A 14-year-old boy presents to the clinic with complaints of frequent headaches over the past six months. He describes the pain as a continuous, dull ache that starts in the neck and occiput and sometimes spreads to the forehead. The headaches occur almost daily, especially during school days, and are often worse in the afternoon. He denies any nausea, vomiting, or visual disturbances. His mother mentions that he has been under a lot of stress due to school exams. On physical examination, the patient appears well, and his neurological examination is normal. What is the most appropriate first-line treatment option for this patient?

A young adolescent reports chest pain associated with coughing and lifting. Physical examination reveals tenderness over several ribs, radiating to the back. Auscultation of the heart, lungs, and abdomen are normal. There is no history of injury. What will the primary care nurse practitioner do?

What type of headache is characterized by continuous pain involving the neck and occiput, often occurring during times of stress?

A child who has sustained a head injury after falling on the playground is brought to the clinic. The parents report that the child cried immediately and was able to walk around after falling. The primary care nurse practitioner notes unequal pupils and the child has vomited twice in the exam room. Which course of action is warranted?

A 3-year-old toddler presents to the clinic with a limp that has been noticeable for the past few days. The parents report no history of trauma. The child has had a recent upper respiratory infection. On examination, there is no fever, and the child appears well. What is the most likely diagnosis?

A 4-year-old boy presents with a limp and complaints of hip pain. His parents report that he has been limping for a few days, and the pain seems to be worse in the morning. There is no history of trauma. What is the most appropriate initial diagnostic test?

Mole Equivalencies   1 mole = 6.022 x 1023 atoms, molecules, particles Gas Equivalencies   1 mmHg =1 torr 1 atm=760 mmHg 1 atm = 101,325 Pa 1 atm = 29.92 inHg 1 atm=14.7 psi P1 x V1 = P2 x V2  =   =   =   =  PV = nRT   Temperature Equivalencies TK = T°C + 273.15 T°F = 1.8 (T°C) + 32 Concentration Equivalencies   w/v% =  x 100   w/w% =  x 100   v/v % =  x 100   M =    M1 x V1 =M2 x V2 pH = -log [H3O+]

Most of the world’s energy and mineral resources derive from

_______ is an environmental issue in which groundwater and surface water can become polluted with sulfuric acid that is produced when sulfur-bearing minerals are exposed to conditions at the Earth’s surface.

Designing and retrofitting building to withstand the effects of earthquakes is a type of