A 10-year-old boy presents with acute knee pain, swelling, and difficulty bearing weight two weeks after a sore throat; ESR and CRP are elevated; the NP bases the plan of care on the knowledge that…

What are two potential hazards associated with volcanoes?

A 47-year-old transgender woman receiving gender-affirming care presents with decreased libido, fatigue, reduced muscle mass, and low mood; labs show total testosterone 182 ng/dL (300–1000 for natal males) and LH 11 IU/L (2–9); the NP bases the plan of care on the knowledge that…

A 48-year-old patient with untreated PTSD presents with chest pain and dyspnea after a triggering event. The exam shows significantly decreased breath sounds on one side and asymmetric chest movement. The NP recognizes that…

A 29-year-old woman reports intense vulvar itching, thick white discharge, and external erythema that worsens after antibiotic use. She denies fever or pelvic pain. Exam confirms labial edema and adherent white plaques. The NP bases the plan of care on the knowledge that…

A 58-year-old patient is evaluated for treatment-resistant hypertension, new onset of renal insufficiency after starting an ACE inhibitor, and abdominal bruit on exam; labs show rising creatinine with otherwise normal urinalysis; the NP bases the plan of care on the knowledge that…

A 49-year-old woman presents with severe muscle weakness, bone discomfort, and difficulty rising from a chair; vitamin D is 7 ng/mL (normal 30–100) and calcium is 7.8 mg/dL (normal 8.5–10.5); the NP bases the plan of care on the knowledge that…

A middle-aged immigrant from Eastern Europe comes to clinic with pleuritic chest pain and believes, It’s stress from moving. The NP recognizes that…

A patient has several small cherry-red papules on the trunk that are non-tender and unchanged. The NP plans care based on the understanding that…

A 76-year-old woman in a nursing facility presents with marked fatigue, exertional shortness of breath, brittle nails, pallor, craving ice, and reports a month of dark stools; exam reveals pale conjunctiva and a soft systolic murmur; labs show hemoglobin 8.8 g/dL (12–16), ferritin 7 ng/mL (15–200), positive stool guaiac, and MCV 79 fL (80–96); the NP bases the plan of care on the knowledge that…