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An 84-year-old female with moderate cognitive impairment and anxiety presents for psychotherapy. She often forgets her sessions and struggles with working memory. Which therapeutic approach is most appropriate, considering her cognitive limitations?

A 16-year-old boy is brought to your office for a routine examination. He has had insulin-dependent diabetes for 13 years. He has been well but admits to nocturia and polyuria. His last hemoglobin A1C measurement was 13.2%. Physical examination shows a blood pressure of 142/92 mmHg. The remainder of the examination is unremarkable. Laboratory data show: Hemoglobin A1C = 14.1%, urinalysis specific gravity = 1.035, pH = 6.0, blood negative, sugar > 1000 mg/dl, ketones, trace; protein = 1+. The best class of drug to control his blood pressure would be:

In the final blank by the conclusion (what I call the “magic blank”), the final answer should be…

The mother of a 3-month-old infant reports that he turned blue and seemed to have fast, labored breathing after vigorous crying. He would relax and his color improved. On physical exam, the PNP notes the mucous membranes of the lips and mouth appear mildly cyanotic. A systolic murmur is heard best at the mid to upper left sternal border. Vital signs are normal with normal peripheral pulses. There is no organomegaly. The MOST likely diagnosis is which of the following?

Which abnormal breath sound is primarily heard on inspiration but can be biphasic?  

Einstein’s Theory of Relativity is the theory that is the most widely accepted view of space-time interaction. Therefore, the theory must be true. 

Eight-week-old Jeremy who is a former 30-week-premie comes to the office for his first visit. To date, he has not received any immunizations. What immunizations should he receive today?

A female newborn is born to a mother with systemic lupus erythematous. What most likely associated heart rhythm abnormality should the PNP evaluate the newborn for?

An adolescent with type I diabetes returns for a follow-up visit after his annual check-up last week. You note that his serum glucose is elevated and his glycosylated hemoglobin (hemoglobin A1C) is 16.7%. This finding suggests poor control of his diabetes over at least which of the following time periods?

An obese 12-year-old is suspected of having the diagnosis of type 2 diabetes mellitus. Which of the following statements regarding this suspected diagnosis is correct?