A major side effect of Fluoroquinolones therapy is tendon rupture (particularly achilles) which is more likely in the elderly.

The NP is assessing a 45 year old woman for metabolic syndrome. Which of the following parameters is indicative of this syndrome?

A 30-year-old patient presents with a feeling of fullness in the left ear and mild hearing loss that has persisted for two weeks following an upper respiratory infection. The patient denies pain or fever. Otoscopic examination reveals a dull, retracted tympanic membrane with visible fluid behind it.  What is the expected result of the Rinne test in this patient with serous otitis media of the left ear?

A patient with Barret’s Esophagus is at an increased risk for developing what condition?

Gastroesophageal reflux disease can exarcerbate asthma symptoms.

The urinary sediment finding indicative of pyelonephritis is:

When using topical ear drops for otitis externa with a ruptured TM, avoid: 

A 58-year-old man presents to the clinic with a painful, blistering rash on his right torso that started two days ago. He describes the pain as burning and severe. Physical examination reveals clusters of vesicles on an erythematous base distributed along a single dermatome. The patient asks if he can transmit the condition to others.  What should the nurse practitioner inform him regarding exposure to others?

A 65 year old man was just started on dyslipidemia medication because he had a very low HDL. He is complaining that since he started the medication he experiences facial flushing and mild itching. which medication is he most likely taking?

A 50 y/o woman was started on a medication for her blood pressure.  A few months later she returns complaining of mild bilateral ankle swelling but no other complaints.  She has no past medical history other than hypertension. What is the most likely cause of her ankle edema?