Endocarditis is suspected in a patient that presents with general malaise, night sweats, fatigue, exertional dyspnea and fever lasting several weeks. The nurse practitioner orders a series of three blood cultures, CBC, metabolic panel and electrocardiogram. What other diagnostic study is indicated? 

Which two anti-hypertensive medications should not be combined? 

A 19 year old presents to the college’s on campus urgent care clinic with complaints of itching and redness of his eyes. On physical exam you note edema of the eyelids, erythema to the conjunctiva, and yellow discharge from both eyes.   What is the best treatment option for this patient?

A 75 year old presents to the emergency department with complaints of “raising heart and palpitations”. On physical exam you auscultate an irregular rhythm that is tachycardic, and radial pulse is 2+. ECG reveals a rate of 125 without P waves. What is the most likely rhythm?

19 y/o female presents to urgent care with reports of watery discharge from both eyes noticed upon awakening. She reports both eyes feel itchy. On clinical exam, the practitioner notes a cobblestone appearance. What is the diagnosis?

What is the preferred treatment of 3rd degree atrioventricular block?

Match the characteristics to their associated type of headache. 

An EKG shows delay in impulse from atria to ventricles. The PR interval is >.20 seconds. The QRS complex is narrow and there is a P wave occurring before each QRS. What is the interpretation? 

A 40 year old male presents to the emergency department after fall from a ladder while hanging Christmas lights on the outside of his house. He complains of right shoulder pain with limited range of motion. On physical exam there is notable swelling over the right shoulder with ecchymosis and crepitus. Does have weakness with adduction of the arm.  Patient denies numbness.  What is the suspected diagnosis?

42 y/o female presents to emergency department with complaints of sudden onset of intermittent dizziness that is worse with position changes of head. On physical exam she is alert and oriented, speech clear, face symmetric, and no unilateral weakness. Head CT is negative for acute findings. What is the likely diagnosis?