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A 70 year-old female presents for follow-up of heart failure. Her weight is 9 lbs more than it was at her appointment 2 weeks ago for an upper respiratory infection. On physical exam, she has increased jugular vein distension and bilateral pretibial edema. Which is the best action to take in addressing her recent weight gain?

A patient presents for follow up after a hemorrhagic stroke. Which hypertension medications are NOT considered first line for this patient?

A 72 year old female with no significant past medical history passes out while exercising. She has intermittent exertional chest pains and dyspnea on exertion as well. Her physical examination reveals a III/VI late-peaking crescendo-decrescendo murmur at the right upper sternal border and a III/VI holosystolic murmur at the apex. Her S2 heart sound is very soft and her carotid upstroke is weak and delayed. Which of the following is most likely causing her symptoms?

A 78-year-old male presents to his primary care physician with complaints of intermittent dysuria, weak urinary stream, and straining to urinate for the past four months. There is no weight loss, fever or change in stools. He has no known family history of cancer. His past medical history is notable for HTN. On examination, he is well-appearing. There are no abdominal or rectal masses appreciated; the prostate is firm, smooth and symmetrically enlarged. Urinalysis reveals negative leukocyte esterase, negative nitrite, trace blood and no bacteria on microscopy. Which of the following is the most appropriate treatment?

According to the GOLD COPD guidelines, the goal of inhaled corticosteroid use in severe COPD is to:

The clinician recognizes the new gold standard for treatment of moderate persistent asthma in the adult patient would include:

A patient presents with pain above the penis, difficulty starting urine stream, and burning with urination for the past few weeks. He also says he experiences pain after he orgasms. He has a history of acute prostatitis 5 months ago but that pain resolved and this is not as painful. He denies fever or other symptoms. His urine shows a few wbcs. How would you manage this patient?

Martha is being treated for atrial fibrillation with warfarin. What does the clinician need to consider with this medication?

A healthy 50 year-old female presents with a complaint of sudden episodes of an urgent need to void and unintentional loss of moderate amounts of urine. Other than these episodes, she is voiding in normal amounts and there is no dysuria, or frequency nor leakage when she coughs or sneezes. The nurse practitioner suspects which type of incontinence?

You are completing a well child visit on a 4 year old who has no complaints and history was unremarkable. You palpate the abdomen and find a nontender smooth mass. What should you be considering as an important diagnoses to rule out?