Cyndi, a  35 yo female patient (NKDA) presents to your office for assessment of  six thickened toenails located on her right and left feet that she noticed beginning 1 year ago. Greater than 75% of each nail is affected.  She has tried applying tea tree oil daily on her toenails for two months with no improvement.  The Nurse Practitioner diagnoses her with  onychomycosis. What is the first line treatment for her condition?

David age 54 with a history of gouty arthritis comes to the clinic with acute pain and swelling of the great toe. The patient is not currently taking any medications. The primary care NP should prescribe:

Louise, a 50 year old patient with diabetes type II is scheduled for a CT scan with iodine based contrast medium.  The NP should provide the following education and instructions for Louise: 

John Price is an 75 year old male patient that comes to you and you diagnose him with depression. He has no known allergies.  You have decided to prescribe an SSRI.  What is one prescribing pearl when prescribing medications for the geriatric patient.

Intra oral nevi most commonly occur on the?

A Malar rash is typically seen in:

Which of the systemic diseases and syndromes is not accompanied by diffuse or multifocal oral pigmentations

Sam is taking methylphenidate (Ritalin) for AD/HD. On the next visit Sam’s parents tells the primary care NP that Sam has had increased behavior problems and delusional thinking. The NP should:

Minute, pinpoint areas of hemorrhage on the skin or mucosa are best termed:

Wickham’s striae are seen in: