Testing aphasia {Ans: }A 33-year-old nurse presents with a history of weight gain, decreased energy, and menorrhagia over the past several months. Review of her family history reveals Hashimoto thyroiditis and hypothyroidism in four female first-degree relatives (her mother and three sisters). Which of the following skin findings best supports a diagnosis of clinical hypothyroidism? {Ans: a. Discoid rash, alopecia, oral ulcers, and Raynaud phenomenon b. Warm moist skin, hyperpigmentation, and pretibial myxedema c. Dry skin, myxedema, alopecia of the eyebrows, and brittle nails d. Spider angiomas, telangiectasia, palmar erythema, and Terry nails e. Thickened, taut skin with sclerodactyly and telangiectasia}Tinnitus {Ans: •Perceived sound with no external stimulus •Musical, ringing, rushing, roaring, popping •More common with age and drugs}What conditions could absence of a red reflex indicate {Ans: Absence of red reflex suggests an opacity of the lens (cataract), or possibly the vitreous (or even an artificial eye). Less commonly, a detached retina, or in children a retinoblastoma may obscure this reflex}A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The FNP should know that floaters are usually not significant and are caused by: {Ans: Condensed Vitreous