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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?

A 32 year old male presents to the office for left upper abdominal pain. He reports it started this morning when he awoke. He complains of nausea, vomiting, and decreased appetite. He has a history of alcohol abuse.  You suspect he has pancreatitis and explain that his treatment will include

A 18 year old female presents to the office complaining of diffuse abdominal pain, fever, nausea and vomiting.  On exam you note a fever of 101.6 and heart rate of 116, but the remainder of her vital signs are normal. On examination, she has guarding and rebound tenderness. She has abdominal pain when passively extending her thigh lying on her side with knees extended and with active flexion of her thigh. What dose she have and what are your recommendations?