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A 70-year-old woman presents to the clinic for a diabetes management visit. She is currently taking glipizide (Glucotrol) 10 mg daily. What is the primary mechanism of action of this medication?

Which is a risk factor associated with breast cancer?         

A topical hydrocortisone cream would be most appropriate for a patient diagnosed with:

A diabetic patient on a sulfonylurea and metformin (Glucophage) with an HbA1c of 6.5% is complaining of episodes of low blood sugar.  Which of the following changes would be the most appropriate?

A 21-year-old man presents to the office with a lesion on the shaft of his penis. He noticed a small lump a week ago; since then, it has grown to a 1 cm lesion that is beginning to break open. He denies any pain at the site or drainage. He has been sexually active with two male partners in the last three months. He had testing for human immunodeficiency virus six months ago; it was negative. Exam reveals a 1 cm in diameter raised lesion with central ulceration. There is no purulent drainage, and there are no other lesions. He has bilateral lymphadenopathy in the groin. Which of the following is the best treatment?

A 40-year-old female presents to the primary care office for a work physical.  Which approach is best to address her past history of opioid abuse and chronic pain?

A 78-year-old man presents to the clinic for a routine follow-up. He has a history of type 2 diabetes mellitus, hypertension, and depression. His medication list includes amitriptyline (Elavil) 50 mg daily, chlorthalidone (Hygroton) 25 mg daily, glipizide (Glucotrol) 2.5 mg daily, and metformin (Glucophage) 500 mg BID. Which medication should you consider removing according to the Beers criteria?

Why is progestin prescribed in addition to estrogen as hormone therapy (HT) for the postmenopausal woman who has an intact uterus?

A 37-year-old patient has the following lab values: HBsAg (-), HBsAb (-), HBcAb (-).  How should these be interpreted

92. A patient is intubated, quickly regains his baseline level of alertness, and is extubated 4 hours later. He is alarmed by his need for mechanical ventilation and before discharge he asks you about his life expectancy. Which of the following is the best predictor of survival in COPD.