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A 22-year-old woman presents for her annual wellness exam. She is sexually active and has no current symptoms. Pelvic exam is normal, and she denies pelvic pain, dysuria, abnormal bleeding, or vaginal discharge. A routine NAAT screening test returns positive for chlamydia. Which statement is the most accurate teaching point for this patient?

A 55-year-old patient reports shoulder pain that worsens when reaching overhead or lifting objects away from the body. On exam, the nurse notes weakness with shoulder abduction and a painful arc between 60 and 120 degrees. The patient also has difficulty maintaining arm elevation when the examiner applies gentle downward pressure. Which condition does this presentation most likely suggest?

A 45-year-old patient presents with double vision that worsens when looking in different directions. On exam, the nurse notes impaired extraocular movements (EOMs). The patient is unable to fully adduct the right eye, has difficulty looking downward when reading, and demonstrates limited lateral movement of the left eye. These findings suggest involvement of which cranial nerves?

A 42-year-old patient reports gradually worsening elbow pain that increases when lifting grocery bags or gripping objects tightly. On exam, pain is reproduced when the patient makes a fist and flexes the wrist against resistance, and tenderness is noted just anterior to the medial aspect of the elbow. Which diagnosis is most likely based on the information given?

During a routine bimanual pelvic exam performed on a healthy female patient, which structure should the nurse practitioner normally able to palpate?  

On a scale from 1+ to 4+ which deep tendon reflex score is appropriate for a finding of clonus?

A patient arrives in the emergency department after a traumatic fall. The nurse practitioner determines the patient’s Glasgow Coma Scale (GCS) score is 7. Which assessment finding is most consistent with this level of neurologic function?

A 74-year-old man with a history of hypertension and long-term smoking presents with vague lower back pain and a sensation of “fullness” in his abdomen. He denies GI symptoms. On physical exam, you note a midline, pulsatile mass above the umbilicus. The pulse feels wider than expected, and there is lateral displacement of the pulsation. Peripheral pulses are intact. Which interpretation is most accurate based on these findings?

A 32-year-old woman is diagnosed with bacterial vaginosis. She asks what she can do to help prevent future episodes. Which teaching point is most appropriate for the NP to include?

Which of these cranial nerves does not have both motor and sensory function?