AANP FNP CERTIFICATION ACTUAL EXAM 2024 AANP FNP TEST BANK QUESTIONS AND CORRECT ANSWE, Exams of Nursing

Download AANP FNP CERTIFICATION ACTUAL EXAM 2024 AANP FNP TEST BANK QUESTIONS AND CORRECT ANSWE and more Exams Nursing in PDF only on Docsity! AANP FNP CERTIFICATION ACTUAL EXAM 2024 AANP FNP TEST BANK QUESTIONS AND CORRECT ANSWERS RATED A+ If your patient is in the catarrhal stage of pertussis, upon examination you would find which of the following? - ANSWERS-You would find mild upper respiratory symptoms with cough. And mild conjunctival injection. It is really indistinguishable from the common cold. What would NOT be considered a typical finding in a geriatric patient? – ANSWERS Low frequency hearing loss. A typical finding in a geriatric patient would be a high frequency hearing loss. The speaking voice is high frequency. Degenerative changes of the ossicles, fewer auditory neurons and atrophy of the hair cells results in sensorineural hearing loss. Typical findings in a geriatric patient? - ANSWERS-Thinner epidermis, dermis and subcutaneous layers of skin, bright purple-colored patches on the forearms and hands, opaque white ring at the periphery of the cornea Risk factors for age-related macular degeneration - ANSWERS-Tobacco use, aging, sun exposure and family history Underweight BMI - ANSWERS-<18.5 Normal BMI - ANSWERS-18.5-24.9 Overweight BMI - ANSWERS-25-29.9 Obese BMI - ANSWERS-30-39.9 Grossly obese BMI - ANSWERS->40 Pregnancy Category A Drugs - ANSWERS-Vitamins and levothyroxine Pregnancy Category B Drugs - ANSWERS-Acetaminophen, ibuprofen, penicillins, cephalosporins, and azithromycin and erythromycin antibiotics. A geriatric patient who has a 40 pack-year smoking history complains of painful cramping in the leg muscles that occurs after walking for 20 minutes. After taking a complete history and performing a physical exam, an NP decides that the most likely diagnosis is? - ANSWERS-Intermittent claudication What is a common cause of acne? - ANSWERS-Increase in androgens In a 19-year-old who presents with a sore throat and anterior cervical adenopathy, which causative agent would be suspected? - ANSWERS-Group A beta-hemolytic Streptococcus When completing the initial assessment for depression in geriatric adults, the NP should evaluate? - ANSWERS-Mental status exam What is the most common risk factor for developing severe hyperbilirubinemia in the newborn? - ANSWERS-Blood incompatibility with the mother Which trimester of pregnancy is a woman with a fundal height measurement at the umbilicus? - ANSWERS-Second Which of the following conditions exacerbate urinary incontinence? – ANSWERS I impacted stool and atrophic vaginitis An adult patient presents with a 2-day history of intermittent stabbing chest pain that worsens with deep breaths. The patient reports a nonproductive cough and no fever for several days, and denies trauma, palpitations or GI symptoms. VS normal. Lungs are clear, heart sounds normal. PE reveals localized chest wall tenderness at the costal margin. EKG and CXR normal. The most likely diagnosis is? – ANSWERS Costchondritis The most common skin cancer is? - ANSWERS-Basal cell carcinoma What is true regarding depression in the elderly? - ANSWERS-Depression can be induced by prescribed and OTC medications Acute otitis media has what characteristics? - ANSWERS-Loss of ossicular landmarks on the TM What constellations of symptoms, lasting more than 3 months, is MOST common in fibromyalgia? - ANSWERS-Diffuse pain, sleep abnormality, fatigue An adult male is seen for an initial visit. He denies tobacco, drug, or ETOH use. He has a sedentary lifestyle and no family history of DM. VS normal, BMI = 31. What diabetes screening tests would an NP order? - ANSWERS-Fasting plasma glucose The pain does not radiate. To confirm the diagnosis of an ectopic pregnancy, the NP should order what imaging study? - ANSWERS-US A geriatric male, who is a 30-packs a year smoker, present with wheezing and dyspnea. His CXR shows a flattened diaphragm and an increased retrosternal chest space. There are decreased vascular markings. The most likely diagnosis is? - ANSWERS-COPD A geriatric patient present with a bump on the vulva, associated with pruritis and malodorous drainage. Exam reveals a raised, ulcerated lesion. The most likely diagnosis is? - ANSWERS-Vulvar cancer A pediatric patient presents with a painful, enlarged parotic gland. The most likely diagnosis is? - ANSWERS-Mumps A geriatric female presents with tremors and a 20 lb weight loss over 2 months. An NP's lab eval should include a? - ANSWERS-TSH and free T-4 A pregnant adult patient is diagnosed with a chlamydial infection at 20 weeks of gestation. What is the most accurate method for confirming this diagnosis? - ANSWERS-Nucleic acid amplification test (NAAT) of urine An adult male presents with intermittent retrosternal burning. He has gained 30 lb in the past year. PE results are unremarkable and the EKG is normal. The most likely diagnosis is? - ANSWERS-GERD A geriatric male patient is being followed for type 2 DM and HTN. He also has a diagnosis of polycythemia vera and has regular phlebotomies to control this. What statement about this patient is true? - ANSWERS-He should avoid dietary iron supplements. An adult patient reports increasingly frequent migraines, especially upon rising in the morning. The headaches have been successfully managed in the past with APAP and Midrin prn, a neurological etiology has been ruled out. Of the following drugs, which would be recommended for prophylactic migraine management in this case? - ANSWERS-Propranolol HCL (Inderal) 40 mg BID Long-term management of a patient with stable COPD includes: - ANSWERS-Annual influenza vaccine For a late adolescent with acquired hypothyroidism who has been stable, a follow-up eval should be performed every? - ANSWERS-6-12 months An adult male with a BMI of 19 and continued GERD presents for follow-up visit after using OTH Pepcid for 6 weeks. What is the best next treatment option for this patient? - ANSWERS-PPI A confused elderly female presents for the first time accompanied by her daughter. The patient is taking glipizide-metformin, lisinopril, glargine, ASA, and a multivitamin. What is the most likely cause of the patient's symptoms? - ANSWERS-Hypoglycemia An adult male presents with general malaise and concerns about delayed ejaculation. His medication regimen consists of quinapril, paroxetine, loratadine, HCTZ. The delayed ejaculation is most likely caused by? - ANSWERS-Paroxetine (Paxi) An NP is assessing a 4-day-old newborn. The parents brought the patient into the clinic the day before for concerns regarding breastfeeding. The newborn was assessed as jaundiced with a bilirubin level of 12 (elevated). The parents were instructed to increase breastfeeding and to return to clinic today. Today's assessment shows the newborn continues with jaundice and the bilirubin level is now 15.2. The NP should? - ANSWERS-Prescribe phototherapy for the infant An elderly patient is diagnosed with acute gastritis. The patient stops taking Naproxen and is started on Pepcid. Three weeks later, the patient complains that the anorexia, nausea, and epigastric pain and tenderness have not been relieved. What diagnostic study should be ordered? - ANSWERS-Testing for H. pylori A geriatric female was diagnosed with hypothyroidism and started on levothyroxine, 25 ug 1 week ago. She feels tired and wishes to have her medicine increased. What is the best response? - ANSWERS-Your blood levels should be checked every 6 weeks, as it takes the body several weeks to adjust to the medication An elderly patient with type 2 DM has been well-controlled on glipizide and recently developed stage 1 HTN. After 3 months of lifestyle therapy, the patient is still not at goal BP. What drug class would be the best choice? - ANSWERS-ACE inhibitor Smoking MJ leads to what? - ANSWERS-Increased HR A geriatric male presents late in the day. The NP suspects bacterial PNA, prescribes abx, and sends the patient home. The next day, the patient returns, but has not improved. What finding would be an indication for hospitalization? - ANSWERSConfused mental status In a mass casualty situation with presumed anthrax exposure, the drug of choice for prophylaxis is? - ANSWERS-Doxycycline A child with refractory retentive encopresis has been treated with a laxative protocol. What is the next step in this patient's treatment plan? - ANSWERS-Referral to GI An early adolescent male presents with a history of low-grade fever, headache, and facial rash. Upon exam, the NP finds red papular, vesicular lesions along the right side of the nose. Priority care for this patient should include? - ANSWERS-Referral to an ophthalmologist today The preferred treatment for early syphilis is? - ANSWERS-Benzathine penicillin G 2.4 million units IM once A 12-year-old child diagnosed with mild persistent asthma has a peak expiratory flow (PEF) of less than 80% of predicted. The most appropriate action would be to? - ANSWERS-Add a long-acting beta agonist to the inhaled corticosteroid For treatment of otitis media in a child who is allergic to penicillin, the abx of choice is? - ANSWERS-Cefdinir (Omnicef) What medication is prescribed for the treatment of pinworm? - ANSWERS-Albendazole (Albenza) An adult patient presents with a burning feeling in the eyes and crusty, inflamed eyelids. He is diagnosed with dry eye syndrome. The best treatment for this condition would include initiating? - ANSWERS-Eyelid hygiene with baby shampoo and warm water A geriatric male is diagnosed with stage II PD. What should be a first-line medication? - ANSWERS-Levodopa-carbidopa (Sinemet) At a 6-month well-child visit, an infant weighs 12 lb, compared to a birthweight of 6 lb. The mother states breastfeeding is going well, but the infant frequently spits up afterward. The best management for the NP is to? - ANSWERS-Reassure the mom that the baby's weight gain in normal A late adolescent male goes to a clinic with a puncture wound after being bitten by a neighbor's cat. After irrigating the wound, the NP should? - ANSWERS-Prescribe Augmentin A healthy early adolescent female presents for a clinic visit because of concern about her menses not having started yet. Exam reveals Tanner stage III-IV development and scant pubic hair. What is the most appropriate intervention? - ANSWERS-Reassure, explaining that she will probably begin menses within the year; reassess in 6 months. What diagnoses in a late adolescent male necessitates an immediate referral for eval by a specialist? - ANSWERS-Testicular torsion A late adolescent who has been taking loratadine for seasonal allergies is diagnosed with acute bacterial sinusitis. The patient is allergic to penicillin's and sulfa drugs. What abx should be prescribed? - ANSWERS-Cefdinir (Omnicef) mother states that she is concerned that the daughter is purging. In addition to a CBC with diff, what lab tests will be most helpful for further assessment? - ANSWERSElectrolytes, BUN/creatinine, UA A pediatric male is present with his mother, who states that he is extremely restless at night and constantly scratches his anal area. What diagnostic procedure would confirm a diagnosis of pinworm infestation? - ANSWERS-Exam of transparent tape sample from perianal skin An 86-year-old is experiencing radiculopathy-associated lower back pain that has not improved over the past 4 weeks. The medial history includes a lumbar discectomy. The best type of imaging study for evaluating this patient would be a? - ANSWERS-MRI There are three reasons for latex allergies. What is not a reason? - ANSWERSCytotoxic hypersensitivity Risk factors for genital herpes include? - ANSWERS-Multiple sexual partners and years of sexual activity A geriatric female presents for her annual exam. She has been on antihypertensive meds for over 20 years, with good control. Lab values are within normal ranges. The NP is concerned about the patient's cardiac health risks, due to her weight and her waist circumference. According to AHA guidelines, what goal is expected for this patient? - ANSWERS-Physical activity for 30 minutes daily, for a minimum of 5 days a week An 87-year-old patient presents with round, pruritic plaques and small vesicles on the lower legs. The most likely diagnosis is? - ANSWERS-Nummular eczema A 30-month-old with a history of frequent ear infections was seen in September after a symptom-free summer. Exam revealed bilateral bulging eardrums. After two separate courses of abx, fluid is noted in both ears. The parent reports speech difficulties. The most likely diagnosis is? - ANSWERS-Otitis media with effusion During the past 24 hours, a 62-year-old has experienced abdominal pain that radiates to the back. The patient also reports several episodes of nausea and vomiting, a lowgrade temperature, and a history of excessive drinking. PE reveals a distended abdomen. Lab serum values indicate elevated alkaline phosphatase, amylase, and serum lipase. The most likely diagnosis is? - ANSWERS-Acute pancreatitis A patient reports to your office, having been struck on the right cheek with a baseball bat. On exam, you notice tenderness and swelling over the cheek. The patient is unable to gaze laterally with his left eye, and he complains of double vision when he attempts to do so. This is most likely associated with? - ANSWERS-Orbital rim fracture Unilateral spontaneous serous or serosanguineous discharge from a single duct of a breast is most often caused by? - ANSWERS-Intraductal papilloma A young athletic adult presents with shoulder pain and inability to raise the arm above the shoulder. The most likely diagnosis is? - ANSWERS-Rotator cuff tear What is a hallmark of lumbar spinal stenosis? - ANSWERS-Leg, buttock or back pain precipitated by walking. Anorexia nervosa occurs most commonly in who? - ANSWERS-High-level athletes What is typically observed in the GI system upon stimulation of the PNS? - ANSWERSIncreased peristalsis A 26-year-old female presents with abdominal distention, bloating, and intermittent crampy abdominal pain relieved with defecation. She has four to six loose stools a day when stressed. Between bouts of diarrhea, she often has constipation. PE results are normal. The CBC was normal. The most likely diagnosis is? - ANSWERS-IBS A frail elderly widow presents with a 3 to 4 day history of confusion that became worse the evening before but currently seems a little better, although her speech is rambling and difficult to follow. During the exam, the patient is anxious and agitated. She is on cardiac medications, an antidepressant, and insulin. The most likely diagnosis is? - ANSWERS-Polypharmacy A 54-year-old male who is 30 lbs overweight states that he awakens at night with heartburn and the taste of hot acid in his mouth. Stress makes his condition worse, yet baking soda seems to provide some relief. Findings on exam are normal and the stool for occult blood is negative. The preliminary diagnosis should be? - ANSWERS-GERD An NP is evaluating an infant for possible colic. What could indicate the need for a more extensive eval? - ANSWERS-3-oz weight gain over the past 2 weeks Type 2 DM is characterized by what? - ANSWERS-Decreased reabsorption of sodiumglucose transporters The 16-year-old mother of a 2-month-old presents the infant, reporting that the child is very irritable and does not feed well. During PE, the child's head drops ack and the child exhibits sudden flexing of the extremities. As the flexing stops, the child cries uncontrollably. Funduscopic exam reveals retinal hemorrhages. What diagnostic test should be ordered? - ANSWERS-CT scan A 27-year-old male patient, who works as a janitor, presents with a 6-month history of an intermittent rash on his hands. History reveals irregularly-distributed scaly maculopapular erythematous patches extending from the dorsum of the hand several inches up the forearms, and dry palms with no nail involvement. The most likely diagnosis is? - ANSWERS-Contact dermatitis A pregnant woman with known HIV infection can reduce the risk of perinatal transmission through zidovudine (Retrovir) therapy. Based on current research, optimal therapy is to start daily dosing? - ANSWERS-After 14 weeks of gestation In treating a pregnant female with migraine headaches, what drug is in Category X? - ANSWERS-Ergotamine tartrate (Ergomar) A 46-year-old female presents with a complaint of amenorrhea for 3 months. The firstline diagnostic workup is? - ANSWERS-Urine pregnancy test A 70-year-old patient presents to the clinic complaining of dyspnea, palpitations, and fatigue. The patient reports a 2-week history of blackened stools. Assessment reveals BP = 110/60, P = 100, R = 24, Hgb = 4.5, Hct = 16%. What is the most appropriate intervention? - ANSWERS-Send to ER During a well-child exam of an 18-month-old, premature tooth decay and inflamed gums, particularly of the maxillary incisors, are noted. The approach to this problem includes? - ANSWERS-Referring the child to a dentist, assessing for bottle feeding and fluoride in local water. A 3-year-old female has been diagnosed with bacterial meningitis. She attends preschool daily at a local church day care program. The day before her diagnosis, she ate lunch with her mother at a local restaurant. For which contact would chemoprophylaxis with rifampin be recommended? - ANSWERS-Preschool contacts in the past 7 days A 19-year-old patient who has used OCPs for 3 years plans to discontinue the pill at the end of her current cycle to become pregnant. What daily supplement would receive the highest priority? - ANSWERS-Folic acid The most commonly prescribed medication for mild systemic lupus erythematosus is? - ANSWERS-Ibuprofen A child is being treated with Ritalin for ADD. What is not a side effect of Ritalin? - ANSWERS-Slight increase in growth velocity A mother has just noticed that her 15-month-old, 15 kg child has just recently ingested an unknown quantity of iron tablets. The mother has ipecac syrup and activated charcoal on hand. The mother should be advised to? - ANSWERS-Take the child to the ER What is not used for therapy of an acute attack of gout? - ANSWERS-Allopurinol Office spirometry performed with an albuterol nebulizer treatment can confirm a diagnosis of asthma because it indicates: - ANSWERS-Whether a patient has reversible airway obstruction A 25-year-old presents with the chief complaint of decreased mobility and pain of the right shoulder exacerbated by movement. The patient reports that he participated in extensive house painting 24 ours prior to the onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is present. What is the next step that should be taken in order to make a diagnosis? - ANSWERS-Palpate structures around the shoulder Which of the following wet-mount results confirms a preliminary diagnosis of BV? - ANSWERS-Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods, and many WBCs An 88-year-old patient has had a gradual onset of hearing loss in the left ear. Exam shows a large accumulation of cerumen in the external auditory canal. Assuming there is no neural loss, the NP would expect the Weber test to? - ANSWERS-Lateralize to the left A patient with macular degeneration has difficulty seeing objects: - ANSWERS-In the center of the visual field A 29-year-old male with non-complicated Chlamydia infection may exhibit: - ANSWERS- No remarkable clinical symptoms A 17-year-old female is suspected of having PCOS. In addition to testosterone, the most appropriate diagnostic tests to order would be? - ANSWERS-FSH, LH, prolactin, TSH A patient who is 28 weeks pregnant reports a single episode of vaginal bleeding. History indicates normal prenatal progress to date, and the patient denies pain, vaginal itching, or discharge. What is the most appropriate intervention to aid in the diagnosis of the case? - ANSWERS-US A patient is referred with a diagnosis of DM, HTN, and CAD. The patient is on both insulin and a beta blocker. Assuming that the patient will continue the beta blocker, it will be important to educate the patient on the recognition of hypoglycemia. Which symptoms would be most indicative of hypoglycemia in this patient? - ANSWERSSweating A 3-year-old patient presents at an inner-city clinic with fever, cough, malaise, and loss of appetite. The patient lives with several relatives, including a grandmother who also has a cough. What diagnostic test would be most appropriate for the patient? - ANSWERS-Sputum culture To assess a patient's ability to think abstractly, an NP could ask the patient? - ANSWERS-The meaning of a common proverb Which of the following signs/symptoms are often associated with HAs due to an intracranial tumor? - ANSWERS-Pain worse in supine position; focal neurological signs Which of the following is NOT an indication of preclampsia? - ANSWERS-Glucosuria Which of the following best describes psoriatic lesions in an elderly patient? - ANSWERS-Red, sharply defined plaques with silvery scales An 18-year-old college student presents for an athletic physical. When asked about current medication, she mentions that she takes "some herb" she bought at a health food store for migraines and menstrual cramps. Which of the following herbal remedies has been commonly used for these conditions? - ANSWERS-Feverfew Which of the following findings is typically a sign of acute appendicitis? - ANSWERSRebound tenderness at McBurney's point Which of the following lab tests should an NP order when the suspected diagnosis is temporal arteritis? - ANSWERS-Erythrocyte sedimentation rate (ESR) An 88-year-old presents with right-sided weakness after being unable to rise unassisted following a fall to the bathroom floor. History includes aphasia and noncompliance with a hypertension medication regimen. What is the most likely diagnosis? - ANSWERSLeft-sided stroke What would be the most appropriate to perform in the initial eval of a patient with symptoms of acute prostatitis? - ANSWERS-Urinalysis and urine culture Assessment findings that would support a diagnosis of mitral regurgitation include - ANSWERS-Loud, high-pitched pansystolic murmur The best lab test to distinguish iron deficiency anemia from other anemia is? - ANSWERS-Serum ferritin level Which of the following GI changes is associated with normal aging? - ANSWERSDecreased production of gastric acid What is the leading cause of cancer-related deaths in the majority of women? - ANSWERS-Lung cancer During an employment PE of a 21-year-old female, bruising around the areolae on the breasts is noted. An appropriate health history for these findings should include all of the following EXCEPT: - ANSWERS-Socioeconomic status To assess spinal function at the S1 level, which deep tendon reflex should be tested? - ANSWERS-Achilles A 70-year-old male presents with paresthesia of the lower extremities. On exam, the patient appears pale and shows a decreased vibratory sense. Lab tests reveal elevated indirect bilirubin; Hct = 30%; MCV = 120 (normal = 87-103). The most likely diagnosis is? - ANSWERS-Pernicious anemia A 65-year-old female presents with shoulder and pelvic girdle pain for the past 6 months. She reports recent unintentional weight loss. On PE, there is pain on ROM, What would be an appropriate alternative to erythromycin therapy in an 18-year-old patient with Mycoplasma pneumoniae infection? - ANSWERS-Azithromycin (Zithromax) The parent of a 13-year-old diagnosed with seizure disorder calls to report that the child is exhibiting symptoms of a cold, but has no fever. The NP should advise the parent that the development of fever may? - ANSWERS-Lower the seizure threshold A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle spotting. She has not missed any doses and uses no other medication. Which of the following is appropriate? - ANSWERS-Providing reassurance A 40-year-old male presents with a 2-week history of rectal pain and itching. He reports a past history of constipation and finding spots of bright red blood on toilet paper several times a week. Rectal exam reveals a tender, swollen, bluish, ovoid mass. The stool guaiac test is negative. What action should the NP take? - ANSWERS-Prescribe bulkforming agents and hydrocortisone suppositories After a 3-week camping trip, an 11-year-old is seen for a target lesion with central clearing, located in the inguinal area. The patient has had a severe HA, malaise, fatigue, and generalized MSK pain for several days. Pharmacologic management of this condition is? - ANSWERS-Doxycycline Research findings have shown that, in order to improve the longevity of a patient with COPD, the treatment of choice is? - ANSWERS-Oxygen What would the most important med to administer to a patient who has a corneal abrasion? - ANSWERS-Gentamycin ophthalmic (Genoptic) Which class of antihypertensive agents ahs been associated with acute renal failure and is contraindicated in patients with bilateral renal artery stenosis? - ANSWERS-ACE inhibitors An 18-month-old child presents with a bulging, immobile tympanic membrane; T = 103F/ Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After initiation of treatment for otitis media, the most appropriate intervention is to: - ANSWERS-Reevaluate the patient in 10 days Initial therapy for a 3-week-old infant with uncomplicated symptoms of GERD includes what position and diet changes? - ANSWERS-Smaller, more frequent feedings while holding the infant An NP is suturing a simple laceration on an 11-year-old patient. The use of lidocaine with EPI is contraindicated in all areas except: - ANSWERS-Scalp A common rule to follow when prescribing many medications for the elderly is to: - ANSWERS-Start at a lower dose than what is commonly prescribed for adults, and increase the dose slowly A lab assessment of a 12-year-old patient with a family history of thalassemia and anemia reveals Tanner stage II presentation and Hct = 35%. In addition to a CBC, the NP should order which of the following? - ANSWERS-Hemoglobin electrophoresis What is the most serious outcome of Barrett's esophagus? - ANSWERS-Esophageal adenocarcinoma A 14-year-old male with bronchitis is being treated with fluids and expectorants. He returns to the clinic with a fever of 103F, right pleuritic chest pain, and green sputum. What exam results would be expected? - ANSWERS-Right lower lobe crackles What medication can cause delayed ejaculation? - ANSWERS-Paroxetine (Paxil) An NP orders pulmonary rehab for a 75-year-old with COPD. Expected outcomes of this program include all of the following EXCEPT: - ANSWERS-Increased lung capacity A patient with bronchitis, fever of 101.2F, and a productive cough, with thick, yellowgreen, foul-smelling sputum. The NP should prescribe: - ANSWERS-A macrolide antibiotic A patient with type 1 DM who is on NPH and regular insulin split-dosing presents with complaints of early morning rise in fingerstick blood glucose reveals increased morning levels. After an increase in the evening insulin dose, the problem worsens. This is most likely an example of? - ANSWERS-The Somogyi effect During development of a treatment plan for an 84-year-old patient with hypothyroidism, the NP must keep in mind the possibility of the worsening o? - ANSWERS-Osteoporosis A 15-year-old patient returns for contraceptive services 2 weeks after a diagnosis of trichomonas and treatment with metronidazole. She reports discharge and itching are gone, but still has dysuria and frequency. She has not resumed sexual activity and has had her period since her last visit. Exam reveals mild suprapubic tenderness, no leukorrhea, and a normal wet mount. GC are negative. Which test should be performed immediately? - ANSWERS-Microscopic exam of urine A 68-year-old female presents with a new onset of left-sided throbbing HA. She has noticed some spots in her visual fields that come and go. She is being treated with an NSAID for arthritis. ESR is elevated, but all other lab values are within normal limits. The HA is most likely due to: - ANSWERS-Temporal arteritis The follow up exam of a 12-month-old treated 2 weeks ago for bilateral otitis media reveals a normal left tympanic membrane and a right tympanic membrane with visible serous fluid levels and decreased mobility. An appropriate plan should include a: - ANSWERS-Follow up eval of the ears in 2 months A 67-year-old with DM2, CHF, and mild CAD is currently taking digoxin, 0.25 mg daily; HCTZ, 25 mg daily; metformin, 500 mg daily; glipizide, 10 mg daily; and atorvastatin, 20