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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?

A 35 year old female presents to the office complaining of lower back pain for the past 2 weeks. She indicates the pain often goes down the right side of her leg and has “pins and needles” feeling that comes and goes. On exam, she has a positive straight leg test on the right side but otherwise everything else is normal. What is her diagnosis and the appropriate treatment?

A 50 year old male who presents with heart burn for the past 3 months daily is diagnosed with gastroesophageal reflux disease (GERD).  Which is first line treatment for this patient?