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Science
Question Description
Below I will attach an example of a completed Vignette. It is pretty simple, there is an example of a completed vignette and then if you scroll down there is a blank bracket which is where you (the tutor) must fill out/complete. You must fill it out using this topic "Pelvic Inflammatory Disease". This is the disease that is needed for you to complete the blank bracket. So pretty much you have to do some research on Pelvic Inflammatory Disease and have good background information on it and then complete the vignette. Then the final step, at the end of the completed vignette bracket, create 5 detailed bullet points that summarize the vignette.
Tags:
vignette
Template
PID
PELVIC INFLAMMATORY DISEASE
APA Formatting Style
brackets
Vignette Worksheet Help
Unformatted Attachment Preview
Sample vignette and questions
PLEASE USE THE BLANK TEMPLATES THAT FOLLOW TO SUBMIT YOUR VIGNETTE
AND YOUR QUESTIONS
Gail, a 16 year old adolescent female accompanied by her mother is arriving at the pediatrician's
office with complaints of nausea, once or twice recent vomiting, lack of appetite, weight reduction of
about 12 lbs the last eight months, lack of menstrual cycle for the last 2 months, and moderate to
high anxiety regarding her situation. Upon being interviewed alone by the physician, she discloses
that for the last 4 months, she has been involved in sexual relations with her 17 year old boyfriend,
information that her mother is not aware off. Her mother shared that her 11 yo son has had a version
of the flu about 3weeks ago, and had to stay home from school for a few days due to nausea and
vomiting. She is wondering if Gail has been also exposed to the flu virus...
1.
According the information presented, Gail's signs and symptoms indicate the following
diagnostic profile:
(A The possibility of the flu, the possibility of pregnancy, family relational problems
)
(B Anxiety resulting from the possibility of pregnancy, Substance abuse, Anorexia Nervosa or
)
Bulimia
(C The possibility of the flu, The possibility of pregnancy, Depression
)
(D The possibility of the flu, The possibility of pregnancy, Anxiety resulting from the
)
possibility of pregnancy
2.
Considering the information presented, what course of action would the pediatrician consider
in order to make an accurate diagnosis?
(A thorough medical examination, A pregnancy test, A thorough interview with Gail to assess
)
other masked problems
(B An anxiety and depression assessment, A physical examination, Interview the boyfriend
)
(C Interview the brother, Pregnancy test, A thorough medical examination
)
(D Interview the boyfriend' s parents, A pregnancy test, Assess Gail's weight loss
)
3.
Assuming that Gail's menstrual irregularity was restored, her anxiety was reduced since she was
not pregnant, she recovered from the flu, and her weight stabilized to a healthy range, what
areas should the pediatrician emphasize in order to assist Gail effectively?
(A Educate her about proper protection and the risks for STIs, Increase emotional awareness
)
and discuss effective coping skills, Educate her about open communication with the
boyfriend
(B Educate her about proper protection and the risks for STIs and pregnancy, Discuss effective
)
coping skills, Suggests spending less time with the boyfriend
(C Educate her about proper protection and the risks for STIs and pregnancy, Increase
)
emotional awareness and discuss effective coping skills, Discuss healthy weight
control(exercise),and open family communication
(D Increase emotional awareness, Recommend she drops the boyfriend, Recommend she eats
)
more fruits and vegetables.
Answer 1: option 4. Rationale: Although Gail has not disclosed to her mother her sexual
involvement, there is no indication that they are having family problems, thus option 1 is not correct. It
might be possible that Gail is using substances to cope with her anxiety, but there is no indication in the
vignette that this is a problem. We also do not have enough information to consider Anorexia
Nervosa(due to weight loss) or Bulimia (due to vomiting), thus option #2 is wrong. Gail might be
experiencing some mild feelings of depression, but her anxiety whether she is pregnant or not,
dominates the picture, making option #3 not the correct answer.
Answer -2 : option 1. Rationale: Interviewing the boyfriend, his parents and the brother make
options 2,3, and 4 weak. The physician will rule out pregnancy in order to alleviate anxiety, and
through the medical exam will assess the causes of amenorrhea.
Answer -3: option 3 Rationale: Option 3 summarizes some of the logical suggestions the
pediatrician will discuss with Gail to prevent future problems.
VIGNETTE TEMPLATE
PLACE YOUR VIGNETTE INFORMATION HERE
1.
PLACE YOUR FIRST QUESTION HERE
(A
)
(B
)
(C
)
(D
)
2.
PLACE YOUR SECOND QUESTION HERE
(A
)
(B
)
(C
)
(D
)
3.
PLACE YOUR THIRD QUESTION HERE
(A
)
(B
)
(C
)
(D
)
Answer-1:
Justification:
Answer-2:
Justification:
Answer-3:
Justification:
TEMPLATE FOR THE 3 MULTIPLE-CHOICE QUESTIONS
1.
PLACE YOUR FIRST QUESTION HERE
(A
)
(B
)
(C
)
(D
)
2.
PLACE YOUR SECOND QUESTION HERE
(A
)
(B
)
(C
)
(D
)
3.
PLACE YOUR THIRD QUESTION HERE
(A
)
(B
)
(C
)
(D
)
Answer-1:
Justification:
Answer-2:
Justification:
Answer-3:
Justification:
...
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Tutor Answer
There you have the answer. Let me know if is correctly done
Vignette 1
Nancy, a 24-year-old female student presents herself in the pediatrician’s office accompanied by her
boyfriend. Upon examination, she reveals that she has a history of prior chlamydia infection. She
complains of low-grade fever and nonspecific lower abdominal pain. Upon further examination, the
pediatrician is able to identify mild diffuse lower abdominal tenderness on deep palpation. The patient
also has cervical motion tenderness and a mucopurulent vaginal discharge.
1.
Which symptom is consistent with Chlamydia?
(A Low-grade fever
)
(B Non-specific lower abdominal pain
)
(C Mucopurulent vaginal discharge
)
(D Mild diffuse lower abdominal tenderness on deep palpation
)
2.
After screening, it is revealed that Nancy has chlamydia th...
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Anonymous
Solid work, thanks.
Anonymous
The tutor was great. I’m satisfied with the service.
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Goes above and beyond expectations !
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