1) A 16-year old female patient presents with an edematous ankle

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1) A 16-year old female patient presents with an edematous ankle. Your examination reveals a pinpoint wound at the lateral aspect of the ankle and X-rays show a distal fibular fracture. In addition to managing the fracture,

which intervention is most appropriate?

1. administer tetanus prophylaxis and submit wound scraping for culture
2. irrigate the wound and apply topical antibiotic
3. administer tetanus prophylaxis and prescribe oral antibiotics
4. apply topical antibiotic and cover the wound with a sterile dressing

2. An obese, 58-year old male presents with mild fatigue over the past month. The nurse practitioner takes a history, performs a physical examination, and orders fasting laboratory work. Hct = 49%, TSH = 3.2, glucose = 128 mg/dL, and cholesterol = 289 mg/dL. Which of the following is the most likely diagnosis?

1. hypothyroidism
2. anemia
3. depression
4. type 2 diabetes mellitus