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Margaret is an 80 y.o. female, who presents to the internal medicine clinic for a 1-week follow-up from her recent hospitalization following a fall. She was treated for a catheter-associated UTI with a 7-day course of trimethoprim-sulfamethoxazole (Bactrim). Recent chem 7 reveals potassium level 5.2, and calculated creatinine clearance < 30. According to the AGS Beers Criteria®, which of the following medications would you also be concerned about given this antibiotic choice and risk of hyperkalemia when used concurrently?

According to the American Heart Association and the American College of Cardiology guidelines of primary prevention of cardiovascular disease, if risk decision is uncertain what is the best next step?  

Kathleen is an 83-year-old woman who has recently fallen three times in 2 weeks. Fortunately, her only injuries have been some mild soreness, but her daughter insisted she see the nurse practitioner to figure out why she is falling. Kathleen’s review of systems is negative except for the falls. Her gait, strength, timed get up and go, cardiac and respiratory exam are unremarkable. The NP’s initial diagnostic work up should include:

Your diabetic patient has a history of cardiovascular disease.  Which medication would be best to provide cardiovascular protection?

A 66-year-old male arrives at the office today without an appointment. He appears quite anxious and pale and is complaining of an aching pain across his sternum that radiates to his L jaw and down the L arm at times.  It started about an hour ago and awakened him from sleep. He took an anti-acid and acetaminophen, but they did not seem to help. His blood pressure is 160/90, and HR is 98. An ECG shows normal sinus rhythm with 2-mm ST segment elevations in leads II, III, and AVF. What do you suspect?

As an AGPCNP, you have a patient with heart failure and diabetes. Which of the following medication classes would be the best choice given this patient’s comorbidities?  

A 67-year-old patient complains of an earache. This is the appearance of the tympanic membrane (TM) upon examination.  What is the treatment of choice?

A 23-year-old woman presents with a 3-year history of recurrent, unilateral, pulsating quality headaches with vomiting and photophobia. The headaches generally last 3 hours and can be aborted by resting in a dark room. She reports being able to usually tell when she is about to get a headache. She explains that she “sees little ‘squiggles’ before my eyes for about 15 minutes.  This presentation is most consistent with:

You consider adding a second agent for your patient with diabetes when: 

The following approaches can be used to determine passage rate in the gastrointestinal tract, EXCEPT: