A 46 year old computer database analyst presents to the office for wrist pain. He reports that he has numbness and tingling in his middle 3 fingers and the pain is keeping him up at night. What is your next step in his management?

Medial epicondylitis is due to wrist overuse injury. 

MS is a disease of the central nervous system. 

Which test is used to screen for scoliosis?

A 67 year old male comes to the office for right eye pain that she awoke with. He indicates that upon waking up it was painful and had a lot of tearing. He also notes crusty round rashes on the side of his right forehead and on the tip of his nose. During fluorescein exam, a fern-like lesion is noted on the durgace of the affected eye. Which of the following is the most likely diagnosis?

A 45 year old female with diabetes and hypertension presents to the office for pre-op evaluation. She is having an open cholecystectomy in 3 weeks. Her blood pressure is 140/88 and her A1c is 8.1. Her mets is >4. According to ACC/AHA what is recommended for this patient from a cardiac standpoint?

An ER technician comes to the office for follow-up to a Mantoux TB test. He has a 10.5mm induration on his right forearm and 12 months ago he had a 5mm induration. The patient denies cough, fever, weight loss, and night sweats. What is the next best step for this patient?

Which of the following has show low to moderate improvement for those suffering from chronic musculoskeletal pain:

A 67 year old male is at the office for a pre-surgical evaluation. He has a history of COPD, hypertension and smokes 1 ppd for the past 40 years. He is planning on having his left hip replaced. What testing would be appropriate for this patient?

All of the following are risk factors for opioid use disorder except: