61. A 62-year-old patient presents with recurrent nosebleeds, primarily occurring at night. On examination, blood is observed draining posteriorly into the oropharynx. The patient is taking aspirin for cardiovascular disease. Which of the following is the most likely diagnosis, and what is the most appropriate initial management to control the bleeding?
Read Details60. A 19-year-old college student presents with fever, fatigue, sore throat, and diffuse lymphadenopathy. A physical exam reveals pharyngeal petechiae and mild splenomegaly. A rapid strep test is negative. Which of the following is the most appropriate next step for confirming the diagnosis, and what test should be performed if the initial test is negative but suspicion remains high for infectious mononucleosis?
Read Details30. You examine a 38-year-old woman who has presented for an initial examination and Pap smear. She has no complaints. Her blood pressure is 154/98 mm Hg bilaterally and her body mass index is 31 kg/m2. The rest of her physical examination is unremarkable. Your next best action is to:
Read Details63. A 78-year-old woman has hypertension, a 100 pack-year history of cigarette smoking, peripheral vascular disease, and a reduced renal function (GFR =47 mL/min/1.73m2). Triglyceride level is 280 mg/dL. (3.164 mmol/L); high density lipoprotein (HDL) is 48 mg/dL (1mmol/L); and low-density lipoprotein (LDL) level is 135 mg/dL (3.5 mmol/L). Which of the following represents the most appropriate pharmacologic intervention for this patient’s lipid disorders?
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