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*You are working in the urgent care and a 3 y/o presents with their parents with new onset nosebleeds and blood blisters in her mouth. Per the history she has been healthy except for a cold in the last 2 weeks that resolved without any issues. You get a CBC and she has a platelet count of 10,000. Which of the following diagnoses should you suspect?

*Alan, a 17 year old male, has an elevated B/P reading while in the office for a shoulder injury. B/P is 144/92. Mom and dad both have hypertension. Your next action is to:

Ms. Young is 41 years old and has found a mass in her right breast which she comes to you for and you also feel the mass.  What test(s) should be ordered by the NP?

Jessie, age 29, experiences photophobia about 20 minutes before experiencing severe headaches.  The headaches are unilateral and throbbing along with nausea. How would you describe her headache?Jessie, age 29, sees flashing lights 20 minutes before experiencing severe headaches in addition to nausea. How would you describe her headache?

*Megan presents with RUQ abdominal pain and she has a positive Murphy’s sign. You are suspecting that Megan is experiencing issues with her gall bladder.  What radiological test would you initially order?

Will, a 24 year-old African American male, has a rash on the arm.  The rash began as a dry, scaly “bump” which has spread.  On exam, you note a single, well demarcated, erythematous, scaly annular lesion with central clearing on his arm.  Based on this information only, what would be the MOST LIKELY diagnosis?

You are seeing an adolescent male who presents with c/o “enlarged” breast. When is referral to endocrinology indicated in a male patient with gynecomastia?

Adrenal insufficiency can be primary or secondary.  A secondary cause of adrenal insufficiency include: 

Your 32 year old male patient comes in with complaint of rash. He reports that he first noticed one itchy patch on his back 1.5 weeks ago that has now spread to multiple smaller patches. He reports that his husband says “it looks like a Christmas tree.” He denies any other symptoms or any recent changes in medications, food, detergents, cosmetics, furniture, or recent travel. His husband does not have a similar rash. You suspect that he has:

According to the AACE /ACE Diabetes Algorithm for Glycemic Control, the A1C goal for an otherwise healthy diabetic is: