The NP is evaluating Mr. McNamara, a 73-year-old patient bei…

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:

MT is a 45 yo female who was diagnosed with breast cancer an…

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 presen…

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 sy…

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. Henry, a 61-year-old with a history of MI (at age 50) an…

Mr. Henry, a 61-year-old with a history of MI (at age 50) and hypertension is being seen for fatigue and decreased exercise tolerance. He complains of mild SOB and pain in his legs when walking even short distances.  Blood Pressures:  Right arm:   138/88                     Left arm: 142/86 Ankle: 90 systolic Based on the calculated ABI, the NP’s recommendation is: