A 32-year-old female patient tells the PMHNP in the course of an office visit that her toddler’s pediatrician has suggested that the 3-year-old be referred for further assessment because his MCHAT-R score was high. Your patient is upset and does not think that the result was correct. Which of the following findings in the child would support an elevated MCHAT R score?

A. The child is mostly non-verbal and uses gestures to communicate

B. The child’s growth is not maintaining a consistent pattern

C. A 5 day history of painful vesicular lesions over the penile glands, with some lesions now crusting over.

D. A one week history of N void dysuria without penile discharge.

Which of the following is a true statement with respect to the CAGE-AID questionnaire?

A. It is a 5-item questionnaire used to screen for alcohol use disorder

B. A “yes” answer to 1 item is considered highly sensitive for use disorder

C. A positive CAGE questionnaire mandates intervention for use disorder

D. Volume of alcohol or drug use is not a factor in a positive result

---

YouTube: https://www.youtube.com/watch?v=-HCBrL4iP7o&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=73

The PMHNP has ordered a comprehensive metabolic panel, CBC, TSH, and HgbA1c as part of a new patient screening panel to evaluate very generic complaints of fatigue, decreased motivation, and unplanned weight gain of 15 lbs in the last 6 months, insomnia and increased irritability. The patient believes he is depressed and is asking for an antidepressant, but the NP has concerns that the history provided is not complete and wants to ensure there is not an underlying organic etiology.

Which of the following abnormal results offers the best explanation for all reported symptoms?

A. A HgbA1c of 6.8%

B. An eGFR of 58 mL/min/1.73 m²

C. A Hgb of 13.1 g/dL

D. A GGT of 85 IU/L

---

YouTube: https://www.youtube.com/watch?v=VXLFFzW6XyY&list=PLf0PFEPBXfq5HGfNV-GbOlYHtDwd35OeG&index=72