You are treating a 10 year old patient for asthma in your primary care clinic. They are having asthma symptoms about 3 times per week, but not daily despite the use of a SABA PRN. What is your next step?

This patient has a history of GERD and reports that he has been taking 600mg of Ibuprofen PO TID since this back pain has started 3 days ago. He states that his GERD symptoms have worsened since taking the Ibuprofen. He has tried Acetaminophen as well, which has not helped with the pain. You advise the patient to stop the Ibuprofen due to the GI side effects. What do you advise for alternative treatment?

An elderly patient presents to your clinic with complaints of new onset hemoptysis associated with fever, increased sputum production and pleuritic chest pain. What is the most likely diagnosis?

Which of the following is most likely exhibiting signs of an acute abdominal condition requiring surgical intervention?

An adult patient presents with complaints of acute onset of upper respiratory symptoms that started 2 weeks ago. Symptoms initially started with nasal drainage which resolved after 3 days, however the cough still persists. The cough started as dry but patient reports in the last couple days they are starting to cough up some purulent sputum and patient reports substernal burning pain with cough inspiration. On auscultation of there are  wheezes and rhonchi, loudest over the bronchial regions of the lungs. Which of the following medications would not be an appropriate treatment choice for this patient’s condition?

An African American patient presents to the clinic with a history of diuretic therapy for poorly controlled hypertension. According to JNC-8, what classification of medication is recommended for this patient to add to the current diuretic therapy?

What is a common cause of Pleural Effusion?  

What is your differential? 

A patient presents to the clinic post bar fight and is noted to have facial trauma. The patient is conscious but blood appears in the nose and mouth. What is the most important factor to consider in this patient? 

You are treating a 10 year old patient for asthma in your primary care clinic. They are having asthma symptoms about 3 times per week, but not daily despite the use of a SABA PRN. What is your next step?