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Mr P. is a 72 year old male who presents to your clinic complaining of pain worsening in his legs at night and he is not able to sleep well.  The pain improves when he sits on the side of the bed with his feet flat on the floor.  He reports his feet are warm to touch and no redness or pallor noted.   Your primary working diagnosis is:

Leo L. is a 62-year-old African American male who comes for an initial visit to your practice. Personal health history includes smoking 1 pack/day since age 11, consuming a case of beer (24 bottles) every weekend, and working as an assembler (sedentary job) for the past 10 years. Family history in first-degree relatives includes hypertension, high cholesterol, heart attack, and type 2 diabetes mellitus. Leo’s BMI is 32; BP today is 130/86. You order a fasting glucose, lipid profile, and return visit for BP check. This is an example of:

The NP is evaluating Mr. McNamara, a 73-year-old patient being followed by you for hypertension. His blood pressures over the preceding month included measures of 184/82, 178/82, 190/80, and 188/84. He was started on a thiazide diuretic three weeks ago, and today is being seen in follow-up. His blood pressures since beginning therapy are 176/90, 170/80, and today 160/80. According to guidelines, the next step for his treatment is to:

Cuál de los 2 síntomas gastrointestinales se asocia con el retorno de líquidos.

MT is a 45 yo female who was diagnosed with breast cancer and is undergoing treatment/chemotherapy.  She presents with complaints of constipation, extreme fatigue/lethargy, polyuria, and weight loss.  Which Oncologic Emergency are you most concerned about:

A 76-year-old woman with hand and knee osteoarthritis presents to the clinic with increased pain of the affected joints for the past month. She has been applying topical capsaicin cream 0.025% TID PRN for over 2 months with minimal relief. Which of the following is the most appropriate step up in therapy?

Sheila, age 78, presents to your primary care clinic with symptoms of waking up during the night while coughing, an S3 heart sound, pulmonary crackles (rales) that do not clear with coughing, and peripheral edema. The diagnostic work-up for her would include all of the following except:

Mr. Smith, age 70 is being seen for evaluation of symptoms of BPH. In evaluating Mr. Smith’s history and physical the NP understands that:

A 16-year-old male presents to the clinic with whitish-yellow penile discharge and some anal itching and pain with defecation. What is the NP’s best course of action?

Most of the body’s iron is obtained from: