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A twenty-two year old patient presents with cold intolerance, constipation, fatigue, weight gain and hoarseness.  Their skin is dry, deep tendon reflexes delayed .  What differential diagnosis should be high on the list of differentials?

1.             Will is a 12 year old boy who comes to your office for a complaint of right knee pain.   Upon examination, you note a swollen, tender, hard bump under his right patella.  Which of the following is the most likely differential diagnosis?

During an interview to assess thought process in a patient with memory impairment, a patient may make up facts or fill in blanks in memory with untrue information or events. This is known as: 

Henry, age 23, presents to the clinic with his mother.  His mother describes his recent behavior over the past 3 weeks and the provider sees a pattern that sounds like mania.  Before diagnosing the patient with mania, the provider should gather which of  the following information

Clara brings her 80 year old mother to the clinic and reports to you that her mother has gradually seemed more confused over the past two months.  It takes her several minutes to recognize her grandchildren and sometimes she forgets the day of the week.  Focusing on routine tasks such as washing the dishes or getting dressed seems difficult.  She takes more naps during the day than she did in the past. Clara and her family have been feeling more and more concerned about her.   Based on this information the Advanced Practice Registered Nurse should  (choose the best answer):  

A 51 year old obese male presents with daytime fatigue, frequently awaking at night and hypertension.  He complains of morning headaches and erectile dysfunction.  Based on this information, which of  the following differential diagnoses should be at the top of the nurse practitioner’s list of differentials?

Which of the following statements is true about the relationship between the skin and psychiatric conditions?

An infant of a diabetic mother presents with ruddy pink color and the bedside nurse states that when the infant cries the face, hands, and feet turn purple or blue in color. You know that these physical assessment findings are most likely associated with:

Which of the following is caused by a serous effusion that collects in scalp tissue above the periosteum?

A female term infant is delivered by vaginal vertex delivery. On exam at 4 hours of age, she develops swelling over the left parietal bone. She grimaces when the area is palpated, but is otherwise healthy and feeding well. The most likely diagnosis for this infant is: