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A 62-year-old man presents to his primary care physician with left leg pain. His past medical history is significant for hypertension, diabetes mellitus, and chronic renal insufficiency. He is a current everyday smoker and has a brother with bilateral lower extremity vascular claudication. Which of these historical pieces of information is the least significant risk factor for peripheral artery disease (PAD)?

A 25-year-old female presents to the urgent care clinic with complaints of redness and discharge in her right eye for the past two days. On examination, her conjunctiva is injected with mucopurulent discharge. Does not wear contact lenses. Which of the following is considered first line for the management for this patient’s bacterial conjunctivitis?

A 49-year-old male patient presents with recurrent urinary tract infections. You know that this is the hallmark symptom of which condition?

The pap smear result for a 20 year old sexually active college student who used condoms inconsistently reveals a large number of white blood cells and blood along with inflammatory changes. During the speculum exam, the NP who examined the patient noticed that the patient’s cervix bled very easily (friable) and a small amount of purulent discharge was present on the cervical surface. No cervical motion tenderness was noted during the bimanual vaginal exam. What is the next step in the management of this patient?

A 38-year-old woman presents to the office with complaints of shortness of breath and chest pain that started this morning. The pain is described as sharp and worsening on inspiration. The patient’s HR is 108, RR 28/min and BP 100/70. What question is important to ask in order to support the most likely diagnosis in this patient?

A nurse practitioner has a patient with a history of benign prostatic hypertrophy who has recently developed hypertension. His initial blood pressure two months prior to this visit was 150/92 mm Hg. After dietary changes and exercise, he returns for follow-up. His blood pressure is 142/90 mm Hg. Which of the following anti-hypertensive medications should the nurse practitioner initiate?

A nurse practitioner is assessing a 72-year-old patient with a history of congestive heart failure. The patient is positioned at a 45-degree angle, and the NP observes jugular venous distention. The highest point of pulsation is measured at 7 cm above the sternal angle. What is the most appropriate next step?

According to the 2023 Global Initiative for Asthma (GINA) guidelines, what is the preferred as-needed reliever medication for adults and adolescents with mild asthma?

Ms. Johnson is a 25-year-old female who presents to clinic with complaints of abnormal vaginal discharge and an unpleasant odor. She reports that the discharge is thin, white, and has a fishy smell. She also reports mild itching and burning in the vaginal area. She has no fever or abdominal pain. Ms. Johnson is sexually active with one partner and uses condoms inconsistently. Assessment: Based on the patient’s presentation, which of the following is the most likely diagnosis?

A 60 year-old female patient who smokes and has persistent hematuria should be referred to: