You are examining a newborn and note that the right testicle is not in the scrotum. What should you do next?

Correct Answer: D

Rationale: Answer D is correct because the first step in managing an undescended testicle is to attempt to bring it down from the inguinal canal. This is important to prevent complications and improve fertility. Referring to urology (choice A) may be necessary if the testicle cannot be brought down. Rechecking in 6 months (choice B) delays necessary intervention. Telling the parent the testicle is absent (choice C) is incorrect as it may cause unnecessary worry, and the testicle could still be present in the canal.

Correct Answer: B

Rationale: The correct answer is B: Inflammatory. The patient's symptoms of joint pain in the wrists and fingers, along with subjective fever and family history of rheumatoid arthritis, suggest an inflammatory process like rheumatoid arthritis. There is no mention of any infectious symptoms or recent activities that would suggest an infectious cause (choice A). The presentation does not point towards a hematologic issue (choice C) such as a blood disorder. Additionally, there is no history of trauma (choice D) that would explain the joint pain and fever. Therefore, based on the symptoms and family history provided, the most likely pathologic process is an inflammatory condition like rheumatoid arthritis.

Correct Answer: D

Rationale: The correct answer is D: To screen for depression. Susanne's symptoms of headaches, muscle aches, and fatigue for an extended period may indicate underlying depression. Screening for depression is important as it is a common cause of somatic symptoms. It is crucial to address mental health concerns that could be contributing to her physical symptoms. Referral to a neurologist (Choice A) or rheumatologist (Choice B) may not be necessary if there are no specific findings to suggest neurological or rheumatologic conditions. Telling the patient you can't find anything (Choice C) without exploring all possibilities is not appropriate. Screening for depression is the most appropriate next step to consider in this case.

Correct Answer: C

Rationale: The correct answer is C: Third-level. Unfamiliarity with heart-healthy dietary guidelines is a third-level priority problem because it is not immediately life-threatening or critical to address in the emergent setting. First-level priority problems are those directly impacting the patient's ABCs (airway, breathing, circulation) or immediate safety. Second-level priority problems are important but do not require immediate intervention to prevent harm. In this case, addressing the chest pain, palpitations, and the patient's appearance of being pale and diaphoretic are first- and second-level priorities as they may indicate a more urgent medical condition that needs immediate attention to ensure the patient's safety and stabilization.

Correct Answer: C

Rationale: The normal range of motion for plantar flexion of the ankle is approximately 50 degrees. This range allows for actions like pointing the toes downward. A: 20 degrees is too limited for normal function. B: 30 degrees is also insufficient for full plantar flexion. D: 90 degrees would be excessive and beyond the normal range of motion for plantar flexion. Therefore, C is the correct answer.