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The most common findings in patients who have S pneumoniae is/are: Select all that apply:   2 correct responses

A 19 year old college student presents to the clinic with 7 days of fever, sore throat, malaise, and fatigue. He reports difficulty swallowing and notes that several classmates have been ill recently. He denies cough or rhinorrhea. On physical exam: Temperature: 38.6°C (101.5°F) Oropharynx: tonsillar exudates Neck: posterior cervical lymphadenopathy Abdomen: mild left upper quadrant tenderness Laboratory studies reveal: WBC count: 14,500/µL AST and ALT: mildly elevated A rapid antigen detection test for Group A Streptococcus is negative. What is the next step in making a diagnosis? 

You are evaluating a 32 yr old female with a painful left breast for 5 days. She is 6 weeks post partum and is breast feeding. On exam, the breast tissue near the areola is inflamed, erythematous, hot to touch without a palpable abscess or discharge. She appears uncomfortable, with non -toxic appearance. You diagnose Acute Mastitis. Your treatment recommendations include:      Select all that apply: 4 correct responses

The NP is evaluating a 45 yo female in the office with chief complaint of intermittent dizziness for the past 2 weeks. Upon further questioning,  she describes a “spinning” sensation which is worse with movement and has caused her to vomit.  She denies headaches, tinnitus, or hearing loss.  PMH is negative. No home medications. Which test may the NP perform to support the diagnosis of BPPV (Benign Paroxysmal Positional Vertigo)?

The NP is evaluating a 55 yo female in the Emergency Dept with a severe L parietal headache, Nausea/vomiting, Photophobia. She states it started “all of a sudden” while shopping. She has no prior history of Migraine.  What is the priority action the NP will take? 

The NP is evaluating a 66 yr old female with LLQ abdominal pain for one week. She also admits to non-bloody diarrhea. On exam, she is tender to palpation to left lower quadrant of abdomen. A leading differential diagnosis for this patient is:  

The NP is treating a 46 yr old diabetic male patient who has developed cellulitis in his lower extremity. He is allergic to Penicillin. The NP is aware of high incidence of MRSA infection in the community. All of the following could be prescribed except:  

You are the NP evaluating a 20 yr old female for severe dysmenorrhea in your clinic. She has regular menses with “bad menstrual cramps” every month & sometimes misses work. She has been taking OTC Ibuprofen for cramping pain without relief. What does the NP recommend at this time?

Which are the  valid forms of the UNION operator? (Choose two)

In which clauses of a SELECT statement can you include a subquery? (choose three)