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A BMI of 32 kg/m² is classified as:

A 56-year-old man with recurrent gout asks what lifestyle changes he can make to reduce future flares in addition to taking his prescribed medications. Which recommendation has the strongest evidence-based support?

A 72-year-old woman presents after sustaining a low-impact distal radius fracture from standing height. Her previous DEXA scan demonstrated osteopenia. Which statement is most accurate?

A 57-year-old postmenopausal woman presents for her annual wellness examination. She has no history of fractures, does not smoke, and has no chronic medical conditions. She asks if she should have a bone density test because her mother fractured her hip at age 78. Which is the most appropriate response?

A 24-year-old basketball player lands awkwardly after a rebound and immediately feels a “pop” in his knee. Within 2 hours, significant swelling develops. He reports that the knee feels unstable when attempting to walk. Which injury is most likely?

A 27-year-old woman with systemic lupus erythematosus presents for routine follow-up. She states that her joint pain has improved, but over the past month she has noticed increasing fatigue and mild swelling around her ankles. Her blood pressure today is 148/92 mm Hg, compared with her usual reading of 112/70 mm Hg. Laboratory results reveal: Hemoglobin: 11.8 g/dL Serum creatinine: 1.3 mg/dL (previously 0.8 mg/dL) ESR: Elevated Which additional test would be most important to obtain at this visit?

A 68-year-old man presents with rapid swelling over the posterior aspect of his elbow. He reports fever and chills beginning the previous evening. Examination reveals marked erythema, warmth, fluctuance, and pain over the olecranon bursa. What is the most appropriate next step?

A 27-year-old man presents with low back pain that has gradually worsened over the past 8 months. He reports morning stiffness lasting approximately 90 minutes that improves after he bikes to work but worsens after prolonged sitting. He denies any specific injury. Which feature is most suggestive of inflammatory back pain associated with ankylosing spondylitis?

A 51-year-old man presents with fatigue, weight loss, intermittent fevers, diffuse muscle aches, and new numbness of his right foot. The nurse practitioner suspects a systemic vasculitis. Which additional findings would support this diagnosis? Select all that apply.

A patient with bulimia nervosa is at greatest risk for which electrolyte abnormality?