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 A sexually active women is complaining of amenorrhea and vaginal spotting. On exam, her left adnexa is tender and cervical motion tenderness is positive. Which test should the NP initially order?

Rovsing’s sign is associated with which of the following?

Which of the following patients should receive a screening colonoscopy?

Which of the following statements best describes benign paroxysmal positional vertigo (BPPV)?

What are three cardinal symptoms of COPD?

A patient with newly diagnosed COPD is seen by nurse practitioner for management. The patient has been on a SABA, but the symptoms are not controlled and the nurse practitioner decides that the patient has moved into group B or stage 2. According to the GOLD guidelines. What would be an appropriate treatment for this stage? 

A 32 year old obese female patient taking hormone replacement therapy presents with severe abdominal pain with acute onset over the past 24 hours. Upon physical exam patient has a positive Murphy’s sign.  What is the likely diagnosis?

A 36-year-old woman is seen with complaints of vaginal itching, burning, and discharge. On potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae. Which of the following treatments would be appropriate?

A 56 year-old female with a history of allergic rhinitis presents to the NP’s clinic with a stuffy nose. She has been using the nasal decongestant Afrin for the last month, and now she is unable to stop taking it without having significant difficulty breathing through the nose. What is her probable diagnosis? 

A 26 year old female patient presents to your clinic with chief complaint of abdominal pain.  She complains of nausea and vomiting, fever and anorexia.  She states her abdominal pain started approximately 2 hours ago.  Upon physical exam the patient complains of pain upon performing palpation at McBurney’s point.  Of the following, what is the differential diagnosis requiring highest priority to rule out?