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A 25 year old female presents to your office complaining of bifrontal headaches along with fatigue that slowly seems to be worsening. Over the last 2-3 months, she has developed generalized joint pain and stiffness. The remainder of the history is unremarkable. On physical exam, you find a thin female in no acute distress. She is afebrile with blood pressure of 110/62 mm Hg and pulse of 72. Joint examination shows full range of motion and no swelling. There is mild anterior cervical chain lymphadenopathy. Close inspection of skin reveals erythema of the malar eminences and the nose laterally.The rash is most characteristic of which of the following diagnoses?

A sagittal plane divides the body into:  

A pediatric patient presents with cyanotic symptoms and is suspected to have tetralogy of fallot. Select the answer that is correct regarding TOF

A male patient who works as a plumber presents to the clinic with complaints of swelling to his posterior elbow. He does not complain of pain to the area. On physical exam you find the patient is afebrile with a normal physical exam with only one abnormal finding of a fluctuant mass to the posterior elbow region. There is no erythema, warmth, or pain with palpation to the this fluctuant mass. What is the most likely diagnosis?

A patient presents to the office with chief complaint of an inversion injury to the ankle. When considering to xray the injured ankle or not you review the Ottawa Ankle Rules for Ankle Injury Radiography. Which of the following findings would indicate the need for an ankle xray?

Select all of the correct answers consistent with a surgical referral in patients with PAD

A flexor is a muscle that:  

You are evaluating a 49 year old female who believes she has rheumatoid arthritis. The nurse practitioner completes a physical exam and makes a differential diagnosis of osteoarthritis. Which clinical manifestation ruled out osteoarthritis?

An adult patient complains of an acute headache that is described as “band-like”, feels like “someone is squeezing my head”, and is dull and constant. What is the most appropriate treatment recommendation for this type of headache? 

A pediatric patient presents to the clinic with cardiac defects resulting in right ventricular outflow tract obstruction with diagnosis of pulmonary valve stenosis, ventricular septal defect, aorta that overrides ventricular septum, and right ventricular hypertrophy; you suspect the following diagnosis?