Blog

Which of the following non-pharmacologic interventions is most supported for managing chronic fatigue syndrome?

An adolescent patient comes to the primary care provider because of a swollen right axillary lymph node which is warm, tender, and rapidly enlarging. Which initial action will the provider take?

Which is the best description of the Moro reflex in infants?

What aspect of the paramedic’s work most appropriately falls into the category of public health?

Which symptom is not associated with fibromyalgia?

43. A nurse is teaching a class of adolescents about muscle tissue and its functions. Which of the following are functions of muscle tissue?Select all that apply.

When is joint stiffness typically most noticeable in individuals with osteoarthritis?

How is obstructive sleep apnea (OSA) typically diagnosed?

The following medication classes are newly indicated as per the American Heart Association guidelines for management of HFpEF except:

Ms. A is a 32-year-old woman who presents with a history of systemic lupus erythematosus (SLE) diagnosed 5 years ago. She complains of increasing joint pain and stiffness, particularly in her hands and knees. She also reports fatigue, occasional fever, and a facial rash that worsens with sun exposure. Ms. A has been compliant with her hydroxychloroquine therapy but admits to occasional non-adherence due to gastrointestinal upset. She denies any recent infections or significant changes in her overall health. Clinical Examination: On examination, Ms. A appears fatigued but is alert and oriented. She has a malar rash across her cheeks and nose. There are no signs of oral ulcers. Joint examination reveals tenderness and swelling of the proximal interphalangeal joints bilaterally, with decreased range of motion due to pain. Cardiovascular and respiratory examinations are unremarkable. Laboratory Findings: Complete blood count: Mild normocytic anemia (hemoglobin 11.8 g/dL), normal white blood cell count and platelet count. Urinalysis: Proteinuria (1+), no hematuria. Antinuclear antibodies (ANA): Positive, with a titer of 1:1280. Anti-dsDNA antibodies: Positive. Complement levels (C3 and C4): Low. What is the probable diagnosis?