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What of the following patients is a candidate for statins?

What of the following patients is a candidate for statins?

The NP is seeing a patient with acute otitis media. Which of the following organisms is least likely to cause otitis media?

A 56-year-old mechanic is brought to your office complaining of heavy pressure in the substernal area of his chest that is radiating to his jaw. The pain began while he was lifting up a tire. He now appears pale and is diaphoretic. His blood pressure is 100/60 mmHg, and his pulse is 50 beats/min. What is the most appropriate action?

A 40-year-old woman comes to the medical office complaining of palpitations and some light-headedness for the past 6 months. These are random episodes. The nurse practitioner notices a mid-systolic click with a late systolic murmur that is best heard in the apical area during auscultation of the chest. You would suspect:

Charles has chronic ischemic heart disease and is taking a beta blocker, which results in:

Charles has chronic ischemic heart disease and is taking a beta blocker, which results in:

A 55-year-old male with a past medical history of hypertension, hyperlipidemia, and obesity presents to the outpatient internal medicine clinic with a 3-day history of fatigue and decreased exercise tolerance. He used to be able to walk 2 blocks without shortness of breath, but now he gets winded even walking in from the parking garage. He feels as though his heart is beating fast but denies palpitations. He has no chest pain, dizziness, visual changes, edema, or orthopnea. His medications include chlorthalidone,lovastatin, and aspirin. On physical examination, his blood pressure is 120/60 mm Hg, pulse is 100 bpm, respiratory rate is 16/min, and pulse oximetry is 96% on room air. He is alert and answers questions appropriately. His lungs are clear to auscultation. His cardiac examination reveals an irregularly irregular rhythm that is tachycardic. Extremities reveal no edema. EKG is shown. What is your diagnosis?

A 45-year-old nondiabetic male patient comes in to your primary care clinic for a recheck of his blood pressure. He was here for a routine physical 1 month ago and had a blood pressure of 135/89. His blood pressure today is 138/88. Given 2 elevated blood pressure readings, how would you proceed to treat his blood pressure?

You are conducting a physical exam on a patient with severe chest pain that occurred while he was home watching television. He also complains of sudden sweating in a room temperature environment, weakness, difficulty breathing and nausea. He comments that he had an uneasy feeling of impending doom during the event. When he experiences somewhat similar angina pain, he take nitroglycerin, but this time, the nitroglycerin did not help with the pain. Based on the likely diagnosis, which of the following would you LEAST expect to find?