A 49-year-old man presents to the clinic for evaluation of skin redness. He reports a sudden onset of erythema and pain to his left lower extremity. He reports the affected area has almost doubled in size since onset, which was yesterday. On exam, you note tenderness with light palpation and warmth to the affected area. The patient has a fever of 101.3°F. He has a medical history of hypertension and diabetes. Which of the following is the most likely diagnosis?

A 40-year-old female presents to the primary care office for a work physical.  Which approach is best to address her past history of opioid abuse and chronic pain?

22. Which infant presentation requires the most emergent or urgent management?

A 44-year-old male presents to the clinic with a severe, unilateral headache. Which additional findings would suggest a diagnosis of a cluster headache rather than a migraine with aura?

An 18-year-old woman presents to the clinic with a two-day history of fever, lower abdominal pain, and abnormal vaginal discharge. She reports an unprotected sexual encounter several weeks ago. Her urine pregnancy test is negative. Which of the following is the best course of treatment for her?

82.  Which is true about populations experiencing health disparities?

42. The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle. Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is not always necessary for an injured ankle and that the decision to obtain radiographs is dependent on the examination and Diane’s description of her injury. Which of the following clues in Diane’s examination or history would alert the clinician to the need for obtaining radiographs?

A 50-year-old man presents to the clinic for a preoperative surgical evaluation. He is required to hold anticoagulation prior to surgery and was asked to hold his apixaban (Eliquis) for 2–3 days before surgery. What is the pharmacokinetic parameter that best explains the need for holding apixaban (Eliquis) for 2–3 days?

A 78-year-old man presents to the clinic for a routine follow-up. He has a history of type 2 diabetes mellitus, hypertension, and depression. His medication list includes amitriptyline (Elavil) 50 mg daily, chlorthalidone (Hygroton) 25 mg daily, glipizide (Glucotrol) 2.5 mg daily, and metformin (Glucophage) 500 mg BID. Which medication should you consider removing according to the Beers criteria?

Undiagnosed diabetes may present as: