A 15-year-old girl presents to the clinic with her mother for a well-child exam. Her mother has seen commercials on television for the human papillomavirus (HPV) vaccine and would like her daughter to receive the first dose of the vaccine today. Which of the following is an adverse effect of the HPV vaccine that the […]

A 17-year-old female presents to your clinic with her mother for evaluation of vomiting. A quick review of her chart reveals that she is sexually active and uses oral contraceptives for birth control. You enter the room and she reports that nausea and vomiting occur mostly in the mornings for the last three days. She […]

The NP is caring for a 15 year old sexually active girl. She has received routine childhood immunization through age 6. Vaccines that should be updated at this visit include: A. Tdap, meningococcal, HPV and annual influenza B. Td and annual influenza C. Hepatitis B D. Measles, mumps, rubella, tetanus and diphtheria

A 9-year-old boy presents with fever, joint aches, and a rash for the past 2 days. His father is a physician and started him on amoxicillin for a sore throat 8 days ago. A classmate was recently diagnosed with strep throat. One month ago he was successfully treated for acute otitis media with amoxicillin and […]

The NP is caring for a 19-year-old man who is on life support following a motorcycle accident. His parents divorced when he was young, and the patient lived most of his life with his father who had legal custody. For the past six months, the patient lived with his fiancé. His mother has a signed […]

A clinic gives out free condoms to patients who request them. There is a notice stating this policy on the wall of the waiting room. This is an example of which of the following? A. Tertiary care B. Episodic health care C. Distributive healthcare D. Secondary care

A 9-year-old male patient presents for an annual well check. Past medical history is unremarkable. Development has been normal. Height is 52.5 inches (133.35 cm; 50th percentile), and weight is 70 pounds (31.75 kg; 75th percentile). His BMI is 17.9. Which category does his BMI fall under? A. Overweight B. Obese C. Underweight D. Normal […]

A 14-year-old girl is brought to the clinic by a parent. The parent discovered a large supply of laxatives and syrup of ipecac under her bed and, when confronted, the girl admits that she has been using them to try to lose weight. Which of the following is associated with bulimia nervosa? A. Decreased bone […]

A 5-year-old patient is evaluated for acute abdominal pain. Vital signs are notable for a temperature of 102.2˚F, heart rate of 136 beats/minute, and blood pressure of 73/42. The exam is notable for right lower quadrant guarding and rebound tenderness. A computed tomography (CT) scan of the abdomen and pelvis reveals perforated appendicitis. The patient’s […]

Do you feel there is a need or push for this topic? In the common veterinary clinic there is a great concern about preventing pain. Share your thought or concerns on this topic, would you as a client ask for pain medication for your pet? As a vet or technician how would you bring this […]