50. A 68-year-old Caucasian female presents with hypertension and BP of 152-158/92-96 mm Hg documented over 2 months on three different occasions. Electrocardiogram (ECG) and creatinine are normal, and she has no proteinuria. Clinical findings include the following: BMI 26.4 kg/m2, no S3, S4, or murmur; and point of maximal impulse at fifth intercostal space, mid clavicular line. Which of the following represents the best intervention?

71. A 70 year-old male has a yellowish, triangular nodule on the side of his iris. The NP suspects this finding is likely: 

81. A 46-year-old man presents for evaluation of a red rash on both cheeks. This is his third flare-up of the same problem. Some red papules and pustules are visible in the involved areas. On closer inspection, the nurse notices some telangiectasias on his nose and cheeks. There are no comedones present. What is his most likely diagnosis?

3. Which of the following immunizations is not routinely recommended for a person age 65 or older having no risk factors?

75.The NP is caring for a patient with recurrent episodes of blepharitis. Patient’s last visit was over 4 weeks ago with minimal relief from swelling and inflammation. The next step in treatment is?

86. A patient is diagnosed with atrial fibrillation, and her CHA2DS2-VASc score is 0. What is the most reasonable course of therapy?

7. Frailty, a clinical syndrome, has all of the following characteristics except:

97. A 38-year-old woman with advanced human immunodeficiency virus (HIV) disease presents with a chief complaint of a painful, itchy rash over her trunk. Examination reveals linear vesicular lesions that do not cross the midline and are distributed over the posterior thorax. The presentation is most consistent with:

84. 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?

57. Heart failure pathophysiology is characterized by: