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A 32 year old female presents to the office for vision loss in one eye for one day but has resolved. She also notes facial weakness, numbness and dysarthia that followed. As you review her chart, you note that she was seen 2 months ago for numbness and tingling in the left side of her body which has since resolved. You are concerned about multiple sclerosis (MS). What testing would be suggestive of MS?

A 72 year old patient with diabetes, hypertension and high cholesterol presents to the office for a follow-up to his osteoarthritis knee pain. He started taking tylenol for the pain but reports that this has not been helpful. His current medications are insulin, losartan, asprin and simvastatin. His creatinine is 2.4 and A1c is 6.3%. His vital signs are all normal. All of the following would be acceptable treatment options except which?

All of the following are acceptable treatments for depression except:

The USPTF recommends which group of patient’s receive a low dose CT of the chest for lung cancer screening?

A 32 year old female presents to the office for complaints of dysuria, incomplete bladder emptying and blood in urine. On exam you note a fever of 101.4 and CVA tenderness. The remainder of her vitals and exam are stable. She is allergic to sulfa. Her urine is positive for blood, +leukocytes and +nitrates. How would you treat her?

A 26 year old male presents to the office for complaints of knee pain. He indicates that he has been running 4-5 miles daily for the past several months. He denies trauma/injury to the knee. He just noticed that it is achy and mildly swollen. On exam, you note tenderness over the patellar. The lachman, mcmurray, valgus/varus testing are all within normal limits. He has a negative anterior and posterior drawer sign. There is mild swelling around the patellar but no warmth or erythema. What is your recommendation for him?

As part of the monitoring for a patient being treated for Rheumatoid Arthritis with methotrexate, which of the following should be considered?

A 55 year old male presents to the office for concerns about chest pain which has been going for the past 6 months. He reports that it occurs when he is playing on a recreational basketball team. He notes that when he rests, the pain goes away. He has a history of hypertension and hyperlidipemia and takes valsartan, HCTZ and rosuvastatin. On exam today, his vital signs show BP 149/90. You are planning to order a stress test for him, but want to treat his discomfort. What medication would you use for him?

Which of the following is true regarding Asthma?

A 22 year old female presents to the office for vaginal discharge. She is sexually active and has had 4 partners in the last 3 months and 6 partners in the last year. She has an IUD and uses condoms occasionally. She reports the discharge has a foul odor to it and is yellowish. She complains of vaginal irritation and some discomfort with urination. On wet mount she has a positive whiff test, with motile flagella and no clue cells. What is your treatment plan for this patient?