A fifty-five-year-old has microscopic hematuria on urinalysis repeated on two occasions. She has no dysuria, flank pain, or fever. Which next step is most appropriate? 

A thirty-three-year-old asks how to reduce her risk of cervical cancer. She has had inconsistent screening in the past and is unsure about vaccine status. Which counseling approach is most appropriate?

A twenty-seven-year-old presents to clinic with lower abdominal pain and light vaginal spotting. Her last menstrual period was approximately six weeks ago. A urine pregnancy test performed in clinic is positive. She reports mild dizziness but no shoulder pain. Vital signs are stable. Which diagnosis must be prioritized in the evaluation?

A twenty-one-year-old reports cramping pain during menses that interferes with school. Pelvic examination is normal and pregnancy test is negative.  Which initial management is most appropriate? 

A twenty-seven-year-old presents six weeks postpartum. She reports fatigue and poor sleep but denies fever or heavy bleeding. She is breastfeeding and wants to avoid pregnancy for at least one year. What is the most appropriate priority for today’s visit?

A forty-nine-year-old reports ten months without menses and new hot flashes. She has no headaches or galactorrhea and denies pregnancy risk. Vital signs are normal. She is anxious and wants to be sure nothing important is missed. She asks if there is anything that should be done today rather than waiting until the next visit. Which is the most appropriate next step?

A thirty-four-year-old at thirty-four weeks gestation has elevated blood pressure and proteinuria on testing. She reports new headaches. Which diagnosis should guide management? 

A thirty-eight-year-old presents for a routine well-woman visit. She has no symptoms, no pregnancy concerns, and no personal history of abnormal screening. She asks what should be prioritized today. She is anxious and wants to be sure nothing important is missed. She asks if there is anything that should be done today rather than waiting until the next visit. Which action is most appropriate?

A twenty-six-year-old presents for her first prenatal visit at eight weeks gestation. She has no symptoms and stable vital signs. Which is the most appropriate to include in the initial visit? 

_______ is an economic and political ideology that emphasizes free markets, deregulation, privatization, and individual responsibility, often at the expense of social welfare systems.