58. You examine a 65-year-old man with dilated cardiomyopathy and HF. On examination, you expect to find all of the following except:

48. You examine a 38-year-old woman who has presented for an initial examination and Pap smear. She has no complaints. Her blood pressure is 154/98 mm Hg bilaterally and her body mass index is 31 kg/m2. The rest of her physical examination is unremarkable. Your next best action is to:

30. Tim, age 59,  presents with sore throat, tonsillar exudates, fever and cervical adenopathy. There is no cough. There is a high probability of which causative agent:

83. First-line intervention for anterior epistaxis includes:

50. A 68-year-old Caucasian female presents with hypertension and BP of 152-158/92-96 mm Hg documented over 2 months on three different occasions. Electrocardiogram (ECG) and creatinine are normal, and she has no proteinuria. Clinical findings include the following: BMI 26.4 kg/m2, no S3, S4, or murmur; and point of maximal impulse at fifth intercostal space, mid clavicular line. Which of the following represents the best intervention?

71. A 70 year-old male has a yellowish, triangular nodule on the side of his iris. The NP suspects this finding is likely: 

81. A 46-year-old man presents for evaluation of a red rash on both cheeks. This is his third flare-up of the same problem. Some red papules and pustules are visible in the involved areas. On closer inspection, the nurse notices some telangiectasias on his nose and cheeks. There are no comedones present. What is his most likely diagnosis?

3. Which of the following immunizations is not routinely recommended for a person age 65 or older having no risk factors?

75.The NP is caring for a patient with recurrent episodes of blepharitis. Patient’s last visit was over 4 weeks ago with minimal relief from swelling and inflammation. The next step in treatment is?

86. A patient is diagnosed with atrial fibrillation, and her CHA2DS2-VASc score is 0. What is the most reasonable course of therapy?