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A 45-year-old woman presents with recurrent episodes of vertigo, fluctuating hearing loss, tinnitus, and a feeling of fullness in her right ear. Each episode lasts from 20 minutes to several hours and occurs without warning. What is the most likely diagnosis?

A patient with a history of gastroesophageal reflux disease (GERD) asks for advice on how to prevent symptom flare-ups. Which of the following lifestyle modifications is most effective for managing and preventing GERD symptoms?

Which of the following factors is most strongly associated with presbycusis?

Which of the following individuals is generally advised against using combined oral contraceptives?

A 13-year-old male presents to the emergency department with a high fever, severe sore throat, drooling, and difficulty breathing. He is sitting upright and leaning forward, and his breathing is labored with inspiratory stridor. On physical examination, you note a muffled voice and severe distress. Which of the following is the the next step in the evaluation/treatment of this patient? 

A 30-year-old woman with no significant medical history presents for her annual check-up and asks about cervical cancer screening. Which of the following is the most appropriate screening recommendation for this patient?

A 25-year-old female patient presents with erythematous plaques, with silvering scales of the knees and elbows. The presumed diagnosis is psoriasis. The patient is currently using emollients with approximately 6% of BSA without any improvement in the lesions. What is is the next step in the treatment?

The NP is providing education to a patient who presents with herpes zoster. Which of the following information is NOT correct?

A 45-year-old woman with no medical history presents for a routine check-up. Her blood pressure readings over three separate visits are 148/92 mmHg, 142/90 mmHg, and 146/90 mmHg despite lifestyle modifications. According to the current clinical guidelines, which of the following is NOT an appropriate next step treatment? 

A 70-year-old male presents with a 3-day history of cough, fever, and shortness of breath. He has a history of hypertension and type 2 diabetes. On examination, he is febrile, with a temperature of 38.5°C (101.3°F), and has decreased breath sounds with crackles in the right lower lobe. What is the best next step in determining the management?