A.R., age 59, is a postmenopausal woman, who presents to your office complaining of vaginal dryness. She has been sexually active with a new partner and says penetration is very painful. She has tried OTC lubricants but has not found one that works. PMH: controlled hypertension. After examination and wet prep, you diagnose her with atrophic vaginitis. Which of the following is true about best practice treatment options?

Explica la diferencia entre CHASQUIDO, CALAMBRES y ESPASMOS (en español)

Explica la diferencia entre “SENTIMIENTO” y “SENSACIÓN” en el contexto médico (en español)

De los siguientes tres síntomas, cuáles son sinónimos?

A 68-year-old woman with no known allergies is being seen for an acute episodic visit with complaints of dysuria, body aches, and intermittent sweats. On exam, the patient’s temperature is 99.8 degrees Fahrenheit after taking acetaminophen (Tylenol) before she left home to come to your office. Results from her urinalysis: protein: trace  blood: small nitrites: negative  leukocyte esterase: small What is the NP’s most appropriate next step?

What condition can mimic symptoms and often co-exist with myocardial infarctions in elders with coronary artery disease?

 Gerbils are native to ______________________ environments.

Johnson is a 56-year-old complaining of pain associated with a recent episode of herpes zoster. The nurse practitioner knows that this pain may be quite severe and may persist for as long as one year after the skin eruption has resolved. According to clinical practice guidelines, it is best managed with:

What is the most common source of bacteremia in older adults?

 Gerbils are very ______________ and ______________ animals that are easy to handle.