A 40-year-old male presents to the clinic with sudden onset…
A 40-year-old male presents to the clinic with sudden onset of severe right-sided flank pain radiating to the groin. He also reports nausea and has had several episodes of vomiting. Physical examination reveals tenderness in the right costovertebral angle. Which of the following diagnostic tests would be most informative to identify urolithiasis?
Read DetailsA 35-year-old patient male patient presents to the NP with w…
A 35-year-old patient male patient presents to the NP with weight gain, particularly around the abdomen, thinning skin, and purple striae. Which of the following diagnostic tests is the best to identify the most likely diagnosis?
Read DetailsA 45-year-old patient with generalized anxiety disorder (GAD…
A 45-year-old patient with generalized anxiety disorder (GAD) has been receiving treatment from their primary care NP but continues to experience severe symptoms that significantly impact daily functioning. Under which of the following circumstances should the patient be referred to a mental health specialist?
Read DetailsA 45-year-old female patient presents with numbness and ting…
A 45-year-old female patient presents with numbness and tingling in the thumb, index, and middle fingers of her right hand. She reports that her symptoms worsen at night and sometimes during activities such as typing or holding a phone. A positive Tinel and Phalen test are present. Which of the following diagnostic tests would be most helpful in identifying the likely underlying condition?
Read DetailsA 30-year-old male presents to the clinic with a 7-day histo…
A 30-year-old male presents to the clinic with a 7-day history of left-sided scrotal pain and swelling. He is sexually active with multiple female partners and does not consistently use condoms. He reports dysuria and a mild fever. Physical examination reveals tenderness and swelling of the left epididymis. What is the most appropriate treatment for this patient?
Read DetailsA 30-year-old female presents with vaginal discharge. The NP…
A 30-year-old female presents with vaginal discharge. The NP notes a thin homogenous discharge with a “fishy odor,” and a vaginal pH of > 4.5. The wet prep shows clue cells. Which of the following is the most appropriate treatment?
Read DetailsA 32-year-old woman presents for her annual gynecological ex…
A 32-year-old woman presents for her annual gynecological exam. Her Pap test results return with the following findings: atypical squamous cells of undetermined significance (ASC-US). What is the most appropriate next step in the management of this patient?
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