A patient is being seen in clinic for the first time. When reviewing the initial patient information, the nurse practitioner notices the BMI is 34 kg/m2.  The medical assistant has reviewed the patient’s home medication list and confirmed she is taking the medications listed in the electronic medical record.  Anticipating the patient may want to talk about weight loss, what medications have the potential for weight gain?

A 29-year-old woman is newly diagnosed with early HIV infection. She is believed to have acquired HIV approximately six weeks prior from a male partner. She has a new male partner, but they have not yet had sex. You are discussing starting treatment and she is asking how likely is it that she will transmit HIV to her new partner. Which correct piece of education should you share with this patient regarding HIV transmission from persons with early HIV infection? 

Bauen Sie zwei Sätze mit “Subjunctive 1/Expressing information questionable to the writer” (wie auf S. 266-67).  Geben Sie eine englische Übersetzung für jeden deutschen Satz.

Bauen Sie zwei Sätze mit “Subjunctive I in Indirect Discourse” (wie auf S. 265-66). Benutzen Sie die Vergangenheitsform von Subjunctive II. Geben Sie eine englische Übersetzung für jeden deutschen Satz.

If you could go back in time to August 2024 and give your past self three pieces of advice on how to succeed in N8400 & N8410, what would you tell yourself and why? Describe three items to earn the three points. 

MMA (methymelanic acid) levels are measured to see if an individual has a deficiency of:

Jacob is a 29-year-old who presents with complaints of a rash to the trunk of his body. He first noticed the rash two weeks ago and has been “scratching like crazy”. In fact, he tells you that it itches a lot worse at night and the lack of sleep is wearing him out. In addition to the rash on his trunk, he also has a few erythematous papules to the finger webs. He mentions that his 5-year-old son has the same thing. What is this rash?

Mr. Humphreys is a 38-year-old who presents to the office requesting advice on smoking cessation. He is healthy except for a history of idiopathic epilepsy, well controlled with Dilantin (phenytoin).  Please choose which are appropriate to offer Mr. Humphreys for smoking cessation.  Select all that apply.

David is a 60-year-old male who presents to clinic with his wife with a 1-day history of substernal chest pain that radiates into his left jaw and left posterior shoulder blade.  He became acutely short of breath this morning after breakfast.  After completing a history and physical on David you suspect he is having an acute MI.  In addition to obtaining an EKG and giving David supplemental oxygen if available, what next steps are most appropriate for David?  

Joyce is a 67-year-old that you discovered a smooth, mobile, 8 mm in diameter thyroid nodule with routine physical exam.  Her TSH and FT4 are both normal.  What is your plan of care?