A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning
the head to the right. What additional history is needed?
-Any recent trauma
-Marvin, age 56, is a smoker with diabetes. He has just been diagnosed as hypertensive.
Which of the following drugs has the potential to cause the development of bronchial asthma
and inhibit gluconeogenesis?
-Beta Blocker
-The differential diagnosis for a patient complaining of a sore throat includes which of the
following?
Gonococcal infection, Thrush, Leukoplakia
-A patient presents to the primary care provider complaining of a rash on his right forehead that
started yesterday and is burning and painful. The physical exam reveals an erythematous,
maculopapular rash that extends over the patient's right eye to his upper right forehead. Based
on the history and examination, the most likely cause of this patient's symptoms is:
-Ophthalmic zoster
-Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner
orders liver function studies. The patient's aminotransferase (ALT) is elevated. What laboratory
test(s) should be ordered?
-Serologic markers for hepatitis
Mort is hypertensive. Which of the following factors influenced your choice of using an alpha
blocker as the antihypertensive medication?
-Mort has benign prostatic hyperplasia
-John, age 59, presents with recurrent, sharply circumscribed red papules and plaques with a
powdery white scale on the extensor aspect of his elbows and knees. What do you suspect?
-Psoriasis
-Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her
hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium
1500 mg daily. At today's visit. Her blood pressure is 170/89. According to JNC VIII guidelines,
what should you do next to control Harriet's blood pressure?
-Add a thiazide diuretic to the Lisinopril 5mg daily
-An active 65-year-old man under your care has known acquired valvular aortic stenosis and
mitral regurgitation. He also has a history of infectious endocarditis. He has recently been told
he needs elective replacement of his aortic valve. When he comes into the office you discover
that he has 10 remaining teeth in poor repair. Your recommendation would be to:
defer any further dental work until his valve replacement is completed
-suggest he consult with his oral surgeon about having all the teeth removed at once
and receiving appropriate antibiotic prophylaxis
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