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When discussing the use of a cholinesterase inhibitor with a 72-year-old woman with early-stage Alzheimer-type dementia and her family, the NP accurately explains:

You are auscultating the heart of a 75-year-old woman and hear a murmur at the 2nd intercostal space on the right sternal border. Which heart valve is most likely affected?

25. An 8-year-old girl presents with abrupt onset of fever (highest 102F), progressively worsening sore throat, and difficulty swallowing; her speech is muffled, and sounds similar to a person speaking with a hot potato in their mouth. On exam, her right tonsil is swollen to twice the size of the left tonsil, and her uvula is displaced. What is her most likely diagnosis?

A 70-year-old woman presents to the clinic for a diabetes management visit. She is currently taking glipizide (Glucotrol) 10 mg daily. What is the primary mechanism of action of this medication?

Which is a risk factor associated with breast cancer?         

A topical hydrocortisone cream would be most appropriate for a patient diagnosed with:

A diabetic patient on a sulfonylurea and metformin (Glucophage) with an HbA1c of 6.5% is complaining of episodes of low blood sugar.  Which of the following changes would be the most appropriate?

A 21-year-old man presents to the office with a lesion on the shaft of his penis. He noticed a small lump a week ago; since then, it has grown to a 1 cm lesion that is beginning to break open. He denies any pain at the site or drainage. He has been sexually active with two male partners in the last three months. He had testing for human immunodeficiency virus six months ago; it was negative. Exam reveals a 1 cm in diameter raised lesion with central ulceration. There is no purulent drainage, and there are no other lesions. He has bilateral lymphadenopathy in the groin. Which of the following is the best treatment?

A 40-year-old female presents to the primary care office for a work physical.  Which approach is best to address her past history of opioid abuse and chronic pain?

A 78-year-old man presents to the clinic for a routine follow-up. He has a history of type 2 diabetes mellitus, hypertension, and depression. His medication list includes amitriptyline (Elavil) 50 mg daily, chlorthalidone (Hygroton) 25 mg daily, glipizide (Glucotrol) 2.5 mg daily, and metformin (Glucophage) 500 mg BID. Which medication should you consider removing according to the Beers criteria?