93.  Pharmacologic intervention for patients with depression should:

27. Which illness should definitely be treated with an antibiotic in any age individual? 

A 41-year-old woman presents with acute-onset right-sided facial weakness. She reports weakness to the right side of her face that started this morning upon awakening. She has a history of Lyme Disease. Her vital signs are normal. On physical examination, she has a right-sided facial droop when asked to smile, and she is unable to raise the right eyebrow or completely close her right eye. Her pupils are equal, round, and reactive to light, and there is no gaze palsy present. Sensation is intact to both sides of her face, and her tongue is midline. Examination of her arms and legs reveals no focal weakness or sensory deficit, and shoulder shrug and head turn are equal bilaterally. Based on the history and physical examination, which of the following is the most likely diagnosis?

You are auscultating the heart of a 75-year-old woman and hear a murmur at the 2nd intercostal space on the right sternal border. Which heart valve is most likely affected?

83. The mother of a 3-year-old tells the NP that she suspects her child has ADHD because he often ignores her and has difficulty following directions “just like his father.” Which test is FIRST priority?

The chest x-ray of an older adult shows an area of consolidation in the right lower lobe. Which condition is most likely?

The provider instructs the nursing staff in the clinic to conduct secondary prevention on all patient encounters. Which of the following interventions would best meet this requirement?

Why is progestin prescribed in addition to estrogen as hormone therapy (HT) for the postmenopausal woman who has an intact uterus?

A 31-year-old female presents with a history of recurrent episodes of severe throbbing headache. The headaches are aggravated by noise and stress and last for several hours.  Sometimes the patient notices flashing lights just prior to her headache, and is very sensitive to light while having headache pain.  The patient has found no relief with aspirin, ibuprofen, or acetaminophen with her current headache. Which type or classification of medication is most appropriate for her current, acute, headache pain?

98. You obtain PFTs for your patient with a past medical history of CAD, DMII, Emphysema HTN who continues to smoke with a 1 pack/day history of smoking for 30 years. What would you expect to see on the PFTs for this patient?