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 A 35 year-old woman presents with painful, burning, itchy new “bumps” on her external genitalia. She denies any other health issues. She is sexually active She has had 4 pregnancies and given birth to 2 children. She reports having had more than 10 sexual partners in her lifetime.    She is divorced and is recently involved with a new male partner. The APRN observes open lesions and vesicles on the labia. The lesions are tender to palpation.; the largest measures 0.5 cm. in diameter. The remainder of the examination is normal. What is the most likely cause of these lesions?

A 14 year-old adolescent presents to the clinic with his mother. He has had a sore throat or 2 days with fever to 101F. He has had a poor appetite and is only drinking liquids since the previous day. He also complains of abdominal pain. He denies earache, nasal congestion or cough. Two of his schoolmates have been out of school with similar symptoms. During the physical examination the APN notes posterior cervical adenopathy, + 3 tonsils with a yellow exudate bilaterally and there are petechiae on the roof of his mouth. Which of the following is the most likely cause of the patient’s symptoms?      

    Which breast disorder is most likely associated with the breast tissue seen in this photo?  

A 77 year old patient present for advanced Peripheral Arterial Disease. Which finding would the APRN expect to find on physical examination? 

The APRN reviews a chart with the following information recorded: ” The patient Is 6’3”, weight 210#, B/P 142/88, pain 4/10, temp.99 degrees F. Which of the data is considered subjective data?

The APRN is examining a 45 year-old male patient with a history of psoriasis. When performing a physical exam which changes in nails would be associated with psoriasis?    

During examination of the thorax, the APRN assesses for bronchophony. Which finding would indicate positive bronchophony?

The APRN is performing a school physical on 14-year-old female. The examination includes spinal assessment to screen for scoliosis. Which finding would support the diagnosis of scoliosis?  

  The APRN joint assessment includes inspecting for deformities. Which of the following terms best describes the abnormality seen in the diagram ?    

The APRN is assessing a 70 year old female, fair skin patient with a suspicious skin lesion. The lesion is 3 cm, multi-colored, irregular shaped. The patient states it has “gotten larger over the past month.” Based on these findings, the APRN  interprets this as possible::