A 45 yr old female presents with complaints of anxiety, insomnia, wt loss, and inability to concentrate.  Thyroid studies reveal the following: TSH= 0.02 mU/L    T3=  253 ng/dl    Free T4= 20 g/dl.    Which diagnosis is most likely?  

The NP is evaluating a 66 yr old female with LLQ abdominal pain for one week. She also admits to non-bloody diarrhea. On exam, she is tender to palpation to left lower quadrant of abdomen. A leading differential diagnosis for this patient is:  

The NP knows that the following class of drugs has the greatest adverse effect on memory in the older adult patient population.  Which class causes this effect? 

All of the following patients are at higher risk of suicide, except: 

A 77 yo male patient is seeing the NP in the office for “dark stools” for the past one month.  He denies abdominal pain. PMH includes Atrial Fib, HTN, BPH. Medications include Lisinopril, Flomax and rivaroxaban (Xarelto). After obtaining a thorough HPI, the NP is aware that the most important priority physical exam is to perform:  

The clinician must differentiate vitamin B12 deficiency anemia from folate deficiency anemia. Which action should the clinician initially take?

 During cardiac auscultation, a soft first heart sound with a holosystolic apical murmur that radiates to the left axilla suggests:

The PHQ-9 (Patient Health Questionnaire 9) Screening tool for depression utilizes 9 questions to screen patients for severity of depression. Those include the following:    Select all that apply: 4 correct responses 

The NP makes a diagnosis of Acute Bronchitis in a 35 yr old female. Following current treatment recommendations, the NP will prescribe Azithromycin (Z Pack). 

What is the correct way to make our turtle move forward by 50 pixels?