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Which of the following is a characteristic of mania?

A 53 year old African American male presents to your office for follow-up. He was diagnosed with hypertension 3 months ago and is currently taking HCTZ 25 mg daily. He reports that he is feeling well and denies any complaints of lower extremity swelling, chest pain, shortness of breath or headaches. His physical exam reveals the following: BP: 150/87, HR: 73, RR 14, Temp 98.6, O2 Sat 100% and normal ECG. His PE is normal. What is the next best step in management of this patient?

When a patient is suspected of having acute  pancreatitis, initial testing should include which of the following

A 45 year old female with significant past medical history of fibromyalgia, chronic pain, high cholesterol and hypertension comes into the office for depression. She currently takes HCTZ 25mg, Lisinopril 20mg and atorvastatin 40mg and tylenol 500mg daily. After your assessment, you determine she would benefit from treatment of her depression. What is the best medication choice for her?

A 47 year old male presents to the office for follow-up to depression. He has been taking Fluoxetine for the past 5 months. He reports that his symptoms have significantly improved, but he is having sexual side effects. What is your recommendation for him?

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A 42 year old female presents with intermittent right upper quadrant pain over the past several weeks which is worse after eating fried foods.  On exam, she has positive bowel sounds and the abdomen is soft.  When palpating deeply on the right upper quadrant during deep inspiration, the patient complains of severe sharp pain.  This describes which of the following?

A 27 year old male presents to the office complaining of an ulcer on his penis that he just noticed.  It doesn’t hurt but he is worried.  He is sexually active with males and reports that he occasionally uses condoms. He has had 7 partners in the last 6 months.  What are your recommendations for treatment and testing?

A patient presents to the office for routine STD testing without any symptoms. Results are received 3 days later and show that he is positive for Chlamydia. What is your treatment and education plan?

A 21 year old female presents to the office for vaginal discharge and itch for the past 3 days. She is sexually active and takes Ortho Tri Cyclen for her birth control. She does not use condoms. On exam you note thick white discharge and on microscopic exam you note budding yeast. What is her diagnosis and treatment plan?