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A middle-aged man comes in because he has noticed multiple small, blood-red,
raised lesions over his anterior chest and abdomen for the past several months.
They are not painful and he has not noted any bleeding or bruising. He is
concerned this may be consistent with a dangerous condition. What should you do?
A) Reassure him that there is nothing to worry about.
B) Do laboratory work to check for platelet problems.
C) Obtain an extensive history regarding blood problems and bleeding disorders.
D) Do a skin biopsy in the office. - ANSWER-A
A patient is seen in the office for amenorrhea, for which you obtain a urine
pregnancy test in the office that returns negative. You would document this finding
in which of the following sections of the encounter?
A. HPI
B. CC
C. Subjective Data
D. Objective Data - ANSWER-D: Objective data
A 36-year-old female patient is seen in the clinic for a reported fever and back
pain. She complained of pain when the NP percussed over the left CVA angle.
This finding supports which of the following differential diagnosis?
A. Pyelonephritis
B. Left lower lobe pneumonia
C. Splenomegaly
D. Cholecystitis - ANSWER-A

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