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A 17-year-old female has acne vulgaris. The NP notes closed comedones on the forehead and cheeks. Which of the following is a first-line management approach for mild acne?

Investor confidence in the value of a currency plays an has no role in determining its exchange rate.

 As part of asthma education for an adult asthmatic patient, the NP develops an asthma action plan. All the following peak flow meter readings indicate the need for the patient take additional actions, except:

An adult patient presents with a lesion on the forearm. The NP notes a thin pink colored papule with overlying scale. The NP notes several freckles in the same area. The NP recognizes the lesion’s characteristics as:

An adult female patient presents to the clinic complaining of epigastric gnawing, tenderness, and heart burn. She sometimes reports a loss of appetite. Her medication list includes lisinopril 20 mg PO daily for hypertension, Celebrex 200 mg PO BID as needed for dysmenorrhea, and a Calcium/Vit D supplement daily for bone health, and a Mirena IUD placed 3 years ago. Review of systems is positive for painful periods particularly over the last three months. The NP recognizes:

A 25-year-old male presents with a rash that appeared several days ago. He reports pruritis that has worsened since the first rash appeared. The rash started as a quarter sized oval lesion on his lower abdomen and the rash progressed over the next few days to the chest and back. The lesions on his trunk are pink oval papules and plaques with fine scales.  He reports that he is usually healthy although he did have a cold several weeks ago. What is the most likely diagnosis? 

A 40-year-old female patient presents to the clinic with complaints of intermittent burning and gnawing upper abdominal pain worse over the last 2 weeks. She reports frequent belching throughout the day that is causing her to feel distressed. The pain improves when she eats and tends to be worse at night.  The physical exam is normal except for mild to moderate epigastric pain upon palpation. Which of the following diagnostic tests would be appropriate to start the workup based on the presenting symptoms?

A 20-year-old preschool teacher presents with four discrete-vesicular lesions crusted over with honey-colored crusts on her right arm.  She reports that she has had these lesions for about three days.  The diagnosis is:

An adult patient presents to you complaining facial flushing localized redness, and papules on the nose, cheeks, and chin. The NP prescribes which first-line treatment for the identified condition?

Patient is a 50 year old male who slipped and fell backwards off the curb while walking his dog outside. He did not lose consciousness, but was immediately unable to move his arms or legs and had altered sensation below the neck. Magnetic resonance imaging (MRI) revealed a spinal cord contusion and cord compression between C2 and C4. Patient underwent spinal fusion of C2-C4 and was diagnosed with a C4 spinal cord injury (SCI). Which of the following is most likely?