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The NP is performing a routine physical exam on a 65-year old male who is new to the practice. He reports that he recently became eligible for Medicare and has not seen a provider in over eight years due to not having any insurance. The patient denies any past medical history, but reports a family history of hypertension and CAD. BP today is 158/92. What would be the appropriate next step?

A patient with a history of a myocardial infarction presents for routine follow-up. His medication list contains an ACE inhibitor, statin and aspirin. What medication class should be added to decrease mortality?

A 56-year old is diagnosed with mild diverticulitis. In addition to counseling her about clear liquid diet and rest, you recommend antimicrobial therapy which includes:

A patient with generalized lower abdominal pain and nausea is being evaluated. The patient has a low grade fever (100.4 degrees F). Which of the following signs, if found upon physical exam would suggest appendicitis?

A recently divorced 59-year old female comes to the clinic with complaints of new onset diarrhea and alternating constipation over the past 3 months, occasional blood in the stool and unintentional weight loss of 10 pounds over the past six weeks. The patient’s BMI is 30, vital signs unremarkable. Her social history includes smoking 1/2 pack per day for the past 20 years, as well as one glass of wine per day and she works as a receptionist. The physical exam is unremarkable. What are the best choices for the top three differentials you are considering?

Effective treatment of H.pylori can be expected to result in the following:

In the person with hypertension which of the following would likely yield the greatest potential reduction in blood pressure?

A 64-year old woman presents with a 3 month history of upper abdominal pain. She describes the discomfort as an intermittent, centrally located “burning” feeling that occurs most often with meals. She is using over the counter pepcid with some relief. She also admits to using diclofenac (Voltaren) on a regular basis to help control her osteoarthritis pain. Her clinical presentation is most consistent with?

On a routine visit, a 78-year old male is found to be in atrial fibrillation on EKG. The patient has a history of CAD and CHF and is currently asymptomatic. What is the most important thing to include in his treatment plan?

Sometimes a company will establish wages equilibrium, that rate or generally accepted norm other companies pay for the identical positions. This company policy is designed: