A 28-year-old male presents to the nurse practitioner with a history of chest pain that has been increasing over the past several days. The client states that the pain worsens upon lying down. He denies any shortness of breath, cough, or radiation of the pain. He reports having a recent infection with coxsackievirus. A cardiac friction rub is auscultated on exam. The top differential diagnosis is:

A 25-year-old woman comes to your office worried that she might have irritable bowel syndrome (IBS), which she heard about on the news. She reports abdominal pain and diarrhea for 3 months. She also reports observing blood in her stool several times. She is worried what impact her constantly having to use the bathroom is having on her job as a lawyer. Her physical examination is normal except for a hemoccult-positive test after a rectal examination. While looking over her records you notice that she has lost 20 pounds since she last saw you 3 months ago. Which of the following is an appropriate next step?

Chest pain that is reproducible with palpation of the chest wall is most consistent with the diagnosis of :

Harold Boots is a 70-year-old male, who has a history of Type 2 diabetes & Hypertension. He presents to the office with complaints of fatigue, malaise, and pruritus. His wife reports that he has been increasingly irritable & has trouble concentrating to the point that he is frustrated by his usual daily crossword puzzle. His testing shows a glomerular filtration rate (GFR)

A 55-year-old woman with obesity and dyslipidemia develops substernal chest pain of 1 hour duration. Her ECG is shown below. The most likely diagnosis is…

Mr. Hope has a history of a myocardial infarction (MI) and has been trying to lower his cholesterol with lifestyle changes. He returns to your office very pleased with his drop in LDL-C from 190 to 170 mg/dL. According to current cholesterol guidelines for patients with coronary artery disease, what is the most appropriate next step in his medical management?

Which stage pressure ulcer is defined by erythema present with intact skin?

Local factors that can affect the healing response include all of the following EXCEPT

Your patient complains of pain and has swelling at the right lateral ankle after an inversion sprain yesterday. You have chosen the following electrical stimulation parameters for treatment: monophasic PC with a fixed pulse duration of 70 microseconds, frequency of 120 pps, amplitude at 90% of motor threshold, electrode of negative polarity at the lateral ankle. The best rationale for this treatment is

Which statement about rape is accurate?