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A non-toilet trained infant is brought into the clinic for a 2 day history of a suspected viral illness causing diarrhea. When performing your history/review of systems, what response would warrant referral to the emergency department for aggressive IV rehydration?

An elderly female presents with disturbance of vision in one eye. Patient states, “it felt like a curtain came down over my eye.” Denies pain, injury.  Based upon this information, what is the most likely diagnosis?

A 2-year-old who had a history of a fever for the last 1 day is at daycare and has what the daycare teacher describes as a seizure. She reports the seizure lasted about 3 minutes and there has not been any recurrent seizure activity. The child is brought to the clinic by the parent; neurologically the patient appears normal. Body temperature is 99.9 degrees after receiving ibuprofen. On exam, you notice a reddened, erythematous, bulging right TM. How should the nurse practitioner manage this?

For the patient in the previous question, what is the most appropriate diagnostic test that will substantiate or confirm your top differential diagnosis?

At an 18 month Well Child Visit an Ages and Stages Questionnaire is administered and the patient screens negative for a developmental delay. However, the patient’s parent expresses a concern about a potential delay for the first time. What is your next action?

A 32-year-old patient has a yellowish, thick drainage from both eyes, and reports eyes are stuck shut in the morning. No known injury, cosmetics. Wears contact lenses but stopped wearing them when the symptoms began. She denies visual disturbance and notes mild eye irritation. No swelling around the eye, visual acuity intact. Based on the most likely diagnosis, you prescribe: 

A 2 month old is brought in for inconsolable crying. After going through the history with the parent, you suspect infantile colic. However, what finding on your physical exam would be a red flag, suggestive of a more serious condition requiring further evaluation? 

You have diagnosed a 2-year-old child with otitis media. His last episode of otitis media was 6 months ago. What antibiotic will you place patient on considering he has no allergies? 

Which of the following is a characteristic finding of asthma?

What patients qualify for low-dose CT Lung Cancer Screening according to the Centers for Medicare and Medicaid and American Academy of Family Physicians criteria? (Select all that apply)