A 38-year-old women patient who underwent radiation therapy for breast cancer develops progressive pulmonary fibrosis six years later. Histologic examination of the affected lung would most likely reveal which finding?

A 54-year-old man presents to the primary care clinic with a complaint of musculoskeletal pain. During the history and physical examination, the nurse practitioner identifies several findings. Which findings should be considered musculoskeletal “red flags” that warrant further diagnostic evaluation or urgent referral? Select all that apply.

An 80-year-old woman with diabetes presents with a 3-week history of progressively worsening thoracic back pain. She developed chills and a headache yesterday but is unsure whether she had a fever. In clinic, her temperature is 101°F (38.3°C). Examination reveals focal tenderness over the mid-thoracic spine without erythema or swelling. She has no lower extremity weakness, numbness, or bowel/bladder dysfunction. Which of the following is the most appropriate next step for the Nurse Practitioner to take in the evaluation of this patient?

A nurse practitioner is counseling a patient newly diagnosed with Paget disease of bone. Which statements about the disease are accurate? Select all that apply

A child has severe muscle wasting, loss of subcutaneous fat, and a body weight less than 60% of normal. Serum albumin is only slightly decreased. Which diagnosis is most likely?

A 77-year-old patient develops sudden back pain after bending. She has been taking prednisone 10mg oral daily for 30 years. What is the most likely diagnosis?

A liver biopsy obtained from a 43-year-old male, after presenting to the ER with abdominal pain, nausea and yellowing of the skin. The biopsy demonstrates hepatocyte necrosis surrounding the central veins with minimal early inflammation. Which diagnosis is most consistent with these findings?

A 62-year-old man with poorly controlled diabetes presents with a chronic plantar foot ulcer. During examination, a sterile metal probe contacts bone through the ulcer. Which finding strongly increases suspicion for osteomyelitis?

The Canadian Cervical Spine Rule is useful in identifying patients who are at high risk for cervical spine fracture and should undergo cervical radiography with an MRI.

A 69-year-old woman presents with gradually worsening stiffness and aching in her hands that is most noticeable after gardening. She reports that the discomfort improves after a few minutes of movement. On examination, you note firm, bony enlargements of the distal interphalangeal (DIP) joints bilaterally without warmth or erythema. The NP knows that these findings are most consistent with which of the following?