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WN is a 54 year old female who complains of symptoms of a “cold” at your clinic today.  She’s the local YMCA swim coach and she’s hoping to feel better for next weekend’s swim meet.  She has allergic rhinitis chronically, though lately she’s had nasal congestion with purulent nasal/postnasal discharge (yellow in color) and a cough.  She complains of pressure in her face and her ears feel like they need to “pop.”  She’s had symptoms for 12 days now with little to no improvement and a fever (102.1° F) for the last 24 hours.  WN has an allergy to sulfa drugs, cats, and environmental allergies.  Her PMH is significant for asthma, hypertension and multiple dental infections / procedures.  Her medications include Fluticasone / Salmeterol (Advair Diskus) 250mcg/50mcg one inhalation twice daily, albuterol (Ventolin) HFA 2 puffs as needed for shortness of breath and lisinopril (Zestril) 20 mg by mouth daily.  She reports an allergy to sulfa medications. Which of following regimens would be the best choice to treat her ABRS?

A 58-year-old male with a history of gout presents to the clinic complaining of sudden-onset severe pain, redness, and swelling in his left big toe. He reports similar episodes in the past and suspects another gout flare. Based on the ACR guideline recommendation for early management of acute gout flares, which of the following medications would NOT be included in the “medication-in-pocket” strategy for this patient?

CG is a 61 yo male with a new diagnosis of osteoporosis (T-score  -2.7).  His past medical history is significant for gastroesophageal reflux disease and diabetes.  His medications include omeprazole (Prilosec) and metformin (Glucophage).   Among other therapies you intend to initiate, calcium supplementaion will be included. Which calcium supplement could be taken without regards to meals, not interact with current medications and be a good choice for CG?

A 35-year-old female presents to the clinic with complaints of recurrent severe headaches associated with nausea, photophobia, and phonophobia. She reports that these headaches often interfere with her ability to work and perform daily activities. Based on the patient’s history and symptomatology, the nurse practitioner suspects migraines. Which of the following treatment strategies would be most appropriate for aborting this patient’s severe acute migraines? 

A patient is prescribed his first prescription for allopurinol (Zyloprim*). Which statement below is NOT correct regarding this medication?

An orthopedic surgeon writes an order for a 85 y/o elderly male patient who is post-op hip replacement. He has acute pain from his procedure (7 on scale 0-10) and no history of chronic pain.  The surgeon asks for your opinion on his order. He writes: Hydrocodone 5mg/Acetaminophen 500mg (Vicodin, Norco) per tablet. Dosage: i-ii (One or Two) tablets Q3H (Every Three Hours) as needed for pain. What is the best response to this order?

Corporate Social Responsibility (CSR) involves businesses actively taking accountability for and managing their social and environmental impacts beyond legal requirements.

BL is an otherwise healthy 6 yo boy who requires an antibiotic for an methylicillin-sensitive staphylococcus aureus skin/soft tissue infection (i.e. mild MSSA cellulitus).  He has no known medication allergies or significant medical history.  Which of the following medications would be the best choice for this patient?

JP is a 17-year-old male who complains of redness, tenderness and warmth of his left lower leg which has been spreading for the past 3 days.  From your questioning, you discover JP has a recent spider bite in the same area but it never seemed to heal.  You suspect that JP has an uncomplicated cellulitis since the infection appears to be localized and JP does not have signs/symptoms of systemic infection.  JP has a history of hypothyroidism and obesity.  He currently takes levothyroxine (Synthroid) 50 mcg po daily.  He has no medication allergies. UPDATES: Upon further questioning of JP’s mother, you find out that he is a football player and she noticed his leg infection began shortly after football camp.  She seemed to think the spider bite was small and healing until he went to camp. You suspect he may have a CA-MRSA cellulitis. Which of the following medications would be the best choice to treat this mild CA-MRSA cellulitis?

Sustainable infrastructure, such as LEED-certified buildings, primarily benefits families by increasing energy consumption and monthly utility bills.