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A 35-year-old male presents to the clinic with complaints of with the pruritic rash on his left forearm. He reports that the rash started as a small red spot and has gradually expanded in size over the past few weeks. On examination, you observe a circular, erythematous lesion with a raised, scaly border and central clearing. The patient mentions that he works in a daycare. Which is the most likely diagnosis for this patient’s condition?

A 7-year-old boy is brought to the pediatric clinic by his mother who reports that he has developed several honey-colored crusted lesions around his nose and mouth over the past few days. The lesions are itchy but not painful, and the child has no significant fever or systemic symptoms. Upon examination, the NP confirms a diagnosis of impetigo. What is the first line treatment for this child’s impetigo?

A 50-year-old man visits the clinic for evaluation of abnormal liver function tests noted during a routine screening. He has a history of heavy alcohol use and reports no significant symptoms but is concerned about his liver health. Laboratory tests are ordered, and the following results are obtained: – Alanine aminotransferase (ALT): 95 U/L (normal: 7-56 U/L) – Aspartate aminotransferase (AST): 85 U/L (normal: 10-40 U/L) – Total bilirubin: 1.2 mg/dL (normal: 0.1-1.2 mg/dL) – Hepatitis C antibody (Anti-HCV): Positive – HCV RNA (Polymerase Chain Reaction): 1,000,000 IU/mL Based on these results, what is the most appropriate next step in management?  

A 12-year-old child visits her primary care NP for routine checkup and to receive her vaccinations including the T DAP booster and the HPV vaccine. The NP discusses the importance of these vaccinations in preventing certain diseases. What type of prevention does vaccinations represent?

A patient with a history of migraine develops new onset “worst headache of life that feels like a thunderclap.” What is the next step?  

A 50-year-old woman visits her primary care provider for evaluation of fatigue and weakness that have been worsening over the past few months. During the visit the blood count and iron studies. The lab results show the following: Hemoglobin: 10.5 g/dL (normal range 12.1-15.1 g/dL), mean corpuscular volume MCV: 70 FL (80-100 fL), serum ferritin: 8 ng/mL (20-200 ng/mL), serum iron: 30 mcg/dL (10.7-30.4 mcg/dL), and total iron binding capacity TIBC: 400 mcg/dL (240-450 mcg/dL). Based on these lab results, which of the following findings is most indicative of iron deficiency anemia in this patient

A 30-year-old man with a history of hyperthyroidism presents to the clinic for follow up after starting methimazole. His most recent lab results show: TSH: 8.1 mIU/L (normal range 0.4-4.0 mIU/L),  free T4: 2.8 ng/dL (normal range: 0.8-2.0Ng/L). How should these results be interpreted?

A 40-year-old is her primary care provider for meeting health check. She mentioned that she has recently started a new job in a healthcare setting and is concerned about potential exposure to infectious diseases. She has no history of hepatitis B vaccination and is unaware of her hepatitis B status. The provider considers the appropriate recommendations for her. When should hepatitis B screening be recommended for this patient?

A 45-year-old woman presents to the clinic with complaints of six month history abdominal pain, diarrhea, and unintentional weight loss. She reports having multiple students per day, some of which contain blood and Mucus. Upon examination, she has tenderness in the lower abdominal area. A colonoscopy is performed and biopsy results show inflammation limited to mucosa and submucosa. Which of the following statements correctly distinguishes between Crohn’s disease and ulcerative colitis?

A 22-year-old man with a known history of sickle cell disease; presents to the emergency department with severe pain in his chest and back that started suddenly in this exercise. He describes the pain as sharp and throbbing, and he rates it as a nine out of 10 on the pain scale. The patient appears pale and is visibly distressed. He has a low-grade fever and exhibits signs of dehydration. What are the hallmark symptoms of sickle cell crisis that the healthcare team should be aware of in managing this patient?