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Samuel is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?

A 28-year-old female presents to the clinic with a 6-month history of involuntary weight loss, recurrent abdominal cramping, right lower quadrant pain, loose stools, anal fissure, anorexia, fever, and fatigue, which of the following diagnoses would be at the top of your differential list?

Sleep apnea should be on your differential diagnostic list if a male patient has which of the following?

Which of the following is a risk factor for developing Alzheimer’s disease?  

The NP is seeing a patient for a follow up on their psoriasis.  They tell you they have noticed some new joint pain over their elbow where their psoriasis is. What are your thoughts?  

Kelli age 24, has genital warts (condylomata) and would like to have them treated. All of the following could be applied EXCEPT:

Which of the following groups are considered high risk for tuberculosis?

The NP sees a patient who is here for new rash behind their ear and into their hair line.  They mention they have had it a couple of weeks and that it is scaly and red and oozes some that sticks in their hair.  On exam you see the picture below.  What would diagnose and how would you treat it?    

Which of the following drugs can be used in the treatment of fibromyalgia?

A 25 year old male was diagnosed 2 weeks ago with acute hepatitis B.  Which of the following laboratory findings would indicate that a patient has acute Hepatitis B?