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A 55-year-old patient presents to the clinic with worsening vision and difficulty adjusting to dark rooms over the past several years. On physical exam, there was no significant pain, and the optic disc shows cupping. You believe the patient has ____ and that you should refer to ____.

A 28-year-old patient presents with a history of chronic itching and dry, scaly skin on the elbows, knees, and lower back. Which of the following distinguishing features helps identify this as Psoriasis?

A 63-year-old female reports to clinic for an ED follow-up. The patient was seen in the emergency department for chest pain. The ED reports indicate that the EKG was normal sinus rhythm, serial troponins were negative, and the Comprehensive Metabolic Panel (CMP) was within normal limits. The patient was discharged from the ED 2 days ago. Today she notes that she has intermittent chest pain on the left side about 3 times per week. The episodes last about 1-2 minutes, do not radiate, and resolve when the patient sits down and rests. As a provider, you know that you need to:

An 8-year-old patient presents with their parent, who reports that the child has frequent ear infections, occurring about 6-10 times per year. On examination, you observe a middle ear effusion without erythema or purulent drainage. Based on this presentation, you suspect the child may have:

A 62-year-old smoker presents with shortness of breath. On examination, the patient has a prolonged expiratory phase and decreased breath sounds. Pulmonary function tests reveal increased total lung capacity. The patient’s chest X-ray shows hyperinflation with a flattened diaphragm. Which condition is most likely?

A 52-year-old patient presents at the clinic for follow-up of a new hypertension diagnosis. 2 weeks ago, the patient was started on lisinopril 10mg daily.  Today their blood pressure in the clinic was 149/90 and 146/88 on recheck. The patient is taking his medication as prescribed. During today’s visit, you anticipate to:

A 3-month-old infant presents to the clinic for their wellness check, but the parents note that the infant is not feeding well from the bottle or breast. On exam, you note that the infant has dropped from 86th percentile weight at birth to the 6th percentile. You also note that the infant is using accessory muscles to breathe. You suspect the infant may have cystic fibrosis and order a chest x-ray. Which of the following findings would help confirm the diagnosis?

A 35-year-old patient presenting with eye discharge and eyelid discomfort is concerned she has “pink eye”. On examination, the patient has crusty debris along the eyelashes without swelling. The conjunctiva is clear. Based on the clinical findings, what is the most likely diagnosis?

A 63-year-old patient presents to the clinic for a follow-up regarding his COPD management. He continues to smoke and chew tobacco products, but his symptoms seem well-managed on his current regimen. On exam, you note a white film on the tongue. Which of the following assessment findings would help you determine whether the patch is thrush or leukoplakia?

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