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How to administer PPD or Mantoux test {Ans: Subdermal injection of 0.1ml 5TU-PPD on the volar aspect of the left forearm. Subdermal injection of control antigen (ie tetanus, candida, mumps antigens) in volar aspect of right forearm. If control side is negative then the pt is immunocompromided ( ie the PPD will no work). Have to use other method to diagnose TB (bronchoscopy or blood tests).}Describe vaginal discharge of trichomonas {Ans: discharge is copius, bubbly, and green in color. It causes a lot of inflammation resulting in itching and redness of the vulvovagina (remember: strawberry cervix). It is considered an STD and the partner also need treatment. Microscopy is the gold standard for dx.}McBurney's point {Ans: 1/3 distance from the anterior iliac crest to umbilicus (point of pain for appendicitis)}How long before SSRI starts to work? {Ans: 4-8 weeks}IBS tx {Ans: increase dietary fiber (Metamucil), antispasmodic (Bentyl) PRN, decrease life stressors.}Examples of intermediate activities of daily living (do not confuse this with basic ADLs, like grooming and hygiene). {Ans: Intermediate ADLs include: grocery shopping paying bills using telephone driving}