A 30-month-old child with no previous history of otitis media awoke during the night with right ear pain. The nurse practitioner notes an axillary temperature of 100.5°F and an erythematous, mild bulging tympanic membrane. What is the recommended treatment for this child?  

(a) (3) What is the function of the insular cortex?    (b) (3) What is the function of the anterior cingulate cortex?

A 14-year-old is female who is brought to your clinic by her mother who claims to hear the child vomiting after dinner in the evenings. The patient reportedly denies vomiting and feels fine. On physical exam, you notice petechial hemorrhages of the soft palate and conjunctiva. Further exam reveals scars on her knuckles, swollen parotid glands,  dental erosions. Her weight is normal. Lab tests reveal hypochloremia and hypokalemia. What is your top differential diagnosis?

The presence of round macrocytes in nonmegaloblastic macrocytic anemia is most commonly associated with which of the following conditions?

The parents of a child with a history of otitis externa asks about ways to prevent this condition. What will the nurse practitioner recommend?  

The nurse practitioner is performing an examination on a 5-year-old child who exhibits ritualistic behaviors, avoids contact with other children, and has limited speech. The parent reports having had concerns more than 2 years ago about autism but was told that it was too early to diagnose. What will the nurse practitioner do first?

A 13-year-old with anxiety is prescribed sertraline. What important information should the nurse practitioner include?

Which levels are decreased in both megaloblastic and aplastic anemia?

The parent of a 4-month-old infant is concerned that the infant cannot hear. Which test will the nurse practitioner order to evaluate potential hearing loss in this infant?

Deficiencies in folic acid can lead to: