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A 40-year-old female presents to the primary care office for a work physical.  Which approach is best to address her past history of opioid abuse and chronic pain?

A 78-year-old man presents to the clinic for a routine follow-up. He has a history of type 2 diabetes mellitus, hypertension, and depression. His medication list includes amitriptyline (Elavil) 50 mg daily, chlorthalidone (Hygroton) 25 mg daily, glipizide (Glucotrol) 2.5 mg daily, and metformin (Glucophage) 500 mg BID. Which medication should you consider removing according to the Beers criteria?

Why is progestin prescribed in addition to estrogen as hormone therapy (HT) for the postmenopausal woman who has an intact uterus?

A 37-year-old patient has the following lab values: HBsAg (-), HBsAb (-), HBcAb (-).  How should these be interpreted

92. A patient is intubated, quickly regains his baseline level of alertness, and is extubated 4 hours later. He is alarmed by his need for mechanical ventilation and before discharge he asks you about his life expectancy. Which of the following is the best predictor of survival in COPD.

The leading cause of death for women over the age of 65:  

A 23-year-old college student presents with 2 to 3 weeks of frequent stools that are mixed with blood and mucus. The frequent stools are associated with worsening tenesmus. Vital signs are within normal limits, and the physical examination is normal. The white blood cell count is also normal, and stool testing for infectious agents is negative. Which one of the following is the best next step in evaluating this patient?

54. A patient in the intensive care unit develops sinus bradycardia with tall peaked T waves and absent P waves on ECG. Which electrolyte abnormality is associated with these changes seen on ECG?

A 29-year-old woman would like to start taking oral contraceptive pills, and asks the NP when she can start the prescription. Her last menstrual period ended 5 days ago, she has not had sexual intercourse in 2 weeks, she is healthy, a nonsmoker, and had no problems when taking birth control pills previously. Which advice is accurate?

A pterygium is more common in people exposed to: