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During a sports physical for a 15-year-old male athlete, the nurse practitioner notices a systolic murmur. The patient reports no symptoms and has no family history of cardiac issues. What is the most appropriate next step?

Mr. Johnson is a 60-year-old male who presents to the clinic for a routine check-up. His medical history is significant for hyperlipidemia, which has been managed with lifestyle modifications and medication. His current medication regimen includes atorvastatin 20 mg once daily. Assessment: Upon examination, the patient’s blood pressure is found to be 140/90 mmHg. His blood work shows his LDL cholesterol level is 85 mg/dL. The remainder of his physical exam is unremarkable. Management: Based on the patient’s assessment, what is the appropriate step for managing his hyperlipidemia?

A 42-year-old woman presents with months of urinary urgency, frequency, and suprapubic pain. She reports discomfort during urination and occasional nocturia. Multiple urgent care visits resulted in antibiotic treatments without improvement, and two urine cultures were sterile. She denies vaginal discharge, itching, or rash. Based on her symptoms and history, which diagnosis is most likely?

Ms. Garcia is a 21-year-old sexually active female who presents to clinic for routine gynecologic care. She has had multiple sexual partners in the past and is currently using condoms inconsistently with her current partner. She has no history of abnormal Pap tests or STIs. Assessment: Based on the patient’s sexual history, which of the following tests should be recommended for screening for STIs according to the CDC guidelines?

Mr. Jones is a 60-year-old male who presents to his primary care provider with sudden onset of severe abdominal pain that began in the middle of the night. He describes the pain as constant, sharp, and located in the right lower quadrant. He also reports nausea, vomiting, and loss of appetite. The patient has a history of hypertension and takes lisinopril and amlodipine. Physical examination reveals tenderness in the right lower quadrant with rebound tenderness and guarding. Assessment: Based on the patient’s presentation, which of the following is the most likely diagnosis?

Which of the following is not typically recommended as a management strategy for viral bronchitis?

Which of the following is the recommended outpatient treatment for uncomplicated pyelonephritis?

A 62-year-old man presents to his primary care physician with left leg pain. His past medical history is significant for hypertension, diabetes mellitus, and chronic renal insufficiency. He is a current everyday smoker and has a brother with bilateral lower extremity vascular claudication. Which of these historical pieces of information is the least significant risk factor for peripheral artery disease (PAD)?

A 25-year-old female presents to the urgent care clinic with complaints of redness and discharge in her right eye for the past two days. On examination, her conjunctiva is injected with mucopurulent discharge. Does not wear contact lenses. Which of the following is considered first line for the management for this patient’s bacterial conjunctivitis?

A 49-year-old male patient presents with recurrent urinary tract infections. You know that this is the hallmark symptom of which condition?