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A 23-year-old patient presents with a 4-day history of painful genital lesions. They describe a tingling or burning sensation before the sores appeared. On exam, you observe clusters of small vesicles on an erythematous base, some of which have ruptured to form shallow, tender ulcers. The patient reports significant discomfort with urination but denies vaginal discharge or systemic symptoms. Which condition is most consistent with these findings?

A 24-year-old man presents with pain and swelling near the top of the buttock cleft. He reports that the area has been tender for several days and has recently begun to drain small amounts of pus. On exam, you observe a painful, fluctuant mass over the sacrococcygeal area with surrounding erythema, as well as a few small openings in the skin that contain coarse hairs. Which diagnosis is most consistent with these findings?

A patient reports noticing pale, clay-colored stools over the past week. Which condition is this finding most commonly associated with?

A 34-year-old marathon runner comes to clinic for a routine physical examination. During the musculoskeletal assessment, you ask the patient to extend her knees against your full resistance. She demonstrates complete range of motion, maintains strong resistance throughout, and shows no evidence of fatigue or asymmetry between sides. How would you grade this individual’s muscle strength?

A 22-year-old woman presents for her annual wellness exam. She is sexually active and has no current symptoms. Pelvic exam is normal, and she denies pelvic pain, dysuria, abnormal bleeding, or vaginal discharge. A routine NAAT screening test returns positive for chlamydia. Which statement is the most accurate teaching point for this patient?

A 55-year-old patient reports shoulder pain that worsens when reaching overhead or lifting objects away from the body. On exam, the nurse notes weakness with shoulder abduction and a painful arc between 60 and 120 degrees. The patient also has difficulty maintaining arm elevation when the examiner applies gentle downward pressure. Which condition does this presentation most likely suggest?

A 45-year-old patient presents with double vision that worsens when looking in different directions. On exam, the nurse notes impaired extraocular movements (EOMs). The patient is unable to fully adduct the right eye, has difficulty looking downward when reading, and demonstrates limited lateral movement of the left eye. These findings suggest involvement of which cranial nerves?

A 42-year-old patient reports gradually worsening elbow pain that increases when lifting grocery bags or gripping objects tightly. On exam, pain is reproduced when the patient makes a fist and flexes the wrist against resistance, and tenderness is noted just anterior to the medial aspect of the elbow. Which diagnosis is most likely based on the information given?

During a routine bimanual pelvic exam performed on a healthy female patient, which structure should the nurse practitioner normally able to palpate?  

On a scale from 1+ to 4+ which deep tendon reflex score is appropriate for a finding of clonus?