Blog

The APRN is evaluating a 17 year old athlete in the clinic with complaints ofpruritis and pain to the interdigital patches of the right and left feet. Of note is maceration, inflammation, fissures and on the plantar surface of the right foot, the APRN notes a blister which is tender to palpation. This condition is most likely:

A 20 year old mother brings her 3 month old into the clinic for routine examination. She tells you that the baby was born at 37 weeks and weight 2400 grams. How would you classify the baby based on gestational age and birth weight?

You are examining the eyes of your pediatric patient. The child demonstrates decreased visual acuity during the exam using the illiterate E chart. When you are conducting the ophthalmic exam you note the absence of a red reflex in the left eye. What could this be an indication of?

A 24-year-old mother who is a smoker and cocaine addict gave birth at 37 weeks to a 1,800-gram female infant who is in the neonatal intensive care unit. Based on gestational age and birth weight,which category does the infant best fit?

You are doing a new patient physical exam on a 5 year old female. Her mother states that she has been complaining of pain in her left ear. You need to examine the ear to see if there is an abnormality. When should you conduct the ear exam?

Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). She has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn’t blanch. What would you tell her regarding her rash?

The nurse practitioner has just given the results of a skin biopsy to Mrs. B. Her biopsy showed a superficial basal cell carcinoma. The nurse practioner should make sure that her education for Mrs. B should include:

You are beginning the examination of the skin on a 25-year-old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with hypothyroidism?

When screening for melanoma, what does the “B” in the Rule stand for?

A 26-year-old stewardess comes in for a third trimester prenatal visit. She has had prenatal care since her sixth week of pregnancy. Her prenatal course has been unremarkable. Today her blood pressure and weight gain are appropriate and her urine is unremarkable. However she complains of feeling off balance and having back pain. What should you tell her.