fitzgerald Health Education Associates #Nurse Practitioners #Np Certification Exam #Test Prep

Scabies Evaluation

NP Certification Q&A

published ۲ سال پیش

اشتراک گذاری

MP3•خانه قسمت

Visit fhea.com to learn more!

123 قسمت

#Higher Education #Podcasting Education #Fitzgerald Health Education Associates #Nurse Practitioners #Np Certification Exam #Test Prep

همه قسمت ها

1
Exertional Syncope Evaluation 16:37

10 روز پیش16:37

16:37

A 17 yo male presents for follow up on a “fainting” episode that occurred during football practice at the end of a running exercise. He states, “I do not know what happened. We finished a set of running sprints and next thing I knew, I was on the ground.” He denies injury from the event and history of prior episodes. His physical examination reveals a crescendo-decrescendo systolic murmur heart best at the apex, increasing in intensity with position change from supine to standing position. This most likely represents: A. Mitral regurgitation B. Physiologic murmur C. Hypertrophic cardiomyopathy D. Aortic stenosis Visit fhea.com to learn more!…

1
Measles Exposure Assessment 13:28

17 روز پیش13:28

13:28

A 40 year-old accountant presents for advice on measles prevention. He reports disembarking from an airplane approximately 40 hours ago, and now being notified that one of the passengers on the plane has been diagnosed with measles today. He denies any chronic health problems, states he received “all the shots I should have” when he was a child. However, he is unable to produce documentation of childhood vaccinations. Which of the following represents the most appropriate action? A. This is an example of a low risk rubeola exposure without need for specific prophylactic action. B. Obtain rubeola IgG titers and provide appropriate prophylaxis based on results. C. Administer a single dose of MMR vaccine now with advice to contact the practice if there are concerning signs and symptoms. D. Order a dose of immunoglobulin and arrange for MMR vaccination update. --- YouTube: https://www.youtube.com/watch?v=C-y2Ihr76nY&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=122 Visit fhea.com to learn more!…

1
Antimicrobial Therapy Request 14:31

24 روز پیش14:31

14:31

A nurse practitioner receives a message from a neighbor, a 35-year-old woman who is asking for a prescription to treat a “urine infection”. The neighbor states she's had this condition occur in the past and does quite well if she gets on an antimicrobial quickly. The neighbor also mentions that she's going out of town on a business trip the next day and is unable to contact her personal healthcare provider nor get to urgent care. The NP considers the following in prescribing a medication to her neighbor. A. Given this is a request for a prescription that is not a controlled substance, the NP can provide the prescription as long as the patient can advise on what antimicrobials she has taken in the past. B. Providing this prescription would be a violation of federal law. C. In suspected UTI, an antimicrobial prescription should not be initiated until urine culture results are available. D. Since the NP does not have a patient provider relationship established with her neighbor, the request for an antimicrobial should be declined. --- YouTube: https://www.youtube.com/watch?v=G1IN08Ioh74&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=121 Visit fhea.com to learn more!…

1
Reportable Illness Protocol 11:09

۴ weeks پیش11:09

11:09

Which of the following best describes a disease that should be reported to the local or regional public health department? A. Diseases where public health intervention is needed to help prevent spread to the region or community. B. Diseases with significant rates of mortality and morbidity. C. Diseases that are most often noted among individuals with significant immunocompromise. D. Diseases where intervention in early life helps lead to improved health in adulthood. --- YouTube: https://www.youtube.com/watch?v=oBvF5QT9RQE&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=120 Visit fhea.com to learn more!…

1
Scarlet Fever Intervention 12:01

10 weeks پیش12:01

12:01

A 6-year-old presents with his parents, with a chief complaint of a 3 day history of sore throat, intermittent frontal headache and fever with a 1 day history of a non pruritic fine, raised rash, without N, V, D or C. He is able to take fluids without difficulty but has diminished appetite. The parents report that other children in their son’s kindergarten class have been sick with similar signs and symptoms. A rapid strep screen is positive. Clinical evaluation is consistent with scarlet fever. The child has no drug allergies. Which of the following is the most appropriate intervention? A. IM penicillin B. Oralamoxicillin C. Topical triamcinolone D. No specific therapy is needed. --- YouTube: https://www.youtube.com/watch?v=udyt2WeaoJo&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=119 Visit fhea.com to learn more!…

1
RUQ Abdominal Pain Treatment 9:29

11 weeks پیش9:29

9:29

A 50 yo woman presents with a 6-month history of intermittent RUQ abdominal pain, bloating and nausea, particularly after eating fatty food, describing the discomfort as sharp, occasionally radiating to the right shoulder, usually lasting around 45 mins, and accompanied by eructation. She is currently without distress, stating that, “I cut back on food that I know bothers my stomach. Physical exam reveals, BMI=35, no jaundice, mild RUQ abdominal tenderness and negative Murphy’s sign. Which of the following is the next step in her care? A. Provide a 1-month trial of proton pump inhibitor (PPI) therapy. B. Refer to surgery for further evaluation. C. Order a RUQ ab for abdominal ultrasound and hepatic enzymes. D. Obtain serum H. pylori testing. --- YouTube: https://www.youtube.com/watch?v=qZSVLmpbTEA&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=118 Visit fhea.com to learn more!…

1
Measles Presentation in a Toddler 15:11

12 weeks پیش15:11

15:11

An 18-month-old toddler presents for a sick visit with a chief complaint of recent onset of fever and skin lesions. Which of the following is most consistent with the presentation of measles (rubeola)? A. A 3-day history of anterior cervical lymphadenopathy, significant sore throat, fever with a 1-day history of a fine erythematous skin eruption. B. A 3-day history of fever, mild nasal congestion, and crankiness followed by resolution of elevated temperature and eruption of a fine pink rash C. A 3-day history of cough, conjunctivitis with clear eye discharge, mild sore throat without exudate, diffuse lymphadenopathy and fever, followed by a new onset diffuse maculopapular rash D. A 2-day history of fever, mild sore throat, posterior cervical lymphadenopathy, and maculopapular skin lesions. --- YouTube: https://www.youtube.com/watch?v=IWRqAkns1MQ&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=117 Visit fhea.com to learn more!…

1
Primary Syphilis Evaluation 11:57

13 weeks پیش11:57

11:57

A 28 year old assigned male at birth presents with the chief complaint of a "new problem in my private parts” He states he feels well otherwise. Which of the following would be most consistent with the clinical presentation of primary syphilis? A. A three day history of purulent penile discharge with dysuria. B. A one week history of a painless genital ulcer on the penile shaft. C. A 5 day history of painful vesicular lesions over the penile glands, with some lesions now crusting over. D. A one week history of N void dysuria without penile discharge. --- YouTube: https://www.youtube.com/watch?v=Jp-dk0BZ37o&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=116 Visit fhea.com to learn more!…

1
Cancer Screening Recommendation 11:30

14 weeks پیش11:30

11:30

A 52-year-old man presents for an initial primary care visit at the nurse practitioners practice period he has not seen any health care providers since age 38, stating that he has been in good health. Social history, drinking approximately 2 beers per night over the weekend, two nights per week, has a 5 pack year cigarette smoking history, having taken up smoking when he was in college, and quit at age 22. He reports feeling well and without chief complaint or chronic health problems. He asks about what kind of cancer screening he should have. The NP advisors which of the following? A. Colonoscopy B. Prostate specific antigen (PSA) C. Low dose chest CT D. Given his history, no routine cancer screening is advised. --- YouTube: https://www.youtube.com/watch?v=qnKPe2EHgl4&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=115 Visit fhea.com to learn more!…

1
Adolescent Anemia Evaluation 8:29

15 weeks پیش8:29

8:29

A 10-year-old of Middle Eastern ancestry , assigned female at birth, is seen for routine well child care. She is generally healthy and plays soccer, reporting excellent exercise tolerance, stating, “I’m the fastest midfield on the team.” Physical examination is within normal limits with Tanner stage 2. Height and weight are at 40% tile, consistent with previous measures. Laboratory evaluation reveals a mild microcytic hypochromic anemia with a NL RDW. This likely represents which of the following? A. Vitamin B 12 deficiency B. G6PD deficiency C. Iron deficiency D. Beta thalassemia minor --- YouTube: https://www.youtube.com/watch?v=ch5dbCqkPTM&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=114 Visit fhea.com to learn more!…

1
Clinical Findings in Heart Failure 11:30

22 weeks پیش11:30

11:30

A 70 year old man with a 35 year history of hypertension, dyslipidemia, and a 20 year history of type 2 diabetes presents. He was recently diagnosed with systolic heart failure, presenting with dyspnea on exertion and orthopnea. Prior clinical assessment revealed the murmur of mitral regurgitation. Which of the following would the NP anticipate finding on today’s physical exam? A. A mid to late systolic murmur that follows a mid systolic click. B. In early to mid systolic murmur harsh in quality, that radiates to the neck. C. A holosystolic murmur that radiates to the axilla. D. A localized mid to late diastolic murmur. --- YouTube: https://www.youtube.com/watch?v=jN29-on3tn8&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=113 Visit fhea.com to learn more!…

1
Funduscopic Exam Findings 9:09

23 weeks پیش9:09

9:09

Which of the two following findings would be anticipated in the normal funduscopic exam of a healthy 40-year-old woman who is normotensive, generally in good health and without ocular complaint? A. Arteriovenous nicking B. Optic cup to disc ratio < .0.5 C. Retinal arteries are brighter and narrower than veins D. Slight bulging of the optic disk --- YouTube: https://www.youtube.com/watch?v=VchTtrKTmfw&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=112 Visit fhea.com to learn more!…

1
Common Clinical Presentation 14:12

24 weeks پیش14:12

14:12

Which of the following is most consistent with the clinical presentation of a person with folate-deficiency anemia? A. A 45-year-old woman with uterine fibroids, menorrhagia and a microcytic, hypochromic anemia with elevated RDW B. A 35-year-old woman with newly diagnosed systemic lupus and a normocytic, normochromic anemia with NL RDW C. A 40-year-old woman with alcohol use disorder who drinks 5-6 glasses of wine per day and a macrocytic normocytic anemia with an elevated RDW D. A 65 yo woman with a 20 year-history of hypothyroidism presenting with a 6-month history of stocking-glove neuropathy and a macrocytic, normochromic anemia with an elevated RDW. --- YouTube: https://www.youtube.com/watch?v=VsxbJMBLd4U&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=111 Visit fhea.com to learn more!…

1
Acute Bacterial Prostatitis Treatment 11:37

25 weeks پیش11:37

11:37

A 70 year old man with a history of BPH, HTN and dyslipidemia presents with a 3-day history of perineal pain, intermittent fever, dysuria, and difficulty initiating urine stream. He denies GI upset and is taking fluids without difficulty. He denies sexual activity with others for the past three years. He is alert, oriented and appears slightly uncomfortable while seated. Abdominal and scrotal exam are WNL, there is no penile discharge and digital rectal exam reveals a tender, enlarged prostate. UA reveals positive leukocyte esterase and > 10 WBCs per HPF. With a working diagnosis of acute bacterial prostatitis, which of the following is the most appropriate antimicrobial option in this clinical scenario? A. Ciprofloxacin PO x 10 days B. IM Ceftriaxone as a one-time dose with doxycycline PO BID X 10 days C. IV piperacillin with tazobactam for 5 days D. Nitrofurantoin PO BID x 5 days. --- YouTube: https://www.youtube.com/watch?v=gS2EITYZ1ps&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=110 Visit fhea.com to learn more!…

1
Diagnosing Acute Bacterial Prostatitis 14:35

26 weeks پیش14:35

14:35

Which of the following clinical scenarios is most consistent with an older adult presenting with acute bacterial prostatitis? A. A 65 year old male who presents with a 6 month history of urinary frequency, occasional difficulty initiating urine stream, without dysuria or fever. GU exam within normal limits with the exception of prostate enlargement. B. A 50-year-old male with a 4 day history of increased urinary frequency, end-void dysuria, and intermittent fever. GU exam reveals suprapubic tenderness, without prostatic enlargement or scrotal abnormalities. C. A 70 year old man with a 3-day history of perineal pain, intermittent fever, dysuria, and difficulty initiating urine stream. Scrotal exam WNL and digital rectal exam reveals a tender, enlarged prostate. D. A 78 year old man with a 3 month history of intermittent gross hematuria and urinary frequency without dysuria. GU exam is WNL with the exam of a nontender enlarged prostate with multiple nodular lesions. --- YouTube: https://www.youtube.com/watch?v=tHiLger_l68&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=109 Visit fhea.com to learn more!…

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