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Mrs. Johnson is a 35-year-old female who presents to the clinic with severe right flank pain that radiates to her groin. She reports experiencing nausea and vomiting, and has noticed blood in her urine. On physical examination, she is visibly in pain and her blood pressure is elevated. Assessment: Which of the following is the most likely diagnosis for Mrs. Johnson’s symptoms?

A 20-year-old GOPO woman with no significant medical history presents to your office reporting that she is concerned about becoming pregnant. She had unprotected sexual intercourse with her boyfriend last night. She normally uses a cervical diaphragm for contraception. She also wants to prevent this situation from happening again. Which of the following is the best option for this patient for emergency contraception? 

Patient Information: Ms. Rodriguez is a 26-year-old female who presents to the clinic with a history of intermittent shortness of breath, chest tightness, and wheezing for the past year. She reports that her symptoms have been worsening over the past few months, and she has had to use her albuterol inhaler more frequently. She has no significant medical history and takes no medications regularly. Assessment: Upon examination, the patient’s vital signs are within normal limits. Auscultation of her lungs reveals diffuse expiratory wheezing. A spirometry test shows a FEV1/FVC ratio of 70% and a reversibility of 12% after administration of a bronchodilator. Based on her symptoms and exam, a diagnosis of asthma is made. Management: According to the GINA guidelines, what is the appropriate step for managing Ms. Rodriguez’s asthma at this time?

 A sexually active women is complaining of amenorrhea and vaginal spotting. On exam, her left adnexa is tender and cervical motion tenderness is positive. Which test should the NP initially order?

Rovsing’s sign is associated with which of the following?

Which of the following patients should receive a screening colonoscopy?

Which of the following statements best describes benign paroxysmal positional vertigo (BPPV)?

What are three cardinal symptoms of COPD?

A patient with newly diagnosed COPD is seen by nurse practitioner for management. The patient has been on a SABA, but the symptoms are not controlled and the nurse practitioner decides that the patient has moved into group B or stage 2. According to the GOLD guidelines. What would be an appropriate treatment for this stage? 

A 32 year old obese female patient taking hormone replacement therapy presents with severe abdominal pain with acute onset over the past 24 hours. Upon physical exam patient has a positive Murphy’s sign.  What is the likely diagnosis?