Mr. Hamblen, a 56 y/o, Hispanic-American, male who presents to the clinic with chief complaint of photophobia for six hours. He admits tearing of both eyes and decreased visual acuity. The assessment reveals sluggish pupil reaction.  Which of the following is the most appropriate diagnosis and treatment? 

While all types of melanomas are serious, which of the following is the most aggressive?

Mr. Long presents to the clinic with chief complaint of fever for three weeks. He reports fever of 102°F, headache, sinus pressure, fatigue, facial swelling and tenderness to the left side of his nose for four weeks. He states that he completed his Bactrim antibiotic three weeks ago and completed Augmentin yesterday as prescribed.  He denies vision changes.  Which of the following is the most appropriate intervention?

Which of the following sites are most common for squamous cell and basal cell carcinoma?

Lisa is a 26 year old, Caucasian female who  presents to the clinic with a chief complaint of a rash on her face x 2 months. She admits using various facial lotions without resolution. The assessment reveals the rash location central facial with erythema, telangiectasia, and inflammatory papules.  Which of the following is the most appropriate diagnosis and treatment for Lisa?

A patient has sustained a human bite on the hand during a fist fight. Which is especially concerning with this type of bite injury?

The nurse practitioner has diagnosed Marie, age 62, with onychomycosis of the toenails. Which of the following does the NP include her education for Marie?

An African-American patient is seen in the clinic for patches of hair loss. The Family Nurse Practitioner inspects several well-demarcated patches on the scalp and eyebrows without areas of inflammation and several hairs within the patch with thinner shafts near the scalp. Which of the following is the most appropriate diagnosis?

Ken has spent the summer as a lifeguard at the local swimming pool.  He presents to the clinic with pink – white, scaly, oval patches on his shoulders and back that fluorescence under the Woods’ light.  Which of the following is most appropriate diagnosis and treatment?

Mr. Steward is a 58 year old, white male who has spent many summers in the South Pacific Ocean sailing.  He has recently noticed an area on his forehead that he would like for you to exam.  The assessment resulted in a 1mm blue-black nodule to his left forehead.  Which of the following is the most appropriate diagnosis?