John is a 63-year-old who presents to clinic for follow up of his hypertension, diabetes, and dyslipidemia.  As part of his physical exam, you note that he has brawny edema and hemoseidrin staining to his lower legs. His legs hurt after standing.  Your top differential diagnosis is:

Prompt diagnosis of temporal arteritis is important because:

Which patients have risk enhancing factors as defined in the ACC 2018 Guideline on the Management of Blood Cholesterol; these are factors that favor initiating statin therapy.  Select all that apply.    

What is the genetic factor that leads to premature COPD?

Anna is a 23-year-old who presents to your practice with a 48 hour history of a very sore throat with a fever as high as 102.3 degrees, fatigue, and myalgias.  Her exam reveals a beefy red pharynx with white exudate, prominent anterior and posterior cervical nodes and mild bilateral upper abdominal tenderness without organomegaly.  Your most likely diagnosis is:

Which statement indicates that the patient may be experiencing a heart failure exacerbation?

Which treatment modality is most appropriate for a patient with fibromyalgia?

Unless contraindicated, first line pharmacological therapy for a patient with HFrEF should include which medication?

Hannah is a 24-year-old with complaints of dysuria. She is afebrile and non-toxic in appearance. You diagnose her with cystitis/UTI (she’s never had one before). She is sexually active, consistent condom use with a stable monogamous partner for the last 3 years. She is  on Sprintec 28 day cycle birth control pill.  She is allergic to sulfa (rash).  PMH: No chronic health conditions, no major surgeries.  What is your best plan of care?  Select all that apply: 

Shauna is a 29-year-old woman who is a new patient to your practice. She gives a history of asthma and requests a refill of her albuterol inhaler. Currently she has symptoms about twice per month and uses about 1 albuterol inhaler every 2 months. She tells you that she does not want to have to take a daily inhaler. Your plan should include:  (Select all answers that apply)