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A 72-year-old woman with Polymyalgia Rheumatica (PMR) presents with shoulder and hip pain, morning stiffness, and mild systemic symptoms, such as fatigue and fever. Her laboratory results show elevated ESR and CRP levels, and rheumatoid factor is negative. After diagnosis, she is started on prednisone. Which of the following represents the most appropriate first-line treatment approach for PMR and how treatment should be adjusted based on disease response?  

A patient presents with swelling and tenderness in the small joints of both hands, along with several weeks of malaise and fatigue. A rheumatoid factor (RF) test is negative. What is the next best step for the APRN?

 A patient with chronic back pain now reports worsening sleep difficulties that are not directly tied to pain levels, along with expressing a desire to stop working. Based on this clinical picture, what should the APRN prioritize in the plan of care?

A 44-year-old mother of four presents with pain and stiffness in multiple joints that has persisted for the past 8 months. She has a confirmed diagnosis of rheumatoid arthritis (RA) based on lab results and synovial fluid analysis. Which of the following is considered first-line therapy to achieve remission or low disease activity in this patient?

An APRN is evaluating a patient receiving long-term opioid therapy for chronic pain. In which of the following situations would opioid tapering be least appropriate?

Fibromyalgia is a complex disorder characterized by widespread musculoskeletal pain, fatigue, nonrestorative sleep, depression, headaches, and gastrointestinal complaints. Based on current research, what is the most likely underlying cause of fibromyalgia?

In bryophytes, gemmae are ________.

Which of the following bryophyte groups has sporophytes with stomata and meristem and the sporophytes are large and persistently photosynthetic?

Directions Escuchar: Read these statements. Then, listen to the recording and choose the best answer according to the question.  Click on the audio below to complete this section. Audio credit to VHL   Manuela es…

A 56-year old male with a 45-pack year history of smoking and is still smoking 1/2 ppd, presents to establish care.  The NP reviews the patient’s current and past medical history, only significant for hypertension controlled by lisinopril 10 mg daily, and his completed health maintenance/preventive care/screening.  Noting the patient’s age and smoking history, after discussing screening recommendations and answering the patient’s questions, the NP will order