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An elderly female patient, without a prior history of cardiovascular disease, reports lower leg soreness and fatigue while shopping or walking in the neighborhood. The APRN notes decreased pedal pulses bilaterally. Which test will the APRN order initially to evaluate for peripheral arterial disease based on these symptoms?

Which of the following treatment options is NOT routinely part of the treatment plan for peripheral artery disease?

Bursitis is a pathologic inflammatory disorder of the bursa that is caused by various acute or insidious processes.  Which of the following  is NOT considered to be one of those processes?

First line management and treatment for this patient is:

A 60 year old man with stage 3 chronic kidney disease (CKD), secondary to hypertension, presents to your clinic for a routine follow-up appointment.  His BP is 136/74 mmHg.  His PE results were all within normal limits. His labs are significant for a potassium level of 5.3 mEq/L and phosphorus level of 5 mg/dl. What is the explanation for his hyperkalemia and hyperphosphatemia?

A 62-year-old man presents to your clinic with left leg pain. His past medical history is significant for hypertension, diabetes mellitus, and chronic renal insufficiency. He is a current smoker. His brother has bilateral lower extremity vascular claudication. Which of the following is NOT a known risk for peripheral artery disease (PAD)?

Metformin is often considered for first line treatment of Type 2 DM for all patients unless it is not tolerated or the patient has contraindications to the use of this medication. What is the mechanism of action of metformin?

You are seeing a 21-year-old female nursing student today as a patient for the first time.  She states she has been experiencing recurrent bloating, stomach upset, and occasional loose stool, and weight loss for the past 6 months. She states that her symptoms are worse after eating large amounts of crackers, cookies and breads. She denies any blood in her stool. Which of the following conditions does she MOST LIKELY have?

You are discussing immunizations with a 65-year-old woman who smokes tobacco and has the diagnosis of COPD. She had the pneumococcal vaccine PPSV23 at age 50. You advise her to receive:

Solve the triangle. A = 18°, C = 104°, c = 5 (5 points)