James, aged 54 years, has been previously diagnosed as having diverticular disease.  He presents to the clinic today with an exacerbation of symptoms that include abdominal pain, low grade fever, and WBC 10,000 mg/dl. He denies any nausea, vomiting or diarrhea.  What is most appropriate medication to consider prescribing to James?

A woman who is taking oral contraceptive pills (OCPs) to prevent pregnancy calls the provider to report forgetting to take the pills for 4 days. She has not had sexual intercourse during that time. What will the provider recommend?

A young adult male reports a dull pain in the right scrotum and the provider notes a bluish color showing through the skin on the affected side. Palpation reveals a bag of worms on the proximal spermatic cord. What is the most likely diagnosis for this patient?

The astute provider understands that a surgical consult may be needed if any of the following is present.

Gastroesophageal reflux disease (GERD) can be contributed to many factors that affect the tone of the esophageal sphincter therefore patient education can be beneficial in symptom management.  Which of the following statements by the provider would be most beneficial for a patient experiencing symptoms of GERD?

When determining the cause of a patient’s abnormal uterine bleeding (AUB), which diagnostics would the provider consider initially? ( Select all that apply.)

Mr. Jenkins, aged 62 years, presents to the clinic with bloody diarrhea.  He reports that he was awakened with crampy abdominal pain this morning that is better after the diarrhea.  The provider recognizes these symptoms as being classic for which disease process?

Which red blood component measures the volume of the cell to determine if the cell is over or under sized?

Daniel, aged 48 years, presents to the clinic with complaints of difficulty swallowing.  He describes the sensation as having “food stuck in his throat”.  Daniel denies any other complaints but admits to smoking 1 pack of cigarettes daily for that last 10 years.  What is the most appropriate action for the provider?

The FNP is evaluating a CBC that reveals an abnormally low Hgb, Hct, and RBC count. Which of the following lab values would assist the FNP in determining if the anemia was microcytic or macrocytic?