A patient on timolol eye drops for glaucoma should be monitored for which systemic adverse effect? 

A 68-year-old man with diabetes and aortic aneurysm is prescribed levofloxacin for pneumonia. Which serious FDA warning is most relevant? 

Which ophthalmic condition is treated with antihistamine/mast cell stabilizers? 

A 17-year-old sexually active adolescent presents with dysuria and vaginal discharge. NAAT is positive for Chlamydia trachomatis. She is otherwise healthy and not pregnant. What is the CDC-recommended treatment? 

A 72-year-old woman with COPD reports 3 exacerbations requiring prednisone in the last year despite being on tiotropium (LAMA). Her eosinophil count is 450/µL. What is the best next step? 

A 72-year-old woman with osteoporosis is prescribed alendronate. Which instruction is essential? 

A 56-year-old woman with allergic rhinitis uses oxymetazoline (Afrin) nasal spray daily for 2 weeks. She reports worsening congestion when she skips doses. What condition is she experiencing? 

A 44-year-old woman with fatigue, weight gain, and constipation has TSH 10.5 and low free T4. Best treatment? 

An 82-year-old woman with atrial fibrillation is on digoxin. She presents with nausea, blurred vision, and confusion. Which best explains her digoxin toxicity? 

A 19-year-old college student initiates depot medroxyprogesterone acetate (DMPA) injections for contraception. She is healthy, BMI 21, non-smoker, with regular calcium and vitamin D intake. At her 18-month follow-up visit, she reports no adverse symptoms and is pleased with the convenience of DMPA. She asks about long-term safety. Which risk should the NP specifically address with prolonged use?