When starting a patient on statin therapy the NP needs to consider that

A 67 year old female presents to your office with a 25 year history of poorly controlled hypertension.  Which combination of physical findings would indicate target organ damage that is commonly seen in hypertensive patients?

A 19 year old male presents to the office for occasional shortness of breath. He indicates that it occurs every few weeks and it accompanies wheezing. You send him for PFT’s and it shows that he has asthma. What treatment would you start him on?

A 62 year old male complains of chest pain that occured while shoveling snow.  The pain stopped after 5 minutes of rest.  In the office an EKG and vital signs are normal. His LDL is 169 and HDL is 23. His vital signs show the following: BP 155/90, HR 92, RR 12, O2 Sat 100%. Based on this information, what medications would you make sure that he was taking before leaving your office?

A 43 year old white male presents to the office for follow-up to hypertension. He has been taking HCTZ 25 mg for 3months. His blood pressure in the office today is 150/80 in the office. What do you recommend? 

A 42 year old male with no medical history presents to the office complaining of pain in his left great toe starting 2 days ago. He indicates that he is unable to walk and is in a wheelchair. He denies any trauma to the toe or foot. The toe is red, swollen, exquisitely tender and he is unable to extend it. You review his chart and note that he has been married for 20 years, works as a auto salesman and drinks a 6 pack of beer daily. Select the best treatment from the options listed below. 

A young adult female presents to your office with acute onset of shortness of breath.  Her history reveals recent long distance air travel. She denies a history of asthma, is a non smoker and is currently taking melatonin for sleep and oral contraceptives which she has been taking for 8 years without any problems. Assuming you had access to all stat labs and diagnostic studies, what is the next best step for this patient?

The USPTF recommends which group of patient’s receive a low dose CT of the chest for lung cancer screening?

A 14 year old male presents to the office for cough, congestion and fever. He reports that he has had symptoms for the past 6 days and he seems to be getting worse. On exam you note fever of 101.2, RR 16, HR 102 and BP is 140/92. His heart sounds are normal, lung sounds show rales on the right upper lung. He has no significant past medical history. What would you treat him with? 

A 48 yr old post menopausal Asian woman presents to the office for a physical. She has blood pressure readings of 146-152/90-94 documented over 2 months on three separate occasions. She has no other medical conditions. Her  ECG and creatinine are normal and she has no proteinuria.  She has mild trace lower extremity edema bilateral.  Clinical findings in today’s office visit are BP 145/92, HR 62, BMI 26, RRR, S1, S2, no S3, S4 or murmur, point of maximal impulse at fifth intercostal space, mid-clavicular line.  Which of the following represents the best treatment for her high blood pressure?