A 32 year old male patient presents to the clinic with a 2 day history of hoarseness, sore throat and dry cough. The NP diagnoses him with laryngititis. Which is the best treatment? a. bactrim b. supportive care c. amoxicillin d. levo b. supportive care Medicare part a covers which of the following services: a. outpt provider visits b. eye glasses and routine dental c. hospital services C. Hospital Services A 35 year old male uses high potency corticosteroid cream for dermatosis, he also currently has tinea corporis. Which should the clinician advise regarding the cream. a. "You must use this for an extended period of time for it to be effective." b. "It will work better if you occlude the area." c. "It may exacerbate your concurrent tinea corporis." d. "Be sure to use it daily." c. "It may exacerbate your concurrent tinea corporis." If a client uses a high-potency corticosteroid cream for a dermatosis, tell the client that it may exacerbate concurrent conditions such as tinea corporis and acne. Topical corticosteroids should not be used indiscriminately on all cutaneous eruptions. Topical corticosteroids should not be used for an extended period of time. The area should not be occluded. If a client uses a high-potency corticosteroid cream for a dermatosis, tell the client that it may exacerbate concurrent conditions such as tinea corporis and acne. Topical corticosteroids should not be used indiscriminately on all cutaneous eruptions.Intermittent therapy with high-potency agents, such as every other day, or 3 to 4 consecutive days per week, may be more effective and cause fewer adverse effects than continuous regimens. This is also true of lower potency corticosteroids. a 21 year old male presents to the clinic with pruritic and emacerated skin in the groin area. Which is this? tinea cruris Marcia, age 4, is brought in to the office by her mother. She has a sore throat, difficulty swallowing, copious oral secretions, respiratory difficulty, stridor, and a temperature of 102°F but no pharyngeal erythema or cough. What do you suspect? • Epiglottitis • Group A beta-hemolytic streptococcal pharyngitis • Tonsillitis • Diphtheria • Epiglottitis (A symptom cluster of severe throat pain with difficulty swallowing, copious oral secretions, respiratory difficulty, stridor, and fever but without pharyngeal erythema or cough is indicative of epiglottitis) (Streptococcal pharyngitis presents with cervical adenitis, petechiae, a beefy-red uvula, and a tonsillar exudate) (A mild case of tonsillitis may appear to be only a slight sore throat. A more severe case would involve inflamed, swollen tonsils; a very sore throat; and a high fever) (Diphtheria starts with a sore throat, fever, headache, and nausea, and then progresses to patches of grayish or dirty-yellowish membranes in the throat that eventually grow into 1 membrane) Peptic ulcer disease symptom Burning/nawing you are assessing a first grader, and find that the tonsils are touching the uvula: 3 (Grade 1 indicates the tonsils are visible) (Grade 2 indicates the tonsils are halfway between the tonsillar pillars and the uvula) (Grade 3 indicates the tonsils are touching the uvula. Tonsils are enlarged to 2, 3, or 4 with an acute infection) (Grade 4 indicates the tonsils are touching each other) A 54-year-old female presents to your primary care office for routine reevaluation for gastroesophageal reflux disease (GERD). She has been treated with diet modifications and 6 weeks of omeprazole without improvement of her symptoms. What is the next step in management of this patient's GERD? • Order an endoscopy • Order a Helicobacter pylori blood test • Try adding ranitidine to the patient's regimen • Try adding bismuth to the patient's regimen • Order an endoscopy (This is the next step in treatment in order to evaluate the etiology of the patient's GERD and consider biopsy if necessary) (The next step in care is an endoscopy. If warranted, a biopsy can be done and sent for H pylori at that time) (H2 antagonists are considered a less aggressive treatment for GERD and would likely not help the patient's symptoms) (Bismuth can be added to help treat Helicobacter pylori, but that diagnosis has not yet been made) A 39 year old female reports a 10 year history of crohns disease. which of the following is true of crohns disease? a. they have a higher risk of colon perf than UC. b. the disease is isolated to the colon and occurs in rectosigmoid area c. obstructions, fissures are seen with disease progression d. mucosal surface of the colon is inflamed and friable? C Michael, a 25-year-old military reservist, presents to your clinic for a rash that began on his chest and has since developed into smaller lesions that are more concentrated on the lower abdomen and pubic area. In obtaining a history of the present illness, he reports that he had an upper respiratory infection 1 month before the rash developed. He tells you it started with 1 large oval-shaped lesion on his left chest, and 1 to 2 weeks later he developed numerous smaller lesions on the lower abdomen and groin. It has been 2 weeks since the smaller lesions developed, and he tells you he is concerned that the rash isn't improving. As you examine the patient, you note that the lesions are salmon-colored and have a thin collarette of scale within them. The original lesion is still present. You suspect Michael has: • Guttate psoriasis. • Tinea versicolor. • Secondary syphilis. • Pityriasis rosea. • Pityriasis rosea. Pityriasis rosea is a common, self-limiting, usually asymptomatic eruption with a distinct initial lesion. This "herald patch," which appears suddenly and without symptoms, usually is on the chest or back. Secondary lesions appear 1 to 2 weeks later while the herald patch remains. The collarette scaling is another classic symptom of pityriasis rosea. The lesions usually resolve spontaneously in 4 to 12 weeks without scarring. Outbreaks have been known to occur in close quarters like military barracks and dormitories. Which of the following medications is a treatment for alopecia? a. aspirin b. coumadin c. minoxidil d. oral contraceptive c. minoxidil Which of the following has/have not been linked to the use of isotretinoin? • Elevated liver transaminases. • Depression, psychosis, and suicidality. • Benign intracranial hypertension. • Pancreatitis.