A patient is seen in clinic for an asthma exacerbation. The provider administers three nebulizer treatments with little improvement, noting a pulse oximetry reading of 90% with 2 L of oxygen. A peak flow assessment is 70%. What is the next step in treating this patient?

Bob is a 38-year-old male who presents to the clinic with a low-grade temperature of 99.8 degrees x 3 days, cough x 2 weeks, fatigue, headache and chest congestion.  He denies any hemoptysis or chest pain.  What is the most likely diagnosis based from this information only?

A patient plans to travel to western Africa and is concerned about contracting Ebola. What will the provider suggest to this patient?

A parent brings a child to clinic and reports pulling a tick off the child after being outdoors that day. The parent is concerned that the child may have Lyme disease. What will the provider tell this parent?

Which of the following groups of microorganisms is most likely responsible for pneumonia in adults?

A patient recovering from a viral infection has a persistent cough 6 weeks after the infection. What will the provider do?

Meningococcal or strep pneumoniae are the most likely microorganisms that causes meningitis.

Sallie is a freshman at the local university.  She presents to the student health center with fever, headache, nuchal rigidity, and photophobia.  The nurse practitioner is concerned as meningitis is a viable differential diagnosis.  Which of the following microorganisms is most likely the cause of Sallie’s infection?

Which of the following prevention measures or therapies is most likely to retard an asthma exacerbation?

Sarah, aged 36 years, presents to the clinic with the chief complaint of having a cough that is worse at night when she is lying down.  Sarah states that the cough has been present for several weeks and is non-productive.  She denies any other symptoms such as fever, chest congestion, or fatigue.  What group of differential diagnoses must be considered?