A 52-year-old man presents with an ulcer in the floor of his mouth of 8 weeks' duration. The lesion measures 1 x 2 cm, is indurated, and is slightly uncomfortable for the patient. What should the clinician do at this point in time?
a. Observe for 2 more weeks.
b. Treat patient with prednisone.
c. Treat patient with nystatin.
d. Have direct immunofluorescence test done.
e. Perform a biopsy.
E
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According to Medicare, a screening can be done
A) For a small fee B) After an evaluation determines that occupational therapy services are warranted C) With a physician referral D) Without a physician referral
Which of the following differences in the pediatric respiratory system should be considered when assessing the pediatric patient? 1. You will most likely note that the child's abdomen rises and falls during respiration, more than that of an adult. 2. Breath sounds from functional areas of the lung may be transmitted through the chest wall such that a pneumothorax may go undetected. 3. The
resiliency of the pediatric ribs causes them to absorb most of the energy from blunt trauma, thereby protecting the underlying organs. 4. Although a child's smaller ribs fracture more easily, it is uncommon to see rib fractures in the abused child. 5. The pediatric patient will more readily display mediastinal shift with a tension pneumothorax. A) 1, 4, and 5 B) 1, 2, 3, and 5 C) 1, 2, and 5 D) 2, 3, and 4