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Mr. Hadley has cognitive impairment.  He had a PET scan as part of his workup that showed amyloid deposits in his brain.  This leads you to believe his diagnosis is:

**  When evaluating your patient’s understanding of finasteride (5 alpha reductase inhibitor), which of the following statements about this medication needs further education?

You are seeing a 24 y/o female who comes in the clinic with complaint of abdominal pain. Which of the following added information would cause you to suspect an emergent condition?

Larry Baxter, 59 y/o patient presents to the clinic with general complaints of fever, chills, low back pain, accompanied with urinary frequency, urgency and dysuria.  Last night he had to get up several times to urinate.  Overall he just doesn’t feel well.  When performing a prostate examination, you note a tender, warm prostate. What do you suspect?

Morris is in a new relationship and is not sure whether his erectile dysfunction is caused by stress or is organic. What is the least invasive test could you suggest to determine if he has the ability to have an erection?

You want to slow the progression of a CKD in one of your patients, according to the NIDDK, which of the following are recommended?

*When is antiretroviral medication therapy to be started on all patients diagnosed with HIV?

When listening to heart sounds, the nurse practitioner knows if they are hearing a harsh systolic murmur usually crescendo-decrescendo pattern. Heard best: Second right intercostal space (RICS) near apex. Radiation: To carotids.  Which valve is likely causing the murmur?

Samuel is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?

A 28-year-old female presents to the clinic with a 6-month history of involuntary weight loss, recurrent abdominal cramping, right lower quadrant pain, loose stools, anal fissure, anorexia, fever, and fatigue, which of the following diagnoses would be at the top of your differential list?