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Jim presents to clinic today with complaints of a severe unilateral headache for the last 60 minutes.  He has unilateral lacrimation and conjunctival injection on the same side as the headache.  He describes the pain as severe and off the pain scale.  What type of headache does Jim have? 

A patient is being seen in clinic for the first time. When reviewing the initial patient information, the nurse practitioner notices the BMI is 34 kg/m2.  The medical assistant has reviewed the patient’s home medication list and confirmed she is taking the medications listed in the electronic medical record.  Anticipating the patient may want to talk about weight loss, what medications have the potential for weight gain?

Glucagon-like peptide receptor agonists (GLP-1 RA) such as Wegovy and Zepbound, are an anti-obesity approved medication. A patient asks the nurse practitioner how this medication works for weight loss; select the best response:

Dominick is a 22-year-old foreign exchange student from Italy. He presents with complaints of fatigue and it is discovered that he has a microcytic, hypochromic anemia. His serum ferritin levels are normal. He most likely has what type of anemia?

A 29-year-old woman is newly diagnosed with early HIV infection. She is believed to have acquired HIV approximately six weeks prior from a male partner. She has a new male partner, but they have not yet had sex. You are discussing starting treatment and she is asking how likely is it that she will transmit HIV to her new partner. Which correct piece of education should you share with this patient regarding HIV transmission from persons with early HIV infection? 

Identify this skin lesion:

A 32-year-old woman has an exposure to HIV after a condom broke while having vaginal sex with her male partner who has HIV. She is unsure of his current viral load or whether he has been adherent to antiretroviral therapy. She did not seek care at that time but is now being seen 3 weeks later. Upon using a laboratory-based HIV-1/2 antigen-antibody immunoassay for follow-up HIV testing, which correct item of education should you share with the patient? 

Jim is a 42-year-old mechanic who presents with complaints of a burn to his right hand from a hot engine radiator.  His exam reveals a 6×8 cm bulla to the dorsal aspect of his right hand that extends up and includes his 3rd and 4th fingers.  What key exam finding do you need to evaluate for to decide if referral to a burn center is necessary?

Jacob is a 29-year-old who presents with complaints of a rash to the trunk of his body. He first noticed the rash two weeks ago and has been “scratching like crazy”. In fact, he tells you that it itches a lot worse at night and the lack of sleep is wearing him out. In addition to the rash on his trunk, he also has a few erythematous papules to the finger webs. He mentions that his 5-year-old son has the same thing. What is this rash?

Wesley is a 22-year-old who presents for an employment physical.  He tells you he recently quit smoking and is using “Juul”, a popular nicotine containing e-cigarette as a means to quit nicotine completely.  He has been using the menthol containing product and tells you it is “…so much healthier for me.  They only use the highest quality of ingredients.”  Which  statements are true regarding e-cigarettes?  Select all that apply.